骨質健康及防跌
Osteoporosis and Fractures in Older Adults
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Balance Training，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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Related Health Education Video
Health Education Video
Building Bone Strength and Preventing Osteoporosis
Dr Yuen Chi Pan explains the key symptoms, assessment considerations and treatment or rehabilitation principles related to building bone strength and preventing osteoporosis.
Watch VideoWhen 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 persists without improvement, keeps recurring or gradually worsens, consider a 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.
Patient FAQ
FAQ
No. Many orthopaedic problems can first be managed without surgery, such as medication, physiotherapy, posture and activity modification, braces, injections or rehabilitation training. The specialist’s role is to identify the cause of pain and recommend suitable options.
In general, it is better to see a doctor first for symptom review and clinical examination, then decide whether X-ray, MRI, ultrasound or other tests are needed. Different pain problems require different tests.
If pain recurs, becomes more frequent, affects exercise or daily activity, or is associated with numbness, swelling, weakness or locking, consider an orthopaedic assessment.
Minor strains may improve with rest. However, if there is obvious swelling, inability to bear weight, instability, limited movement, severe pain or suspected fracture, seek medical care promptly.
Not necessarily. Older adults, especially those at risk of osteoporosis, may still have an occult fracture or spinal compression fracture even if they can walk. Persistent hip, back, wrist or shoulder pain should be assessed.
Many orthopaedic problems benefit from rehabilitation after treatment to improve range of movement, strength, balance and function. The doctor will recommend a suitable plan based on the condition and recovery progress.
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The form is pre-filled with the topic of this page. You can edit it to match your situation. Appointment times are confirmed by our team.
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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