Sister Li is still worried about being diagnosed with severe osteoporosis!
Repeatedly asked me: "Dr. Xie, I exercise every day, how can I be osteoporosis?" Is it a misdiagnosis? ”
In fact, her misunderstanding exists in many people, and today we will talk about this problem well!
Here's the thing
Sister Li, 55 years old, has been stopped for three years!
The eldest sister is very fond of sports, insists on swimming and jogging for many years, and has dabbled in many sports. Three days ago and friends went skating, fell a fall, when the left wrist hurt more severely, but the observation of swelling is not particularly obvious, feel that there should be nothing, go home to ice for a night, to the morning of the 2nd day, the pain is still more obvious, and there is subcutaneous bruising on the wrist, worried about fractures, so go to the hospital to see.
An X-ray can be done in this case, and when the first film was taken, no obvious fractures were found, but there was still a problem with her lateral image.
Combined with the obvious subcutaneous congestion on her wrist, considering whether the location of the fracture is more hidden, so I contacted the Radiology Department and gave her an oblique X-ray examination again, and the fracture site was finally revealed, fortunately, the position was very good, like this situation, properly give the brace fixed, and properly medicate it.
However, on her wrist X-ray, we found another problem, that is, there was a significant change in the bone mass of her fingers, and we found some signs of osteoporosis on her wrist bone.
Therefore, Dr. Xie suggested that she have a bone density test to see if she is osteoporosis! Here I want to tell you that to determine whether people have osteoporosis tests, not blood calcium tests, but to pass professional bone density tests, we call it dual-energy X-ray, through dual-energy X-ray, we get a T-value, if the T value between -1.0 and -2.5 will be diagnosed as osteopenia, but if it is lower than -2.5, it will be diagnosed as osteoporosis.
Sister Li's test result T value is -2.9!
Combined with a wrist fracture caused by a minor trauma, Sister Li's diagnosis should be severe osteoporosis.
Sister Li questioned
When she finished explaining to Sister Li, Sister Li immediately showed a very skeptical attitude.
"I exercise every day, I've loved sports since I was a kid, I can't have osteoporosis!"
"I swim and run almost every day, badminton, skating, dancing is not bad, I can't be osteoporosis!"
If you are also a person who loves sports, I believe that when you encounter such a thing, you will definitely have such a law!
However, everyone has not thought of a question, that is: "Is it exercise, there will be no osteoporosis?" ”
Exercise has great benefits for bone health
Among the many guidelines for fighting osteoporosis, exercise is strongly recommended to assist in osteoporosis.
Because our bones are load-bearing organs, proper motor stimulation plays an important role in maintaining bone health and maintaining bone strength.
This is why we now recommend early rehabilitation exercises for patients with fractures, whether they are cast or surgically fixed, to avoid waste osteoporosis due to reduced activity.
But there is a detail we must understand, for bone health is good for the exercise must be weight-bearing exercise, like swimming for bone health is not much benefit, because it does not belong to weight-bearing exercise, the buoyancy of water offsets the stimulation of the bones, we think about whether the astronauts are going to sit on the chair after returning to the earth in space, this is because for a long time in a non-weight-bearing state, the bones are not stimulated for a long time, and osteoporosis occurs.
Sports such as jogging, brisk walking, cycling, tai chi and dancing are weight-bearing exercises that are good for bone health.
But we must understand that exercise for the fight against osteoporosis is an auxiliary role, it does not have a decisive factor, definitely does not mean that the movement of the bone is no longer loose.
There are many causes of osteoporosis
There are too many reasons for our osteoporosis, before talking about the causes of osteoporosis, we must understand a truth, that is, our bones are not immutable, it is a dynamic organ, our bones through bone resorption and bone formation to maintain a state of balance, so that bones can form metabolism, always in a relatively healthy state.
When bone resorption is significantly strengthened and bone formation is weakened, we may have osteoporosis.
