Knee health is an important aspect in a person’s life. Suglob is responsible for the motor functions of the legs. If pain occurs in the knee joint during sleep, the malaise develops into a problem - it does not allow you to rest and restore strength.
The doctor will find out the causes of night pain in the knees based on a visual examination and test results. To understand which doctor to contact initially, consider the factors that provoked the pain.
Causes of knee pain at night, at rest:
The disease is common; inflammation of the knee bursa with fluid occurs due to minor injuries and bruises, in the presence of excess weight.
Symptoms of bursitis include:
Often the disease manifests itself in the form of the formation of varicose veins and nodes, and the affected leg swells. There is a feeling of weight on the legs, the skin becomes bluish in color. Peeling of the skin of the inflamed limb often occurs. Sensitivity decreases.
With venous congestion, the likelihood of hemorrhage increases. If there is an injury in the subungual area of the legs, bruising will appear.
Blood clots in blood vessels are discovered in a severe stage or accidentally during a comprehensive examination. The appearance of blood clots, except for periodic night pain, does not produce symptoms. When blood clots form, heaviness in the legs occurs, the legs hurt and swell. When metabolic processes are disrupted, ulcers appear.
Pathological processes that cause arthritis of the knee joint appear more often in young people. Causes:
The basis for the development of the disease is a genetic predisposition to arthritis. The presence of injuries, excess weight, severe stress and poor nutrition contribute to the progression of the disease.
Symptoms of arthritis, in addition to night pain in the knee joint:
The appearance of arthritis is accompanied by pathological processes in the human body, they are facilitated by sexually transmitted infections and radiculitis.
The problem for overweight people who also play sports is the risk of knee injuries.
Osteoporosis has distinct symptoms. When the weather changes, aching pain occurs in the knee. Frequent swelling and crunching indicate the disease. At rest, cramps occur and the legs and knees hurt greatly.
In advanced stages of osteoporosis, the knee joint atrophies, the legs become deformed, and the person cannot move independently.
Since the knee is a complex mechanism that bears a large number of loads, injuries are a common problem with nighttime pain. In addition to pain due to injuries, swelling, a change in color to bluish-red, limited movement, and deformation of the knee joint may occur.
Types of knee injuries:
Injuries are potentially dangerous and create fertile ground for the development of diseases of an inflammatory, infectious, or purulent nature.
The knee joint is designed to withstand certain loads. Every 2 kilograms of excess weight increases the stress on the knee by 12 kilograms. Excess weight puts pressure on the components of the knee, causing injury. And in the presence of infectious microorganisms, it contributes to the development of inflammatory processes and autoimmune diseases.
Therapeutic measures are taken after determining the cause of knee pain at night. Treatment is aimed at eliminating the original source of discomfort and eliminating pain. Elimination of pain symptoms is temporary and hides the manifestation and development of serious diseases. Therefore, when choosing treatment methods, consultation with a doctor is required.
Treatment is carried out using conservative methods or through surgery.
Includes procedures aimed at relieving inflammation, eliminating pain, eliminating infectious manifestations by taking antibiotics. Sometimes hormone-containing drugs and steroids are used. In case of dislocations, the traumatologist manually resets the joint that is out of the correct position.
The drug is selected based on test results obtained by the attending physician and based on the characteristics of the patient’s body. The use of massage or physical therapy in the presence of thrombosis in the patient’s vessels leads to serious consequences. Massage or heavy stress is the cause of blood clot rupture and, as a consequence, sudden death of the patient.
Effective methods of relieving pain symptoms are traditional medicine. For night pain in the knee joints, a compress of vegetable oil and mustard, taken 1 tbsp each, helps. and heated in a water bath. Another remedy is an alcohol tincture with the addition of potato sprouts. Keep the mixture for 3 weeks in a cool and dark place. Rub into knees as needed.
The use of compresses, rubs, ointments or gels is contraindicated in case of violations of the integrity of the skin, as it contributes to infection of exposed tissues and blood.
A radical way to solve the problem of night pain in the knee. It is carried out in cases where other methods of influence do not help.
With severe degrees of destruction of bone and cartilage tissue, complete or partial prosthetics are performed. Depending on the material used, after several years the prosthetic element must be replaced.
