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Treatment of pain in leg muscles

29 Aug 18

Muscle pain in diabetes mellitus: causes

Pain in the muscles of the lower extremities in diabetes can occur both with an increase and accompany a sharp drop in blood sugar.

Impaired blood supply, as well as damage to the peripheral nervous system, accumulation of toxic metabolic products in the muscles occur in diabetes mellitus in almost all patients, especially with increasing duration of the disease and with age.

Symptoms of muscle tissue damage include pain, muscle weakness, a feeling of trembling and cramps.

Why does diabetes cause muscle pain?

Blood supply disturbances in diabetes mellitus are associated with damage to the inner wall of blood vessels, which, with high levels of glucose in the blood, is injured, low-density lipoproteins are deposited in it, and smooth muscle cells, due to increased proliferation, compress the vessel.

Neuropathy usually aggravates the pathology of the vessels of the lower extremities, as it narrows small arterioles and capillaries, while blood flow through arteriovenous shunts increases. With such changes, nutrition and gas exchange in muscle tissue continue to decrease even further, causing, in addition to pain, also a burning sensation in the legs.

Damage to nerve fibers in diabetes mellitus is associated with sorbitol deposits, which causes a decrease in blood flow inside the nerve and leads to chronic oxygen starvation with impaired function and structure of nerve fibers.

The leading mechanisms of damage to nerve fibers in diabetes mellitus:

  • Destruction of the cell membrane and proteins by the resulting free radicals.
  • Glycosylation of proteins by glucose molecules circulating in the blood.
  • Destruction of blood vessels supplying nerves.
  • Formation of autoantibodies against neurons.
  • Neuropathic changes in nerve and muscle tissue progress with increasing hyperglycemia and may decrease with diabetes compensation. Myalgia may also accompany a decrease in blood glucose.

    During acute attacks of hypoglycemia, symptoms associated with the action of catecholamines - adrenaline and norepinephrine are observed, which lead to the fact that the arms and legs begin to twitch; patients describe this as follows: “the sugar has dropped and all the muscles are shaking”

    Painful symptoms in the leg muscles in diabetes

    Manifestations of muscle pain are associated with the level of increase in blood sugar, while hyperglycemia reduces the pain threshold and inhibits the effect of analgesics. Typically, pain symptoms increase gradually, along with the development of signs of diabetes.

    Rarely, severe pain occurs acutely and is accompanied by sleep disturbances, depression, loss of appetite and rapid weight loss. Such a clinic occurs with long-term and unrecognized diabetes, as well as if the patient is treated incorrectly.

    Symptoms may appear at the beginning of diabetes treatment, they manifest themselves as follows:

  • The pain is symmetrical, intense, burning.
  • Usually it starts from the feet and goes up to the hips, sometimes the muscles of the front of the thighs hurt from the very beginning.
  • Limitation of movement is associated with pain symptoms and muscle weakness.
  • In such cases, the rate of glucose normalization should decrease, and stabilization of sugar levels is achieved gradually.

    Muscle pain and cramps intensify at night, at rest; patients with diabetes are also characterized by paresthesia - a crawling sensation, numbness, legs can involuntarily twitch and buzz. Most often the calf muscles are affected, less commonly the thigh and arm muscles.

    In severe cases, pain develops throughout the body, hyperesthesia, in which even the touch of a sheet causes sharp pain and burning. When examining such patients, a decrease in tendon reflexes is revealed, then there is a decrease in all types of sensitivity - tactile, vibration, pain and positional. At this stage, diabetic foot develops.

    A course of treatment that lowers blood sugar can cause a complication such as hypoglycemia. Since glucose is the main source of nutrition for the nervous system, when it begins to fall, neuroglycopenic manifestations develop:

  • Decreased concentration, feeling of fear, rapid heartbeat.
  • Headaches and dizziness.
  • Tingling, crawling sensation, muscle tremors.
  • Muscles twitch in different parts of the body.
  • Muscle weakness.
  • Mild muscle pain of various locations.
  • Severe hypoglycemia is accompanied by increasing muscle weakness, loss of consciousness, and convulsive syndrome. If left untreated, the patient falls into a hypoglycemic coma.

    Treatment of pain in leg muscles in patients with diabetes

    For the treatment of myalgia, three directions are used: compensation for diabetes, symptomatic treatment with painkillers and restorative therapy of affected nerve fibers and blood vessels.

    Compensation for diabetes mellitus is carried out in the form of dietary correction and stabilization of glucose levels. It is important to constantly monitor glucose levels throughout the day, as well as study glycated hemoglobin. Therapy is carried out in such a way as to prevent sudden surges in blood sugar.

    To achieve this, the carbohydrate content in the diet is limited with the complete exclusion of sucrose and products made from premium wheat flour. It is also recommended to reduce the consumption of meat products, especially fatty meats and offal, and eliminate alcohol.

    Pain relief is carried out using non-drug methods, which include:

  • Galvanization.
  • Medicinal electrophoresis.
  • Darsonvalization.
  • Laser therapy.
  • Surgical decompression of nerves.
  • Magnetotherapy.
  • The use of electrical stimulation with sinusoidally modulated currents.
  • A feature of the treatment of pain in diabetes mellitus is the lack of effect from simple analgesics and non-steroidal anti-inflammatory drugs. Therefore, anticonvulsants, antidepressants, opioid analgesics and local anesthetics are used for treatment.

    Anticonvulsants relieve pain by blocking sodium channels and slowing the transmission of pain impulses. The following drugs are used: Finlepsin, Gabapentin, Pregabalin.

    The most effective antidepressant for reducing pain is Amitriptyline. It is used in low dosages. Due to side effects, it should be used with caution in patients with arterial hypertension, heart failure, and glaucoma. In elderly patients, tricyclic antidepressants can cause gait instability and confusion.

    Opioid analgesics are used in rare cases for persistent and intense pain syndromes due to the development of mental and physical dependence. Tramadol is usually used, which is less likely to cause addiction. Most often, its use can cause orthostatic hypotension and dizziness.

