bone pain
Introduction
Introduction Bone pain refers to the pain and discomfort caused by various pathogens in the whole body or a certain part of the bone. It is a clinical symptom of pain around the bone caused by various clinical causes such as acute injury, rheumatism, chronic strain, infection, and tumor. Chinese medicine believes that this syndrome is caused by wind, cold and dampness invading the human body, and it is caused by the meridian joints, which leads to the obstruction of the tendons and veins. "Nothing is painful", which often causes pain and discomfort in some parts of the human joints, periosteum, muscles, etc. The category of snoring.
Cause
Cause
The most common cause is due to bone hyperplasia, joint degeneration, chronic strain, cold and cold, damp wind, acute sprain, injury, infection, tumor, tuberculosis, bone development malformation and other factors.
Examine
an examination
Related inspection
Bone imaging, bone mineral density, X-ray iodine angiography
Osteopathic disease: The incubation period of this disease is generally 2-8 years, and the elderly can reach 10-30 years. In the early stage, the waist, back, knees, joints were painful, and then spread throughout the body. The nature of the pain is tingling, exacerbation during activity, relief at rest, dysfunction by hip movement, gait. After a few years, the bones are deformed, the length of the body is shortened, the bones are brittle and easy to fold, the patient's pain is unbearable, bedridden, breathing is limited, and finally they often die in debilitating pain. From 1931 to 1972, there were more than 280 patients and 34 deaths, which became a "bone pain" in the world.
Coccygeal pain: In a broad sense, it is a clinical syndrome of various causes such as injury to the coccyx or appendix, infection, tumor, postpartum, anorectal surgery, gynecological surgery, and spontaneous pain around the tailbone. This syndrome generally has no obvious history of trauma, and is more common in middle-aged women. Because the disease has a long course, the symptoms disappear very slowly.
Calcaneal Pain: The calcaneus is subjected to various directions of stress during long-term walking, causing changes in the muscles, tendons, bursae, fat pad degeneration and internal pressure of the calcaneus around the calcaneus. A series of clinical symptoms of pain around the calcaneus.
Diagnosis
Differential diagnosis
The symptoms of bone pain need to be differentiated from the following symptoms:
1. Low back pain caused by lumbar sprain and lumbar muscle strain:
Osteoporosis patients not only have muscle pain, but more importantly, pain caused by thoracic and lumbar fractures. This pain is usually limited to spinous processes, and local spinous processes have tenderness and sputum pain. The main tender part of the lumbar muscle strain is in the medial aspect of the posterior superior iliac spine and the 4th and 5th lumbar vertebrae, often accompanied by muscle spasm and radiation leg pain, but no signs of sciatica. After painful injection of procaine, leg pain naturally disappears. It is confirmed that the leg pain is caused by reflex, not by nerve root compression.
2. Pain caused by malignant tumor spinal metastasis and local bone destruction caused by tuberculous spondylitis:
Pain caused by fractures in patients with osteoporosis can be gradually reduced after forced fixation of the spine or continuous fixation for 2 weeks to 3 weeks. Malignant tumors, spinal metastasis and tuberculous spondylitis should have systemic symptoms. The pain does not disappear after forced fixation. Tuberculous spondylitis most frequently invades the 10th thoracic vertebrae to the 1st lumbar vertebrae. There are various symptoms of systemic poisoning, such as night sweats, weight loss, and slight heat. Etc., the pain is confined to the spine of the lesion, showing dull pain, dull pain or soreness. The pain point is between the spinous process, the spinous process or the spinous process. The edge of the vertebral body is blurred, the adjacent cavity is formed, and the intervertebral space is changed. Narrow, the two vertebral bodies fuse with each other, and there is a cold abscess shadow along the spine. Most of the spine tumors are metastatic cancers. The first manifestations are intractable back pain and radioactive nerve root pain. The pain is severe and persistent. Rest, drugs, and physical therapy cannot be relieved. X-ray films can be diagnosed.
3. Bone pain caused by osteoporosis:
In general, osteoporosis is an occult, progressive lesion that is mostly asymptomatic. If there are symptoms, it is often manifested as bone pain, and the pain is mostly caused by fracture or micro fracture. As the bone turnover is too fast, the bone resorption increases. During the bone resorption process, the trabecular bone becomes thinner and thinner, and even breaks and disappears, forming a microfracture. If the subperiosteal cortical bone is damaged, it can cause bone pain throughout the body. Low back pain is the most common, and can be accompanied by joint pain, limbs, numbness, and weakness of both knees. Lighter pain can be relieved after a little activity, and the pain lasts longer in severe cases, and the pain is exacerbated when sedentary and long standing. Sudden pain on the basis of chronic low back pain or increased during exercise, often suggesting a vertebral compression fracture. According to relevant statistics, most patients with osteoporotic bone pain are localized low back pain (67%), about 9% with radiation pain in the extremities, 10% low back pain with banded pain, and 14% not only low back Pain, accompanied by numbness and weakness in the limbs.