When muscles or ligaments are torn, surgery involves stitching the tissue together. For varicose veins - removal of the damaged vessel or its adhesive. If there is inflammation in the joint capsule, the fluid is removed through a puncture in the knee and the area of inflammation is washed with special antiseptic agents.
If pain occurs, consult a doctor to avoid the occurrence of inflammatory processes. And in everyday life, use preventive measures. Strengthen your joints and muscles through proper nutrition and gradual exercise.
This diagnosis is made very often. Much more often than necessary. When a patient consults a doctor about hip pain, in at least half of the cases he will be diagnosed with coxarthrosis, i.e. arthrosis of the hip joint. Fortunately, in fact, coxarthrosis occurs less frequently. Competent doctors know that of those who come to see us for hip pain, patients with coxarthrosis make up approximately 25-30%.
Coxarthrosis usually occurs after 40 years of age, slightly more often in women than in men. The disease can affect either one or both hip joints.
As a rule, coxarthrosis develops slowly, over 1-3 years. Although there are exceptions - sometimes, after an injury, overload or severe stress, pain increases quite quickly, in a matter of days or weeks.
A distinctive symptom of coxarthrosis is pain in the groin, radiating down the front and side of the thigh.
Sometimes such pain also spreads to the buttock or radiates to the knee. The pain occurs mainly when walking and when trying to get out of a chair or bed. At rest they almost always subside.
The second distinctive symptom of coxarthrosis is limited mobility of the affected leg. It is difficult for a sick person to move his leg to the side, it is difficult to pull his leg to his chest, it is difficult to put on socks or shoes. A sick person is unlikely to be able to sit astride a chair with his legs spread wide apart, or will do so with great difficulty. The leg almost stops rotating (from the hip) to the right and left or rotates due to movements of the lower back.
The third distinctive symptom of coxarthrosis is a crunching sound in the damaged joint when walking and shortening of the affected leg (more rarely, on the contrary, its lengthening).
Crunching in the joint and shortening of the leg usually do not appear immediately; they become noticeable in the later stages of the disease.
- approximately 5% of the number of people who applied for hip pain.
The symptoms of aseptic necrosis almost completely coincide with the symptoms of coxarthrosis; one disease is very difficult to distinguish from another. But unlike coxarthrosis, aseptic necrosis most often develops quickly, in a matter of days.
Quite often, the pain increases to a maximum and becomes unbearable within the first two to three days. Moreover, for many sick people, the pain does not completely go away even with rest; aching in the leg can exhaust a person almost all night. Rest from it comes only at dawn, at 4-5 o'clock.
Another difference from coxarthrosis: aseptic necrosis most often affects relatively young men, aged 20 to 45 years. Men over 45 years of age develop avascular necrosis much less frequently. Women get sick even less often (7-8 times less often than men).
This disease occurs very often - approximately 25-30% of the number of people seeking treatment for hip pain.
Trochanteritis can be either unilateral, when only one leg becomes ill, or bilateral, when the femoral tendons become inflamed on both legs at once.
Women get sick much more often than men, and the peak incidence occurs during menopausal changes in the body, when tendon and muscle tissue weakens. Although there are cases when young women also become ill with trochanteritis. The disease usually develops quite quickly, within 3-15 days.
Trochanteritis manifests itself as attacks of pain on the outer surface of the thigh (the “breeches” area). Pain occurs most often when walking or lying down on the affected side. The pain from the very beginning can be quite intense, but unlike coxarthrosis, with trochanteritis there is no shortening of the leg and no restriction of movement in the hip joint. The leg can be easily moved to the side and rotates freely in all directions.
Unlike a person suffering from coxarthrosis, a person suffering from trochanteritis can freely cross his legs, tie his shoelaces without difficulty, and can easily sit “astride” on a chair with his legs spread wide.
It occurs very often - approximately 30-40% of those who apply for hip pain.
The disease is often unilateral (right or left). The pain increases quickly, most often within 1-3 days, after unsuccessful movement, heavy lifting or strong emotional experience, stress. In some cases, the attack is preceded by acute or chronic pain in the lower back.