    Local treatment is carried out with patches and ointments with lidocaine (Versatis), Capsaicin, which has the ability to deplete pain mediators in the endings of peripheral nerves and may initially increase pain and burning at the site of application.

    To restore the function of damaged nerve fibers, the following groups of drugs are used:

    1. Thioctic acid: Berlition, Espa-Lipon, Thiogamma, Dialipon.
    2. Benfotiamine, Cyanocobalamin.
    3. Nerve growth factor – Neurophazol.
    4. Alpha reductase inhibitor – Avodart.
    5. Protein kinase inhibitors - Nexavar, Sprycel, Tasigna.
    6. Complex vitamin preparations – Neurorubin, Milgamma.
    7. Drugs that affect neuromuscular conduction and restoration of nerve fibers are used in courses of at least a month, since regeneration processes are slow, especially in cases of carbohydrate and fat metabolism disorders in diabetics.

      To prevent the progression of muscle damage, it is also recommended to include a complex of physical therapy in your daily routine and stop smoking, which increases vascular spasm and impairs blood supply to the affected tissues. The video in this article will tell you about the main symptoms of diabetes.

      What causes pain in the leg muscles?

      Undoubtedly, pain in the legs usually occurs due to certain pathological conditions, diseases or injuries. Actually, those pathological conditions in which the patient may be bothered by pain arising in the calf muscles of our legs will be discussed in our publication today.

      First of all, let us note that the sensation of pain in the muscles of our legs and directly in the calf has bothered literally every person who considers himself healthy at least once. The appearance of such pain in some cases can be an unpleasant consequence of excessively increased loads placed directly on the lower limbs, which most often occurs in athletes or people accustomed to leading a physically active lifestyle.

      Excessive stress on the lower extremities can often cause increased muscle fatigue and pain in the legs, or become a signal of real problems with general health.

      It is also important to understand that pain in the leg muscles can often be localized not only in the upper legs, in the thigh, in the knee, in the lower leg; sometimes the pain can be dispersed literally throughout the entire affected limb. Most often, this kind of pain affecting the leg muscles may indicate the sudden appearance (for one reason or another) of real problems, not only with the leg muscles, but also problems with the vascular bed, with articular joints, with tendons, or even with the lumbar, sometimes sacral department of the spinal column.

      The main reasons why pain in the muscles of our legs may occur

      Firstly, I would like to say that pain in the leg muscles may well be caused by banal cramps. Moreover, such pain can often occur at night or in the morning. Cramping muscle pain can be characterized by its greatest intensity and spontaneity of occurrence.

      Frequently occurring convulsions in young children or even adolescents, occurring at night, may be the result of sudden changes in strong loads on both the arterial and venous vascular beds. Problems of this kind may be associated with the physiology of the child, or rather, his actively growing organism.

      In this case, convulsive pain can be explained by a rather intense (sometimes excessively intense) circulation of the blood flow during the period of daytime increased physical activity of such a child, as well as a sharp decrease in muscle activity and, accordingly, the tone of various blood vessels directly at night (meaning during sleep).

      It is important to understand that simple, light massaging of a child’s legs and in particular his legs before bed can significantly improve blood flow to the extremities and will relieve possible unpleasant muscle stiffness in advance. Note that the full formation of muscle elastic fibers of the legs and their vessels will be completed by the age of twelve years of a child’s life. This means that by this age, such night spasms (or cramps) of the calf or other muscles of the lower extremities can go away completely on their own, without any drug treatment.

      Secondly, some pain in the muscles of the child’s legs can be caused by certain orthopedic deviations from the norm. And so, in such situations, when pain or discomfort in the muscles of your child’s lower extremities is caused by certain orthopedic problems, such a patient may well require the most thorough (full) medical examination, followed by a diagnosis and selection of the only correct individual treatment.

      In adults, the causes of pain in the muscles of the legs can be many fairly common diseases associated with damage to the vascular system. Among such diseases - possible causes of the development of pain in the leg muscles are usually called:

      • Atherosclerosis in its various forms is a disease of our arteries that can be associated, first of all, with the primary retention and subsequent accumulation in the vascular bed of cholesterol atherosclerotic plaques, which are attached directly to the inner walls of the vessels. In most cases, atherosclerosis occurs as a chronic disease that affects elastic or muscular-elastic arteries.
      • Such vascular problems arise due to certain disorders in lipid and protein metabolism. The disease, as already mentioned, is accompanied by the deposition of cholesterol (its plaques), as well as some fractions of lipoproteins directly inside the vessels. Most often, such deposits form over a long period of time, having the appearance of atheromatous plaques. But, the subsequent proliferation of connective tissue in the vessels (development of sclerosis), calcification of the walls of blood vessels can lead to deformations and significant narrowing of the lumen of the affected vessels, even up to complete obstruction (or blockage) of such pathologically affected areas.

        By the way, vascular atherosclerosis can lead not only to pain in the leg muscles; sometimes this disease (if the heart vessels are damaged) can lead to the development of primary coronary artery disease of our heart, and then to myocardial infarction. When cerebral vessels are damaged by atherosclerosis, a stroke can occur.

        However, the appearance of some compactions or thickenings directly on the walls of our vascular bed is associated not only with a violation of certain metabolic processes in the body, sometimes this condition can be associated with spasms of the arteries, which can be provoked by long-term progressive hypertension.

        A certain feature of the development of atherosclerosis is considered to be the feeling of constantly cold feet throughout the year, while real muscle pain in the legs can be of a compressive or pressing nature. Such pain, as a rule, can noticeably intensify with basic walking or prolonged standing.

      • The development of varicose veins, which can be caused by an increase in blood pressure directly in the vessels and subject to a slight slowdown in blood flow. At the same time, varicose veins (or simply varicose veins) are commonly called a common, very common pathological process today in which veins are damaged (those vessels that carry blood directly to the heart).
      • Note that varicose veins are most characterized by a significant increase in the diameters of the vascular lumens, with some thinning of the venous walls and the formation of “nodes” - such aneurysm-like purely local expansions.

        Most often, varicose veins bother women, especially during pregnancy. The disease can manifest itself as a feeling of pain and heaviness in the lower extremities. It should be noted that the symptoms of this disease can begin to appear even in early youth or adolescence. The disease is characterized by a burning sensation in the legs, severe night cramps, as well as significant pain directly in the calf muscles affected by the pathology.

