joint pain

Introduction

Introduction When you pick up, there is a sound in the knee joint, there is a sound in the cervical spine, and your fingers hear the sound of your fingers. These sounds are often called "snap". Joint sound is a normal phenomenon. This is because the sound of the tendon sliding during the activity is not the sound of the bone, nor the lesion of the knee joint, but if the sound is accompanied by pain, then it should be vigilant. Especially those who are sedentary have less lubricating fluid between the joints, which increases the friction loss of the joints and makes it easier to hear the sound.

Cause

Cause

When the joint is active, between the articular surface, between the cartilage pad and the articular surface, between the tendon and the joint capsule, there is always friction and sound. In most people, this sound is not obvious, but in some people it sounds clearer. Especially those who are sedentary have less lubricating fluid between the joints, which increases the friction loss of the joints and makes it easier to hear the sound. When switching to active start, I feel joint discomfort, cyanosis, and joint movement. When accompanied by pain or limited joint activity, it may be caused by joint damage and osteoarthrosis.

Examine

an examination

Related inspection

Joint examination of bone and joint soft tissue CT

According to the patient's age, gender, medical history, long-term living environment, occupation and accompanying symptoms, and then make a preliminary judgment, it is a pathological joint sound such as "snap", "stuck" and painful feeling Clinically, the most common diseases are meniscus injury, osteoarthrosis, etc. This pathological resound is common in knees, ankles, hips, and shoulder joints. Need to find out the cause by X-ray, joint MRI, rheumatoid factor test, etc. To determine if there is osteoarthritis, articular cartilage damage, rheumatism or rheumatoid arthritis.

Diagnosis

Differential diagnosis

Joint swelling and pain: refers to the swelling around the joints, flushing, fever and limited movement, which is the clinical manifestation of various diseases. In order to be able to select the clinic more accurately, it is necessary to analyze the patient's age, gender, medical history, long-term living environment, occupation and accompanying symptoms, and then make a preliminary judgment. Of course, the diagnosis is based on detailed physical examination and laboratory conditions.

Joint contracture: one of the clinical manifestations of congenital joint contracture. Congenital joint contracture refers to the flexion contracture state of the joint in the intrauterine position. At birth, the body is flexed or the joints are stiff, that is, congenital multiple joint contractures. Again, it can be ignored.

Systemic allergy and fever rash joint pain: acute allergic reaction triad is the clinical manifestation of acute drug-induced interstitial nephritis. That is, the patient has a systemic allergic reaction and fever, rash, joint pain.

Joint stiffness: refers to the patient's joints after rest and active state, when they turn to active again, they feel joint discomfort, cyanosis, and joint activity.

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