Pain is the most important and most common symptom of various diseases. It is a signal of ill-being in the body. Therefore, even a slight aching pain should not be heroically endured. Pain sensations always arise from irritation of nerve endings( receptors) in the place of pathological changes. On the legs they are located in the articular bags of all joints, in the arteries and veins, in the muscle and bone tissue.
On nerve fibers impulses go to the brain and cause activation of protection: palpitations, narrowing of pupils, increase of arterial pressure.
At the same time, the functioning of such internal organs as the thyroid and pancreas, the endocrine system is changing. That's why prolonged pain in the legs can cause other diseases.
What determines the nature of the perception of pain?
Patients describe their feelings in different ways. They change during fatigue, emotional experiences, are much stronger at night, when a person is as much as possible disconnected from external stimuli and concentrated on his body.
With high motor activity, the legs work well enough during the working day, in constant tension of the muscles and joints. People with seated occupations suffer from a venous system. The outflow of blood through the vessels is greatly hampered.
Patients characterize painful sensations as blunt, sharp, shooting, aching, drilling, pulling, bursting, and other epithets.
By duration: prolonged pains or instantaneous, paroxysmal. By intensity, they can intensify, become painful, then decrease.
Is it possible to give a general definition of aching pain?
There are no standard definitions of the nature of pain, although it is important for diagnosis. By the totality of all the signs, you can define aching pains as long, not intense, dull, perhaps bursting. Localization on the legs helps in identifying the specific cause and disease.
It is important for the doctor to find out what is accompanied by pain, at what time of day, whether they depend on movements. Inspection of the patient, the necessary examination specifies and complements the diagnosis. Consider the symptoms of the most common diseases, accompanied by painful manifestations in the lower limbs.
The most common cause of
The most common cause of fatigue and pain after walking is flatfoot. It can be independently identified by the footprint of the foot( too small notch in the middle under the arch of the foot).Especially women who try to wear high-heeled shoes suffer.
To remove pain, special tabs( orthopedic insoles) in shoes are needed. Relieve tension in the calf muscles helps the evening masses, warm baths.
Correctly choose the right size insoles will be a doctor-orthopedist.
Pain in varicose veins, what to do
Varicose veins or varicose veins most often affect the feet of people "standing and sitting" professions( teachers, sellers, drivers, office workers).Disruption of the mechanism of outflow of venous blood from the extremities leads to aching pains, edema below the knee by the end of the working day. Patients say that "feet are buzzing in the evening."
On examination, thin sockets of venous vessels under the skin from the hip to the knee are revealed at the initial stages. In a more severe stage, the lower leg, the popliteal fossa, show deep, painful, dropping venous strands.
Redness of the skin, tightness and swelling in the ankle region indicate thrombophlebitis when an infected thrombosis of the vessel joins the varicose veins.
In the initial stages helps:
- gymnastics for the feet;
- wearing compression golf or stockings;
- application of venotonics in the form of ointments and tablets( Venazol, Venarus, Detralex, Troxevasin).
Only the operation for sclerosing or removing a vein will help in a failed state. Treatment will appoint a phlebologist or vascular surgeon.
Pain with obliterating endarteritis and atherosclerosis, what to do
Diseases are associated with blockage of arterial vessels delivering blood to the legs. The resulting state of oxygen deficiency causes pain in the muscles below the knee and in the foot.
Feature of this pathology - the dependence of intensity on walking, the manifestation of "intermittent claudication" from a sharp painful spasm and convulsions.
At rest, the pain becomes aching. The patient feels simultaneously paresthesia( "crawling crawling", tingling), increased sweating and chilliness of the feet. Pains do not allow to fall asleep at night.
When examining the foot of the affected limb, it looks paler than healthy, pulsation in the arteries is determined worse, there may be impaired sensitivity in the fingers.
For treatment it is necessary:
- to stop smoking;
- to organize a strict diet without fatty foods and alcohol;
- shows intramuscular injection of nicotinic acid, intravenously trental;
- for the removal of spasm appoint Papaverin, No-shpu;
- is well assisted by physiotherapy procedures.
At home, you can make a mustard bath. It is necessary to monitor the hygiene of the feet.
Foot massage facilitates pain in obliteration of vessels
Joint pains what to do
Infections of inflammatory and metabolic-dystrophic joints( arthritis and arthrosis) are present in almost 80% of the adult population. Transient pains occur during an acute infectious disease( influenza, acute respiratory viral infection) with a high fever. They can briefly "linger" in the recovery period. Special treatment is not required, except for fortifying vitamin-mineral complexes.
Such chronic diseases as tuberculosis, psoriasis lead to severe inflammation of the hip and knee joints. Therefore, the pain spreads to the entire area above the knee. Treatment requires special medications, immobilization of the joint.
After the injury, arthritis can occur immediately or after a while. Chronic infection of the body is activated. The joint swells, it hurts constantly, "noises" day and night, any movements increase pain. When the synovial bag inflames, a significant amount of fluid accumulates.
In treatment use:
- non-steroid agents,
- hormonal drugs.
In severe cases, joint puncture is performed, fluid is pumped out, anti-inflammatory drugs are injected inside.
In the subacute period, the entire rehabilitation complex( LFK, massage, physiotherapy) is needed to prevent the development of contractures and low mobility of articular surfaces.
When doing sports, it is very important to choose good and comfortable shoes, it saves from unnecessary injuries
Pain in the legs with arthrosis
Arthrosis occurs in patients with diabetes mellitus, in persons with high weight. They cause movement limitations, injure the joint bag and promote aseptic inflammation. Polyneuritis with intense pain sensations, numbness of certain zones is characteristic for these patients. Attention is drawn to dry skin with peeling.
In the treatment of arthrosis, non-steroidal anti-inflammatory drugs based on Nimesulide, physiotherapy, are used for anesthesia. In severe cases, an operation is required to replace the joint with a prosthesis.
How to suspect osteoporosis?
Osteoporosis is a disease of calcium deficiency in the bones, often affecting the terminal articular surfaces of the femoral and tibia. Therefore, symptomatic aching pain manifests itself in these large joints.
Bone tissue cells in the femoral head become large, their walls are thinned( right)
Calcium deficiency occurs in postmenopausal women, in people who consume a lot of coffee.
The only way to "return" lost calcium is to take vitamin D with calcium, by electrophoresis procedures. The problem of assimilation from food products( milk, cottage cheese, halva with sesame, sardines, parsley, dogrose) is being studied. Some scientists are very doubtful about the advisability of diet.
Muscle pain or myositis occurs with physical overload of the legs, stretching the ligament during sports training.
You can help with timely massage, cold in the first day. Any warming rubbing with the subsequent application of a compress can be carried out from the second day. It is better not to load a leg. The aching pain will gradually disappear.
If you are concerned about the pain in your legs, you can read about its causes here.
Pain sensations in the legs disrupt the motor activity of a person and thereby contribute to the occurrence of heart pathology. People with such manifestations should consult a doctor, find out the cause and get the necessary treatment.
- What determines the nature of pain perception
- Is it possible to give a general definition of aching pain
- The most common cause of
- Pain in varicose
- Pain with obliterating endarteritis and atherosclerosis
- Joint pains what to do
- Pain in the legs with arthrosis
- How to suspect osteoporosis
- Muscle Pain