        The greatest danger and warnings from doctors are usually caused by chronic forms of this pathology - called thrombophlebitis. The term thrombophlebitis is formed by two words: thrombus and, of course, phlebitis. The disease is thrombosis, accompanied by inflammation of the venous walls with the formation of a thrombotic clot that closes the lumen of the affected vessel.

        It is important to say that the inflammatory process affecting the inner lining of the veins can lead to a fairly rapid formation of blood clots (blood clots), which in turn, irritating certain nerve endings, can manifest themselves as aching, pulling and even acute pain in the leg muscles. This disease can often affect both the deepest and some of the superficial veins.

        In addition, in the presence of varicose veins of the superficial veins, bluish seals that form along the affected vessel, very characteristic of this disease, become visible directly on the skin of the sick person. In this case, damage to certain deep veins will almost always be accompanied by the development of severe swelling of the pathology site.

        And, of course, pain of one kind or another, arising directly in the muscle tissues of the lower extremities, may well be provoked by a condition such as pinched sciatic nerve associated with displacement of the vertebral discs or intervertebral hernia. With this pathology, constant irritation of the nerve roots of an already inflamed or even damaged sciatic nerve can ultimately literally permeate the entire leg with pain right down to the tips of the toes.

        With this pathology, the pain is acute, piercing and even turning the body inside out. In any case, it is very important to understand that the treatment of all the above-described pathological conditions is selected strictly individually and depending on the real primary source of such pain. Moreover, in some cases, treatment may be prescribed solely on the basis of previously performed magnetic resonance or computer diagnostics.

        If pain is felt in the lower leg muscles

        In cases where you, as it seems to you, are developing groundless (causeless) pain in the muscles of the legs and directly in the muscles of the legs, this does not mean that such sensations can be ignored. Moreover, in some situations this may indicate the person’s inattention to his own health.

        Initially, the lower leg muscles are considered to be the strongest in our muscular structure. It is important to say that these muscles, performing one of the most important functions in the entire musculoskeletal system of the human body, are forced to endure a lot of different types of loads every day, with varying degrees of severity. These muscles, located along the back surface of the legs, are physiologically in the closest possible relationship with both the nervous system and the vascular system of the entire human body.

        It is this circumstance that fully explains the occurrence of pain in the tight calf muscles as a sharp reaction of the body to changes in the health status of each of them. It is quite important to note that incredibly often pain in the calf muscles of the legs can be a consequence of a long-term passive, excessively sedentary and even stagnant lifestyle of a particular person.

        Sometimes prolonged sedentary activities or activities associated with prolonged immobile standing often lead to sudden disturbances in blood circulation, which ultimately causes primary stagnation, subsequent oxygen starvation, and then complete blood intoxication. In cases where patients persistently ignore preventive measures that can promptly normalize the functioning of the vascular system of the legs, such behavior can lead to incredibly serious and even dangerous consequences for health.

        Treatment and prevention of conditions in which leg muscles hurt or bother

        In cases where a particular patient has severe pain in the muscles of the legs for a long time, treatment of each variant of such a pathology should always involve a preliminary, most accurate diagnosis, as well as further strict adherence to all the basic recommendations of the attending physician. For example, conservative methods of treating such conditions can be more than effective in the early stages of any disease.

        But as an excellent preventive measure, such patients will benefit from a diet that excludes overly spicy, overly fatty, and fried foods. A categorical refusal from almost all types of alcohol and nicotine is important. And of course, in such situations, it is very important to systematically perform moderate, strictly dosed, properly selected physical exercises.

        At the same time, the most accurate diagnosis, as well as subsequent effective treatment, can only be provided to patients by a complete, highly qualified medical examination. Let us recall that with the development of pain in the muscles of the legs, the cause of this condition may well be inflammation of the joints or tendons, which often occurs as a result of severe physical overload or ordinary injuries. Such conditions that provoke leg pain usually include:

      • Bursitis (or the so-called inflammatory process affecting the periarticular bursa, in which synovial fluid accumulates directly in the said periarticular bursa) of any joints of our lower extremities. Note that this inflammatory process in some cases may well spread even to nearby muscle tissue, thereby causing noticeable pain in them. Moreover, with severe exacerbations of such problems, the condition may be accompanied by a sharp increase or jumps in body temperature.

      It should be noted that bursitis of an infectious nature can usually be treated with strictly defined types of antibacterial drugs. But non-infectious bursitis can be treated with powerful anti-inflammatory drugs. But in both cases, if such a need arises, the synovial fluid accumulated during bursitis can be pumped out during the treatment of this pathology.

    8. Myositis is a disease that, more often than others, can cause pain in the lower extremities, since it is caused by inflammatory processes occurring directly in the muscles. With this disease, aching pain can significantly limit muscle contractions, which is caused by protective tension in muscle fibers and, as a result, noticeable muscle weakness.
    9. The forced stiffness in the limbs during myositis may well provoke the development of hyperemia of the skin. Typically, with the development of myositis, the muscles of the legs located above the knees can hurt, although the calf muscles, although a little less common, can also be susceptible to this disease.

      Most often, myositis manifests itself as complications of certain primary viral or bacterial diseases. For example, myositis may be a consequence of such groups of diseases as acute respiratory viral infections or even sore throat, bronchitis, etc. Treatment of this disease usually involves the use of local drugs in the form of analgesic ointments, dry heat. Sometimes this disease may require complete muscle rest, taking certain analgesics and, of course, powerful anti-inflammatory non-steroidal drugs.

      But, for example, rehabilitation after a long-term myositis can be somewhat accelerated by a therapeutic massage of the legs (the part of them that was most susceptible to the disease). It is also impossible not to say that sometimes myositis can be of purulent or even parasitic etiology. Although it should always be taken into account that in cases where the leg muscles located above the knees are very sore, such symptoms can be provoked by a number of other quite serious pathologies.

      This means that such a patient definitely cannot do without a full examination. And you definitely shouldn’t delay your visit to the doctor.

