A person may often complain of aches in different parts of the body - legs, arms, muscles; such symptoms indicate a specific disease. Body aches are a nonspecific symptom that appears individually for everyone. Aches are subjective sensations. When a small part of the tissues is damaged, but they do not lose their functions, severe aches in the body appear. This is how tissues react to intoxication.
It can hurt joints, muscles, bones; the concept does not apply to internal organs. Some aches are referred to as dull pain in joints, bones, and muscles. Many patients do not agree that aching is pain; they describe it as a feeling of discomfort.
Physiological pain is pain that is associated with the functioning of the brain. The pain is dull and localized in one place. The brain perceives it as a fracture, a rupture, it seems that the tissues are falling apart into pieces. The brain does not perceive aches as pain.
When the body aches, it seems to a person that the bones and muscles are flattened, twisted, stretched. Unpleasant sensations occur in different parts of the body. They are first localized in one area, then in another. Aching thighs, after calves. To get rid of pain, it is necessary to eliminate its causes.
1. As a result of excessive physical activity, after a hard workout.
2. As a consequence of trauma in the tissues, if a person fell, hit, after a bruise, when the first abrasions appeared.
3. Due to a viral infection - hepatitis, influenza, ARVI, rubella, chickenpox.
4. Due to the inflammatory process, infection - typhoid, toxoinfection, paratyphoid, cholera.
5. After a tick bite.
6. As a manifestation of blood diseases - lymphoma, leukemia.
7. Aches occur if a person has a malignant tumor.
8. For joint damage - rheumatoid arthritis, systemic lupus erythematosus. The pain is first localized in the joints, then in the muscles and spreads throughout the body.
9. In the case of botulism, when a person is poisoned by medications, poisons, or food.
10. In people with immunodeficiency, in case of stress, drug intoxication, HIV infection.
11. Due to chronic non-infectious myositis, which occurs after prolonged tension in certain muscle groups, when a person remains in one position for a long time.
12. As a consequence of hypothermia.
13. For autoimmune diseases - for thyroiditis, for systemic lupus erythematosus.
14. Body aches occur due to inflammation, infection, most often this is a consequence of intoxication of the body, which occurs when a large number of toxins accumulate in the body, they destroy cells.
15. When cells begin to break down, severe pain occurs because the receptors send a signal to the brain; due to the fact that the tissues are slightly damaged, a person experiences not pain, but aches.
1. Muscles weaken, a person develops weakness, a state of weakness, muscles become numb, problems with attention and memory appear.
2. Astheno-neurotic syndrome.
3. Immune activity decreases.
4. When a person suffers from pain, his sleep is disturbed and his joints hurt severely.
5. Blood pressure rises sharply.
6. Aches are accompanied by diarrhea in diseases such as intestinal flu and botulism.
7. Cough with body aches is accompanied by tonsillitis, pneumonia, bronchitis, laryngitis. In some situations it is a symptom of heart disease.
8. Aches with nausea and vomiting accompany serious diseases of the digestive system, because of this, intoxication develops and the metabolic process is disrupted. Such symptoms are typical for food poisoning, kidney failure, and overheating in the sun.
9. In the morning, aches accompany fibromyalgia, various joint diseases, hyperostosis, osteoarthritis. Also, if a person is physically overworked.
10. With a high temperature, aches and pains occur with acute respiratory viral infections, influenza, acute respiratory infections, bacterial infections, herpes, and toxoplasmosis.
Aching occurs with varicose veins, as a result, the outflow of blood in the lower extremities is disrupted, because the vessels are compressed when the uterus begins to grow. To prevent aches and pains during pregnancy, you need to learn to walk correctly and wear special compression garments.
Aches can be triggered by hormones; a lot of relaxin accumulates, which can cause the ligaments in the joints to loosen and begin to stretch. Relaxin is needed in a woman’s body so that the joints and ligaments of the pelvis are stretched, so their volume will increase and childbirth will proceed normally. When the ligaments begin to stretch, severe aching occurs in the legs and arms.
The first step is to find out the reason that caused the pain. You can additionally use techniques such as massage and acupuncture. It is recommended to take a course of massage and hypnosis. Meditation and yoga help a lot. To get rid of aches and improve your well-being, you need to use the following medications:
1. Antidepressants - Zoloft, Prozac, with their help you can get rid of anxiety and improve sleep.
2. Non-steroidal anti-inflammatory drugs – Nimesulide, Ibuprofen. With the help of medicines you can get rid of unpleasant sensations.
3. Steroid hormones are necessary to relieve pain and relieve inflammation in the joints.
So, aches and pains do not allow a person to live fully. It leads to impaired performance; the patient cannot perform even light tasks. There are many reasons that cause this condition; it is important to find out and eliminate them in time. Pain in the arms and legs most often occurs due to inflammation and may decrease when the person moves. The patient complains that his movements are constrained. Aches cannot be treated separately, only in combination with the underlying disease. It is important to undergo a comprehensive examination; only after this can you find out what caused this unpleasant symptom.
Joint pain occurs with a variety of pathologies of the musculoskeletal system. It can be a consequence of chronic diseases, injuries, bruises, dislocations or sprains, and in some cases, a sign of serious systemic disorders. Tablets for joint pain will help you cope with unpleasant sensations. In this article we will dwell in more detail on drugs whose action is aimed at eliminating the symptoms of joint diseases.
