For the treatment of osteoporosis alone, there are medications available. However, clinical treatment is not only for osteoporosis, but for the clinical symptoms of osteoporosis. Osteoporosis and osteopenia are two concepts. Osteoporosis can be manifested as osteoporotic bone pain and osteoporotic fracture. Both have certain symptoms and bring certain obstacles to life. The clinician will make an initial determination based on the patient’s discomfort, time of onset, cause of onset, and clinical physical examination, etc., and then recommend what kind of tests to perform. The general examination process is: First, it is necessary to clarify whether there is an occult lumbar fracture. Preliminary examination of the lumbar spine X-ray or CT can be used to clarify the diagnosis if it cannot be determined by nuclear magnetic examination. There are many patients who have wedge-shaped changes in the vertebral body, mostly concentrated in the thoracolumbar segment, and need to determine whether they are fresh fractures. Osteoporotic people can cause lumbar vertebral fractures when they are sedentary or suddenly bend over. Mild ones are mostly occult fractures, which cannot be detected by X-ray. Secondly, you can use the current dual-energy bone densitometer test means to quantitatively determine the osteoporosis situation and clarify what period the stage of osteoporosis is in. Osteoporosis can be divided into bone loss, osteopenia and severe osteoporosis. Their detection T-values can be indicated. Finally, treatment options can be determined based on the above tests, with different medication strategies. Further treatment can be decided based on the examination results. Attention is also paid to the application of rehabilitation means and the prevention of geriatric complications. Drugs for the treatment of osteoporosis are simply divided into two categories: reducing bone loss and promoting bone formation, both of which need to be used in combination with active vitamin D and calcium, such as Fosamax, Miganex, Teriparatide, etc. They need to be used under medical supervision. At present, our hospital has the above examination methods and is the base for osteoporosis treatment. Especially the dual-energy bone density examination instrument, only a few hospitals in Tianjin have it, you can come to the hospital outpatient registration examination, bone density can be measured on the same day.