Joint pain called in medical language arthralgia. This is a very significant symptom for the diagnosis of multiple diseases, it is one of the first symptoms that reflects damage to the joint at the organic level (often irreversible biochemical and immunological disorders), followed by the development of arthritis (with the exception of drug-induced and meteopathic arthralgia).

Possible causes of joint pain.

Arthralgia occurs as a result of irritation of neuroreceptors, which are located in all structures of the joint, by various factors, depending on the underlying disease. One of the causes of pain in the joint may be a bruise of the joint and the formation of a hematoma that is not visible to the eye.

The main diseases in which there is pain in the joints.

Osteoarthritis- the most common chronic disease of the joints (often the hip, knee, interphalangeal joints of the hands), which is based on degenerative - dystrophic disorders (metabolic disorders) of the articular cartilage, bone tissue, synovial membranes and ligamentous apparatus of the joint (old age, overweight, impaired metabolism substances, injuries, lack of vitamins C and D, occupational hazards).

Symptoms - pain and stiffness in the joint, aggravated by physical exertion and decreasing at rest (with mechanical pain), constant dull night pains - disappear in the morning with active movements (with vascular pains), starting pains - quickly appear and disappear at the beginning of the load and return with intense and prolonged load, blockade pain - wedging or infringement of the affected cartilage between the articular surfaces.

Edema of soft tissues and local temperature increase in the joints. Characterized by signs of Heberden's and Bouchard's nodules (solid small formations) in the area of ​​the interphalangeal joints of the hands.

Ankylosing spondylitis (Bechterew-Marie's disease)- chronic inflammation of the joints of the axial skeleton (intervertebral, sacroiliac, costovertebral), which is based on the immuno-inflammatory process in the body, followed by the formation of scar fibrinous tissue in the joints, on which microelements and salts are deposited, which leads to limited joint mobility. Symptoms - the first occur at a young age, aching constant pain in the buttocks, sacrum and lower back, aggravated at night.
Pain in the chest in the area of ​​attachment of the ribs to the spine, aggravated by deep breathing, coughing.
Stiffness of the muscles of the back, occurring at night and at rest, decreasing with active movements.
Violation of posture - the position of the petitioner.
Sweating during the day.
Subfebrile temperature - 37.0-37.5.
Damage to internal organs (heart, aorta, kidneys, eyes).

Reactive arthritis- inflammatory acute disease of the joint (mainly the joints of the lower extremities). The reason - occurs after an acute infection (intestinal, ARVI, acute respiratory infections, urogenital). Symptoms. Constant acute pain in the joint, aggravated by movement, swelling and hyperemia (redness) of the soft tissues above the joint, fever (38.6 - 40.0). Extra-articular manifestations - eye damage (conjunctivitis), heart damage (myocarditis, pericarditis, arrhythmias), central nervous system damage (neuritis, encephalopathy), kidney damage (pyelonephritis), impaired trophism of nails, skin and mucous membranes (onychodystrophy, keratoderma, erosion).

Regarding infections, arthralgia can be a symptom of the Zika virus.

Reiter's disease(a separate type of reactive arthritis with a genetic predisposition) - manifests itself after a chlamydial or intestinal infection. It is manifested by reactive arthritis (mainly of the joints of the lower extremities), joint pain, characteristic extra-articular manifestations (urethritis or prostatitis, conjunctivitis or uveitis, skin and mucous membrane lesions - ulcerative stomatitis, erosive balanitis,), damage to the cardiovascular system (arrhythmias, blockade, aortitis), fever (38.6 - 40.0).

Rheumatoid arthritis- chronic progressive systemic inflammation of the connective tissue (autoimmune inflammation in the joint). The small joints of the hands and feet are affected, less often the knee and elbow joints. Symptoms - constant joint pain, joint deformity, swelling of the joint, stiffness in the joint in the morning, symmetry of joint damage, weakness, fatigue, weight loss, increased body temperature and over the joint area, persistent joint deformity, rheumatoid nodules on the extensor surfaces, damage bones (bone pain and fractures), skin lesions (dryness, pallor, subcutaneous hemorrhages, bright pink or cyanotic skin color, small-focal necrosis of soft tissues under the nail plates), nail damage (brittleness, striation nail plates), lymphadenopathy (an increase in the submandibular, cervical, inguinal and ulnar lymph nodes), Felty's syndrome (joint damage with a combination of splenomegaly - an increase in the spleen and leukopenia - a decrease in the number of leukocytes in peripheral blood), damage to the broncho-pulmonary system (interstitial fibrosis of the lung tissue, unilateral pleurisy, rheumatoid nodules in the lungs), damage to the gastrointestinal tract (associated with taking medicines in the treatment of the underlying disease without covering the gastric mucosa - drug gastritis), heart damage (myocarditis, endocarditis, pericarditis, coronary arteritis, aortitis, arrhythmias), kidney damage (amyloidosis, glomerulonephritis, drug kidney), damage to the nervous system (neuropathies with sensory or motor disorders), eye damage (scleritis, keratoconjunctivitis).

Psoriatic arthritis- arthritis developing in genetically predisposed patients with psoriasis, exacerbation of arthritis coincides with exacerbation of psoriasis. Symptoms. Pain in the joint (mainly the interphalangeal joints of the hands and feet are affected), purple-cyanotic skin with swelling over the joint area, asymmetry of joint damage, pain in the lumbosacral spine, pain in the heels (thalalgia), skin psoriatic plaques, nail damage ( fragility, striation and clouding of the nail plates).

Gout(gouty arthritis) - microcrystalline arthritis, a hereditary disease based on a metabolic disorder (in violation of the diet), namely purine metabolism, resulting in the deposition of urate crystals (salts of uric acid) in the periarticular and articular tissues. Symptoms. Pain in the joint (more often in the first metatarsophalangeal joint of the foot), bright hyperemia (redness), swelling and peeling of the skin over the joint, fever, increased local temperature in the area of ​​the affected joint, skin manifestations in the area of ​​the auricles, elbow joints, feet, hands, in the form tophi (local accumulation of urate salt crystals surrounded by granulomatous tissue), heart damage (myocarditis, endocarditis, pericarditis, coronary arteritis, aortitis, arrhythmias), kidney damage (amyloidosis, glomerulonephritis).

pseudogout- (pseudo-gouty arthritis) microcrystalline arthritis, a disease based on metabolic disorders (local disorders of calcium pyrophosphate metabolism in joint tissues), namely calcium metabolism, resulting in the deposition of calcium pyrophosphate crystals (calcium salts) in periarticular and articular tissues. Symptoms. Pain in the joint (the knee joints are more often affected), bright hyperemia (redness), swelling of the skin over the joint, fever, an increase in the local temperature of the area of ​​the affected joint, joint deformity. Internal organs and other systems are not affected.

Drug arthralgia- a temporary condition characterized by aching pain in the joints (mainly small joints) while taking certain drugs in high daily doses. It is not a disease and is not classified in ICD-10 by WHO. Groups of drugs that can cause drug arthralgia are penicillin antibiotics, barbiturates and light hypnotics and tranquilizers (on a chemical basis), antihypertensive drugs, contraceptives and anti-tuberculosis drugs, proton pump inhibitors. The causes, pathogenesis, clinical manifestations and diagnosis of this condition are not studied, due to the active promotion of drugs on the pharmacological market and the lack of severity of the condition in relation to functional joint disorders and individual drug tolerance.

The same can be said about meteopathic arthralgia(pain in the joints that occurs in meteopathic people who are sensitive to changes in atmospheric pressure).

Examination for joint pain.