Diseases for which you have to take effective pills for joint pain are divided into several groups:
The mechanism of formation of pathological changes in joints is largely similar even in different diseases. During an exacerbation of the disease, an inflammatory process develops, accompanied by pain, swelling, and impaired joint mobility. The intensity of the pain can sometimes be so high that the patient cannot even bear the touch of bed linen to the affected joint (as in rheumatism).
After the inflammatory phenomena subside, deformation changes remain in the affected joint, which are difficult to correct and can lead to serious impairment of limb mobility.
All drugs in tablets for the treatment of joint pain can be divided into several main groups:
Let's take a closer look at the most popular representatives of each group of drugs.
The main drugs for the treatment of joint pain are non-steroidal anti-inflammatory drugs. They allow you to reduce the intensity of the inflammatory process, thereby slowing down the development of pathological changes in the joints. In addition, these drugs help cope with the painful symptoms of the disease: reduce pain and swelling, improve joint mobility, and relieve morning stiffness.
If the disease is accompanied by a rise in temperature, which happens quite often, then NSAIDs are also effective against it. These drugs are used as ointments, joint injections, or tablets. The latter dosage form is used not only to relieve symptoms of exacerbations, but also to prevent relapses of the disease.
This is a bright representative of the second generation of non-steroidal anti-inflammatory drugs, the active substance of which - nimesulide - has antiplatelet, antipyretic and analgesic effects. Nise is prescribed for pain relief for joint injuries, to relieve inflammation, pain and swelling in osteoarthritis and inflammatory lesions, to reduce the intensity of the pathological process in systemic diseases with joint syndrome.
Nise tablets for joint pain should be taken before meals with a small amount of water, the maximum daily dose is no more than 400 mg. The course of treatment with Nise is up to 10 days, if necessary it can be extended, but always under the control of the kidney condition. The drug is available in the form of tablets of 50 and 100 mg.
Nise is considered one of the best pills for joint pain because its side effects are quite rare. This may include nausea, heartburn, bowel movements, vomiting, and drowsiness. Sometimes allergic reactions may develop. Like all NSAIDs, Nise has a negative effect on the gastric mucosa, so it should not be used during exacerbation of gastritis and peptic ulcers.
The drug is also contraindicated for people with high blood pressure, heart disease, kidney disease, liver disease, type 2 diabetes mellitus, hematopoietic disorders and severe clotting disorders. Use with caution in children and should not be taken by pregnant or lactating women.
The average price for a package of the drug (20 tablets) is about 220 rubles. In addition to Nise, there are other tablets for pain in the knee joint based on nimesulide. These are modern selective NSAIDs - Nimesil, Movalis, Nimesulide, Meloxicam. They have a more powerful therapeutic effect, but at the same time have a minimum of negative manifestations from the gastrointestinal tract. They are taken in short courses, the dosage is selected by the attending physician.
The main active ingredient of these drugs is ibuprofen. The advantageous difference between medications in this group and other NSAIDs is their minimal negative effect on the liver.
Nurofen is the most popular ibuprofen-based product. It is available in the form of tablets, capsules, syrups, suspensions and rectal suppositories, sold from pharmacies without a prescription and is relatively cheap. Tablets for joint pain Nurofen contain 200 mg of active ingredient and are used to relieve various pains, including joint pain. Additionally, the drug provides anti-inflammatory and antipyretic effects.
To treat joint pain, Nurofen is taken one tablet twice a day; if necessary, the frequency of administration can be increased, but the largest daily dose for an adult should not exceed 4 tablets. The course of treatment lasts no more than 14 days.
The side effects of Nurofen are in most cases mild and more often occur with an overdose. In this case, mood swings, dizziness, decreased attention, and drowsiness are noted. Rarely - hematopoietic disorders, low blood pressure, cystitis, allergic reactions, digestive disorders.
Nurofen, like most NSAIDs, cannot be used for exacerbation of gastritis and peptic ulcers, kidney diseases, bone marrow diseases accompanied by hematopoietic disorders, severe anemia, hypersensitivity to the components of the drug, aspirin-induced asthma, severe arterial hypotension, children under 3 months and in the last trimester pregnancy. The average cost of Nurofen is 120 rubles.
Another popular and inexpensive drug for joint pain. Its advantage is that the tablets are produced in an enteric coating, which significantly reduces the risk of negative effects on the gastric mucosa. Unlike its analogues, it mainly affects the joints - it reduces the intensity of inflammation, pain, morning stiffness (which is especially important for rheumatoid arthritis).
Diclofenac is used for joint pain of various origins - deforming osteoarthritis, rheumatoid arthritis, rheumatism, neuralgia causing joint damage, injuries. The dosage of tablets is 50 mg per day, the maximum is 150 mg. The course of treatment is no more than 14 days.
Side effects are most often dyspeptic symptoms, less often allergic reactions occur, the most severe side effect is drug-induced hepatitis. The drug is prohibited for use in case of allergies to NSAIDs, during an exacerbation of peptic ulcer disease, in cases of blood clotting disorders and anemia, severe hypotension, in pregnant women in the last trimester.
Diclofenac is available in tablets of 25 and 50 mg, sold in pharmacies freely, without a doctor's prescription. It does not have a systemic antipyretic effect, but due to the minimum side effects and low cost, it is considered one of the best pills for joint pain. Analogues of Diclofenac with the same active ingredient are drugs such as Voltaren, Diclogen, Ortofen, but they cost several times more. The average price of Diclofenac tablets is only 15-35 rubles per pack of 20 pieces.