    10. Various types of cramps - which are sharp muscle contractions that can cause very significant pain directly in the muscles of the lower extremities. This kind of sudden, acute pain cannot go unnoticed; it’s as if it twists a person’s muscles and stretches them. Most often, convulsions occur in the morning, when the patient is still in bed; sometimes this can occur with a simple change in the usual position of the body, in particular the legs themselves after long-term immobility.
    11. As a rule, cramps do not last long and when the spasmed muscle (frozen area of ​​muscle) is slightly kneaded, a gradual, not always rapid, relaxation of the muscle tissue occurs. In such cases, cramp prevention may be an excellent treatment for pain in the leg muscles that is caused by cramps.

      We are talking about a diet rich in protein foods, limiting salt, with plenty of fluid intake (in particular water), and of course about sufficient rest for the muscle tissues of the whole body. And in order not to disturb the fullness of our blood circulation in the legs, it is necessary to constantly try to sleep or at least fall asleep on the left side, when sitting - do not cross your own legs, do not cross your legs, etc.

      Contrast baths, especially for frequently tired lower extremities, are also excellent for preventing seizures. The contrasting use of heat and cold has an incredibly beneficial effect on our blood circulation in the legs, and on our overall health in general. In addition, such contrasting water procedures can contribute to the rapid hardening of almost our entire body.

    12. Development of flat feet. Let us note that flat feet is a pathology of our body that is associated with improper formation of the plane of our feet, which ultimately leads to partial or complete loss of the main functions of the foot. It is flat feet in some cases that may be the main reason that the patient experiences rapid fatigue under seemingly insignificant loads.
    13. This painful condition may well arise from prolonged wearing of incorrect, insufficiently high-quality and frankly uncomfortable shoes. It is believed that most often flat feet develop in women who throughout their lives prefer to wear high-heeled shoes, which can even disturb their posture by incorrectly correcting the distribution of the load on the entire body and on the feet in the first place.

      You need to understand that with flat feet, pain in the muscles of the legs can be very severe, sometimes such pain can be accompanied by frequent cramps and the development of swelling.

      As a conclusion, we would like to note that the average person’s opinion that the leg muscles can hurt completely for no reason is fundamentally wrong. If your legs hurt regularly, you need to look for the cause and, preferably, do it as soon as possible. First of all, in case of long-term painful pain in the legs, it is recommended to pay close attention to your own weight, because often it is excess body weight that can provoke certain disruptions in the functioning of the vascular, muscular and joint systems, forming certain pathologies.

      It is important to understand that discomfort in the leg muscles of any etiology is always recommended to be perceived as a signal from your own body about possible problems in its health. Naturally, it is equally important to respond adequately to such signals in a timely manner - without resorting to the help of traditional healers and without randomly taking a lot of medications prescribed for yourself, but by seeking advice from doctors.

      Treatment of pain in the leg muscles above the knee

      Legs are a vulnerable part of the body, subject to constant stress and overwork. Muscle pain indicates the presence of non-serious disorders or diseases. Pain above the knee is no exception. Such manifestations should not be ignored. It is recommended to consult a doctor who will determine the causes of the phenomena. The article will talk about the manifestations, features, reasons, how to cope and prevent the disease.

      Depending on the duration of the sensation, the pain is:

    14. acute (appears suddenly, passes quickly);
    15. chronic (constant pain).
    16. The nature of muscle pain is:

      Appears in both the right and left limbs. Sensitivity in both legs at the same time cannot be ruled out. Treatment for pain in the leg muscles above the knee depends on the cause of the discomfort. Let's look at why pain occurs.

      Non-pathological causes, how to deal with them

      Pain in the leg and above the knee is caused by physiological factors not related to pathology. Often no treatment is required unless the injury is serious. Muscle pain is the result of:

    17. Damage. Damage is a consequence of bruises, fractures, injuries. Even minor injuries, not to mention fractures, require professional treatment. Ignoring it leads to unpleasant consequences, muscle disorders that cannot be corrected. There are cases of disability. Treatment depends on the extent of the damage. An examination by a doctor is required who will prescribe a treatment method.

      Give your leg a rest by lying on the bed with your feet higher than your head. If muscle pain is associated with being in one position, stretch your lower limbs. Do stress-relieving exercises and let your blood circulate properly. Walking, swinging your legs, and squats will help relieve discomfort in your legs. For those who have a sedentary or standing job, it is recommended to take breaks. Warm-ups every half hour will help you cope with leg pain. Foot massage helps. The muscles should be massaged, stretched with your hands, and rubbed.

    18. Sports loads. Excessive sports activity is the cause of discomfort in the legs. This is known as sore throat. It's not difficult to deal with it. It is necessary to disperse lactic acid, the accumulation of which causes discomfort. Rest, warm-up, massage will help. After subsequent training, the pain goes away on its own. Krepatura occurs in untrained people after a long pause. Loads should be systematic and in moderation.
    19. Improperly performed exercises are the cause of muscle pain. We are talking about warming up - an important stage of training that cannot be ignored. Before starting exercises, stretch, warm up your muscles, and prepare for work. Negligence is fraught with bruises, sprains, and pain. The training takes place under the guidance of a trainer. You should not ignore the instructions, it is fraught with unpleasant consequences. If you are injured, consult a doctor.
    20. Wearing the wrong shoes leads to pain above the knees. Choose comfortable shoes.
    21. Diseases and treatment

      There are a number of diseases, the symptoms of which are disorders in the muscles above the knees.

      Myositis. A common disease associated with muscle inflammation. Aching sensations limit muscle contraction, which leads to tension and weakness in this area. Often, this is a consequence of a previous infectious disease.

      Treatment consists of using pain-relieving ointments, resting the limb, taking medications, and massage. Consult your doctor.

      Vasculitis. Associated with vascular damage. Leg discomfort is a symptom. Comprehensive treatment under the guidance of a physician is required.

      Osteomyelitis. Infectious inflammation of bone tissue. The reason is trauma, stress. The result of the disease is a destructive process in part of the leg. Purulent formations cannot be excluded. The disease occurs without symptoms or with malaise, fever, joint pain, vomiting and pressure. They are treated with special medications. Surgery cannot be ruled out. As an addition, physical therapy is used.