The greatest intensity of pain in piriformis muscle syndrome is observed in the buttock area: the sacrum and lower back may hurt at the same time, in some cases the pain can go down along the back of the leg, all the way to the heel. Unlike coxarthrosis, pain very rarely radiates to the groin (and in any case, with piriformis syndrome, pain in the buttock will be much stronger than groin pain).
Pain in the buttock can be severe both during the day and at night. Sometimes it is difficult for a patient to find a comfortable position in the first half of the night, and sometimes a sick person wakes up from pain at 3-4 am. However, in half of the patients, pain occurs only when moving and walking. In this case, there is a restriction of movement in the hip joint when the leg rotates; the leg rotates in full. But then, acute pain often occurs in the lower back or in the gluteal region when trying to lift a straightened leg or lean forward while standing with straight legs. Piriformis syndrome is caused by injuries to the lumbar spine.
It is rare—approximately 1% of those seeking treatment for hip pain.
Women over 50 years of age are more likely to get sick. In 70-80% of cases, the disease begins after suffering severe stress or a severe cold (flu).
The disease develops quite quickly, within 3-20 days. As a rule, the first symptoms of the disease are pronounced symmetrical (i.e., the same on the right and left) stiffness and pain in the hips (the pain does not go below the knees) and mild pain in the shoulder joints.
Painful sensations are accompanied by incredible weakness of the patient. Such patients are brought to the doctor literally “under arms”, but not because of pain, but precisely because of weakness. It is incredible weakness that is the key point in making a diagnosis.
Often weakness and pain with polymyalgia rheumatica are accompanied by decreased appetite, weight loss and increased body temperature.
Some types of arthritis lead to inflammation of the hip joints and, accordingly, are accompanied by pain in the groin or hips. And although this happens quite rarely, we must remember it.
In the most typical cases, the hip joints are affected by arthritis almost last, much later than other joints. Then the differential diagnosis between arthritis and, for example, coxarthrosis is not difficult - after all, by the time the hip joints become inflamed, the patient usually already knows that he has arthritis, and most often knows which one.
However, with certain types of ankylosing spondylitis and with some rare variants of reactive arthritis, inflammation of the hip joints may precede other manifestations of the disease or even be the only symptom of the disease. And then it can be very difficult to make a correct diagnosis - such inflammation of the hip joints is very easy to mistake for arthrosis. In such cases, even a competent doctor can make a mistake.
But there are still some “special” signs that make it possible to distinguish arthritic inflammation of the hip joints from other diseases of the hips, and primarily from coxarthrosis.
The main warning sign that may indicate the arthritic nature of joint inflammation is morning stiffness and aches throughout the body and joints, which occurs immediately after waking up and then goes away within an hour or during the first half of the day. Such stiffness is typical specifically for inflammatory diseases of the joints, primarily for ankylosing spondylitis and rheumatoid arthritis.
Secondly, unlike coxarthrosis, in arthritis, pain usually reaches its greatest intensity at night, at about 3-4 am. The intensity of such pain can be very high, and the pain does not decrease with a change in body position, as happens, say, with trochanteritis.
When moving and walking, pain, unlike arthrosis, on the contrary, most often decreases somewhat, rather than increases. By the evening, after the sick person has “dispersed,” the pain may disappear altogether, only to flare up with renewed vigor at night, in the morning.
In addition, the age of the patient can serve as a clue. These types of arthritis most often affect young people, aged 15 to 40 years. And trochanteritis, polymyalgia rheumatica and coxarthrosis, with rare exceptions, begin over the age of 40 years.
It often happens that instead of sleeping soundly, you have a headache at night. The reasons for this problem are varied. Unfortunately, because of this illness, a person is simply unable to rest, so it is worth finding effective methods to combat the problem as soon as possible. Pain that appears as early as falling asleep is typical for people suffering from migraines. Such an unpleasant situation may signal that there are certain disorders in the body. Unfortunately, a headache at night can strike completely unexpectedly, causing the person to wake up. The chance of falling asleep becomes almost impossible.
Headache at night is caused by the presence of pathological problems in:
Often, night headaches appear if there are lesions in the arterial vessels. This disorder provokes a spasmodic contraction of the arteries, thromboembolism or atherosclerosis.