The drug is intended to reduce the intensity of inflammation in the joints and has a pronounced analgesic effect. Available in the form of film-coated tablets containing 150 mg of active ingredient - ketoprofen.
Ketoprofen is used for all types of joint pain, stiffness and mobility impairment.
It does not have a negative effect on the liver, as it is almost completely excreted by the kidneys. Therapeutic concentration in the blood is achieved quickly - within half an hour after administration. Take two tablets per day after meals, course duration is no more than 14 days.
The side effects are the same as those of the above drugs - digestive disorders, hematopoiesis, and blood clotting. The drug is contraindicated for kidney disease, exacerbation of gastritis and peptic ulcers, bone marrow lesions, children under 12 years of age, and pregnant women. An important advantage is that drugs based on ketoprofen are approved for use in liver diseases.
The main principle of treating articular syndrome in various diseases is an integrated approach, so tablets for pain in the joints of the legs are combined with ointments, creams, and, if necessary, intra-articular injections, as well as physical therapy, nutrition and lifestyle correction. Without this, taking the drugs will not have the desired result.
When taking NSAIDs in tablets, you should remember that they have common mechanisms of action and the same common side effects, so you cannot use several drugs in this group at the same time. Oral medications should be combined with ointments and gels, since local agents have almost no systemic effect.
We should not forget about contraindications - none of the drugs in the NSAID group can be used for severe blood clotting disorders, anemia, during exacerbation of peptic ulcers and gastritis. Some of them are less toxic to the liver and can be used for liver diseases, others are allowed for kidney diseases. If the drug is sold without a prescription, you should carefully read the instructions for it.
When combining NSAIDs with other drugs, it is important to remember that they enhance the antithrombotic and hypotensive effects, as well as toxicity to the kidneys, liver and heart. Combinations of NSAIDs with anti-inflammatory corticosteroids, which are used for severe exacerbations of joint pain, are safe. Steroid drugs can only be prescribed by a doctor, and they are always sold in pharmacies with a prescription.
The dosage of the drug is selected individually so that it is as effective as possible and at the same time relatively harmless. In case of exacerbation of joint diseases, you should not interrupt the course of treatment with NSAIDs immediately after relief has occurred - this can lead to repeated relapses of the disease.
A new drug based on natural ingredients, which is recommended by doctors and patients - Arthropant for joint pain.
Drugs in this group are prescribed for severe joint pain. The optimal medication should be selected by the doctor, taking into account the severity of the symptoms, the patient’s age and possible contraindications. Most often, the following drugs are used as part of complex treatment:
The most powerful non-narcotic analgesics include the drugs Larfix and Xefocam. They are produced in the form of film-coated tablets; the active ingredient is lornoxicam. The analgesic effect after taking 1 tablet lasts for 8 hours. Experts try to prescribe medications in this group only for severe pain, since they have many contraindications and side effects.
Drugs in this group are prescribed only for severe pain that cannot be relieved with other medications. The danger of such medications is that they quickly become addictive. The pronounced analgesic effect when using narcotic analgesics is explained by the effect of active substances directly on the receptors of pain centers in the brain.
As a rule, narcotic analgesics are produced in the form of injections. But there are a number of drugs in tablet form. These are tools such as:
It is unacceptable to take pills for joint pain uncontrollably. Drugs of this type are prescribed by a specialist, who also selects the necessary dosage that can cope with severe, chronic pain. Medicines in this group are classified as strictly controlled drugs and are dispensed from pharmacies only with a doctor’s prescription. Do not exceed the prescribed dose, as this may lead to the development of dangerous adverse reactions.
In addition, there are a number of drugs whose effects are similar to those of narcotic analgesics. These are drugs with an opiate-like effect. One of them is the drug Nalbuphine. It is also sold from pharmacies strictly according to a prescription. This is the only drug that targets opioid receptors in the brain and stops severe pain.
This subgroup of drugs is distinguished by powerful anti-inflammatory activity. They are used in short courses, but this is quite enough for the patient to feel an improvement in his condition, the disappearance of pain, swelling, and the restoration of mobility in the joints. The main representatives of glucocorticoid hormonal drugs used for joint pain are the following drugs:
At the same time, the use of hormonal drugs has a number of negative aspects. This is a risk of systemic side effects that pose a serious threat to health. Therefore, such drugs are taken in short courses and under the supervision of a doctor.
Other oral medications used to relieve joint pain include combination drugs that provide analgesic, anti-inflammatory, and antispasmodic effects. These include medications such as:
In addition to the above medications, doctors have recently increasingly recommended a new effective remedy. Read reviews about Pantogor gel.
The selection of effective tablets for joint pain is carried out individually, depending on the type and severity of the disease, the individual characteristics of the patient, contraindications, and the convenience of taking the tablets. Each drug has its own advantages and disadvantages, all of them will be effective in one situation and not useful in another, and the tolerability of these drugs may vary for different patients.
Therefore, when choosing painkillers, a specialist must adhere to the basic rule - namely, select medications in an ascending order (from weak to stronger). The exception is cases when the pain syndrome is too severe and the use of weak analgesics will be ineffective.
