What are the treatment options for osteoporosis?

  1, etiologic treatment: vitamin D and calcium deficiency, calcium supplementation and the right kind of vitamin D; renal acidosis, sodium bicarbonate, sodium citrate, etc. to correct acidosis; primary hyperparathyroidism, removal of diseased parathyroid glands; multiple myeloma, the appropriate 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 of calcium per kg of body weight per day, and osteoporotic people need 17 mg of calcium per kg of body weight 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 calcium tablets can be used, and calcium can be taken once a night before bedtime. Vitamin D: it is ineffective for simple osteoporosis, if accompanied by osteochondrosis, vitamin D can be added and used together with calcium supplementation and sex hormones; inorganic phosphate: it can improve osteoporosis after fracture; calcitonin: it can inhibit the activity of osteoclasts and retard bone breakdown metabolism, which can lower blood calcium and stimulate new bone formation; bone pain treatment: painkillers, calcitonin, etc.  3, inhibit the treatment of elevated bone conversion rate: commonly used estrogen, calcitonin, aminodiphosphonate and other three inhibitors of bone resorption drugs. Estrogen is suitable for postmenopausal osteoporosis; calcitonin is suitable for patients with osteoporosis, including those with high bone conversion rate; aminodiphosphate is suitable for postmenopausal osteoporosis patients, elderly men, and those with long-term medication with glucocorticoids.  4. Treatment to suppress secondary hyperparathyroidism: The main thing is to supply appropriate amount of calcium and suitable vitamin D to correct low blood calcium. Supplementation with elemental calcium at least 800 mg per day, supplementation with 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, Chinese medicine iontophoresis, etc., can promote the absorption of sterile inflammation in soft tissues such as muscle fascia, relieve muscle tension, thereby eliminating pain. Physical therapy is suitable for patients with osteoporosis who have low back or other bits of pain.  6.Comprehensive treatment: There is no one 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.