Ladies and gentlemen, today Dr. Xie would like to delay your time for more than ten minutes to chat with the majority of female friends aged 45-55 about the bone and tendon problems that need to be paid attention to at this special age, do you think it is okay?
The reason is very simple, there are too many female patients with musculoskeletal problems at this age, but many people don't care, and as a result, the problem is not alleviated for a long time, and even affects lifelong bone health!
No, in the past few days, I have received two cases of female patients, both of whom have many joint problems due to overwork, and the deeper cause is osteoporosis and menopause!
Let's introduce you to these two cases first, and I believe you will definitely find your own shadow in these two patients:
The eldest sister is 52 years old, started to engage in catering a year ago, opened a small shop, and is busy from morning to night every day, according to her, she has to walk at least 2-30,000 steps a day, although it is hard, but fortunately, the income is good.
Two months ago, she felt wrong, there was obvious pain in both knee joints, she couldn't go up and down the stairs normally, and she used some medicine, but the symptoms did not improve at all, and she still had her own small shop to operate, she did not rest, she kept standing like this, until a week ago, the pain was too intense, it had seriously affected her work and life, so she decided to go to the hospital to have a look.
After a detailed physical examination, we found that her entire inner knee joint could not be touched, and a slight touch would induce unbearable pain
1.There are many causes of joint effusion in both knees, and from this patient's experience, it should be that the joint is overwhelmed, resulting in synovial inflammation of the joint.
2.The swelling of the medial soft tissues of both knee joints indicates that the medial structure is significantly worn out, which is related to her long-term walking labor.
3.Bone marrow edema! The bones are very strong, and there is generally no edema, and once edema occurs, it is more common in the joint that has suffered a relatively large trauma, but this patient can clearly have no history of trauma, so how to explain bone marrow edema?
Osteoporosis? At that time, Dr. Xie thought of this possibility and advised her to do a further bone density check, which resulted in a t-score of -25. Diagnosed osteoporosis.
Then everything makes sense, this woman due to this year's overwork, coupled with menopausal changes led to musculophytic and bone problems, induced joint effusion, soft tissue damage, but because of the weakening of bone strength, in the process of overwork, long-term, repeated stimulation of the bones, resulting in bone edema.
Hey, she's working so hard!
The patient was a clothing store owner, 59 years old, and had a lot of energy, but she had a problem that had been bothering her for three years, ankle pain!
She has repeatedly sought medical treatment, repeatedly done MRI examinations of the ankle joint, and found that there was fluid accumulation in the joint cavity and swelling of the soft tissues, but she could not find the cause, and she had also done many rheumatism, rheumatoid and other examinations, but no serious problems were found, so she began to use various drugs repeatedly, but with little effect.
Knowing the medical history in detail, we found that she is very dedicated, loves her work, works very long hours every day, more than 10 hours, and has to go to other places to load goods from time to time, due to the characteristics of sales, she needs to stand for a long time.
Given that she's done so many checks and ruled out a lot of possibilities, that's good, and there's not much to leave us with, right?
So is it possible that her bones are no longer so strong, and because the need to work (standing for a long time) has caused a lot of irritation to the bones and joints, causing her to have such a problem? On the advice of Dr. Xie, we did a bone density test on her and found that her bone mineral density t-value was -31. He is an osteoporosis patient.
The cause of her recurrent joint pain was found!
After introducing these two cases, what do you find that the two patients have in common? Is it in the age group of 45 to 55 years old? Is the work intensity relatively high?
These two cases are just the classic cases of Dr. Xie in his long-term medical work, in fact, there are many patients, and they often have such characteristics! So why are female friends at this age prone to problems?
The answer lies in the hormonal changes of menopause!
At this special age, female friends are in a special period, called perimenopause, hormone levels will change very much, which will cause female friends to have a lot of symptoms, as many as 34 kinds of well-documented! For example, weight changes, such as hot flashes, night sweats, such as sleep disorders, such as tendonitis, tenosynovitis, such as long-term bone pain, etc.
Female friends can use estrogen as a protective shield for our body, which protects our female sexual characteristics, allows us to have faster damage repair ability, can better fight damage, can better fight inflammation, and also plays a very important role in our women's metabolism.
However, during perimenopause and menopause, estrogen levels decline rapidly, causing us to experience a rollercoaster of changes, and our bodies cannot adapt to such changes, so there will be a variety of symptoms.
Hormones drop rapidly.
In addition, the level of estrogen is also very important for us to regulate the metabolism of bones, especially for the function of a special cell called osteoclasts. When the level of estrogen decreases, the function of osteoclasts will become more and more active, resulting in abnormal metabolism of our bones, loss of balance, and then bone mass decreases, and over time, it will lead to osteoporosis, which is called postmenopausal osteoporosis.
Osteoclasts. In addition, when the strength of our bones decreases, the tendons and ligaments attached to the bones are also prone to problems, which is why many menopausal women are prone to stenosis tenosynovitis, frozen shoulder and other problems.