Clinical blood test in most cases, it indicates various deviations depending on the nature of the joint damage and its severity, an increase in ESR, reflecting the level of the inflammatory process, with a normal number of leukocytes, is characteristic of rheumatic diseases. An increase in the number of leukocytes in inflammatory diseases of the spine and joints may indicate the presence of a focus of infection in the body, etc. Biochemical blood test for the diagnosis of certain inflammatory diseases of the joints and spine, great importance have the determination of the content of C - reactive protein (CRP) in the blood serum, the diphenylamine reaction (DPA), the determination of the content of total protein and fibrinogen, seromucoid, etc. Although all these tests do not indicate the specificity of the pathological process, when compared with other clinical and radiological data, they assist in the diagnosis in the early stages of diseases of the musculoskeletal system and allow us to judge the level of activity of the process. Great importance is attached to changes in the content of lysosomal enzymes (acid phosphatase, acid proteinase, deoxyribonuclease, cathepsins) in the blood serum and synovial fluid is often observed in rheumatism, ankylosing spondylitis, psoriatic arthritis.

Immunological studies. For early diagnosis of rheumatoid lesions special meaning has rheumatoid factor - antiglobulin antibody. It is formed in the lymph nodes, spleen, synovial membrane by lymphoplasmacytic cells. To detect rheumatoid factor in the blood serum and synovial fluid, the Vaaler-Rose reaction is considered positive if there is a concentration of 1:28 or more. Rheumatoid factor is detected in 75-85% of patients with rheumatoid arthritis. In the early stages and in the seronegative form of rheumatoid arthritis, an immunocytoadherence reaction is used to isolate rheumatoid factor at the lymphocyte level.

Test with antistreptolysin O (ASL-O) reflects immunological reactivity to streptococcal infection. An increase in ASL-0 titer is observed in patients with rheumatism, infectious-allergic polyarthritis.

Leukocyte migration inhibition reaction. Normally, leukocytes have the ability to migrate into the environment with the formation of conglomerates. If there is a sensitization of the organism to a certain antigen, then when sensitized leukocytes meet this antigen, lymphocytes secrete an inhibitory factor that inhibits the migration of leukocytes. This reaction is positive in rheumatism, rheumatoid arthritis and other rheumatic diseases.

Blood on the HLA system- the possibility of early diagnosis of Bechterew's disease, the determination of HLA B-27 is of great importance. The HLA complex is found in the cell membrane and isolated using immunological methods.

The study of synovial fluid- for any pathological process that occurs in the joint, inflammatory, degenerative or traumatic, the synovial membrane reacts and can produce a large amount of exudate. It mixes with the synovial fluid constantly contained in the joint cavity, in connection with which it acquires new immunobiochemical and histochemical properties. The change in the histological, physical and biochemical properties of the synovial fluid depends on the nature of the lesion, the stage and severity of the pathological process. The study of synovial fluid is of particular importance in the differential diagnosis of inflammatory and degenerative diseases of the joints. An acute inflammatory process is accompanied by an increase in the number of blood cells in the synovial fluid.

Immunoelectrophoresis- reveals immunoglobulins of classes A, G, M, which are of great importance for the development of the pathological process in rheumatoid arthritis.

Radiography- a reliable method for examining joints. In fact, without it, the doctor cannot establish a diagnosis and conduct a differential diagnosis. X-ray examination allows you to determine the stage and prognosis of the disease, and in the dynamics to objectively evaluate the effectiveness of therapy. It is necessary to compare radiological data with the clinical picture, the duration of the disease and the age of the patient.

Tomography allows you to more accurately determine focal lesions or individual segments of the vertebra.

Myelography- a contrast method for studying the spine, using this method it is possible to clarify the localization of the pathological process, especially in cases where surgical intervention is necessary.

Intraosseous phlebography- to study the venous blood flow of the epidural space. This method allows you to judge the state of blood circulation in the paravertebral space and indirectly about a possible degenerative lesion.

Arthroscopy- a research method that allows you to visually view the structure of the knee joint and take a biopsy desired area, the contours, coloring and capillary network of the synovial membrane, cruciate ligaments, menisci and fatty pad are found.

Discography- the introduction of a contrast agent into the intervertebral disc, followed by radiography, makes it possible to judge the state of the intervertebral discs, localization and degree of damage.

Radionuclide scanning- an important objective method for the early diagnosis of joint damage.

Arthrography- with the help of intra-articular injection of various contrast agents, it allows to more accurately determine the pathology in deeply located articular parts.

Synovial biopsy- biopsy material in various diseases of the joints is decisive in the diagnosis of early forms of Bechterew's disease, Reiter's disease, gouty arthritis.

Symptomatic treatment: how to relieve joint pain

Self-treatment and treatment with folk remedies is not recommended for any pain in the joints until a preliminary or final diagnosis is made by the attending physician due to an incorrect self-assessment of one's condition, which can lead to persistent irreversible functional disorders of the joint - ankylosis, rigidity, contractures (this and is the danger of the symptom). Today, the most popular means for relieving joint pain are drugs from the NSAID group. They are really effective, but have a number of contraindications and are not recommended for long-term use.

Which doctor to contact for joint pain

Therapist, surgeon, orthopedist, traumatologist, arthrologist, rheumatologist. A doctor's consultation is obligatory, at the first occurrence of pain in the joint and lasting more than 2 days.


There are only 230 joints in the human body. The largest of them are hip, small interphalangeal. Over time, a person begins to be disturbed by such a phenomenon as joint pain. She is exhausting and unbearable. Why does the whole body hurt? Only a specialist can answer this question. Often this phenomenon indicates a serious deviation. Prerequisites are age, gender, heredity, bad habits. People over 50 begin to suffer from similar phenomena due to dystrophy and tissue destruction. The female sex is more susceptible to pathology. In a state of menopause, female hormones cease to be produced properly, resulting in a deficiency of calcium and other microelements. Bones become brittle and brittle. Heredity plays an important role, so, for example, if a grandmother, grandfather, mother, father had diseased joints in the family, then problems may begin in the future generation as well.

Bad habits of smoking and alcohol make the body vulnerable to various kinds of infections, a person suffers more from stress, environmental conditions.

Causes

The main sources of why all the joints of the body hurt and the reasons will be as follows:

  • arthritis (including rheumatoid);
  • osteochondrosis;
  • gout, psoriasis;
  • bursitis, tendinitis;
  • infectious diseases;
  • pathology of internal organs;

Physical inactivity or limited movement, yes, like the first factor causes pain in all joints. Injuries, bruises, sprains and tendons, intoxication, overweight, long-term use of glucocorticosteroids, osteoarthritis, Bechterew's disease.

Pain localization

By variety, joint pain occurs in;

  • collarbone;
  • shoulder
  • elbow;
  • brushes;
  • thigh;
  • knee;
  • foot;
  • toes;
  • jaw joint;

We will analyze each in more detail, as well as the causes and treatment that cause the disease.
Watch the video of Dr. Bubnovsky about joint pain

Clavicular

Harbingers of problems with the acromioclavicular joint will be inflammation, redness of the site, swelling under the bone.


Causes of trauma, bruises, fractures, dislocations, osteochondrosis, arthritis, radiculopathy, compression of the cervical roots, periarthritis of the shoulder blade. A broken bone, as a rule, swells, hemorrhage, redness, and an increase in the temperature of the focus begin. The displacement of the periosteal joint is visible from the side, it sticks out from above. The patient cannot move his hand to the side, there is a key syndrome.

The nature of the pain

Acute with a fracture, flying pains in the joints with arthritis, sciatica, rheumatism, neuralgia. Periarthritis is divided into mild, acute and severe. The initial stage practically does not bother a person, the acute one is accompanied by fever, swelling of the collarbone, redness, increases at night. In the chronic phase, the patient suffers from prolonged joint pain.

Brachial

Circumstances contributing to malaise will be tendinitis, bursitis in the subacromial ligament. Symptoms redness, muscle and joint pain, discomfort on palpation, swelling, hemorrhage. Bacterial infections tuberculosis, osteomyelitis, candidiasis, streptococcus, chlamydia are always accompanied by fever, acute course. Additionally, joint pain is provoked by arthrosis, neuritis of the brachial nerve, periarthritis of the scapula. Myocardial infarction, angina pectoris, excessive exercise, salt deposits, osteochondrosis, intervertebral hernia.

The nature of the pain

Aching with inflammation of the articular membrane. Drawing in case of hemorrhage in the muscles. Sharp-bursitis, tendinitis, osteochondrosis, periarthritis.