When prescribing medications, the doctor must take into account all the existing symptoms in order to relieve the patient of chronic pain that accompanies destructive processes in the joints. Only a competent approach to treatment and the use of the right medications will help to effectively and quickly alleviate the patient’s condition and relieve him of pain.
To treat a sore joint in the knee, I use ointments with an analgesic effect and additionally take tablets. On the advice of a doctor, I buy Diclofenac, it is a very inexpensive and effective drug. And it does less harm to the stomach, because the tablets are produced in a film coating. My exacerbations usually occur in cold and damp seasons (autumn, spring). Treatment according to this scheme gives a good result; usually after 7-10 days the pain practically disappears and joint mobility is restored.
Also, a Chinese remedy helped me very well - the zp pain relief orthopedic patch
Nina Maksimovna, Ulyanovsk
I suffer from problems with the musculoskeletal system. I constantly suffer from back pain. The doctor prescribes me injections or NSAID tablets. Of course, the treatment is complex and, in addition to agents with anti-inflammatory effects, ointments or creams with a cooling and chondroprotective effect are used. Previously I took Ketonal and Ortofen tablets. Now the doctor prescribes Nimesulide, Movalis. These are more modern drugs, they have fewer side effects, which is important at my age, and besides, you only need to take a pill once a day. While this treatment is helping, I hope that in the future I will not have to switch to injections of potent drugs.
Konstantin Ilyich, Novosibirsk
Two years ago I was diagnosed with osteoarthritis deformans. My elbow and finger joints hurt very badly. In the mornings I couldn’t straighten my arm, and at night the aches in my joints kept me from sleeping. I was very upset when I heard my diagnosis, because I am only 35 years old. But the doctor said that the disease was caught at the initial stage and it was quite possible to stop its progression and prevent further destruction of the joints. The treatment included chondroprotectors and painful injections of Alflutop into the joint. And at home I took Nise in tablets. A very good remedy, quickly relieves pain, inflammation and swelling and helps eliminate joint stiffness. The treatment is giving results, and now I feel much better.
Back pain, or dorsalgia, can be a symptom of various diseases and one of the most common complaints [2, 5]. The main causes of back pain Back pain is most often caused by spinal osteochondrosis - a degenerative lesion of cartilage.
Headache is the most common pathological symptom and a common complaint of patients. It occurs when pain receptors are irritated in the skin, subcutaneous tissue, tendon helmet, vessels of the soft integument of the head, periosteum of the skull, etc.
Everyone knows that stress is harmful, but very few understand the mechanism of this harm. It turns out that jokes about “spoiled nerves” have a serious basis: stress literally damages the body’s nervous system. And not only her.
The main causes of liver cirrhosis are hepatitis viruses B, C, D and alcohol abuse.
Restless legs syndrome is a chronic neurological disorder characterized by motor restlessness in the lower extremities.
In diabetes mellitus, trophic disorders of the lower extremities are especially relevant, since at least 4-10% of diabetic patients have foot ulcers, which are one of the most common manifestations of diabetic foot syndrome.
Profession - government servant
Complaints: occasional nausea, dizziness, malaise, headache, feeling of elevated temperature, although there is no fever.
Increased pain is caused by: stress, lack of sleep.
“Feeling of discomfort” in the extremities – decreased sensitivity in the right side of the body, more so in the right arms and legs.
Short latency somatosensory evoked potentials. Brachial plexus
In comparison with normal indicators, an increase in the level of functional activation (reactivity) of the nerve fibers of the brachial plexus on the left and right, disruption of the functional state of sensory nerve fibers with an increase in the speed of impulse conduction (disinhibition of the afferent influx) from the proximal brachial plexus to the posterior horns of the cervical spinal cord on the right.
Short latency somatosensory evoked potentials. Sacral plexus
Disturbance in the functional state of the fibers of the distal sacral plexus with increasing conductivity (signs of hyperexcitability) on the right. The level of functional activation (reactivity) of the fibers of the proximal sacral plexus to the posterior horns of the spinal cord is higher than the age norm on the right.
General characteristics of the EEG at rest – Moderate changes in the EEG of a regulatory nature.
REG protocol. Background recording at rest.
Pulse blood supply is reduced in the basin of the left vertebral artery (Oms by 6%), within normal limits in all basins on the right and in the basin of the left internal carotid artery. The tone of the main arteries is increased in the basin of the left vertebral artery, within normal limits in all basins on the right and in the basin of the left internal carotid artery The tone of large arteries is within normal limits in all basins, The tone of medium and small arteries is reduced in the basin of the right vertebral artery, within normal limits in all basins on the left and in the basin of the right internal carotid artery. Peripheral vascular resistance is reduced in the basin of the right vertebral artery, in within normal limits in all basins on the left and in the basin of the internal carotid artery. In all arteries there are signs of normal venous outflow.
CT scan of the brain is normal.
Other data: When I play football, the sensitivity of my right arm and leg decreases, as if it goes numb (which is especially worrying).
It happens that it is difficult to remember some words or I stutter, which has not happened before.
