Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): No trauma, low back pain, sitting and bending pain, walking without pain, standing without pain, 3 months of film is fine, which doctor to find, what tests to do, what is the disease?
Zhao Ying, Pain Center, Beijing Hospital, Ministry of Health.
The medical history has been read.
The patient is 61 years old. Low back pain, aggravated by sitting and bending for 3 months, no trauma. X-ray is fine.
Follow-up medical history;
1. Is there any history of low back pain in the past?
2. Was the X-ray or CT film taken?
Suggestions.
1. take a CT film of the lumbar spine
2. Perform dual optical energy bone density examination.
At this stage, you can be treated in the pain department.
The above tests confirm the diagnosis of.
Lumbar disc herniation and osteoporosis.
Patient: had a compression fracture four years ago, had an x-ray a few days ago and it was fine
Zhao Ying, Pain Center, Beijing Hospital, Ministry of Health.
Your condition is understood. Suggestion: Click here to refer to my article “Prevention of Osteoporosis
Compression fractures of the thoracic or lumbar spine are the root cause of this patient’s low back pain, which is aggravated by sitting and bending.
Compression fractures are a serious adverse consequence of osteoporosis.
Osteoporosis is a metabolic bone disease defined as a systemic skeletal disorder occurring in both men and women characterized by low bone mass, microarchitectural degeneration of bone tissue, and increased risk of fracture, and is often underappreciated.
The elderly are prone to osteoporosis. I. It manifests as chronic pain throughout the body, which is sore and swollen in nature, not intense, not relieved by rest, but persistent. Second, over time, may become shorter, or appear stooped, hunchback. In severe cases, fractures may occur. Fractures are likely to occur in the hip, vertebrae and wrist. Once a fracture occurs, the quality of life will be reduced and activities will be limited.
Therefore, we should pay attention to the prevention and treatment of osteoporosis.
Suggestions.
1. balanced diet, moderate exercise and at least 20 minutes of light per day
2. Go to a regular large hospital for evaluation and specialist treatment of osteoporosis.
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