Elbow


Factors affecting the development of pathology include dislocations, diffuse fasciitis, pinched nerve endings, bursitis, chondromatosis, arthritis. Dislocations lead to tissue edema, seals, bursitis and arthritis provoke bumps on the elbows, the diameter can increase up to 10 cm, the area becomes red, hot to the touch.

The nature of the pain

Burning with bursitis constant, increasing after physical activity with arthrosis. Aching, breaking with arthritis, frequent rupture of ligaments and tendons.

radiocarpal

The preconditions for pain in the joints in the wrist are compression of the nerve fiber, tissue degeneration, synovitis, osteoarthritis, arthritis, osteochondrosis, tendovaginitis, fractures and sprains. In the event of a blow to the wrist, resulting in a crack in the bone, or a fracture, the area quickly swells up, turns red, damage to the vessels contributes to the hematoma, it becomes impossible to move the hand. Arthritis and other degenerative conditions of tissues and bones are manifested in the form of stiffness in the morning, swelling, hearth temperature, uric acid deposits, kidney and heart damage.

The hand is divided into:

  • wrist joints;
  • carpal-metacarpal;
  • intercarpal;
  • metacarpophalangeal;
  • interphalangeal;

These are degenerative changes in cartilage and joint mass, infectious diseases, autoimmune diseases. So, for example, arthritis in a severe phase leads to stiffness of the entire phalanx, soreness of the fingers is observed. They are twisted, a person cannot even unbend them. Uric acid deposits lead to an increase in bones, deformation.

The nature of the pain

High with a crack, a severe bruise, a broken bone. Breaking, unbearable with arthritis, osteoarthritis. Strong in osteoarthritis with increased malaise on exertion. It subsides at rest.

Hip

Reduction of movement, shortening of one leg is caused by dislocation or subluxation. And sometimes this condition is called dysplasia, that is, congenital dislocation. Arthritis, bursitis, tendonitis are accompanied by inflammation, fever, redness, hyperemia.

The nature of the pain

Sharp with subluxations, cracks, fractures. High in dystrophic disorders of the femur, with swelling after movements, at night. Rapid deterioration in infectious process with increased sensation after exertion.

Knee



May hurt from falling on the leg
, meniscus damage, gonarthrosis, gonarthritis, periarthritis, coxarthrosis. Signals of a strong blow will be bruising, hematomas. The knee swells, the damaged area changes in color, the temperature of the focus rises. Pathologies of the tendons are revealed by pain on the inside of the leg, especially climbing stairs, long walking, and physical exercises prevent this.

The nature of the pain

Pulling, moderate when bruised. Strong, with influxes in meniscopathy, subsides also suddenly. Coxarthrosis is practically asymptomatic, only reflected painful sensations appear in the femoral area.

Ankle

The culprits are considered to be subluxations, gout, arthrosis, fractures of the talus, metatarsal bones, arthritis, incl. and rheumatoid, rheumatism. Subluxations are characterized by the inability to fully move, hot area, redness, swelling. The fracture speaks of itself with attacks of acute pain, a complete loss of standing on a limb. Arthritis provokes stiffness, especially in the morning, inflammation, infectious and reactive begins rapidly with fever, worsening of the patient's condition.

The nature of the pain

Acute in case of trauma, high in arthritis, increasing with attacks of gout. The latter in a severe stage is so painful that it causes severe discomfort at night.

Maxillary


When asked why the joints of the jaw apparatus hurt, one can suspect neuralgia, or neuralgia of the nerve of the larynx. It occurs infrequently, but the attack lasts up to 3-5 minutes, along with cough, dry mouth, spasms oral cavity. Carotinidia or a migraine attack provokes joint pain, muscle spasm. Erythrootalgia goes along with edema, swelling, violations of the volume of blood vessels. Infectious ailments go together with an increase in temperature, lymph nodes increase. Disorder of the function of the temporomandibular bone with it is characterized by a rattle or click, which the patient hears when moving the jaw, chewing. In addition, after the flu, SARS, colds, arthritis may develop, accompanied by fever, malaise, general weakness. Subsequently, the muscles atrophy.

The nature of the pain

Neuralgia - burning, throbbing. Neuralgia of the larynx, glossopharyngeal nerve endings - paroxysmal, with pulsation. Bruise, dislocation, fracture - acute, unbearable. With carotinidia, sharp pain continues in waves and lasts up to 2 hours. Temporal arteritis is severe, part of the face and neck may get sick.

Pregnancy

Pulling sensations in the joints of the cause can lie not only in the pathologies of the body, but also appear during pregnancy, after it, menopause. So why do joints hurt when a woman is pregnant? In connection with the additional loads experienced by the female body, a pulling, girdle aches manifests itself, as a rule, in the hip joint, lower back. An increase in body weight puts a strain on the tummy, which especially affects mothers suffering from osteochondrosis. The 3rd trimester of pregnancy is due to swelling, at first small articular tissues of the phalanx of the fingers, ankle, wrist, hands are exposed. Strong pressure entails dull pain, numbness, weakness. Lack of calcium, increased production of relaxin, organ pathology, symphysitis are a few more prerequisites for the disease. Symphysitis is a common complication. Symptoms are dull, pulling sensations in the pubic area, clicks when walking, difficulty in raising the limbs in the supine position.

The body for a long period was not fully replenished with useful substances and microelements, which gave impetus to the development of a dormant disease. 9 months of gestation is difficult, especially when the baby grows large, subsequent worries put a strain on the legs and spine.

Climax

What causes joint pain during menopause? The main source is a decrease in the production of sex hormones, estrogens. Calcium deficiency begins in the bones, they are destroyed, become brittle and brittle. In addition, menopause leads to irritability, migraines, weakness, general fatigue, hot flashes, ebbs, increased heart rate. It is at this time that frequent fractures occur during a fall. Lack of estrogen contributes to the occurrence of osteoporosis, deforming osteoarthritis.

Why breaks bones at the same time?

This is often found in older people on weather changes. It seems that every bone is twisted, because of which it happens sometimes not to fall asleep at night. If the joints all over the body hurt and ache, then physical overstrain is likely. The muscle area covers nearby locations. The condition why all joints hurt at the same time speaks of tissue tumors, osteomyelitis, malignant, benign processes, tuberculosis.

Treatment

Based on the diagnosis, the attending physician prescribes the appropriate treatment.


and mechanical damage to non-steroidal medications such as Analgin, Ibuprofen, Diclofenac, Ketoprofen. Anti-inflammatory ointments Voltaren, Indomethacin, warming Kapsikam, Fastum gel. Compresses with Dimexide. Overlays with Dimexide and Novoikan are done if a hematoma, a strong swelling, is observed with pain in the joints. Sometimes Analgin is added to this therapy regimen. The resorption of swelling is faster. Physio procedures with laser, heat, magnet. Cold bandages on the hearth.

Degenerative articular ailments include NSAIDs such as Piroxicam, Nimesulide, Ketorolac, Diclofenac. Injections in ampoules Diprospan, Flosteron, Metipred. Ointments Artrocin, Dolgit, Chondroxide. Chondprotectors Artra, DONA, Structum are appointed. The latest development for joint pain is "Chinese" patches. They act only in the area, without side effects on the body. Due to the natural composition, allergic reactions are minimized. Absorption of substances occurs quickly, the duration of use contributes to deep penetration into the tissue layers.

Important proper nutrition for pain and aches in the joints. It is necessary to eat food enriched with calcium, magnesium, potassium. Systematically use vitamin complexes. A good outcome is given by laser therapy, ultrasound, magnet, electrophoresis, physiotherapy, massage. A severe form is treated with a surgical method, when conservative ones do not help. Part of the affected joint is excised using arthroscopy, sometimes endoprosthesis is used.