Knowing the above, you will know that when you are already in an important period of bone changes, the bone strength has decreased, but you still do not pay attention and still feel that you are still in a young state, then it is very likely that in the process of overwork, the problems of the above two patients, long-term recurrent pain, and even wandering pain, fatigue and mental state changes will also appear.
And once this state appears, it will be very difficult to adjust and recover, after all, aging and menopause are a normal life that we must face, and no one can rejuvenate, right?
So are female friends at this age group just going along with it? The answer, of course, is no, and here are some suggestions that I hope will be helpful to women who are in this age group:
1.Let's do bone density!
If you are at this age, it is recommended that you have a bone density test once a year, which is called dual-energy X-ray, which is currently more popular and accurate. Note that it's not an ultrasound of the wrist or heel, it's like this!
Dual-energy X-rays. With this dual-energy check, we are able to get a t-value if the t-value is -10~-2.5 is called osteopenia if the t-value is at -25, then the diagnosis of osteoporosis.
Only by understanding the state of your bones can you really pay attention to this problem, don't you think?
It would be noted here that it makes no sense to determine whether there is a change in bone mass by taking blood and testing blood calcium.
2.Adjust your eating habits!
At this age, you have to pay attention to a high-calcium diet. Increase the amount of fresh vegetables (500g), whole grains, eggs (1 tablet a day), milk (300ml), soy products, deep-sea fish and nuts in your recipe as they are rich in calcium and vitamin D.
A diet high in calcium. Why increase the amount of these diets? Because the calcium intake in our daily food is insufficient, according to the survey of our country's dietary habits, the average calcium intake per person is about 400 mg. For people with osteopenia and osteoporosis, the amount of calcium supplementation is between 800 and 1200 mg, and there is a huge difference here.
Therefore, it is important to supplement with food because it is easy to absorb and safe.
3.Get moving!
Weight-bearing exercise plays a very important role in maintaining and improving bone strength, and moderate exercise also plays a role in reducing the symptoms of menopause!
So which exercises are weight-bearing exercises? In fact, it is much simpler than everyone thinks, such as jogging, brisk walking, and cycling are all simple and easy weight-bearing exercises, which can stimulate our bones. So what kind of exercise is considered non-weight-bearing exercise? For example, a very classic exercise is swimming, although swimming will improve our cardiopulmonary function and have a good effect on maintaining our healthy physical state, but it will not stimulate the bones.
In addition, doing some resistance anaerobic exercises through yoga bands or dumbbells is also very important to maintain our bone strength and avoid muscle loss or atrophy.
There is also a verbosity here, no matter how tired the usual work is, it does not belong to exercise, because it is a repetitive activity, which brings us a sense of fatigue, and through exercise, it brings us a sense of euphoria, which is still fundamentally different.
4.Dietary supplement, reasonable supplementation.
There are two dietary supplements that are key to maintaining our bone strength, one is calcium and the other is vitamin D.
If you have adjusted your diet to a high-calcium diet, then supplementing with 300 to 600 mg of calcium per day is more appropriate.
There is a detail to pay attention to, calcium supplementation, we usually supplement calcium carbonate, the amount we supplement per meal should not exceed 300 500 mg, because the maximum amount that our intestines can absorb in a meal is 500 mg, and supplementing too much will lead to other risks such as vascular calcification.
The vitamin D content in our country's diet is very low, especially in the northeast region, due to the lack of sun exposure, vitamin D deficiency is a more common phenomenon, for women every other day to supplement 800 units of vitamin D, is a more appropriate amount.
Everyone should pay attention to this dietary supplement, there is no need to use it as a medicine to eat regularly and quantitatively, supplement for 1 2 months for one or two months, give the drug a holiday, give yourself a holiday, it is a very normal thing.
5.Adjust the intensity of the work.
Work is for a better life, you can't treat work as life! Even if the same work intensity, at this age is easy to cause problems, if you look at the first two real cases in detail, you will know that excessive work, really has an impact on our bones, and once there is a problem to make up, it is difficult to correct.
6.When should I see a doctor?
If your bone density test has exceeded -25. The above measures are not of great significance, because at this time, bone destruction has reached a very serious level, and many special drugs are needed to help inhibit bone resorption and promote bone formation, so as to slowly make up for bone strength and help patients control symptoms!
It is not just a simple supplement of vitamin D and calcium, which can solve the problem, the drugs that need to be used are very complex, such as sodium alenphosphate, zolesophosphate and denosumab, etc., which need to be selected by professional doctors, and it is recommended to go to the endocrinology department or orthopedic department at this time.
Menopause is a hurdle, it is recommended that all female friends of this special age must pay attention to this problem, do not ignore this special age, the damage that may be caused to the bones and joints during the special period, do not leave the pain, so that you can better enjoy your life after menopause!
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