Headache at night and due to cold. Increased body temperature disrupts the blood supply to the blood vessels of the brain, which ultimately leads to the fact that neurons do not receive the required amount of oxygen.
When asked why a headache occurs, the answer can be that if a person suffers from a problem related to the central nervous system. In this case, there is tinnitus, dizziness, pale and reddened skin, and a constant feeling of fatigue.
If a person suffers from hypotension or hypertension, the headache sometimes begins to bother him even before he goes to bed. In the first case, a small amount of dark chocolate or not too strong coffee will help fight pain during sleep. You also need to monitor your blood pressure and be sure to start taking medications to normalize it.
Even in the evening, cephalgia occurs if radiculitis, spondyloarthrosis or osteochondrosis (pain in the temples and back of the head) are present. Diseases associated with the spine are characterized by pinching of nerve fibers, as a result of which blood vessels and muscle tissue are innervated.
Histamine disease also causes headaches before and during bedtime. For this disease, attacks lasting about two hours are typical. Unpleasant sensations are localized on one side of the eye sockets. Symptoms can become a daily problem and require medication.
Sometimes headaches at night can indicate a heart attack or stroke. If you are predisposed to this, then you should urgently visit the doctor’s office.
The causes of pain can be psychological and mental. Sometimes a depressive state (especially if it is hidden from others) causes pain during sleep and pulsation in the head when lying down.
Statistics say that 50% of psychogenic cephalgia is combined with facial pain. The female sex suffers from this disease more often, and this is caused by too much physical stress. Therefore, the appearance of night headaches after an overstressed day may indicate that the problem is provoked precisely by psychogenic causes.
Another cause of such pain can be intense mental activity. Students are susceptible to a similar problem during the session period, since the load on the brain increases several times (especially if the student is conscientious and an excellent student). In addition, various thoughts about work, future plans and unresolved problems will also negatively affect future sleep. While falling asleep, the brain continues to “think” about the information that was processed in it before sleep, and thus a severe headache can occur. To prevent this from happening, you need to take an organized approach to separating work matters from household chores. You shouldn’t burden yourself with various kinds of problems before going to bed; by the way, some of them are sometimes not worth thinking about at all. You need to lie down on the pillow almost with an empty head, because sleep is rest, not additional working time for the brain. It is very useful to drink tea with calming herbs (for example, chamomile) and honey before bed. It is also advisable to keep a pillow at home containing dry herbs of eucalyptus or mint.
To diagnose the disease, doctors use polysomnographic studies. Thanks to them, it is possible to differentiate between migraine and tension headaches.
In order to compile an anamnesis, you need to study all the symptoms of a clinical nature and at the same time take into account data on how and when pain occurs (you also need to take into account those symptoms that arise throughout the day).
Diagnostic methods also include laboratory tests. These are biochemical and clinical tests of blood and urine. In addition, the fundus of the eye is examined and arterial division is monitored.
Sometimes there is a need for examination by an otolaryngologist and dentist, MRI and tomography.
Sometimes the pain is one-time (the so-called tensiosis syndrome). In this case, anti-inflammatory and painkillers like paracetamol, ibuprofen or citramon will help get rid of the pain. The latter is suitable for those who suffer from hypotension, since the caffeine content in the tablets will not only eliminate pain, but also slightly increase blood pressure.
If the pain continues for several days, then it is worth doing special gymnastics, fitness, and doing exercises in the morning. You can also discover yoga, which has many beneficial results.
A type of cluster disease is treated with oxygen. It is also worth turning to medications and injections.
In case of migraine, it is necessary to get rid of the factors that provoke it. They are monotonous or sharp sounds, cigarette smoke.
Pain caused by temporal arteritis requires determination of the infectious disease that provoked the unpleasant and annoying problem. In this case, it is necessary to take antibacterial medications.
Intracranial high pressure is a dangerous thing. It should be eliminated at the source, that is, in the brain. In this case, craniotomy is necessary.
Since headaches can be caused by excessive physical exertion, as well as frequent depression, it must be treated by eliminating provoking factors. To alleviate the condition, massage or therapeutic exercises with mandatory morning exercise are used.