1. How do you rate your work – average.
2. What conditions do you work in? Comfortable ones.
3. Do you feel tired at the end of the day? I get very tired.
4. Do you have time to rest? No.
5. Do you have to do hard physical work - no.
6. Do you have conflicts in your family or at work - yes sometimes.
7. Do you have pain in your back or limbs - no.
9. Do your relatives suffer from osteochondrosis, radiculitis, scoliosis? No. But I have scoliosis
10. Your blood type is II.
11. Do you often get acute respiratory infections - 1-2 times a year.
12. Do you have diseases of the stomach and intestines (gastritis, peptic ulcer, biliary dyskinesia - no
13. Do you have lung diseases - chronic bronchitis.
14. Do you have bladder kidney disease? No.
15. Do you have any diseases of the genital area? No.
16. Have you ever had rheumatism? No.
17. Do you have diseases (pain) in the joints - yes.
18. Did you have a skull injury? No.
19. Have you ever had any broken arms? Yes, 2007.
20. Have you had any spinal injuries? No.
21. Do you have any changes in the color of the skin of your legs, but not your arms?
22. Do you currently have pain in your limbs? Yes.
23. What type of pain is it? Dull.
24. Do these pains radiate (to the leg, to the arm, no).
25. When these pains arise or increase - after sudden movements, during physical activity).
26. What helps reduce pain is rest.
27. Are you bothered by neck pain? No.
30. Do you have time to rest during the night: no, not always.
The high risk of developing back pain in the working-age population transforms it from a purely medical problem into an economically significant one at the state level. Studies conducted in the USA have shown that the costs of managing patients with pain c.
The fight against headache, as the most common form of pain syndrome, remains one of the pressing and extremely difficult problems of medicine to this day.
Disease of the operated stomach is a functional and organic disorder in the gastroduodenal zone, hepatobiliary system and intestines, accompanied by changes in the general condition and metabolism in patients who have undergone gastrectomy and vagotomy.
Meningococcal infection is not a common disease: not every local doctor encounters at least one such patient in his entire practice.
One of the most characteristic psychological characteristics of patients with hypertension is a high level of anxiety. This affects the course of the disease, the effectiveness of treatment, the quality of life of patients and interaction with the attending physician.
One of the most discussed issues in modern gastroenterology (not only pediatric) is intestinal dysbiosis, the prevalence and clinical significance of which, according to domestic pediatricians, elevate this concept to the rank of serious.
MRI of the brain: There is no data on the volumetric process of the brain substance. Isolated small foci of subcortical localization were identified; expansion of the perivascular spaces and lateral ventricles may be a manifestation of encephalopathy. No evidence of a deminyelinating disease was obtained.
Examination of peripheral nerves:
No impairment of the motor and sensory fibers of the studied peripheral nerves was detected. No impairment of fast-conducting fibers of the samatosensory, auditory and visual pathways was detected.
Blood biochemistry - all microelements are normal (though they didn’t test for magnesium)
What happened with me? Will this pass? How can I remove this? The hospital only prescribed antihistamines, which only made me worse. What should I do in my situation?
Regarding your problem. Judging by your medical history (headaches appeared after psychological trauma and are difficult to relieve with medications), you have a type of so-called conversion syndrome. And for this reason, I recommend turning to a good psychotherapist for help. You will see the result will be higher than expected. Best regards, Pavel Pavlovich.
Woman 45 years old, weight 64 kg, height 161 cm.
I have this situation. This year, there is a more constant feeling of lack of air, especially in the summer (I associate it with a persistent increase in blood pressure in the range of 140-186/up to 110 mm Hg; in July, the systolic value of blood pressure rose to 198 mm Hg - increased). With the onset of summer and heat, swelling of the legs and feet appeared; with the onset of cool weather, the swelling disappeared. Every year my endurance for physical activity decreases (despite long-standing serious problems with the cervicothoracic spine and cerebrovascular insufficiency, I do exercises and exercise on an exercise bike 3 times a week). Especially after an exercise bike, blood pressure rises sharply, sometimes up to 180-186 mm Hg. Art. systolic (I have stage 2 hypertension, quite frequent hypertensive crises), tachycardia, facial flushing, dizziness, a feeling of tightness in the chest and lack of air, mild headache, severe weakness, unsteadiness when walking (I generally have poor coordination), severe weakness, rattling in the body, pain and trembling in the legs, pain in the spine. Even with light housework, weakness and some of the above symptoms occur.
Also, 1-2 times a month, chronic tonsillitis is a concern, which is accompanied by aching pain in the joints (mainly fingers and hands + knee joints) without inflammation, severe weakness, tachycardia (sometimes intermittently), discomfort in the heart area, discomfort in the throat, feeling of lack of air, severe headache, dizziness, sometimes low-grade fever and enlarged cervical lymph nodes (but this is with severe inflammation of the tonsils with pustules). Tonsillitis goes away, but weakness remains.
In July 2015, she underwent Holter ECG monitoring (SDM3 monitor) while taking Cratal and Lozap, as well as beta blockers. I only did light housework (no one explained to me that you can do physical activity of any intensity; they installed Holter and that’s it.). So, Holter monitoring data: Study duration 20:37:34. Average heart rate for 20 hours 37 minutes 83/min.; sleep 7 hours 35 minutes, heart rate during sleep 72/min.; Heart rate during wakefulness is 89/min. Circadian index 1.23. Maximum heart rate 129/min. Minimum 60/min. QRS: ventricular (V) 153, supraventricular (S) 241, unfit (A) 225. Minimum RR 200, minimum RR (NN) 270. Maximum RR 1605, maximum RR (NN) 1032. Pauses >2 RR 4 cases lasting 1248 (1200-1315) ms. During 24-hour monitoring, sinus rhythm is recorded with a frequency of 60 at night, and during the day from 70 to 110 beats. per min. Throughout the day, regardless of the frequency of sinus rhythm, the different amplitudes and polymorphism of the T wave are recorded. Against the background of sinus tachycardia, ST segment depression of 0.5 mm is recorded.
