What are the treatments for osteoporosis

  1, etiological treatment: ① vitamin D and calcium deficiency, supplementation of calcium and the right kind of vitamin D; ② renal acidosis, sodium bicarbonate, sodium citrate, etc. to correct acidosis; ③ primary hyperparathyroidism, removal of diseased parathyroid glands; ④ multiple myeloma, the corresponding chemotherapy regimen. 2, symptomatic treatment: for postmenopausal and senile osteoporosis, the treatment is mainly symptomatic. Sex hormone therapy: For elderly women with osteoporosis, estrogen supplementation can be used to prevent and treat; calcium supplementation: normal people need 10 mg/kg body weight of calcium per day, and osteoporotic people need 17 mg/kg body weight of calcium per day to maintain calcium balance, which can be supplemented from the diet, such as chicken soup, row of slippery soup, milk, shrimp, tofu, green vegetables, etc. are calcium-rich foods, or you can use calcium tablets and take calcium once a night before bedtime; Vitamin D: it is not effective for simple osteoporosis, if accompanied by osteochondrosis, vitamin D can be added, and at the same time combined with calcium supplementation and sex hormones; inorganic phosphate: it can improve osteoporosis after fracture; calcitonin: it can inhibit the activity of osteoclasts and slow down the decomposition and metabolism of bone, which can reduce blood calcium and stimulate new bone formation; bone pain treatment: painkillers, calcitonin, etc. 3. Treatment to inhibit elevated bone conversion rate. Commonly used estrogen, calcitonin, aminodiphosphate and other three inhibitors of bone resorption. Estrogen is suitable for postmenopausal osteoporosis; calcitonin is suitable for patients with osteoporosis, including those with high bone turnover rate; aminodiphosphate is suitable for postmenopausal patients with osteoporosis, elderly men, and those with long-term medication with glucocorticoids.4. Treatment to suppress secondary hyperparathyroidism: The main treatment is to supply appropriate amount of calcium and appropriate vitamin D to correct low blood calcium. Supplementation of elemental calcium at least 800 mg per day, supplementation of vitamin D 400 units per day for adults, 600 units per day for the elderly, and alpha D for those with poor renal hydroxylation. 0.25 to 0.5 micrograms per day. 5. Physical therapy: There are many types of physical therapy, such as ultra-short wave, far infrared, and herbal iontophoresis, which can promote the absorption of sterile inflammation in soft tissues such as muscle fascia and relieve muscle tension, thereby eliminating pain. thus eliminating pain. Physiotherapy is suitable for patients with osteoporosis who have pain in the lower back or other positions.6. Comprehensive treatment: There is no special treatment for osteoporosis, and comprehensive treatment must be adhered to in order to effectively improve bone metabolism, reduce bone loss or increase bone mass, and alleviate and mitigate clinical symptoms. There are five common methods of modern medicine for comprehensive treatment of osteoporosis: drug therapy, exercise therapy, physical therapy, nutritional therapy, and surgical therapy.