      Neuralgia. Unpleasant manifestations in the direction of nerve fibers are characteristic. Discomfort is characterized by attacks of up to several minutes. A doctor's consultation and appropriate treatment are required. In the initial stages, it involves appropriate medications. If medications do not help, surgery is required. For neuralgia, physiotherapy, electrophoresis, ultrasound and reflexology are recommended.

      A professional can assess the situation - he will tell you the reason for the unpleasant manifestations and prescribe treatment. For pain above the knees, traumatologists, rheumatologists, neurologists, orthopedists, and osteopaths will help.

      Each disease requires measures, often complex. It is impossible to derive a single panacea for muscle diseases. The outcome depends on timely assistance provided; one must not hesitate.

      It is better to avoid discomfort in the legs than to treat it. Recommendations will help:

    22. Be careful to avoid leg injuries.
    23. Do not overload your limbs. Legs need rest.
    24. Follow the rules for performing exercises.
    25. Choose comfortable shoes.
    26. If you experience discomfort or damage, consult a doctor.
    27. These factors lead to unpleasant sensations above the knees, which may or may not be pathological. It is impossible to say unequivocally what treatment is needed. Depends on the reason. Most physiological factors are not difficult to cope with on your own. For diseases in the legs above the knees, consult a doctor. It is better to prevent discomfort from occurring than to suffer later trying to cope with it.

      Causes of pain in the muscles of the arms and legs

      Muscle pain (myalgia) is a typical symptom for many diseases of organs and systems of the human body. The most common causes of muscle pain are excessive strain on a muscle or muscle group. Myalgia with non-traumatic pain triggers often occurs due to viral infections. Long-term muscle pain may result from metabolic myopathy, certain nutritional deficiencies, or chronic fatigue syndrome.

      Most often, myalgia manifests itself in the following places:

    28. pain in the calf muscles of the legs;
    29. pain in arm mice;
    30. pain in muscles and joints.
    31. Reasons why muscles hurt

      The most common causes of myalgia are overexertion, injury or stress. However, myalgia can also be caused by illness, systemic disorders, certain medications, or as a reaction to a vaccine. Muscle pain is also a sign of acute rejection after heart transplantation.

      The most common reasons:

    32. wound or injury including sprains
    33. overvoltage;
    34. stress.
    35. Muscle pain can also occur due to the following factors:

      1. Taking certain medications:
      2. inhibitors to lower blood pressure;
      3. cocaine;
      4. statins to lower cholesterol.
      5. Electrolyte imbalance—low potassium or calcium levels.
      6. Fibromyalgia.
      7. infections, including:
      8. flu;
      9. Lyme disease;
      10. malaria;
      11. dengue fever;
      12. hemorrhagic fever;
      13. muscle abscess;
      14. polio;
      15. Rocky Mountain meningococcal meningitis;
      16. trichinosis (roundworm).
      17. Lupus.
      18. Acute necrosis of skeletal muscles.
      19. As you can see, muscle pain is a rather complicated symptom. If your muscles hurt for unknown reasons, undergo clinical examinations.

        Hello! About 6 days ago, severe muscle pain began in both shoulders and arms up to the elbows. The pain is going away, it was preceded by severe stress. It’s impossible to endure, it’s impossible to sleep. What should I do and how to relieve the pain at least before going to the doctor?

        First of all, to relieve pain, you need menovazan - generously lubricate the affected areas. Take 1/2 tablet of Nise, and you also need a dopelhertz neurotonic - this is with regards to the ambulance. Next, Afobazole or Tenoten in the maximum allowed amount. Contact a traumatologist and neurologist in advance Having passed a general analysis of blood and urine, plus biochemistry and definitely potassium and calcium, and then they will tell you, but we don’t cancel the sedatives for 2 months, otherwise your hair will begin to fall out and your immunity will decrease.

        All this guys is crap. And I ate pills, applied myself, took pain relief, and ended up tearing my rotator cuff. If it hurts, then it is necessary to treat the PR??CH??WELL, and not jam the signals. I would like to tear off the eggs of advisers and doctors - this is my dream.

        My arm muscles are very sore, what should I do?

        Very often people experience great discomfort from pain in the muscles of their arms, what to do in this case? First you need to find out the cause of the pain - it can occur due to a viral infection, due to muscle tone, be a consequence of an injury, etc. If it bothers you for a long time, it is best to contact a specialist to establish a diagnosis. Pain may occur in the arm muscles due to hypothermia. There are also a lot of diseases that can cause pain in the arm muscles.

        Causes of pain in arm muscles

        1. Polymyositis. because of this, muscle weakness may begin to develop, especially in some parts of the arm; muscle wasting may be a complication. Polymyalgia of a rheumatic nature is well known to everyone, it is very easy to identify; pain and tension appears in the muscles of the neck, in the shoulder girdle, then begins to spread to the pelvic girdle and lower limbs.

        2. Pain in the arm muscles can appear during infectious diseases, most often due to influenza, brucellosis, myositis, and toxoplasmosis. cysticercosis and trichinosis.

        3. Pain in the arm muscles due to intoxication of the body - can be caused by lead, unary gas and alcohol.

        4. In case of metabolic disorders (especially diabetes mellitus).

        6. Pain in the arm muscles most often appears due to injury to the arm muscle. If you strain the arm muscle for a long time and vigorously, the tendon and muscle may rupture. The pain in the muscle is acute, and the arm may swell and pain occurs on palpation.

        7. Pain in the arm muscles occurs when there are problems with metabolism, because the body does not have enough myoadenylate deaminase and carnitine palmityl transferase; it may occur due to a lack of enzymes that take part in glycolysis; contracture may develop for this reason. Very often, such pain appears after prolonged exercise, and not after pathological changes.

        8. Pain due to diffuse myalgia. The arm muscles begin to ache due to an infectious disease caused by the influenza virus and Coxsackie virus.

        9. Pain in the arm muscle due to fibrositis, this disease affects areas of the arm and causes severe pain in the adjacent connective tissues. Insomnia, weakness and irritability may also appear.