Self-medication for such an unpleasant illness is prohibited. Only a doctor can make an accurate diagnosis. He, in turn, must determine the causes of such pain and subsequently prescribe a course of treatment. Treatment will require drug therapy and means for general strengthening of the body. In this way, further headaches will be excluded and can also be prevented. To do this, you just need to undergo a timely examination, pass the necessary tests, keep your blood pressure under control, and also do a tomography.
There are cases when the cause of such pain can be found out by consulting a neurologist or even a dentist. Very often, the problem arises due to improper and unregulated nutrition, lack of sleep, or, on the contrary, too much “sleepy hour,” as well as stress and anxiety.
One of the simple methods in the fight against this disease is a good mood, positive emotions, giving up bad habits and, if possible, walking in the fresh air two hours before bedtime. Naturally, this applies to the case when the cause of pain is caused by psychological factors, or this is done for preventive purposes.
It should be understood that a single episode of nighttime headache is not a reason to panic; it can be eliminated with an analgin tablet and a comfortable bed. But recurring night headaches are a serious reason to consult a neurologist.
The main thing to remember is that self-medication can be harmful!
This problem is serious and carries with it a number of unpleasant and serious consequences, which is why it is so important to immediately consult a doctor if you experience constant headaches.
Why does my stomach hurt every night? There are many causes of night pain, but in order to determine them, one should characterize the intensity of the sensations, their location and nature. This will allow a medical specialist to make an accurate diagnosis and prescribe effective treatment. To prevent night pain in the stomach from becoming chronic, you should pay attention to them in a timely manner and not self-medicate.
Pain at night has the following types:
The intensity of the pain depends on the nature of the injury and is of the following types:
Painful sensations can increase and progress or have a monotonous, decreasing character. Based on their duration, they are divided into acute and chronic.
When your stomach hurts at night, a person may be bothered by the following accompanying symptoms:
If symptoms occur when an infection enters the intestines, the patient is worried about fever and chills. The color of stool becomes lighter, and urine, on the contrary, becomes darker. If the stool turns dark bloody, this indicates internal bleeding.
Why does my stomach hurt at night? This question worries many who have at least once encountered this problem. Severe pain can occur for a number of reasons:
Convulsive pain of varying intensity occurs as a result of severe flatulence, nervous tension and stress, as well as peristalsis disorders. Painful sensations in the abdomen of a constant nature owe their appearance to peptic ulcers, cholelithiasis, abscesses and acute pancreatitis. Another reason that provokes nighttime stomach pain is endocrine disorders. You may encounter complaints of abdominal pain from pregnant women. In this situation, this is a common phenomenon, explained by a sudden disruption of hormonal levels and the presence of toxicosis.
If your stomach hurts for less than one minute, then there is no reason to worry. However, if painful symptoms last more than an hour, this may indicate a serious illness. In this case, you should not postpone your visit to the doctor. Pain has its own characteristics, thanks to which the doctor makes a diagnosis and prescribes the necessary treatment.
If stomach pain is an isolated case that can be associated with food intake, then a visit to the clinic is not necessary; it will be enough to adjust your diet. However, if your stomach hurts at different times of the day and regardless of food intake and bowel movements, then you should consult a doctor who, taking these signs into account, will make a preliminary diagnosis and write a referral for a thorough examination.
Stomach pain may occur at night if there are diseases of the gastrointestinal tract. Approximately a quarter of patients with ulcerative lesions of this organ of the digestive system experience significant pain of an intense nature. Reducing pain can be achieved by finding a comfortable position while sleeping. A certain position will temporarily make you feel better and minimize pain in the abdomen.
To make an accurate diagnosis, the patient should undergo a diagnostic examination. The doctor will listen to the symptoms, collect anamnesis, and palpate the abdomen. Based on the data received, he will prescribe the necessary examination, and only based on the results of the collected tests he will make a diagnosis. One of the diagnostic methods is fibrogatroduodenoscopy.
If painful sensations appear in the abdomen at night, the patient should consult a doctor to find out how to treat this ailment. Self-medication in this case can only do harm, so such attempts should be immediately discarded. However, in emergency situations, you must be able to provide first aid to yourself or others yourself. It is important to give up food for several hours; you can satisfy your hunger with a cup of warm, weak tea. The patient needs rest, so it is recommended to take a horizontal position and lie quietly.