Estrogen is replenished with hormone replacement therapy. Medicines are available both in the form of pills Angelique, Klimen, Divina, Primarin, and suppositories, creams, hormonal patches. If it is impossible to be treated with hormones, then the specialist will prescribe the herbal medicines Remens, Klimaksan, Estrovel, Klimadinon. Mandatory supplements containing calcium Vigantol, Akvadetrim, Natekal, Nycomed, Kaltsinova.

What to do at home?

If you fell on your arm, leg, then apply cold to the sprain, bruise. Take painkillers analgesics Ibuprofen, Nise, Analgin. For the relief of rheumatoid syndromes, grandmother's rubbing helps well. It will require 300 ml of alcohol, 10 ml of camphor alcohol, 10 ml of iodine solution, 10 tablets of analgin. All ingredients are mixed, infused for at least 21 days. Then the resulting drug is gently rubbed into the zone overnight, a scarf and a scarf are tied on top. The course is about 10 days.

It is necessary to finely rub the root, attach to the problem area. Top tie with a fabric made of cotton, linen. Walk with a bandage for 2 hours. With a strong burning sensation, the roots are replaced with leaves. The reception scheme is the same.

Practice has shown that the systematic use of gelatin alleviates ailments in the limbs. The product is based on collagen, which is obtained from animal cartilage and bones. Collagen perfectly nourishes cartilage, articular contents. Increases their elasticity, strength. Of the shortcomings, the duration of admission is about 2 months.

Despite the fact that the fly agaric is considered to be a poisonous mushroom, it can treat diseases of the musculoskeletal system. The ointment is made from dried mushrooms, fresh ones, Vaseline are also suitable. The drug is rubbed into place. The tincture is prepared from crushed mushrooms and alcohol. Stored in a dark, cool place. Course from 7 days.

When do you need a doctor's help?

If the joints hurt badly, what to do in such a situation? No need to delay a visit to the doctor. Any manifestations in the form of temperature, severe discomfort, fever, large edema, hemorrhage serve as a reason for examination. Pain that does not go away after a fall requires medical advice in order to avoid suspicion of a crack, complications.

In conclusion, I would like to say that only a specialist recognizes the true source of the disease, because many of the symptoms are similar to each other.

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Possible causes of joint pain.

Arthralgia occurs as a result of irritation of neuroreceptors, which are located in all structures of the joint, by various factors, depending on the underlying disease. One of the causes of pain in the joint may be a bruise of the joint and the formation of a hematoma that is not visible to the eye.

The main diseases in which there is pain in the joints.

Osteoarthritis- the most common chronic disease of the joints (often the hip, knee, interphalangeal joints of the hands), which is based on degenerative - dystrophic disorders (metabolic disorders) of the articular cartilage, bone tissue, synovial membranes and ligamentous apparatus of the joint (old age, overweight, impaired metabolism substances, injuries, lack of vitamins C and D, occupational hazards).

Symptoms - pain and stiffness in the joint, aggravated by physical exertion and decreasing at rest (with mechanical pain), constant dull night pains - disappear in the morning with active movements (with vascular pains), starting pains - quickly appear and disappear at the beginning of the load and return with intense and prolonged load, blockade pain - wedging or infringement of the affected cartilage between the articular surfaces.

Edema of soft tissues and local temperature increase in the joints. Characterized by signs of Heberden's and Bouchard's nodules (solid small formations) in the area of ​​the interphalangeal joints of the hands.

Ankylosing spondylitis (Bechterew-Marie's disease)- chronic inflammation of the joints of the axial skeleton (intervertebral, sacroiliac, costovertebral), which is based on the immuno-inflammatory process in the body, followed by the formation of scar fibrinous tissue in the joints, on which microelements and salts are deposited, which leads to limited joint mobility. Symptoms - the first occur at a young age, aching constant pain in the buttocks, sacrum and lower back, aggravated at night.
Pain in the chest in the area of ​​attachment of the ribs to the spine, aggravated by deep breathing, coughing.
Stiffness of the muscles of the back, occurring at night and at rest, decreasing with active movements.
Violation of posture - the position of the petitioner.
Sweating during the day.
Subfebrile temperature - 37.0-37.5.
Damage to internal organs (heart, aorta, kidneys, eyes).

Reactive arthritis- inflammatory acute disease of the joint (mainly the joints of the lower extremities). The reason - occurs after an acute infection (intestinal, ARVI, acute respiratory infections, urogenital). Symptoms. Constant acute pain in the joint, aggravated by movement, swelling and hyperemia (redness) of the soft tissues above the joint, fever (38.6 - 40.0). Extra-articular manifestations - eye damage (conjunctivitis), heart damage (myocarditis, pericarditis, arrhythmias), central nervous system damage (neuritis, encephalopathy), kidney damage (pyelonephritis), impaired trophism of nails, skin and mucous membranes (onychodystrophy, keratoderma, erosion).

Regarding infections, arthralgia can be a symptom of the Zika virus.

Reiter's disease(a separate type of reactive arthritis with a genetic predisposition) - manifests itself after a chlamydial or intestinal infection. It is manifested by reactive arthritis (mainly of the joints of the lower extremities), joint pain, characteristic extra-articular manifestations (urethritis or prostatitis, conjunctivitis or uveitis, skin and mucous membrane lesions - ulcerative stomatitis, erosive balanitis,), damage to the cardiovascular system (arrhythmias, blockade, aortitis), fever (38.6 - 40.0).

Rheumatoid arthritis- chronic progressive systemic inflammation of the connective tissue (autoimmune inflammation in the joint). The small joints of the hands and feet are affected, less often the knee and elbow joints. Symptoms - constant joint pain, joint deformity, swelling of the joint, stiffness in the joint in the morning, symmetry of joint damage, weakness, fatigue, weight loss, increased body temperature and over the joint area, persistent joint deformity, rheumatoid nodules on the extensor surfaces, damage bones (bone pain and fractures), skin lesions (dryness, pallor, subcutaneous hemorrhages, bright pink or cyanotic skin color, small-focal necrosis of soft tissues under the nail plates), nail damage (brittleness, striation of the nail plates), lymphadenopathy (enlargement of the submandibular, cervical, inguinal and elbow lymph nodes), Felty's syndrome (joint damage with a combination of splenomegaly - an enlarged spleen and leukopenia - a decrease in the number of leukocytes in peripheral blood), damage to the broncho-pulmonary system (interstitial fibrosis of the lung tissue, unilateral pleurisy, rheumatoid nodules in the lungs) , damage to the gastrointestinal tract (associated with taking medications in the treatment of the underlying disease without covering the gastric mucosa - drug gastritis), heart damage (myocarditis, endocarditis, pericarditis, coronary arteritis, aortitis, arrhythmias), kidney damage (amyloidosis, glomerulonephritis, drug kidney), damage to the nervous system (neuropathies with sensory or motor disorders), eye damage (scleritis, keratoconjunctivitis).

Psoriatic arthritis- arthritis developing in genetically predisposed patients with psoriasis, exacerbation of arthritis coincides with exacerbation of psoriasis. Symptoms. Pain in the joint (mainly the interphalangeal joints of the hands and feet are affected), purple-cyanotic skin with swelling over the joint area, asymmetry of joint damage, pain in the lumbosacral spine, pain in the heels (thalalgia), skin psoriatic plaques, nail damage ( fragility, striation and clouding of the nail plates).

Gout(gouty arthritis) - microcrystalline arthritis, a hereditary disease based on a metabolic disorder (in violation of the diet), namely purine metabolism, resulting in the deposition of urate crystals (salts of uric acid) in the periarticular and articular tissues. Symptoms. Pain in the joint (more often in the first metatarsophalangeal joint of the foot), bright hyperemia (redness), swelling and peeling of the skin over the joint, fever, increased local temperature in the area of ​​the affected joint, skin manifestations in the area of ​​the auricles, elbow joints, feet, hands, in the form tophi (local accumulation of urate salt crystals surrounded by granulomatous tissue), heart damage (myocarditis, endocarditis, pericarditis, coronary arteritis, aortitis, arrhythmias), kidney damage (amyloidosis, glomerulonephritis).

pseudogout- (pseudo-gouty arthritis) microcrystalline arthritis, a disease based on metabolic disorders (local disorders of calcium pyrophosphate metabolism in joint tissues), namely calcium metabolism, resulting in the deposition of calcium pyrophosphate crystals (calcium salts) in periarticular and articular tissues. Symptoms. Pain in the joint (the knee joints are more often affected), bright hyperemia (redness), swelling of the skin over the joint, fever, an increase in the local temperature of the area of ​​the affected joint, joint deformity. Internal organs and other systems are not affected.