        10. Pain due to muscular rheumatism occurs after 50 years, with tension in the muscles, shoulder and pelvic girdle. Doctors have already proven that this disease causes proximal arthritis of the joints. Patients experience muscle atrophy, effusions of various types in the knee joint, patients often complain of severe weakness, because of this, this disease is confused with polymyositis.

        11. Pain in the arm muscles can occur due to a disease with peripheral nerves. With neuralgia, pain can be paroxysmal and begins to occur in the nerve fibers. There is no pain between attacks; an attack of pain lasts several minutes.

        12. Very severe pain occurs if the arm muscles are inflamed. Remember that myositis is a serious disease and must be treated. Myositis occurs due to inflammation of the skeletal muscles. This disease is a complication of influenza. Often, myositis can appear due to the fact that a person overexerts the arm muscles, due to injury to the arm muscles, or severe physical activity. The pain in this disease is aching in nature and begins to intensify with movement. Heaviness and very dense nodules may occur in the muscles. If there is an open injury, infection can also occur, which is why myositis can be purulent. With this disease, the body temperature rises, chills, the pain begins to intensify, the hand swells, the muscles become overstrained and thickened, and the skin on the hand turns red.

        13. Pain in the arm muscles due to parasitic myositis, it occurs due to the fact that the muscles are affected by parasites (Toxoplasma, Trichinella and cysticerci). This disease causes a very high fever and pain in the chest, tongue and masticatory muscles.

        14. The arm muscles may ache due to osteomyelitis, an infectious disease. The pain is acute and long-lasting. The cause of pain is inflammation of the bones.

        15. Pain due to cramps in the arm muscles, individual muscles or muscle groups contract. Pain can be relieved by relaxing the muscles. To begin with, you need to sit or lie down, change the position of the limb and very well rub the muscle that has cramped with your hand. Soak a towel in cold water and apply the towel to it; you can stand on the cold ground with your bare feet.

        16. Pain in the arm muscles due to fibromyalgia, it can be localized in different areas, radiating to the back of the head, lower back, neck, shoulder joint, chest and thigh near the knee. Most often, such pain is characteristic of women. It intensifies after a mental or physical reboot, due to insomnia, injury, cold, dampness, and may be a consequence of rheumatism.

        What to do if your arm muscles hurt a lot?

        1. If the pain is due to an arm injury, you should not strain the arm muscle for several days. In this case, you need to use anti-inflammatory and painkillers - ointment, lotion and balm.

        2. If you have cramps, you just need to relax your arm muscles.

        3. If the pain does not go away within one week, you should urgently consult a doctor. The doctor will prescribe an effective course of treatment. You may need to contact a neurologist, rheumatologist and traumatologist.

        4. Pain in the arm muscles due to infection and inflammation is treated with medication and physiotherapeutic procedures.

        So, severe pain in the arm muscles can occur for various reasons, so it is very important to find out the cause of the pain in time and begin timely treatment so that complications do not arise and the disease does not become chronic. It is also very important to remember preventive methods - do not overstrain your arm muscles, do not be nervous, because this can also lead to the development of various diseases, and stretch your arm muscles with daily light exercises.

      20. Muscle pain (extremities, back, lower back, neck): severe, most often dull and pulling, which intensifies with movements in these muscles, but can also be observed at rest.
      21. Hardening of the affected muscles: Hard nodules may also form in the muscles.
      22. Limitation of movements in the affected muscle group: the person seems to “spare” these muscles, leaving them alone.
      23. Thinning of muscles after prolonged immobility.
      24. Signs of infection in the body:
      25. increased body temperature;
      26. increased sweating, chills;
      27. general weakness;
      28. headache.
      29. myositis of the cervical muscles: in this case, pain occurs in the neck muscles, turning and tilting the head is limited;
      30. myositis of the lumbar muscles: manifested by severe pain in the muscles of the lower back, aggravated by standing and bending over;
      31. myositis of the muscles of the arms and legs: in this case, pain manifests itself in the muscles of the arms and legs (especially often in the calf muscles);
      32. myositis of the shoulder muscles: pain bothers the shoulder joint, limiting the mobility of the arm in it;
      33. myositis of the masticatory muscles: in this case, pain prevents a person from chewing, and sometimes even opening his mouth.
      34. Depending on the cause of myositis, the following forms are distinguished.

      35. Infectious:
      36. purulent (abscesses (ulcers) form in the muscles due to inflammation);
      37. non-purulent (inflammation develops in the muscles, but without pus);
      38. parasitic (in this case, parasites or their eggs can be located directly in the muscles themselves, causing inflammation around them).
      39. Post-traumatic.
      40. Autoimmune (in this case, one’s own immunity begins to attack its own muscle fibers).
        • Infectious lesions.
        • Purulent infections (staphylococcus, E. coli): infection usually enters the muscles through the bloodstream.
        • Non-purulent infections: for example, influenza (a viral disease that mainly affects the respiratory system and manifests itself as severe intoxication), syphilis (a disease that is predominantly sexually transmitted and affects all organs and tissues).
        • Parasites: Parasites or their eggs can be located directly in the muscles themselves, causing inflammation around them.
        • Muscle injuries.
        • Long-term preservation of an uncomfortable muscle position (for example, during sleep, sedentary work).
        • Overstrain of muscle fibers during physical work: this is especially typical for untrained muscles.
        • Hypothermia.
        • Autoimmune diseases: In this case, your own immunity begins to attack its muscle fibers, producing immune cells and proteins (antibodies).
        • LookMedBook reminds: the sooner you seek help from a specialist, the greater your chances of maintaining health and reducing the risk of complications:

          Pain in leg muscles causes treatment

          Pain in the leg muscles appears for various reasons, including not only a sedentary lifestyle, serious physical activity or improperly selected shoes. If an unpleasant symptom goes away on its own after a short rest, then there is no reason to worry. A person just needs to add regularity to his sports activities to get rid of the problem. Those who are constantly plagued by such symptoms should be seriously concerned. With the help of pain signals, the body can try to warn the owner about a developing pathology.