In some cases, ice water can relieve pain: just take a few sips to understand whether this method works or not. Mild tea with mint or low-fat chicken broth can ease stomach pain. Food intake should be in minimal quantities, and if after a meal there is a deterioration in the condition, then you should abandon it.
Treatment of stomach pain that occurs at night is prescribed by a doctor on an individual basis and only after a diagnostic examination. Regardless of the diagnosis, therapy will include medications and diet.
Alternative medicine offers the following recipes that can eliminate stomach pain at night:
Acute back pain is a complex and important medical and social problem. Between 80 and 100% of adults experience back pain at least once in their lives.
Relevance of the problem According to WHO recommendations, since 2000, back pain has been declared a priority study in the structure of the decade of bones and joints (2000-2010). “Pain is an unpleasant sensory and emotional experience, conditioned.
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.
Civilization allowed man to relax... and rewarded him with osteochondrosis. It is not known for certain what exactly it was for - for the opportunity to walk on two legs or in exchange for not having to develop physical strength to protect against external enemies.
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.
Intervertebral hernia is a disease that is characterized by changes in the intervertebral disc. Its core shifts from the center and causes changes in the peripheral parts.
Diabetes mellitus is a disease that requires special attention to the condition of the blood vessels in the legs. How to prevent the appearance of trophic ulcers in diabetes mellitus and how to treat them correctly and effectively if the formation of a trophic ulcer could not be prevented.
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 topic of the next meeting of the Neurological Society of Kyiv was one of the most pressing problems of neurology and medicine in general - secondary prevention of stroke.
Mom is 79 years old. Height 164, weight 84. Hysterectomy (2001), herniotomy (2009). Since 2001, diagnoses: hypertension, ischemic heart disease, cardiosclerosis, CVD in cerebrosclerosis and osteochondrosis. Until 2014, I did not take medications of the year; I got rid of headaches with citramon.
Complains of severe dizziness if he throws his head back, tries to look up, lies on his left side, “no blood flows to the brain on the left side.”
In April 2014, I fell off the table (while hanging wallpaper) after throwing my head back. She hit her head, lower back, and broke her arm. There was no concussion. After 2-3 months, “jolts” and slight unsteadiness began when walking. Then a slight tremor of the right hand appeared.
- neurologist at the Institute of Gerontology 11/10/14: dyscirculatory a/c and hypertensive encephalopathy, stage 2. With [. ] mainly in the vessels of the VBB, essential tremor of the arms and head. Mildronate 1 month, Actovegin - 2 months, Neovital - 1 month, Epadol - 1 month, Cerebrovital - 1 month.
On 12/13/14 at night I wanted to get up to go to the toilet, felt a sharply painful blow in the lumbar region, “as if four arrows were shot up my spine” and lost consciousness, fell back on the bed and slept (?) until the morning. Presumably, she lay on her left side for some time. In the morning I couldn’t get up, it was difficult to open my eyes, I had severe nausea, they called an ambulance, they assumed a hypertensive crisis, they gave me injections, there was no improvement. I lay there for two days
12/15/14 hospitalization in the Chernigov City Hospital, neurology, discharge diagnosis 12/29/14:
CVH, stage 2 CPMC in VBB in the advanced stage (13/12/14) with moribund vestibulotaxic syndrome. A/c cerebral artery (I67.8.7), hypert. illness 2nd grade, 3rd grade, rizik 4. Transverse osteochondrosis with important symptoms of the cervical region. CV-CVI instability. Cervicalgia with mild pain syndrome. IXC. Angina pectoris isst., stable, 2 f.k. with preserved systolic function of the left circuit. Post-infarction (according to ECG) cardiosclerosis. Chronic cystitis, remission stage.
Recommendations: atherocardium, Cardiomagnyl, dicorlong, roseart. Hospitalization for 6 months.
She was discharged in satisfactory condition under the supervision of a local neurologist in Chernigov.
On 4/15/15, against the background of an acute respiratory viral infection, the house fell “out of the blue”: I felt a sharply painful blow in the lumbar region, “as if an arrow had been shot up the spine”, fell “as if knocked down” back, and hit the back of my head.
