According to a large survey, it is estimated that about 69.44 million people over the age of 50 in China currently suffer from osteoporosis, and about 210 million people have low bone mass. The story of the clinic A woman living in Sanhe, Hebei, who has been feeling pain under the bilateral rib cage for more than 5 months, has been treated for herpes zoster at a local hospital (she has not actually developed a rash) but has not improved. She was suffering from pain, her eating and sleeping were affected, and she lost a lot of weight. The company’s main goal is to provide the best possible service to its customers. The doctor who saw her did an examination and thought it was not herpes zoster, and arranged for her to have a bone density test, which confirmed the diagnosis of severe osteoporosis. The doctor told her that her pain was caused by osteoporosis and prescribed medication for treatment. A month later, she came for a follow-up appointment and told the doctor that her pain had been significantly reduced. The pain is not normal. Osteoporosis is a systemic bone disease caused by low bone mass and destruction of bone microstructure, resulting in increased bone fragility and susceptibility to fracture. It is a degenerative disease and the risk of developing it increases with age. People of all genders and ages can get osteoporosis, but it is more common in postmenopausal women and older men over the age of 70. Patients often have no obvious symptoms in the early stages, such as the common stooping of the back in the elderly, which is considered a natural phenomenon and few people would think that osteoporosis may be at fault. In fact, the short height of the elderly is a typical symptom of osteoporosis. In addition, back pain and bone pain, which are common in the elderly, are easily overlooked. If there is severe bone pain in the lower back, hip or limbs, the possibility of osteoporosis should be thought of. As soon as you think of it, you can actually go to the hospital to have a bone density test so that you don’t have to wait for the fracture to occur before you have an X-ray or bone density test. Consequences of osteoporotic fracture Very serious Osteoporotic fracture is a type of fragility fracture, which means that the fracture can occur with minor trauma during daily activities. Common sites for osteoporotic fractures are the spine, hip and arm. Osteoporotic fractures are very dangerous and can lead to increased disability and mortality. Studies have found that patients with fragility fractures of the hip have a 50% disability rate within 1 year and a 15% to 33% mortality rate, and that 28% of women and 37% of men with hip fractures will die within the second year. Patients with osteoporotic fractures are also mostly middle-aged and elderly people over 50 years of age, and recovery after treatment is often less than ideal, with a large number of patients experiencing chronic pain, limited mobility and even long-term disability; 1 year after the fracture, about 1/4 of patients still do not regain mobility. The fear of falling may also lead to bed rest, loneliness and a tendency to suffer from geriatric depression. Many people’s concept of osteoporosis prevention and treatment still remains at the stage of simple calcium supplementation, but in fact, for anti-osteoporosis treatment should not only promote bone formation, but also inhibit bone resorption. Bisphosphonates are an effective means of preventing and treating osteoporosis. Some patients with osteoporotic fractures have not kept up with anti-osteoporosis treatment after the fracture was cured, resulting in another fracture. Treatment of osteoporosis is really about avoiding fractures and re-fractures. For the most common osteoporotic fracture, the vertebral compression fracture, many people do not realize that severe low back pain is likely due to the fracture due to lack of awareness. How to effectively improve the diagnosis and treatment rate of osteoporosis and do anti-osteoporosis treatment for patients who have fractures to prevent possible serious disability or even death has become a serious problem. Therefore, experts call for attention to anti-osteoporosis treatment. Lifestyle Adjustments Eat a balanced diet, rich in calcium, low salt and moderate protein. Pay attention to appropriate outdoor activities, physical exercise and rehabilitation therapy that help bone health. Avoid smoking, alcohol abuse and careful use of drugs that affect bone metabolism. Take various measures to prevent falls, such as paying attention to the presence of diseases and medications that increase the risk of falls and strengthening protective measures for yourself and the environment. The recommended daily calcium intake for adults is 800 mg (elemental calcium) and for postmenopausal women and the elderly is 1000 mg. The average daily calcium intake for the elderly in China is about 400 mg from the diet. The average daily recommended calcium intake is 500mg to 600mg, which can slow down the loss of bone. Vitamin D facilitates calcium absorption, and vitamin D deficiency can lead to secondary hyperparathyroidism, which increases bone resorption and thus causes or aggravates osteoporosis. The recommended dose for adults is 200 U/d to 400 U/d, while the recommended dose for the elderly is 600 U/d to 800 U/d due to lack of sunlight and impaired intake and absorption of vitamin D. Vitamin D should be used in combination with other medications when used for the treatment of osteoporosis. Attention should be paid to safety, regular monitoring of blood and urine calcium, and allowing the doctor to adjust the dose.