Please tell me the Holter ECG data “During the day, regardless of the frequency of sinus rhythm, the different amplitudes and polymorphism of the T wave are recorded. Against the background of sinus tachycardia, ST segment depression of 0.5 mm is recorded.” Are they talking about the first signs of ischemia, complications of chronic tonsillitis, or complications of hypertension?
What examinations should I undergo first (due to frequent attacks of dizziness and severe weakness in my legs, I rarely go out on the street, for short distances and with someone; traveling in transport causes severe dizziness; - therefore, the examination will have to be done at home, and this costs double the fee in private medical centers), a more important examination today - fractional lipoproteins (analysis), Holter ECG monitoring, or cardiac ultrasound (ECHO KG)?
Diabetes Pain: Learn How to Manage It. This page explains how to take control of different types of pain. The focus is on the pain in the legs that diabetic neuropathy can cause. Several causes and treatments for joint problems are discussed. Provides information about complications of diabetes that can cause abdominal pain and other digestive disorders. Read how to get rid of headaches using pills and natural remedies.
Pain in diabetes: detailed article
Learn about pain medications that are often prescribed for diabetics. These are anticonvulsants, antidepressants, opioid analgesics, as well as anesthetics for application to the skin in the form of a cream, ointment, lotion or aerosol. The main treatment is to reduce blood sugar and maintain it at a stable level. Read more about the step-by-step treatment plan for type 2 diabetes or the type 1 diabetes control program. Achieving normal glucose levels is possible if you are not lazy. Without this condition, even the most powerful and expensive tablets will offer little help against pain and other complications of diabetes.
Leg pain in diabetes can be caused by one of two reasons:
Regardless of the cause, the main treatment is to bring blood sugar back to normal and keep it consistently normal. Without fulfilling this condition, no pills, massage, physiotherapy or folk remedies will help. Pain in your legs should be an incentive for you to come to your senses and treat yourself diligently. To solve problems, you need to determine the cause of the symptoms bothering the patient. This will make it possible to choose the most appropriate treatment tactics. Let us first consider neuropathy, and then atherosclerotic vascular damage.
High blood sugar damages the nerves that control the entire body, including the legs. A diagnosis of peripheral neuropathy means that the nerves in the legs and possibly also in the arms are affected - in the periphery, far from the center of the body. In most cases, neuropathy causes numbness and loss of sensation. However, in some patients it causes pain, burning, tingling and cramping. Symptoms can occur not only during the day, but also at night, impairing night sleep.
Leg pain caused by neuropathy affects the quality of life, but this is not its main danger. There may be loss of skin sensitivity. In this case, the patient injures his legs while walking without noticing it. Diabetes causes leg injuries to heal slowly or not heal at all. Read the material “Diabetic foot” for more details. From here it’s a stone’s throw to gangrene and amputation.
Diabetes that is not treated correctly accelerates the development of atherosclerosis. This is a systemic disease. As a rule, it simultaneously affects the vessels supplying the heart, brain, kidneys, and lower extremities. Plaques clog arteries, causing blood flow through them to be reduced or even stopped altogether. Tissues experience oxygen starvation - ischemia. Leg pain may increase while walking, especially up stairs, and decrease or disappear completely when the patient sits. This symptom is called intermittent claudication. Attacks of pain alternate with quiet periods. Rest helps relieve discomfort. In addition to pain, coldness of the extremities, bluish color of the legs, and slower growth of nails may be observed.
Intermittent claudication creates many problems for patients. They try to stay at home more so as not to put stress on their legs and avoid pain attacks. In addition to pain, a feeling of heaviness in the legs and poor general health may bother you. Atherosclerosis blocks the flow of blood to the legs, causing wounds to heal poorly. There is a threat of gangrene and amputation, especially if diabetic neuropathy is associated. There is also a high risk of heart attack and stroke due to problems with the vessels supplying the heart and brain. Let us repeat that atherosclerosis is a systemic disease that affects many important vessels at the same time.
Many diabetics consider painkillers to be their only remedy. Watch Dr. Bernstein's video and learn how to reverse diabetic neuropathy without harmful and expensive medications. After all, neuropathy is the cause of your suffering. For some diabetics, it causes pain in the legs, while for others it causes numbness and loss of sensation. Sometimes “passive” and “active” symptoms are combined with each other. In any case, this problem can be solved, unlike the complications of diabetes on vision and kidneys.
Leg pain should encourage you to actively seek evaluation and treatment. It is necessary to find out the extent of damage to the vessels of the legs by atherosclerosis. Then get tested for diabetic neuropathy. Find out which systems are affected by this complication, except for the nerve endings in the legs. First of all, the doctor measures the ankle-brachial index. It's not painful or dangerous. The patient lies down on the couch. While lying horizontally, the systolic (upper) blood pressure is measured several times in the ankles and shoulders. If it turns out to be significantly lower in the ankles than in the shoulders, the vessels in the legs are probably affected by atherosclerosis. In this case, it is necessary to carry out more serious examinations - ultrasound, MRI. Before vascular surgery, an x-ray with the introduction of a contrast agent may be prescribed. This is not a very safe test. It is better not to do it if surgery is not planned.
