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Symptoms of disease - pain in the limbs
Pain in the extremities is observed in a wide variety of diseases. And this pain can come from any part of the limb. However, in some cases, the cause of pain in the limbs are diseases of internal organs with the irradiation of pain in the hands and feet, as, for example, in acute myocardial infarction, acute cholecystitis, attack of renal colic, etc. In other cases, pain in the extremities can be caused by diseases of the spine, arteries and veins, nerves, joints, bones, muscles, etc.
In connection with this distinction:
Irradiating pain in the limbs:
- diseases of the organs of the thoracic cavity (diseases of the heart and large vessels (almost always in the arm and back), diseases of the lungs (in the arm and back);
- diseases of the liver, gall bladder and bile ducts (in the arm, back, rarely in the legs);
- diseases of the spleen (in the arm, back, rarely in the legs);
- diseases of the genitourinary system (in the back and legs);
- diseases of the digestive tract (mainly in the back and legs);
- backbone diseases (arms and legs);
- destruction of the shoulder belt with neuro-vascular syndrome (in the arm).
Which diseases there is pain in the limbs
Causes of pain in the extremities:
1. Diseases of the blood vessels of the lower extremities - is a group of diseases, including disorders of the arteries (acute thrombosis and embolism main arteries, obliterating atherosclerosis, obliterating thromboangiitis, the non-aortoarteriit, Raynaud's disease) and veins (acute venous thrombosis, the syndrome of Paget Shretter's disease, varicose disease, posttrombophlebitic syndrome, congenital arteriovenous dysplasia) of the upper and lower extremities. These diseases are different in etiology and pathogenesis. However, what is common for them is one of the clinical manifestations of pain in the limbs. It should be noted that the vascular diseases of the extremities are very common condition, which in the first place, quite often have to face the family and the local doctors, as well as doctors of ambulance and emergency care.
2. Myophascial pain syndrome. This is a fairly frequent pathology, facing over the life of practically every person. The emergence of pain when it was caused by the emergence of the muscle of the tricks of increased pain irritability. Pain in the extremities appear and when myositis of different etiology, and also because of the injury.
Causes contributing to the development of myofascial pain in the limbs, may be abnormal development of the bone-muscular skeleton (short leg, anyway), over-voltage and overload untrained muscles, stretching of the muscles and their further spasm (for example, if unsuccessful turn, toss), prolonged immobilization of the muscles (when dislocations and fractures), direct compression and cold muscles. Under the influence of the above factors muscle is micro trauma, local ischemia, violated the neurotrophic control, resulting in muscle appears the trigger point (point of increased irritability), the presence of which determines the whole picture of the disease.
Causes of pain in the limbs when myofasciitis are infectious, respiratory diseases, diseases of the connective tissue.
The nature of the muscular pains in the limbs when myofascial syndrome is very variabelen. The pain may be weak and very intense, and sometimes even cruel and painful. The pain is accompanied by weakness of the muscles, if this is not accompanied by atrophy («weight loss»).
There is a limit of volume of the movements, for which the responsible muscle.
The key phenomenon is the presence in the skeletal muscle of the region increased irritability diameter of less than 1 sq. cm. At a palpation this point is painful, and clicking on it causes pain on distant from this point area of the body (reflected pain). Reflected pain is dull and continuous nature, is felt at a depth of tissues.
Binding feature is the presence of spasm and painful on palpation of the muscles, the presence in the muscle zones even more painful muscular seals, in which is located an area of increased irritability.
In acute purulent myositis pain in the limbs were rather strong. The affected muscles swollen, the strength of their reduced. There are chills, fever, weakness, malaise, changes in the blood, characteristic of inflammatory processes.
With infectious purulent myositis weakness of the affected muscles expressed less. Sometimes, the only symptom is pain.
When myofasciitis, caused by the autoimmune diseases are identified moderate pain syndrome and progressive muscle weakness of the limbs.
A special form is myositis, in which muscle weakness and progressive atrophy of muscles combined with deposition in the connective tissue of compounds of calcium. Develops after an injury of the muscles (bruise, break, etc.).
3. Phantom pain in the limbs, characterized by 4-name of the main properties:
- Pain continues after the healing of damaged tissues. In some patients the pain of passing, and the other is saved for years, decades, even when the initial damage to fully heal. Sometimes the pain is similar to that which preceded the amputation. So, for example, patient, damaging finger chip, rebounding from the tree, and in consequence lost his hand in an accident, complained of pain in his finger, exactly the same as from dabbed in the past chips. Similarly, patients with an amputated leg feel in it, the pain from the plagues that existed in the real leg up to surgery. Within two years after the amputation of 45% of patients feel pain in one particular location, and 35% of patients - as much pain as before the amputation.
- Trigger zones may apply to the healthy parts of the same or opposite sides of the body. A light touch of the other limbs or to the head may provoke an attack of the terrible pain of the phantom limb. It is obvious that the pain in a location remote from the stump may cause phantom pain. For example, angina pectoris, developed for a period of 25 years after the amputation, can provoke severe pain in the phantom limbs in every attack.
- Long-term pain relief can be achieved reduction of somatic of pulsation. To be based on such methods of treatment, as the local introduction of anesthetics in sensitive areas or nerves of the stump. These blocks can stop the pain for hours, days, weeks, even forever, but, as a rule, are effective only for a few hours.
- In addition, long-lasting pain relief can be conditioned by the strengthening of sensory impulses. Injection of hypertonic solution in the areas causes pain, referred in phantom limb, lasting about ten minutes, with the subsequent dramatic partial or complete disappearance of pains at his watch, week, or forever. Vibratory stimulation, electrical stimulation of muscles of the stump may also bring relief. Surgically, the electrodes can also be placed on the spinal cord. Де можна бігати у Києві? Топ 3 маршрути з арсеналу Сподіна Ігоря Юрійовича
4. Pain in the extremities is observed in traumatic injuries (dislocations, fractures, ruptures of ligaments).
Which doctor should I contact if there is a pain in the limbs
- Traumatologist
- Neurologist
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Do you feel limbs hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.
Pains by category
Pains by alphabet
Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.