Drug arthralgia- a temporary condition characterized by aching pain in the joints (mainly small joints) while taking certain drugs in high daily doses. It is not a disease and is not classified in ICD-10 by WHO. Groups of drugs that can cause drug arthralgia are penicillin antibiotics, barbiturates and light hypnotics and tranquilizers (on a chemical basis), antihypertensive drugs, contraceptives and anti-tuberculosis drugs, proton pump inhibitors. The causes, pathogenesis, clinical manifestations and diagnosis of this condition are not studied, due to the active promotion of drugs on the pharmacological market and the lack of severity of the condition in relation to functional joint disorders and individual drug tolerance.

The same can be said about meteopathic arthralgia(pain in the joints that occurs in meteopathic people who are sensitive to changes in atmospheric pressure).

Examination for joint pain.

Clinical blood test in most cases, it indicates various deviations depending on the nature of the joint damage and its severity, an increase in ESR, reflecting the level of the inflammatory process, with a normal number of leukocytes, is characteristic of rheumatic diseases. An increase in the number of leukocytes in inflammatory diseases of the spine and joints may indicate the presence of a focus of infection in the body, etc. A biochemical blood test for the diagnosis of certain inflammatory diseases of the joints and spine, the determination of the content of C-reactive protein (CRP) in the blood serum, the diphenylamine reaction (DPA), the determination of the content of total protein and fibrinogen, seromucoid, etc. are of great importance. Although all these tests do not indicate the specificity of the pathological process, when compared with other clinical and radiological data, they assist in the diagnosis of diseases of the musculoskeletal system in the early stages and allow one to judge the level of activity of the process. Great importance is attached to changes in the content of lysosomal enzymes (acid phosphatase, acid proteinase, deoxyribonuclease, cathepsins) in the blood serum and synovial fluid is often observed in rheumatism, ankylosing spondylitis, psoriatic arthritis.

Immunological studies. For the early diagnosis of rheumatoid lesions, rheumatoid factor, an antiglobulin antibody, is of particular importance. It is formed in the lymph nodes, spleen, synovial membrane by lymphoplasmacytic cells. For the detection of rheumatoid factor in the blood serum and synovial fluid, the Vaaler-Rose reaction is considered positive in the presence of a concentration of 1:28 or more. Rheumatoid factor is detected in 75-85% of patients with rheumatoid arthritis. In the early stages and in the seronegative form of rheumatoid arthritis, an immunocytoadherence reaction is used to isolate rheumatoid factor at the lymphocyte level.

Test with antistreptolysin O (ASL-O) reflects immunological reactivity to streptococcal infection. An increase in ASL-0 titer is observed in patients with rheumatism, infectious-allergic polyarthritis.

Leukocyte migration inhibition reaction. Normally, leukocytes have the ability to migrate into the environment with the formation of conglomerates. If there is a sensitization of the organism to a certain antigen, then when sensitized leukocytes meet this antigen, lymphocytes secrete an inhibitory factor that inhibits the migration of leukocytes. This reaction is positive in rheumatism, rheumatoid arthritis and other rheumatic diseases.

Blood on the HLA system- the possibility of early diagnosis of Bechterew's disease, the determination of HLA B-27 is of great importance. The HLA complex is found in the cell membrane and isolated using immunological methods.

The study of synovial fluid- for any pathological process that occurs in the joint, inflammatory, degenerative or traumatic, the synovial membrane reacts and can produce a large amount of exudate. It mixes with the synovial fluid constantly contained in the joint cavity, in connection with which it acquires new immunobiochemical and histochemical properties. The change in the histological, physical and biochemical properties of the synovial fluid depends on the nature of the lesion, the stage and severity of the pathological process. The study of synovial fluid is of particular importance in the differential diagnosis of inflammatory and degenerative diseases of the joints. An acute inflammatory process is accompanied by an increase in the number of blood cells in the synovial fluid.

Immunoelectrophoresis- reveals immunoglobulins of classes A, G, M, which are of great importance for the development of the pathological process in rheumatoid arthritis.

Radiography- a reliable method for examining joints. In fact, without it, the doctor cannot establish a diagnosis and conduct a differential diagnosis. X-ray examination allows you to determine the stage and prognosis of the disease, and in the dynamics to objectively evaluate the effectiveness of therapy. It is necessary to compare radiological data with the clinical picture, the duration of the disease and the age of the patient.

Tomography allows you to more accurately determine focal lesions or individual segments of the vertebra.

Myelography— a contrast method for studying the spine, using this method it is possible to clarify the localization of the pathological process, especially in cases where surgical intervention is necessary.

Intraosseous phlebography- to study the venous blood flow of the epidural space. This method allows you to judge the state of blood circulation in the paravertebral space and indirectly about a possible degenerative lesion.

Arthroscopy- a research method that allows you to visually view the structure of the knee joint and take a biopsy of the desired area, the contours, color and capillary network of the synovial membrane, cruciate ligaments, menisci and fatty pad are detected.

Discography- the introduction of a contrast agent into the intervertebral disc, followed by radiography, makes it possible to judge the state of the intervertebral discs, localization and degree of damage.

Radionuclide scanning is an important objective method for the early diagnosis of joint damage.

Arthrography- with the help of intra-articular injection of various contrast agents, it allows you to more accurately determine the pathology in deeply located articular parts.

Synovial biopsy- biopsy material in various diseases of the joints is decisive in the diagnosis of early forms of Bechterew's disease, Reiter's disease, gouty arthritis.

Symptomatic treatment: how to relieve joint pain

Self-treatment and treatment with folk remedies is not recommended for any pain in the joints until a preliminary or final diagnosis is made by the attending physician due to an incorrect self-assessment of one's condition, which can lead to persistent irreversible functional disorders of the joint - ankylosis, rigidity, contractures (this and is the danger of the symptom). Today, the most popular means for relieving joint pain are drugs from the NSAID group. They are really effective, but have a number of contraindications and are not recommended for long-term use.

Which doctor to contact for joint pain

Therapist, surgeon, orthopedist, traumatologist, arthrologist, rheumatologist. A doctor's consultation is obligatory, at the first occurrence of pain in the joint and lasting more than 2 days.

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Today we will talk about joint pain, the causes of pain. During our lifetime, about 80% of the adult population experiences joint pain in one way or another, pain can be both minor and severe, and hundreds of diseases can be the causes of joint pain.
As a rule, joint pain can occur with various injuries and diseases, but most often it is associated with the pathology of the musculoskeletal system, joint pain can often occur during stretching.

Throughout our lives, our skeleton can withstand heavy loads, which are made up of our weight and the weights that we lift and carry. The maximum load falls on the joints and spine, that is, on the moving parts of the skeleton. Active sports, any injuries, sprains, all this can lead to various diseases of the joints.

Joints can hurt due to:

  • The development of an inflammatory process in the joint itself or in violation of degenerative-dystrophic changes.
  • Mechanical factors, this is stretching of the tendon-ligamentous apparatus, physical activity.
  • Vascular disorders are venous stasis, muscle spasm, neurocirculatory dystonia.
  • It happens that the joints begin to hurt, “twist” to a change in the weather, there is a sharp change in the weather and we can feel pain in the joints.
  • With tonsillitis, flu and other infectious diseases, we feel bad, high temperature rises, joint pains appear. What's happening? Intoxication of the body occurs and it is because of this that pain in the joints may appear. Often, starting to treat an infectious disease, as we begin to recover, the pain in the joints goes away on its own.

