骨質健康及防跌

骨質疏鬆及長者骨折

骨質疏鬆本身未必有明顯症狀,但會增加骨折風險。長者跌倒後持續疼痛應小心隱性骨折。

Symptoms

  • 手腕、髖部或脊椎骨折風險增加
  • 長者跌倒後髖痛或背痛
  • 手腕痛
  • 身高變矮
  • 駝背或脊椎壓縮性骨折風險

Possible Causes

  • 年齡增長
  • 停經後骨質流失
  • 缺乏負重運動
  • 營養不足
  • 部分長期藥物
  • 既往骨折史

When To Seek Help

如曾經低能量跌倒後骨折、有明顯駝背或身高變矮、長者跌倒後持續疼痛,建議接受骨科及骨質疏鬆評估。

Treatment Direction

治療可包括骨質密度檢查、鈣質及維他命 D 評估、藥物治療、防跌建議、肌力及平衡訓練,以及骨折治療。

If pain persists, affects activity or follows an injury, consider booking an orthopaedic specialist assessment.

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以上資訊只供一般健康教育參考,不能取代醫生的個別診斷及治療建議。如症狀持續、惡化,或出現麻痺、無力、發燒、創傷後劇痛等情況,請盡快求醫。

When To Seek Help

When Should You See An Orthopaedic Specialist?

If pain persists, keeps recurring or already affects daily life, you should not simply endure it. Early diagnosis can help identify the source of the problem, guide suitable treatment and reduce the chance of worsening or repeated injury.

Pain Does Not Settle

If pain has not improved after one to two weeks, or keeps recurring, consider professional assessment.

Affects Daily Life

If pain affects walking, stairs, work, exercise or sleep, it should not be delayed for too long.

Joint Swelling, Locking Or Instability

Swelling, locking, weakness or repeated sprains in joints such as the knee, shoulder or ankle may involve ligaments, meniscus, tendons or cartilage.

Numbness Or Weakness

Numbness, tingling or weakness in the limbs may be related to nerve compression or spinal problems and should be assessed early.

Pain After Fall Or Sports Injury

Obvious pain, swelling, difficulty moving or inability to bear weight after injury should be assessed to exclude fracture or significant soft tissue injury.

Pain After A Fall In Older Adults

In older adults, even mild pain after a fall may still indicate an occult fracture, especially in the hip, wrist or spine.

Seek urgent care: If you have bowel or bladder control problems, obvious limb weakness, inability to stand after major trauma, deformity or suspected fracture, seek medical care or attend an emergency department promptly.

Patient FAQ

FAQ

Pain does not always need to be endured. Early assessment may help prevent worsening.

Many orthopaedic problems do not require immediate surgery. An orthopaedic specialist will first understand your symptoms, perform a clinical examination and arrange X-ray, MRI, ultrasound or other investigations if needed, before recommending suitable options such as medication, physiotherapy, injections, braces, rehabilitation training or surgery when appropriate.

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