● Female friends are very susceptible to osteoporosis, especially in the perimenopause or postmenopausal female friends, which is due to the cliff-like decline in estrogen levels, resulting in the function of osteoclasts becoming more and more powerful, that is to say, bone resorption becomes active, it is easy to appear osteoporosis, this situation we call postmenopausal osteoporosis.
● As we age, our bone formation naturally weakens slowly, which is also a natural law, as we call senile osteoporosis.
● There are also some osteoporosis, which we call secondary osteoporosis, due to some internal medical diseases, such as hyperthyroidism, hyperparathyroidism, diabetes, some diseases of the digestive system, such as gastrectomy, or some hepatobiliary diseases, leukemia, rheumatoid, etc. can cause us to have osteoporosis.
●Smoking, alcohol consumption, underweight, and genetic factors are also high-risk factors for osteoporosis.
Like Sister Li's case, in fact, it is not particularly special, she is at the age of fifty-five, menopause has been 3 years, age factors plus hormonal changes after menopause, this is a very powerful factor leading to osteoporosis, then it is difficult to fight simply through exercise.
And in the detailed consultation, we also learned that Sister Li has undergone thyroid surgery, and the impact on the bones is also very large.
Osteoporosis is the killer of silence
Osteoporosis has a more terrible name, called "Silent Killer".
That is to say, when we slowly develop from a normal state of bone mass to a period of osteoporosis, the vast majority of patients do not have any symptoms.
It will quietly and silently lead to a decrease in your overall bone mass, and some patients have broken bones, with serious consequences, and after examination, they will find that they have osteoporosis.
So how can we know in advance if our bone mass is abnormal?
If you are a woman, it is recommended that you have a regular bone density test every year after the age of 45, especially after the beginning of menstruation, and if you are a man, it is recommended to have regular bone density checks every year after the age of 50 or 60, and to do a dual-energy X-ray can clearly find out whether we have an abnormal state of bone mass.
Of course, if you have some special diseases, such as breast cancer, you need to take some drugs for a long time after surgery, and it is also necessary to have the above-mentioned diseases that are easy to cause osteoporosis.
To emphasize here, try not to judge whether you have osteoporosis through symptoms, but to clarify through professional examination.
What should I do if I have osteoporosis?
The article is actually written here has been a long time, I believe that everyone has been reading for a while, we try to say simply, if you are sure that osteoporosis has appeared, then it is recommended that you accept regular anti-osteosteosis treatment, to have a scientific and reasonable diet, must be a high-calcium diet, to adhere to the previous exercise, to adhere to the sun, these living habits are a cornerstone of our fight against osteoporosis, in addition, we must also use scientific and rational drugs, to appropriately use drugs that inhibit bone absorption, to take drugs that promote bone formation.
There are many drugs that inhibit bone destruction, mainly bisphosphonate drugs, like alendronate is a better choice, intravenous zoledronic acid, etc. are also OK, drugs that promote bone formation, mainly vitamin D Drugs, such as calcitriol, alphacalciferol are reasonable choices, but please remember that taking drugs must be under the guidance of a doctor, do not take their own medicine.
In previous articles, Dr. Xie has written in detail about the drug options for osteoporosis, and if you are interested, you can find the knowledge you need in previous articles.
summary
Osteoporosis is a complex disease, definitely not as you think, can be judged by what symptoms, nor does it mean that if you have a relatively healthy lifestyle, you will not suffer from osteoporosis.
Regular physical examination, scientific diet, scientific exercise, and timely confrontation after finding problems is a correct choice.
If you have other questions, you can leave a message below and let's discuss it together.
I am insisting on using simple language to explain the knowledge of complex diseases Xie Xinhui, code words are not easy, if you agree with my point of view, please help to pay attention to or like it, if you or your family and friends also have osteoporosis in this area of trouble, but also worried about whether they have osteoporosis, please forward this article to friends in need, let them better understand this problem, learn how to fight, learn how to prevent!