Examination by a neurologist at the Meddiagnostika center 04/22/15
Complaints: clockwise dizziness, occurs when changing position, in a position on the left side, when throwing the head back, unsteadiness when walking, instability, hand tremors. Morning stiffness - no. Meteor dependence - yes. Joint syndrome: pain in the legs, no night pain; low-grade fever no. Previous treatment: giloba, mildronate, vasoserc, neuroxon, mexidol.
Objectively: Neurological status: at the time of examination, cranial innervation - the left lip fold was smoothed, slight deviation of the tongue to the left, otherwise without acute pathology. Head tremor of the essential type is inconsistent, tremor of the hands, more on the right. Muscle strength is diffusely reduced, gait is ataxic, muscle tone is unevenly increased in an extrapyramidal pattern. Tendon and periosteal reflexes are moderately alert with a slight predominance in the left hand. Strumpel's syndrome on both sides, the left plantar reflex is distorted (the right one is reduced). Tension symptoms: Lassegue positive on the right, Wasserman (Matskevich) on the right on both sides. In Romberg's position she is unstable, falls back and to the right. The function of the pelvic organs is increased. Limitation of flexion abduction rotation in symmetrical hip joints.
Diagnosis: stage 2-3 DEP in the form of pronounced vestibuloatactic syndrome, extrapyramidal disorders such as hyperkinesis, hydrocephalus.
Consultation at the Parkinsonism Center September 2015.
Diagnosis: extrapyramidal yeast syndrome against the background of stage 2 DEP, stage 2 hypertension.
Recommendations: Levodopa is not currently indicated.
From the fall of 2015 to 2/18/16, traffic problems grew in waves.
Dizziness is common (while taking vestibo 24). Pressure surges: during the day from 170-180/110 to 80/55 (low is always around 11 am, goes away after an hour’s sleep).
Duplex scanning of extracranial sections of brachiocephalic vessels and transcranial duplex scanning:
7/10/14 A/c arteries. Vertebrogenic non-straightness of the course of both vertebral arteries.
28/1/15 A/c arteries. Vertebrogenic non-straightness of the course of the vertebral arteries. Deformation of the right vertebral artery in segment VI. Wavy course of the ICA.
28/4/15 Echographic signs of stenotic a/s. A decrease in the speed of blood flow in the basin of both middle cerebral arteries, more pronounced in the left middle cerebral artery. Vertebrogenic deformation of the V2 segment at the level of C5-6 vertebrae of both vertebral arteries, which has no systemic hemodynamic significance. Signs of dyshemia and a decrease in the speed of blood flow in the arteries of the VB basin on both sides, more pronounced on the right, probably due to influences of vertebrogenic origin in the area of the cranio-vertebral junction.
Signs of impaired venous outflow from the cranial cavity, accompanied by a decrease in volumetric blood flow through the left internal jugular vein and volume overload of the right internal jugular vein, with signs of increased blood flow through the deep veins of the brain on both sides. Expansion of the cavity of the third ventricle. A significant decrease in the transparency of the temporal ultrasound windows on both sides, more pronounced on the left.
Evaluation of the results of functional cerebrovascular tests:
Decrease in the functional (perfusion) reserve of cerebral circulation in the basin of both middle cerebral arteries. When studying cerebrovascular reactivity, signs of tension in the autoregulation system are determined with the development of functional vasospasm of the arteriolar bed in the basin of both middle cerebral arteries.
When performing vertebrobasilar tests, signs of increased severity of dyshemia in the left vertebral artery basin are determined.
MRI of the brain:
On 12/15/14, the MRI sign of pathological changes in the brain was not detected. Atrophic enlargement of the liquor spaces (mixed hydrocephalus ex vacua). Changes in the paranasal sinuses are of a chronic ignition nature. The parietal volume of the right maxillary sinus (high protein cyst).
CT scan of the lumbar region
CT picture of intervertebral osteochondrosis L3-S1, herniated discs L4-S1.
CT scan of the cervical spine
CT picture of intervertebral osteochondrosis of the C3-C7 discs, herniation of the intervertebral discs C5-C6, C6-C7.
CT scan of the chest
CT picture of m/n osteochondrosis Th3-Th10. Osteoprosis.