The methods to improve severe osteoporosis in the elderly mainly include general treatment and medication, and the doctor needs to determine which way to use according to the condition of the elderly. 1. General treatment: severe osteoporosis in the elderly can be appropriate outdoor activities, appropriate sun exposure, such as jogging, walking, playing Tai Chi, etc., not only can enhance the physical quality of the elderly, help to maintain the stability of bone quality, but also can promote calcium absorption, relieve osteoporosis. Elderly people with severe osteoporosis need to adjust their dietary structure and consume more calcium and vitamin D containing food. 2. Medication: It mainly includes four kinds of drugs: estrogen, estrogen receptor modulators, bisphosphonates and calcitonin, such as alendronate, isoflavone and zoledronate. In addition, calcium and vitamin D supplements are also essential, commonly used calcium supplements such as calcium gluconate, calcium lactate, calcium carbonate and so on. The above medications should be taken according to the doctor’s prescription, and should not be taken by oneself to avoid adverse reactions. When severe osteoporosis occurs in the elderly, they should seek medical treatment as soon as possible to avoid serious consequences.