If diabetic neuropathy is suspected, the sensitivity of the skin of the legs to touch, vibration, and temperature is checked. This is done by the doctor using a neurological kit, which includes a tuning fork, a feather, and a needle to test pain sensitivity. Due to nerve damage, the legs may lose the ability to sweat. In this case, the skin will become dry and may crack. This is noted during a visual inspection. Like atherosclerosis, neuropathy is a systemic complication of diabetes. It can cause paralysis of various muscles. Damage to the nerves that control breathing and heart rate is very dangerous. However, few doctors know how to check for this.
The main treatment is to achieve and maintain normal blood sugar. Learn and follow a step-by-step treatment plan for type 2 diabetes or a type 1 diabetes management program. Neuropathy is a reversible complication. Once normal blood glucose levels are reached, the nerves gradually recover and symptoms subside and disappear within a few months.
Good diabetes control also helps slow the development of atherosclerosis. Leg pain, as opposed to loss of sensation, is an incentive for patients to seek diligent treatment. You have the power to get rid of unpleasant symptoms, avoid amputation and establish a normal life.
For pain, your doctor may prescribe medications, which are described in detail below. Weak pills do not help, and serious drugs have significant side effects. Try to do without them as much as possible. Among dietary supplements, patients often take alpha-lipoic acid. Its price is high, and its benefits are questionable. If you want to try this product, do not buy it at the pharmacy, but order it from the USA through the iHerb website. The price will be several times lower.
Vitamin B6 (pyridoxine) in very large doses causes numbness in the fingers and toes, similar to the effect of painkilling injections during dental treatment. This side effect can be used to control pain caused by diabetic neuropathy. The dose should be at least 100 mg, and for large people - 200 mg per day. Take with other B vitamins and magnesium. For example, vitamin B-50 complex. Use only as a temporary measure until nerve fibers are restored due to good diabetes control. This is not officially approved; patients experiment at their own risk. Serious side effects are possible. This recipe definitely will not help with pain caused by atherosclerosis.
Treatment of leg pain in diabetes: patient review
If examinations confirm that the blood vessels in the legs are affected by atherosclerosis, the patient will most likely be prescribed statins for cholesterol, medications for hypertension, and possibly blood thinners. All of these drugs reduce the risk of heart attack, stroke and pulmonary embolism. There are surgical treatment options. A surgeon can insert something like a balloon into a blocked artery, then inflate it and in this way expand the lumen. To keep blood flowing through the artery, a stent, a tiny wire mesh, may be left in it. Another way is to take a vessel from another part of the body and use it to bypass the blood instead of the blocked artery. Discuss details with your doctor.
As a rule, diabetes and joint pain have little relationship with each other and should be treated independently of each other. It is impossible to be cured once and for all, but you can keep problems under control and lead a normal life, without disability. Here are a few reasons that can cause pain and other joint problems:
Rheumatoid arthritis is a joint problem caused by autoimmune attacks, like type 1 diabetes. Symptoms are pain, redness, swelling of the joints. It is characteristic that these signs are not observed constantly, but in attacks. Blood tests may reveal elevated markers of inflammation—C-reactive protein, interleukin 6, and others. To alleviate the patient's condition, in severe cases medications are prescribed, for example, etanercept, adalimumab or infliximab. They suppress the activity of the immune system. These drugs may reduce the risk of autoimmune diabetes if it has not yet begun. But they may increase the risk of infections and cause other side effects.
It is worth trying a gluten-free diet, as well as anti-inflammatory dietary supplements - curcumin and others. Please note that the low-carb diet for diabetes is also gluten-free. Whether dairy products containing casein should be eliminated is a controversial issue. Keep in mind that with type 2 diabetes, attacks by the immune system on the beta cells of the pancreas are also common. Patients have to inject themselves with insulin, at least in low doses. Type 2 diabetes is largely an autoimmune disease.
Osteoarthritis is a problem with joints caused by age-related wear and tear, as well as excess weight of the patient. The lining in the joints wears out, causing the bones to touch and rub against each other. Symptoms include swelling and limited mobility. Most often, problems occur in the knees and hips. The immune system does not attack the joints as it does in rheumatoid arthritis. Markers of inflammation in the blood are not elevated. You need to try to lose weight at any cost. This will reduce joint problems and also improve control of type 2 diabetes. Discuss with your doctor whether you should take painkillers or undergo surgery.
Charcot foot is a severe complication of diabetes that causes destruction of the joints in the legs. At the onset, diabetic neuropathy causes loss of sensation in the legs. When walking, the ligaments become twisted and damaged, but the patient does not notice this. Increased pressure on joints. The leg becomes very quickly and severely deformed. Only after this the joints begin to swell, turn red and hurt. Finally the diabetic notices that he has a problem. The affected joints may be hot to the touch. Treatment: surgery, orthopedic shoes. Once Charcot foot has been diagnosed, the disability may be permanent. It was necessary to keep normal blood sugar earlier so that neuropathy did not develop.
