leg pain
Introduction
Introduction Leg pain, certificate name. Refers to leg pain (including muscles, tendons and joints) "Zhangshi medical pass · leg pain": "leg pain is also six classics. Pain has blood deficiency, blood cold, cold and dampness, rheumatism, damp heat flow, yin deficiency Yang deficiency, kidney deficiency and wind attack. "Because of the cold, the leg pain is lighter, or hemp or swollen, chills and warmth, when the temperature is warm.
Cause
Cause
1, due to sports or accidents caused by falls, sprains, strains caused by leg pain, the first should go to the orthopedics clinic, let the doctor to exclude the presence of fractures, tendon injuries, injuries and soft tissue damage.
2, in the absence of trauma, joint swelling, pain, should be considered rheumatoid arthritis or rheumatoid arthritis. Rheumatoid arthritis is often a migratory pain. The patient feels joint pain for a while, joint pain there for a while; rheumatoid often involves the interphalangeal joint, the clinical manifestation is morning stiffness, and the activity is not flexible. The department consulted, and the general endocrinology department of the hospital without rheumatology received such patients.
3. The swelling and pain of the legs caused by medical diseases. Heart disease, impaired kidney function, and diabetic patients may have swelling and pain in the legs. You should go to the appropriate specialist for treatment. Dr. Sun reminded that regardless of the cause of leg discomfort, you should go to the hospital in time. When you visit, you must take care of your past examination records and tell your doctor about your physical condition, illness and past. A medical history, so that the doctor can more accurately analyze and judge the condition according to the situation, and carry out targeted treatment.
Examine
an examination
Related inspection
Bone and joint plain film of limbs
Diagnosis based on the cause. It may also be muscle weakness in the lower limbs. It may be caused by lack of exercise. The decline in physical resistance may cause weakness in the limbs and may also be calcium deficiency. If necessary, CT examination of the lower extremity can be performed to exclude organic lesions.
Diagnosis
Differential diagnosis
There are mainly the following types of leg pain:
1, involving leg pain, more common in the elderly, their waist is not particularly severe pain and discomfort, just feel that the activity is not working. The pain of the leg is characterized by pain and discomfort. During the daytime, it is light and heavy at night. The X-ray film only shows bone spurs with different degrees of growth.
2, lower extremity arterial insufficiency, this waist and leg pain is characterized by aggravation when walking, and quickly disappear after a short break;
3, lower limbs blood supply disorders, its pain law is not aggravated during activities, does not reduce after rest, only often change posture and position can be alleviated;
4, the elderly spine tough, examination can be found in the thoracic vertebrae, lumbar vertebrae in all directions of activity can not reach the normal range, the back muscles stiff. The waist and legs continue to be painful and uncomfortable, and after the break, it is aggravated, and it is easy to feel when you are active;
5, degenerative spondylolisthesis, this is a disease of the elderly, the pain and discomfort of the waist and legs can only be relieved after a warm environment or hot compress, and the rest is aggravated when the rest is inactive. The X-ray film shows the lower articular process hyperplasia, and the lumbar spine is no more than four-fifths of the forward slip, which usually occurs in the fourth lumbar vertebrae.