One of the causes of joint pain is our diet. The food products that we now consume contain very few vitamins, macro and micro elements, and some do not even contain anything useful for our body. Therefore, for the normal functioning of our body, microelements are taken from the osteoarticular apparatus, these are calcium, zinc, potassium, phosphorus, and silicon. Thus, the bone-articular apparatus is depleted and this leads to various diseases of the joints, such diseases as osteoporosis, osteochondrosis, osteosclerosis occur.

Another reason why joint pain can occur is a sedentary lifestyle. The joints can hurt if you move a little, since only when we move in the joints, synovial fluid is produced, “slagging” of the joints occurs, since metabolic processes do not occur in them and there is no full-fledged “nutrition” for them. Our joints are so arranged that their nutrition occurs only when they move.

Joints can hurt when the synovium of the joint is broken, what happens? There is a "slagging" of the synovial fluid of the joint and the ability to recover worsens cartilage tissue and the destruction of the articular cartilage begins, this destruction is accompanied by pain, that is, the body gives us a signal, we need to take action.

On the blog I have an article “What to do if the joints hurt”, you can read it, the recipes in the article are from my grandmother, she makes a tincture of lilac, chestnut, in general, the article describes what she uses when her joints hurt . You can treat joints with folk remedies, but of course it is better to consult a doctor so that the doctor finds out the causes of joint pain.

You need to see a doctor urgently if:

  • With fever and elevated body temperature, in the absence of flu symptoms.
  • With very severe joint pain, which is accompanied by severe symptoms.
  • With swelling, with redness of the joint.
  • With loss of appetite.
  • When sweating.
  • With pain in the joints for 3 days, which do not go away and get worse.
  • With a loss of 5 kg of weight per month.

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Causes, symptoms and characteristics of joint pain

Joint pain is quite common and can occur for a variety of reasons. According to various studies, up to a third of the adult population complains of joint pain. Soreness can occur in any part of the body, but most often patients are concerned about pain in the knee, hip and shoulder joints.

As we grow older and age, the likelihood of painful sensations increases.

Even slight swelling and tenderness of the joints can cause Negative influence on the quality of life. Regardless of the cause of joint pain, it can be treated with medication, physical therapy, or other alternative means. All of these options will be discussed below.

A common cause of joint pain is all kinds of damage to the ligaments or tendons surrounding the joint, as well as inflammation and some infectious diseases. Inflammatory diseases that cause joint pain include arthritis and its varieties (rheumatoid and osteoarthritis).

In addition to pain, the above causes can cause the following symptoms:

  • redness in the area of ​​​​the diseased joint;
  • softness and swelling;
  • general weakness of the body;
  • lameness (in case of pain in the joints of the legs);
  • decreased joint mobility.

Joint pain rarely requires immediate hospitalization. In most cases, mild to moderate pain can be managed at home. But if you have any of the following symptoms, then should see a doctor:

  • swelling or swelling in the joint area;
  • redness;
  • warmth and softness around the affected joint.

Immediate need to see a doctor the following signs:

  • joint deformity as a result of injury;
  • strong pain;
  • sudden swelling;
  • inability to move the joint.

At the appointment, the doctor will study the history of pain - ask about the symptoms associated with it, what preceded its occurrence, what reduces or increases pain in the joints, etc. After the conversation, the doctor will prescribe the necessary examination. As a rule, it is required to pass blood and urine tests, undergo an x-ray examination and, if necessary, an MRI. After passing all the tests and passing examinations, treatment will be prescribed.

Methods for the treatment of joint pain

Any method of treatment is aimed at reducing pain, relieving inflammation and maintaining the functioning of the diseased joint.

Medications. Pills

With mild to moderate pain, non-steroidal anti-inflammatory drugs - Aspirin, Ibuprofen or Naproxen (and other drugs with these active ingredients) will help. They are especially effective for inflammatory pain.

A new generation of similar drugs, selective COX-2 inhibitors, are also doing a good job with joint pain. But some of them increase the risk of heart attacks, strokes and others. cardiovascular diseases and therefore should only be prescribed by a doctor. Among the most effective and least "dangerous" drugs, "Celebrex" is in the lead.

With mild pain without swelling, drugs based on paracetamol "Tylenol" and "Acetaminophen" are also effective. These drugs adversely affect the liver, especially when combined with alcohol.

Sometimes the pain is so severe that non-steroidal anti-inflammatory drugs do not help. Then the doctor may prescribe stronger analgesics. These drugs are sold by prescription only. Opioid medicines can cause drowsiness and should be monitored by a doctor if taken. Another side effect is constipation.

The following drugs also relieve pain:

  • Muscle relaxants, they are sometimes prescribed along with non-steroidal analgesics to enhance their effect. These drugs relieve spasms in the muscles.
  • Antidepressants and anticonvulsants that suppress pain signals.

Ointments, creams and patches

Means with local effects are used on initial stage treatment. They are quite effective, although they do not have a complex effect. But they act on the focus of inflammation, reducing the hypersensitivity of nerve endings, removing swelling and inflammation. As a result, damaged areas around the joint are better restored, and microcirculation is getting better.

Among the most effective means external ointments, wipes and plasters can be noted. The active ingredients are various analgesics and anti-inflammatory components (ibuprofen, indomethacin, paracetamol, dimexide, ketoprofen, methyl salicyate).

Also very effective are creams, patches and ointments containing capsaicin (Capsaicin, Espol, Nicoflex, Kapsikam). This substance is found in hot chili peppers. Topical preparations based on it can cause some burning when applied, but help eliminate pain from arthritis and other joint diseases.

injections

For more severe pain, when pills or local remedies do not help, the doctor may prescribe painkillers in the form of injections. The active ingredients are the same as those contained in tablets or topical preparations. The most effective components for injection are ketoprofen, ibuprofen, indomethacin, dimexide.

In addition to pain relief injections, steroid injections help treat joint pain. They are injected into the diseased joint in combination with an anesthetic. These procedures are most effective for arthritis, but most often the effect will be temporary.

With osteoarthritis, the doctor may prescribe intramuscular injection of hyaluronic acid, which is similar in composition to joint fluid.

Other Methods

Often, in addition to medicines, the doctor prescribes courses of physiotherapy. Thanks to physiotherapy methods, it is possible to restore the ability to normal movements, strengthen the muscles surrounding the joint and stabilize it. Effective Methods- cold and heat therapy, ultrasound, electric current stimulation.

Useful for joint pain and exercise. But it must be approached wisely - you should avoid exercises that directly involve diseased joints. It is best to swim or ride a bike. Exercising in water takes some of the load off the joints and at the same time helps to develop them.

First aid at home for joint pain

If you experience mild pain, the following tips will help:

  • Take one of the non-steroidal anti-inflammatory drugs - for example, based on ibuprofen or naproxen sodium (Ibufen, Nurofen, Naproxen, Nalgesin). These painkillers have antipyretic and analgesic effects.
  • Avoid stress on the joint that causes or aggravates pain.
  • Apply an ice pack to the painful area several times a day for 15-20 minutes.
  • A warm heating pad applied to the painful joint, as well as a warm bath or shower, will help to relax the muscles and increase blood circulation.

Folk remedies for joint pain

There is a mass folk ways to relieve or relieve joint pain. Below we will consider the simplest and most effective of them.

Tea with ginger and turmeric. These spices help with joint pain during rheumatoid and osteoarthritis. Curcumin, an active ingredient found in turmeric, is recognized as a powerful antioxidant. Due to this, the use of turmeric helps to reduce inflammation in the joints. You can add it when cooking, or you can enjoy the fragrant and spiced tea. To prepare it, you will need 0.5 teaspoon of ground turmeric and ginger. Bring 2 cups of water to a boil in a container, add spices, reduce heat after boiling. Strain after 10-15 minutes and add honey to taste. The prepared tea is enough for two doses.

magnesium diet. Magnesium is a mineral that is involved in many biochemical reactions in the human body. Thanks to him, muscles and nerve endings relax, the heart works like a clock, pain is relieved and tension is relieved. Magnesium is also very important for strong bones. You can take it in tablet form, but you should also include foods that contain it in your diet. These are legumes, dark greens (arugula, spinach), various nuts.