As a rule, patients make their first attempts to control pain with medications on their own. They use ibuprofen or paracetamol, which are available over the counter. These drugs help only in the mildest cases. To use strong pain medications, you must get a prescription from your doctor. The following medications are prescribed for pain caused by diabetic neuropathy:
All of these pills often cause serious side effects. It’s not for nothing that they are sold only with a doctor’s prescription. Try to do without them. Start with weak medications. Change to stronger ones only if necessary.
Pregabalin, gabapentin and other similar drugs are used primarily as treatments for epilepsy. These drugs are called anticonvulsants. In addition to treating epilepsy, they can relieve burning, stabbing and shooting pain. Therefore, they are prescribed for diabetic neuropathy causing pain as first-line drugs. They slow down the transmission of nerve impulses that carry unpleasant sensations.
Medicines for depression and pain for diabetics are selective serotonin reuptake inhibitors (duloxetine, milnacipran). Tricyclic antidepressants (imipramine, nortriptyline, amitriptyline) are used less frequently. Because in the doses needed to relieve pain, they often cause side effects. Both anticonvulsants and antidepressants raise blood sugar. Measure it more often while taking these medications. Increase your insulin dosages if necessary.
In addition to tablets, you can try a cream, ointment, or patch that contains capsaicin. This is a substance that is extracted from hot peppers. It irritates the nerves and causes the body to stop paying attention to their impulses over time. At first, the discomfort intensifies, but after 7-10 days relief may occur. To get the effect, you need to use capsaicin every day, without breaks. Many patients believe that it causes more problems than benefits. However, this remedy does not cause the same serious side effects as painkillers. A more popular remedy than capsaicin is lidocaine, which is applied to the skin in the form of an ointment, gel, spray or aerosol. Discuss with your doctor how to use it. For example, every 12 hours.
Abdominal pain and other digestive disorders in diabetes should not be tolerated, but actively treated, trying to get rid of them. Find a good gastroenterologist, get examined and consult with him. Make sure you do not have ulcerative colitis, Crohn's disease, gallbladder problems, stomach or duodenal ulcers. Know the symptoms of candida albicans yeast overgrowth in your gut. If necessary, take dietary supplements that suppress this fungus, containing caprylic acid, oregano oil and other components. Find out if you have gluten intolerance (celiac disease).
The following diabetes medications may cause stomach pain, nausea, vomiting, and other digestive problems:
All of the medications listed can be of great benefit. Digestive disorders are not yet a reason to refuse to take them. However, you should temporarily reduce the dose to allow your body to get used to it. Victoza, Byeta and other similar drugs are aimed at weaning a patient with type 2 diabetes from overeating. If you overeat, they can cause abdominal pain, nausea, and even vomiting. This is normal and usually not dangerous. Just eat in moderation. Metformin tablets also weaken appetite and may cause aversion to overeating.
Diabetic neuropathy often affects the nerves that control the movement of food through the gastrointestinal tract and even the production of hydrochloric acid in the stomach. After eating, food may be retained in the stomach for many hours. In such cases, the patient may experience nausea, a feeling of fullness in the abdomen, and surges in blood glucose levels. This complication is called diabetic gastroparesis. Read here how to take control of it.
Ketoacidosis is an acute, deadly complication of diabetes caused by very high blood sugar, at least 13 mmol/L. It can cause abdominal pain, nausea, and vomiting, among other symptoms. The patient requires emergency medical care. It makes sense to measure ketones in the blood and urine only if sugar levels of at least 13 mmol/l are detected. For lower glucose levels, don't worry about ketones or worry about acetone in your urine.
Headache can be primary or secondary. Primary is when the cause is in the head itself, for example, a malfunction of blood vessels, nerves or muscle spasm. Secondary causes are poor air quality, flu, runny nose, ear infection. Or more serious problems - concussion, stroke, tumor. In diabetes, headaches are caused by both high and low blood sugar levels, as well as its instability and jumps back and forth.
High sugar - blood glucose level is 10 mmol/l or higher. A headache usually develops gradually, and the higher the sugar, the stronger it is. It may be the only symptom that your diabetes is out of control. Low sugar is a blood glucose level of less than 3.9 mmol/l, although this threshold is individual for each diabetic. With this complication, the headache may begin suddenly, along with other symptoms - hunger, nervousness, hand trembling. For prevention and treatment, read the article “Low blood sugar (hypoglycemia).”
A headache can happen after there has been a spike in blood sugar. It occurs in response to sudden changes in the level of hormones - adrenaline, norepinephrine and, possibly, others. Measuring your sugar with a glucometer can show that your blood levels are currently normal. If a diabetic does not use a continuous glucose monitoring system, then the recent jump can only be tracked by its consequences, one of which is headache.
Treatment for headaches includes pills as well as natural remedies. Some people find relief from over-the-counter medications. The most popular of them are paracetamol, aspirin, and ibuprofen. These pills are by no means harmless. Study their side effects carefully before taking them. If you need stronger medications, you will need to get a prescription for them from your doctor.
Of the natural remedies to reduce the frequency and severity of headache attacks, first try taking magnesium 400-800 mg per day. You can rub thyme, rosemary or peppermint oil into your temples and forehead. Drink chamomile or ginger tea and other types of fluids to stay hydrated. To reduce stress, try meditation, yoga or massage. The following foods and dietary supplements may trigger headaches: red wine, chocolate, blue cheese, citrus fruits, avocados, caffeine and aspartame. Try giving them up for a few weeks and monitor the effect.