How is osteomalacia treated?

  I am often asked by patients or friends how to treat osteophytes. This question is difficult for me to answer for a while. Before answering this question, let’s see what is osteophytes?  Osteomalacia, also known as proliferative osteoarthritis, osteoarthritis, degenerative arthropathy, age-related arthritis, hypertrophic arthritis, etc., is a degenerative bone and joint disease that occurs due to gradual aging and degeneration of the bones with age, or due to destruction of joint cartilage or changes in joint structure caused by trauma or other reasons, resulting in friction or pressure imbalance on the joint surface and formation of joint degeneration. It can occur in the bones and joints of the extremities or in the joints of the spine.  Osteoarthritis starts slowly, mostly in middle-aged and older people over the age of 50. It often develops in multiple joints, but also in single joints. The affected joints may have persistent pain that worsens with activity and improves with rest. The pain is often not severe, but worsens when the air pressure decreases, and is related to climate change. Sometimes there may be acute painful episodes with joint stiffness and occasional grinding sounds in the joints. The stiffness of the joint increases after prolonged sitting and improves after a little activity. In the later stages, the joints become swollen, enlarged and limited in motion, and rarely become completely ankylosed.  The most important and basic treatment for this disease is to reduce the weight bearing and excessive movement of the joints and to take care of the affected joints in order to slow down the progress of the disease. It is also important to keep the joints warm to prevent cold stimulation from aggravating the painful symptoms. Obese people should reduce their weight to reduce the load on the joints and slow down the development of the lesions. Use crutches or canes to reduce the burden on the joints when the lower limb joints are diseased.  Physical therapy and appropriate exercises can be done to maintain the range of motion of the joints. Anti-inflammatory and analgesic drugs can reduce or control the symptoms, but cannot change the progression of the lesion, and are only useful during acute pain episodes. Intra-articular injection of sodium vitrate can nourish and lubricate the joint and provide symptomatic relief. In advanced cases, artificial joint replacement is a recognized effective method to eliminate pain, correct deformity and improve function if the systemic condition can tolerate surgery, which can improve the quality of life of patients. In cases of nerve pain caused by nerve compression by spinal hyperplasia, the nerve compression can be removed and the pain symptoms can be relieved through surgery.