Olive oil. According to studies, cold-pressed olive oil contains a substance similar to analgesics. So, 1.5 tablespoons of oil are similar in analgesic properties to 200 mg of ibuprofen. This effect is achieved due to the content of oleocanthal in olive oil.

You can use olive oil in food to achieve an analgesic effect for joint pain. Daily dose - 2-3 tablespoons of oil. At the same time, make sure that the use of oil does not affect the daily amount of fat and calories. If necessary, discard other fats, such as butter.

Another effective method use olive oil- rubbing it into sore joints. This should be done twice a day, gently massaging the area until the oil is absorbed.

How to prevent joint pain? (video)

In this video, you will learn how to prevent joint pain, especially in spring. Effective exercises for the prevention of joint pain.

By applying the above recommendations and consulting a doctor in time, you can not only eliminate pain manifestations, but also cure the cause, causing pain in the joints. A healthy diet and moderate exercise are recommended to prevent recurrent pain attacks.

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More often joint pain appears in old age, but sometimes accompanies diseases that occur in young people and even in children. Pain in joints different ages but more often in women than in men. Pain can occur only at night or disturb constantly, be aching or very strong - in any case, joint pain gives a person a lot of trouble.

Joint pain can occur with inflammatory diseases in the joints (arthritis), metabolic or dystrophic disorders (arthrosis), diseases of the soft tissues surrounding the joint, with various allergic, infectious diseases, diseases of the blood, internal organs, nervous and endocrine systems. That is why, if your joints hurt, you need to see a doctor to find out why they hurt and only then begin treatment.

Causes of joint pain

Pain in the joints - as a manifestation of general intoxication of the body. With various acute diseases (for example, with influenza, tonsillitis), as well as with chronic ones (chronic tonsillitis, cholecystitis, etc.), flying pains can periodically occur in one or the other joint. This is one of the manifestations of general intoxication (poisoning) of the body. Such pain usually decreases or disappears with successful treatment of the underlying disease.

Arthritis joint pain

With inflammation of the joint (arthritis), pain appears, which increases with prolonged immobility of the joint. They are worse late at night and early in the morning and cause the patient to move to relieve pain. These are the so-called "inflammatory" pains, their appearance is associated with the accumulation in the joint cavity of inflammation products that irritate the nerve endings.

Treatment of joint pain in arthritis is aimed at removing inflammation in the joint (antibiotics, glucocorticoid hormones, etc.) and strengthening the body's defenses. After removing the inflammation, the pain also decreases. To relieve severe pain, various painkillers and tissue swelling medications are used, including topical agents, as well as physiotherapy procedures.

Joint pain in rheumatic fever

Rheumatic arthritis usually occurs after suffering a sore throat or flu. The disease begins acutely, with a high temperature. Joints (usually large) are affected symmetrically, they are swollen and sharply painful to the touch. Pain disappears after the appointment of anti-inflammatory treatment (antibiotics, non-specific anti-inflammatory drugs).

The cause of rheumatoid arthritis is not fully understood. The most characteristic is the gradual, slow development of the disease. Swelling, stiffness and moderate pain first affect the small joints of the hand and foot, then larger joints (knee, shoulder, hip) are also involved in the process. The joints change their shape, the muscles located around them dry out (atrophy). Aching pains become constant and are very disturbing to patients.

Pain and swelling decrease after taking non-specific anti-inflammatory drugs - NSAIDs, including agents for external use. If NSAIDs do not bring relief, as well as with sticking lesions of internal organs and a general serious condition, hormone therapy (prednisolone) is prescribed. Hormones are used in extreme cases, when all other possibilities have already been exhausted. With severe pain, a splint is applied to the joint, fixing the limb in a position convenient for the patient. The pain is also relieved by warmth.

Arthritis joint pain

With dystrophic disorders in the joint (arthrosis), which can occur after a joint injury or in old age as a result of metabolic disorders, the intensity of pain in the joint is usually small, it increases with exertion, especially towards the end of the day, and disappears at night or at rest. This is a "mechanical" type of pain, it occurs when the membrane of the joints is mechanically irritated by salts formed in the process of metabolic disorders.

To relieve pain in arthrosis, the affected joint should be periodically rested. An analgesic is also heat on the joint area (warming compresses, baths, paraffin, ozocerite, mud). Painkillers (paracetamol, diclofenac) are also used. Effective is the local application of the drug, for example, Voltaren Emulgel.

Massage and special exercises that strengthen muscles and reduce stress on the articular surfaces also help relieve pain.

functional joint pain

With stress and nervous stress, functional joint pain can occur. They have an indefinite rhythm and varying intensity, they can intensify with mental and emotional stress and disappear during sleep. Such pains do not decrease from painkillers and physiotherapy procedures, but can be relieved by the use of sedatives or by changing working and living conditions.

Functional pain occurs due to transient disorders of the blood supply to the joints (spasm of blood vessels as a result of nervous tension). It is important to keep in mind that joint pain is not always a sign of a joint disease, it is often a sign of a systemic disease (joint damage is only one of the manifestations of the disease).

In order to figure out what is causing the pain in the joint and prescribe proper treatment in each case, consultation with a qualified specialist is necessary.

Treatment of joint pain

With the appearance of constant pain in the joints of the lower extremities, you should not engage in self-diagnosis and self-treatment. There is always a risk of incorrectly assessing the degree of damage that has occurred, which means provoking the development of complications and chronicity of the process. You need to visit a specialist consultation. For pain in the joints of the legs, you need to contact a traumatologist, rheumatologist, neurologist or vertebrologist. Only a qualified doctor, after a thorough examination and all the necessary instrumental examinations, is able to accurately establish the diagnosis and prescribe adequate treatment.

Treatment of joint pain folk remedies

For the most part, folk remedies are not able to get rid of joint problems once and for all - they can only slow down the wear of cartilage tissue, that is, they have a preventive effect, not a therapeutic one. For example, gelatin for joints is useful in that it itself is a product of connective tissue processing, and therefore acts as a collagen “feed”. But there are some real recipes for joint pain.

Internal fat of pets

Pork, beef, mutton and even chicken fat will do - the main thing is that it is fresh, unsalted, and its quantity is enough to cover all sore spots. Fat is applied to the joints, they are wrapped with polyethylene on top (you can use elastic cling film) and a woolen scarf or handkerchief. Once every two days, the fat is replaced with a fresh one, the compress is kept around the clock for a week, after which the pain noticeably weakens. There are even cases when people could not move because of severe pain, and a course of fat treatment helped them regain the joy of movement.

egg shell compress

The shells of raw eggs are washed in cold water, dried and ground to a powder. Then it is mixed with curdled milk or sour milk in a ratio of 1:1 (for example, for 2 tablespoons of powder - 2 tablespoons of curdled milk). The mixture is spread directly on the diseased joint, covered with plastic wrap and wrapped with a woolen scarf. The next day, the compress is changed, and so on for a week. Then you will need to take a week break, and after it, conduct another weekly course. The effect of such compresses will come faster if taken at the same time eggshell with lemon juice - this homemade "dietary supplement" is described in one of our publications.

Iodine rubbing

The traditional iodine mesh is unlikely to help with joint pain, although it will bring some relief. There is a more effective way: iodine and pure alcohol are mixed in equal amounts, the mixture is poured into a glass dish and kept in a warm place for a day. The solution should become light, almost transparent - this sign indicates its readiness. Lubricate the joints with the prepared remedy twice a day. It is not necessary to apply warming bandages from above. If pure alcohol is not at hand, a triple cologne will do.

Kerosene and salt compress

A glass of salt is combined with half a glass of dry mustard and kerosene is added there - just enough to make a viscous gruel. It is rubbed into sore joints and a warm bandage is applied with a woolen scarf or terry towel. It is recommended to carry out this procedure at night. It should be repeated until the pain in the joints subsides.

