Limb pain may be the origin of the bone (tumors), articular (eg. Rheumatoid arthritis, osteoarthritis), muscle (eg. “Strain” of muscles after physical exertion), vascular and nervous. The most commonly affected lower limbs.

Establishment limb pain

Vascular diseases of the limbs are usually caused by atherosclerosis of the arteries (known. Peripheral arterial disease), where the arteries ‘clog’ fat slabs due to smoking, high blood pressure, fat and salt diet, diabetes and other factors. Lower limbs are so difficult nourished and failing or higher in advanced stages and regular physical activity. This is actually the equivalent of cardiac angina.

Pain in this case called claudication and are often localized in the calf of one leg, and later on both.They may also be in the buttocks or thighs. They begin already during exercise (and not after) and subside within 5 minutes after its completion. It is to convulsive squeezing pain. In advanced stages of chronic disease begins to emerge pain at rest (after the previous claudication, or a person claudication ignored) and suffers from skin and can supply on it to form ulcers and infections clogged.

For the stage of the disease is critical distance that a person without too much pain tolerable (over 200 meters are the initial stages) and the appearance of the skin on the affected limb.

Patients often have atherosclerosis and other arteries (heart, brain, kidney, …), which may worsen the overall condition.

Therapy

For treatment and prevention of peripheral arterial disease is most important to avoid the risk factors! Claudication is damped movement – exercises and walking, which should be mainly periodic, rather than single intense. In the quiescent state, the pain is already the situation is serious, it must be preceded by penetration of infection into the skin by treating minor injuries, possibly administered antibiotic. Preventive patients taking aspirin, which has anti-inflammatory effect, but also effect against blood coagulation – threatening thrombosis namely extremities of atherosclerotic plaque, thus preventing complete nutrition limb. Should it after all occurred, doctors at the hospital will try to remove it by dissolution of thrombus and stent implantation. Of the drugs for this disease Additional useful drugs “stretching” the vessel, e.g. Agapurin or so. Prostaglandins (e.g. Alprostan) thus increasing the flow through the vessel. The downside is the price of prostaglandins.Pain try a different painkillers – the already mentioned aspirin, acetaminophen, ibuprofen, etc.

The arterial closure may also occur due to embolism example. Thrombus from the heart in atrial fibrillation (cardiac arrhythmia). Limb pain in this case is a sudden, severe, skin is cold, bluish and no palpable pulse on the big limb arteries. Severity state depends inter alia on the location of the closure arterial embolus (the lower direction of the foot, the better).

Medical patient immediately submit the usual analgesics, heparin, treats the skin in order to get the infection and it is good that the patient had limbs drooping. The hospital physician attempting to dissolve the thrombus / embolus, as described above.

Other causes of leg pain

There are other diseases of arteries of extremities e.g. Berger disease. Also, the venous system disease may present with pain in the limbs – chronic venous insufficiency and thrombosis that human life-threatening pulmonary embolism! More about her can be found in the symptom “blood clotting”.

Nervous origin can be a pain when neuropathies (eg. In complicated diabetes) or root irritation caused most spinal cord compression (ie. The nerve root protruding from it) prolapsed disc. Then the pain as if radiating to the legs or hands along the respective nerve. Nerve pain is often very uncomfortable for the special feeling of pins and needles. Cures are difficult, usually only prevents progression to worse stage where it could be impaired mobility and limbs. What is important is rehabilitation exercises specific exercises at home, at pains to prescribe painkillers. In the most severe cases can intervene flexibly, but still not completely guaranteed success.

Special disease is called. Carpal tunnel syndrome. It is the oppression of the nerve in the palm area of the wrist during long-term loading by hand force or vibration (when working with a chainsaw, etc.). Patients have a tingling sensation, often with them at night waking. Usually brings relief surgical solutions.

Pain in the muscles of the limbs are the result of physical exertion when the muscle is working on the so-called. Oxygen debt and accumulate in it a greater amount of lactate. These headaches usually the next day or a few days subsides. Diseases of muscles may not or may not be linked to the previous cycle (and usually it is no great physical feats – eg. Walking up stairs, boarded the transport and other routine activities) do not show, however the pain as such, but muscle weakness (see . flag “muscle weakness). Muscle pain may accompany some other diseases – eg. Flu (there are also associated with joint pain) and thyroid disease (reduced function). Special mentally conditioned muscle disease is called. Fibromyalgia – a disease predominantly of women in middle age and older who are feeling the pain at certain points on the body (mostly on the back and neck, but can be just as well on the legs – in a knee or elbow), troubled the daily morning and evening fatigue, muscle stiffness, headaches and other symptoms. Treatment of this disease involves psychotherapy, relaxation techniques, exercise program under the guidance of a physiotherapist and medication are administered antidepressants, analgesics and topical anti-inflammatory agents.

A sore leg bones You can read more in the flag “bone pain”. Joints may worry patients for many reasons. Inflammatory processes in joints eg. Rheumatoid arthritis (affects more small joints, pain is spontaneous or increases movement and touch, treated with anti-inflammatory drugs, immunosuppressants, biological medicine, exercise in stable phases and vice versa calm during more urgent stage of disease, physical therapy and other means), infectious arthritis (usually affects only one joint – most often the knee – and it is strongly reddened and swollen, treated with antibiotics during hospitalization) and Lyme disease (disability is usually one joint – the knee – and it alternated with periods without pain and inflammation treated with antibiotics).

Among noninflammatory joint diseases include in particular arthrosis arising mostly with age (and also e.g. in athletes) due to overloading of the knee and hip. Osteoarthritis is the earliest known addresses. Chondroprotective (cartilage supporting drugs) and analgesics until later reaches the stage where it requires surgery with implantation of artificial knee or hip joint. Today implants are made of modern durable materials and allow the man to return the lost joint function.

arthralgia

Joint pain is in particular in inflammatory processes, post-traumatic pain, arthritis and otherrheumatic diseases advantageously dampen analgesics and anti-inflammatory drugs in the form ofcreams, ointments, gels, etc., So that the burden on the overall organism.