          The main causes of pain in the leg muscles

          There are many reasons for pain in the leg muscles; experts divide them all into two groups:

        • Physiological. This category is characterized by aching or nagging pain that occurs immediately after physical activity. The most common cause is a buildup of lactic acid. It is enough to provide your feet with gentle treatment and rest so that after a few hours you will forget about the pain.
        • Pathological. The leg muscles experience discomfort due to pathologies of the spine, joints and ligaments, blood vessels, metabolic disorders, and tissue damage by parasites. The pain becomes sharp and may appear suddenly and be accompanied by spasms. Rest does not provide symptom relief.
        • Spinal diseases

          Spinal pathologies, such as rheumatoid arthritis, osteoporosis or osteoarthritis deformans, affect the nerve fibers leading from the spinal column to the muscles of the lower extremities. Often in the back area with such diseases, pain may not appear. It is issued by:

        • Shooting in the back of the leg when trying to lift a light weight. A sharp pain that makes it impossible to move for several minutes goes away on its own. It will be replaced by a dull, pulling one for a long time.
        • Constant sharp pain that gets worse with movement. In many cases, it turns out to be resistant to painkillers.
        • Diseases of joints and ligaments

          Inflammatory diseases of the joints or tendons affect the leg muscles in the form of aching and twisting pain. They are characterized by:

        • localization in close proximity to the damaged joint;
        • reaction to weather changes, dampness.
        • The causes of the development of pathologies are not necessarily injuries. They are caused by hypothermia, poor nutrition, and disruptions in the body's metabolic processes.

          Impaired blood circulation in the vessels of the calf muscles leads to nagging pain. Another symptom of vascular problems is a feeling of heaviness in the legs. Even walking is difficult for the patient; he has to stop periodically to rest a little and wait for the pain to ease. The most common diseases in this group are:

        • Thrombophlebitis. The pain is constant, accompanied by a burning sensation under the skin. The main location is the calf muscles. The disease is characterized by a pulsating nature of pain.
        • Atherosclerosis of the arteries. A constant dull pain that intensifies with movement may be accompanied by a feeling of squeezing in the calf muscles.
        • Muscle overload as a result of active sports or heavy physical work can lead to damage to the muscle tissue itself in the form of tears with the subsequent onset of the inflammatory process in the affected area.

          It is typical that in order to acquire muscle pathologies, regular exposure to excessive physical activity is necessary.

          Bone injuries also lead to diseases of the muscles of the lower extremities. A fracture is never limited to breaking the integrity of just the bone. Timely contact with a specialist ensures the speedy restoration of normal blood circulation in soft tissues and prevents the development of inflammatory processes.

          Warns about muscle pathology:

        • sharp increase in pain when squeezing;
        • redness of the skin in this area.
        • The pain is pronounced and can bother you at night when there is a sudden change in weather or temperature.

          Diagnosis and treatment of pain in the leg muscles

          When pain in the legs appears that refuses to disappear at rest, a person needs to make an appointment with a specialist as soon as possible. In order to allow the doctor to make a correct diagnosis, you should listen to yourself and draw up a kind of report with clarification:

        • nature of pain;
        • reasons that increase discomfort;
        • past diseases with mention of treatment features;
        • lifestyle, nutrition, work.
        • Which doctor should I contact?

          The appearance of pain in the leg muscles immediately after a limb injury requires seeking help from a traumatologist .

          For other cases, the initial step towards cure is consultation with a therapist . After a preliminary examination, the attending physician may refer the patient to a rheumatologist or phlebologist .

          For pain not associated with the inflammatory process, first aid is muscle massage and painkillers.

          Painful sensations during inflammation recede under the influence of cold. It is enough to apply a small piece of ice to the problem area to cause immediate contraction of the blood vessels.

          Pain in the leg muscles can affect the quality of a person’s entire life, so at the first symptoms it is recommended to seek qualified help. Experts recommend giving up imaginary beauty in favor of health, because preventing a disease is easier than coping with it.

        • reduce consumption of fatty foods;
        • do small warm-ups every hour while sitting or standing;
        • be outdoors every day and take walks;
        • once a week, actively engage in sports (jogging, outdoor games);
        • reduce weight in case of obesity and balance your diet.
        • Everything in the body is interconnected, so a failure in one of the systems will certainly affect many departments. You should not wait for the disease to come into full force if its presence is signaled by pain in the leg muscles. Diagnosis is simple, and treatment will not take much effort, but will preserve or return all the joys of life.

          If the muscles in your legs start to ache

          Most often, tension and pain in the leg muscles are caused by uncharacteristic physical stress on the legs, long walks, incl. and high heels. As a result, lactic acid accumulates in the calf muscles, the excess of which causes pain. Fortunately, such pain is short-lived and disappears without a trace after rest. However, there are much more serious causes of pain in the leg muscles. Let's look at them in more detail.

          Causes of pain in the muscles of the lower extremities

          Disturbance of normal blood circulation

          Most common for people employed in sedentary or standing work. Due to being in the same position for a long time with a load on the legs, blood stagnation forms in the body . organs and tissues lack oxygen, and waste and toxins begin to accumulate in the lower extremities.

          As a result, the patient begins to experience dull, aching or stabbing pain, often accompanied by a feeling of heaviness and even cramps.

          Cramps are contractions of a muscle or muscle group that cause severe pain.

          They most often occur in the calf area, and the reason for this is muscle overstrain, prolonged exposure to the cold, and uncomfortable body position.

          In order to get rid of pain in the calf muscles of the legs . Experts advise trying to relax the muscles affected by the cramp, stretching the painful area with a massage, and then applying a cold compress.

          A proven folk method is the recommendation to prick the cramped muscle with a needle or other sharp object.

          If there are problems with the spine, for example, in the intervertebral discs, pain often appears, radiating to the legs. Moreover, the spine itself may not bother you. This type of pain includes inflammation of the sciatic nerve (sciatica), in which pain from the spine along the sciatic nerve moves to the legs.

          Flat feet - a change in the shape of the foot, namely the drooping of its arches

          It becomes difficult for a person with flat feet to walk, a feeling of “lead heaviness” appears, and muscle pain can spread from the foot to the knee.

