衛教資訊
Treatments for Osteoporosis and Fracture 骨質疏鬆與骨折之治療
Treatments for Osteoporosis and Fracture 骨質疏鬆與骨折之治療
The population is Taiwan is aging and issues related to old age start to surface gradually. Osteoporosis is getting more common as well. This article describes the situations of fracture for your understanding. Common fractures causes by osteoporosis include:
- Wrist fracture
- Hip fracture
- Spine fracture
- Shoulder fracture
The early treatments for compression fracture include pain medication, spraying Miacalcic, and wearing back brace (3-point back brace is required if the fracture is between thoracic and lumbar). The pain will be relieved gradually when fracture heals. If the pain disappears or subsides to a very mild degree and the X-ray shows the healing of fracture in 3 months, the use of back brace can be reduced and may be removed eventually.
The purpose of wearing back brace is to prevent the spine vertebral body with compression fracture from collapsing, encourage the healing of fracture, and relieve the pain. However, back muscle weakness, atrophy, and osteoporosis deterioration may occur after long-term use. Therefore, back brace is not needed after the fracture heals. Moreover, Miacalcic should be replaced with osteoporosis medicines when the pain is relieved. Osteoporosis medicines include Fosamax and Evista, which are covered by National Health Insurance.
Sometimes the pain may continue to deteriorate, meaning the fracture is not healed.
Surgical treatment is recommended in such case.
- Liu, J., Curtis, E. M., Cooper, C., & Harvey, N. C. (2019). State of the art in osteoporosis risk assessment and treatment. Journal of endocrinological investigation, 42(10), 1149–1164. https://doi.org/10.1007/s40618-019-01041-6
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