~Causes, diagnosis, and treatment of osteoporosis and its treatment at our clinic
I broke my arm just tripping a little," he said, "and I feel like I've shrunk somehow."
If so, you may have osteoporosis.
Osteoporosis is the loss of bone density and strength andDiseases that cause brittle bones and increased susceptibility to fracturesIt is. It is also called "the silent disease" because there are often no symptoms even when the disease is advanced.
In this issue, we will discuss the causes, tests, and treatment of osteoporosis, andOur clinic's approach to precise evaluation and treatmentto the following.
What is osteoporosis?
Osteoporosis is,Disease in which the interior of the bone is scoured, making it more susceptible to fracture from even the slightest force.It is. An estimated 13 million people in Japan have osteoporosis, especiallyPostmenopausal womenThis is often seen in
The following diseases and lifestyle habits can also put you at risk for reduced bone density
- Smoking and excessive alcohol consumption
- Prolonged steroid use
- rheumatoid arthritis
- Diabetes and chronic kidney disease
- History of gastric surgery (post gastrectomy)
As for areas prone to fracture:
- Spinal (vertebral body) compression fracture
- proximal femur fracture
- distal radius fracture(Wrist)
- humeral neck fracture
- pelvic fracture These include
Symptoms and risks
Osteoporosis is basically asymptomatic and progressive,In many cases, the fracture is the first to be discovered.It is.
- Back or hip pain
- Height has shrunk.
- Unable to move or stand after a fall
- Fractures in the absence of obvious trauma
In the elderly, fractures can occur from changing positions for diaper changes or even minor buttocks injuries.Risk of progression to bedridden or disuse syndrome due to loss of muscle strength and cardiopulmonary function following fractureTherefore, early detection and treatment are important.
Examination and Diagnosis
Bone density test (DEXA method)
At our clinicHigh-precision DEXA method (dual-energy X-ray absorption spectrometry) is used.and bone density of the lumbar spine and proximal femur are measured.
Bone density,YAM (Young Adult Mean) = Percentage of Young Adult MeanThe evaluation will be made in the following table.
Blood test
If a decrease in bone density is confirmed,Blood samples for calcium, vitamin D, and bone metabolism markers (TRACP-5b, P1NP, etc.) will be taken to help determine the treatment plan.
X-ray examination
Lumbar spine radiographs,Past compression fractures or bone deformitiesConfirmation of the
[Diagnostic criteria (if any are met)
- fragility fracture(vertebral body or proximal femur).
- Other fragility fractures (e.g., radius, pelvis) and bone densityLess than 80% of YAM
- In the absence of fractures, bone densityLess than 70% of YAM or -2.5 SD
Treatment
The pillars of treatment are,Diet, exercise, and drug therapyIt is.
At Ikejiri-Ohashi Sera Clinic, we view osteoporosis as a treatment of bone metabolism and emphasize the proper sequence of treatment.
Diet
- calcium (Ca): 800 mg or more per day (dairy products, soybeans, small fish, etc.)
- vitamin DSalmon, mushrooms, etc.
- vitamin KNatto (fermented soybeans), broccoli, etc.
Exercise Therapy
- With moderate loadExercise that stimulates bones (e.g., walking)
- With exercises to improve muscle strength and balance.Effective in preventing falls
Drug Therapy
bone resorption inhibitor
The following agents are used depending on the condition
- bisphosphonateFirst-line drug: inhibits bone resorption. Inhibits bone resorption
- SERM (selective estrogen receptor modulator)Effective for postmenopausal women
- Denosumab (injection)Used every six months: potent bone resorption inhibitor
→directional marker or indicator Calcium and vitamin D supplementation required (e.g., with Denotus)
Osteogenesis-promoting drugs (severe cases)
- Bone density.YAM Less than 60
- orWith fragility fractures in 60-70% of cases
In cases like this,Consider using osteogenesis-promoting drugs such as teriparatideI will do so.
Treatment needs to focus on "building" bone, not just preventing it from "breaking".
[Fall prevention is also an important part of treatment.
- Exercise habits to maintain leg and back strength
- House.Review of steps, slippers, lighting
- Improvement of visual impairment (e.g., cataracts)
- Medical response to frequent urination and lightheadedness
These are,Care for both "unbreakable bones" and "life without fallingIt is important as
Examinations and treatments available at Ikejiri-Ohashi Sera Clinic
The clinic has the following medical systems in place
Inspection
- Bone Densitometry by DEXA method
- Evaluation of bone metabolism by blood test
- Lumbar spine x-ray to check for compression fractures
Treatment
- Patient-specific drug selection and lifestyle guidance
- Practical advice on fall prevention and exercise therapy
- Linkage to specialists can be made if necessary.
Summary
Osteoporosis is a disease that should not be dismissed as "age-related.A thorough examination and a step-by-step treatment strategy will greatly reduce the risk of future fractures.
In this clinic,Provide appropriate treatment plan based on precise DEXA examination and bone metabolism evaluationThe company is doing so.
If you are concerned about the condition of your bones or have already experienced a fracture, please contact us.
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