          If you have this disease, important attention should be paid to a set of daily exercises specially developed by your doctor. Special orthopedic shoes or insoles will also help reduce pain.

          Myositis is an inflammation of the skeletal muscles that causes very severe pain in the legs.

          This disease usually develops as a result of complications of various infectious diseases, connective tissue lesions, as well as traumatic situations and uncharacteristic physical activity.

          Myositis is characterized by aching pain in the legs . worsening during movement, while dense nodules can be felt in the muscles.

          Myositis, which develops as a result of infection, is purulent and is manifested by chills, fever, increased pain, thickening and swelling of the muscle, as well as redness of the skin. It must be treated under the supervision of a doctor, since this disease is quite serious.

          Fibromyalgia is a rheumatic disease in which pathology of the soft tissues surrounding the joints develops.

          It mainly affects the occipital area, neck, shoulders, chest, lower back and thigh area near the knee joints. Fibromyalgia occurs more often in women . in addition, it is often inherited through the female line.

          Its development is also facilitated by injuries, physical or mental overload, sleep disturbances, prolonged exposure to damp or cold, etc.

          Vascular diseases are one of the most common causes of pain in the leg muscles

          When the outflow of venous blood is disrupted, increased pressure is exerted on the vessels, and stagnant blood, irritating the nerve endings, is the cause of pain in the legs.

          The pain in this case is mostly dull or nagging, often accompanied by a feeling of heaviness in the legs. The result of a violation of venous outflow without proper treatment can be varicose veins - a disease in which the veins in the legs dilate and lose their elasticity.

          This disease is accompanied by sharp pain in the leg muscle, usually throbbing. Patients with thrombophlebitis may complain of a burning sensation in the veins.

          The painful sensations are constant, most intensely expressed in the area of ​​the calf muscle. If thrombophlebitis is not treated, it can lead to the development of gangrene.

          If you have pain in the left side, we advise you to pay attention to the stomach and pancreas, they are most often the culprits of discomfort in the left hypochondrium, full article at http://med-atlas.ru/vnutrennie-organy/bol-v- podzheludochnoj-zheleze.html

          If you are pregnant and have back pain, we recommend that you familiarize yourself with the cause-and-effect relationship of these pains, then...

          Atherosclerosis of the arteries

          A disease in which the walls of blood vessels thicken, the lumen of the artery narrows, and atherosclerotic plaques appear.

          Patients feel severe squeezing pain in the calf muscles. worse when walking. A typical symptom of atherosclerosis is constantly freezing feet.

          Diseases of the peripheral nervous system (neuralgia)

          With neuralgia , periodic attacks last from several seconds to several minutes, and the pain is localized in the area where the nerve fiber passes. Moreover, in the period between attacks there is no pain in the legs.

          Inflammatory process in tendons

          It usually occurs as a result of prolonged and heavy physical stress on the muscles, which is accompanied by microtrauma to the tendons. Cooling, general fatigue, chronic diseases, etc. also contribute to the development of inflammation.

          Reducing leg pain

          Pain in the leg muscles can be reduced by finding out the cause of its occurrence. To do this, you need to visit a therapist, conduct an examination and identify a diagnosis.

          So, if you have problems with blood vessels, you should stick to a diet . Regularly engage in special physical exercise, do not gain excess weight.

          If the cause of pain is problems with the joints or spine, regular massage will help reduce pain. Regular ice is an effective anti-inflammatory agent.

          Under the influence of cold, blood vessels narrow, and pain dulls, as a result, muscle spasms are relieved.

          Which doctor should I contact if I have pain in my leg muscles?

          First of all, it is recommended to visit a therapist, traumatologist or rheumatologist; Women would also benefit from consulting a phlebologist. If the pain in your legs is associated with vascular problems, an angiosurgeon will help you.

          Causes of pain in leg muscles

          The main reasons why pain in the leg muscles may occur is disruption of the functioning of the spine, blood vessels, joints, or muscles.

          Mostly pain in the leg muscles occurs due to disruption of the circulatory system. Due to the disruption of the outflow of venous blood, the pressure on the walls of blood vessels increases, which in turn serves as an irritant to the nerve endings and the cause of pain. Such disorders eventually lead to varicose veins. The nature of the pain in the leg muscles in such cases is usually dull and aching, with a feeling of heaviness in the legs. These disorders very often arise due to sedentary work and lifestyle; blood does not circulate fully, which leads to oxygen starvation of tissues and the accumulation of toxins.

          Vascular diseases that cause pain in the leg muscles are atherosclerosis and thrombophlebitis. In the first case, the walls of the blood vessels become denser, and this causes compressive pain, which intensifies when walking, mainly in the calf muscle; also a sign of the disease is the sensation of cold feet. With thrombophlebitis, pain in the leg muscles is almost constant and is pulsating in nature, turning into a burning sensation under the skin.

          Disorders of the spine, such as displaced intervertebral discs, or inflammatory processes, also leading to pain in the leg muscles. Such disorders cause characteristic radiating pain, that is, the pain radiates to the legs. In cases of disorders of the spine, it itself may not hurt, but only cause pain in the leg muscles, this happens because the functioning of the nervous system is disrupted, which sends false pain signals.

          Also, disorders of the peripheral nervous system can cause pain in the leg muscles, in such cases it is paroxysmal in nature, and during breaks it is not felt at all.

          Joint diseases

          Twisting pain indicates a dysfunction of the joints. Very often it worsens due to weather changes. Pain in the leg muscles is especially painful in serious stages of gout. Pain in the knee area may indicate destruction of the knee cartilage. Only a reliable doctor can make an accurate diagnosis.

          The most severe pain in the leg muscles occurs when they are inflamed - myositis. This disease can occur during complications of other diseases, due to injuries or strong unusual stress, and parasitic myositis also exists. The disease is very serious, and its diagnosis and treatment should never be delayed.

          With myositis, the pain in the leg muscles is aching in nature and intensifies during movement. Lumps and nodules may be felt in the affected muscles. With parasitic myositis, the patient develops fever, pain in the chest and other muscles.

          Categories : Legs

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