After dialysis, bone pain becomes more and more obvious. Learn how to treat it in this article

1. Adjusting the dialysis regimen

Communicate with your doctor to assess whether the current dialysis is adequate. You may need to increase the frequency of dialysis, extend the dialysis time, or adjust the dialysate composition. For example, adjust the calcium and phosphorus concentrations. The appropriate dialysate calcium ion concentration helps maintain calcium balance in the body and reduce bone pain caused by calcium metabolism disorders.

2. Control calcium and phosphorus levels

1. Limit the intake of phosphorus in the diet and avoid eating high-phosphorus foods, such as animal offal, nuts, etc. At the same time, use phosphorus binders reasonably according to the doctor's advice and take them at the same time as meals to effectively reduce the intestinal absorption of phosphorus.

2. For abnormal blood calcium, adjust the use of calcium supplements under the guidance of a doctor. If blood calcium is too high, reduce the use of calcium-phosphorus binders; if blood calcium is too low, supplement calcium appropriately, but be careful to avoid vascular calcification.

3. Application of Active Vitamin D

Detect the level of vitamin D in the body and use active vitamin D and its analogs according to the situation. It can promote intestinal absorption of calcium, regulate the secretion of parathyroid hormone, and help improve bone metabolism. However, it is necessary to pay attention to monitoring blood calcium, blood phosphorus and parathyroid hormone to prevent adverse reactions.

4. Treatment of hyperparathyroidism

If the bone pain is caused by hyperparathyroidism, drug treatment can be selected according to the condition, such as calcimimetics, which inhibit the secretion of parathyroid hormone. For severe parathyroid hyperplasia or adenoma, surgical treatment may need to be considered.

V. Rehabilitation and auxiliary treatment

Appropriate gentle exercise, such as joint range of motion training and low-intensity aerobic exercise, can help improve bone blood circulation and muscle strength and relieve bone pain. At the same time, auxiliary methods such as hot compresses and massage can be used to relieve local pain symptoms. However, when performing these operations, care should be taken to avoid damaging fragile bones.