Treatment of joints with cabbage brine

A good method, but you can use it only during those periods when there is present in the daily diet. sauerkraut. It is measured in the amount of 1 tbsp. spoons, diluted with water (1/4 cup) and drink this "cocktail" 1-2 times a day for a month. You can also rub undiluted cabbage pickle directly on your joints.

Diet for joint pain

General nutritional requirements for joint pain:

  • limiting the content of carbohydrates, especially sugar;
  • reduction (maximum) of table salt;
  • fractional, frequent meals (5-6 meals a day);
  • exclusion from the diet of spicy, salty foods, extractives(strong broths, fried foods), strong drinks, strong tea, coffee.

Dishes are prepared without salt, meat and fish - in boiled or lightly fried (after boiling) form; vegetables should be well cooked.

  • Soups - mostly vegetarian, as well as cereal, milk, fruit, weak meat or fish soups - 1-2 times a week.
  • Meat or poultry low-fat varieties- mostly boiled or baked. It is desirable to exclude the liver, tongue, brains, chickens, veal.
  • Fish - various varieties, with the exception of salted and smoked.
  • Soft-boiled eggs, omelets.
  • Vinaigrettes and salads vegetable oil from various vegetables, vegetables in the form of side dishes. Limit (up to exception) beans, peas, beans, spinach, sorrel.
  • Dishes from fruits, berries: any, limit grapes.
  • Dishes from cereals, dairy products are not limited.
  • Fats: butter, vegetable (1/3 of the total).
  • Sweets: sugar - up to 30 g per day (4 pieces), honey, jam, jam.
  • Drinks: weak tea, coffee drink, vegetable, fruit, berry juices (except grape). Alcoholic drinks are excluded.
  • Spices, seasonings: bay leaf, dill, parsley, cinnamon, cloves.

Questions and answers on the topic "Joint pain"

Question:After a mosquito bite or some kind of midge, my mother's leg swelled up, after lotions the swelling went away, but heaviness and pain went to the thigh, which is why sleepless nights, x-rays and injections did not change anything!

Answer: Hello! Perhaps your mother's condition is not directly related to the bite. Pain and heaviness in the legs can occur for various reasons: diseases of the liver and kidneys, pathologies of internal organs, diseases of the joints and spine, diseases of the cardiovascular system, neurological diseases, infections (erysipelas, osteomyelitis).

Question:Hello, I am 61 years old, I have been working as a driver all my life. I’m silent about the lower back (professional), after a long stay on my feet and when walking, the muscles of the legs hurt (burn, go numb) from the hip joint and almost to the knee, forcing to sit down and let the legs rest for a while, while the muscles are very tense and absent in a certain area Sensitivity when a cold object is applied to the body. In addition, during intensive work, the joints of the right hand hurt, it hurts even with a little pressure. I rub the Dolobene gel, but I don’t feel any improvement. Are my pains curable?

Answer: Hello! With your problems it is necessary to address to the neurologist. Only with a direct examination, it is possible to assess the degree of weakness or strength of the legs, to carry out the necessary tests. Then appoint an additional examination in your case, most likely an MRI of the lumbosacral region. It is also necessary to exclude damage to the vessels of the legs.

Question:Hello! I am 22. I want to consult. The joints in the knees hurt, and always one at a time (either left or right). Maybe once a month to get sick, and maybe not once a week. It does not seem to swell, it just aches, a pulling feeling. But sometimes the pains are strong and spread to the thigh and lower leg. There is a feeling that something is interfering in the knee. When I walk, I forget about the pain. I was engaged in volleyball for more than 10 years, so I constantly filed on my knees. And on one knee there was a rupture of the ligaments, which, due to the doctor's omission, was not treated and now the leg can turn up, the ligaments are stretched. And on the other, I don’t know for what reason the cartilage growth that formed many years ago (then my knee hurt, I couldn’t fully bend it and stand on it too). Any advice on how to deal with pain? Smeared with nurofen - does not help. Is this pain due to past trauma or could there be other causes? Thank you in advance!

Answer: Hello! In fact, ointments will not help here. You need to do an MRI of the joints and contact an orthopedist.

Question:Hello! After a sore throat, after 3 weeks, the joints in the elbows hurt. Not strong, after some time passed. A week ago, my hands began to hurt a lot: the joints on my fingers and periodically the pain radiates to my elbow. Sometimes fingers go numb. It hurts to press on the bone of the fingers. Other pains: in the knees, feet do not bother. I am 23 years old. I work at the computer all the time. There were no chronic diseases. She is not hereditarily predisposed to diseases of the joints. Is it connected with a sore throat, which I had? Had a general blood test. The result is good. Tell me, please, what can it be?

Answer: Hello! What you describe may be a manifestation tunnel syndrome(carpal tunnel syndrome) - a condition in which there is compression of the nerve in the area of ​​​​the carpal tunnel (often this problem occurs when the joints of the hands are stressed (in particular, when working with the keyboard and mouse for a long time)). There may be other options: indeed, it is impossible to exclude a connection with a sore throat, + when the joints of the hands are affected, they are always examined in terms of rheumatoid arthritis. To clarify the diagnosis from additional examinations, it will most likely be necessary to perform: a biochemical blood test for CRP (c-reactive protein), RF - (rheumatoid factor), ASL-O - (antistreptolysin-O), ultrasound of the wrist joints, radiographs of the hands and wrist joints.

Question: Good morning. I have such a problem: after giving birth (caesarean), after a couple of months, pains appeared in the joints of the legs. To the point that it hurts to get up. And also on the hands. When you take the baby in your arms, you are afraid not to drop it. Please tell me what it is, and whether pain in the joints can be associated with a lack of calcium.

Answer: Good afternoon Yes maybe. Complete a course of clinical examination. See a rheumatologist or therapist.

Question:Hello. Under load, the joints of the shoulders hurt (when lifting 5 kg dumbbells) and also the knees (when running, there is no excess weight). At rest, the joints do not bother. I went to a rheumatologist - they advised me to remove the tonsils (there was chronic tonsillitis) and after that there was an assumption that the joints would recover. The tonsils were removed at the beginning of February, until the end of April the load was not given. For two weeks I give small loads - the joints hurt. The pain is not sharp, tolerable, but I want to get rid of it and not start the disease. I don’t even know which doctor to turn to - a general practitioner, a rheumatologist, a surgeon?

Answer: Hello. Here it is necessary to exclude rheumatoid arthritis and osteoarthritis. Therefore, it is better to turn to a rheumatologist and an orthopedist, make an x-ray of the affected joints, take clinical and biochemical blood tests for rheumatic tests. And according to the results of examinations, undergo treatment.

Question:Patient: female, 54 years old. Symptoms: an increase in the joint on the hands on the index finger (the first joint of the index finger) and the same on the legs, as well as on the legs, the thumb began to cross with the index finger. Plus the accompanying periodic pains. I went to the therapist, took the tests prescribed by the therapist, but the therapist did not find anything. These symptoms started about 10 years ago. Treatment was not applied, because. there was no diagnosis. Tell me, please, what is it? disease and how to treat, and which doctor should I contact? Thank you.

Answer: You need to consult a rheumatologist for a comprehensive examination: rheumatic tests, CEC, seromucoid, X-ray of the affected joints, only after receiving the results of the examination, the doctor will make an accurate diagnosis and prescribe the correct treatment.

Question:Hello, I would like to clarify this question: my husband is 20 years old, as a child he had a sore throat, after the illness his legs failed, he could not get up, he just lay, but everything worked out, he got to his feet, but now he is suffering from pain in his knee joints , speaks as if his legs are not his, they interfere with him, he does not sleep well at night, tossing and turning. He was in the army, he went to a rheumatologist, he was prescribed a picture of the joints of the hand. Can you please tell me if it could be rheumatic fever? What are the doctor's prescriptions in this situation? ECG results are clear. Thank you in advance

Answer: It can be both a manifestation of rheumatism and arthrosis. Will the doctor conduct all the necessary examinations? CEC, ASL-O, seromucoid, CRP, X-ray of the affected joints. Only after receiving the results of the examination will an accurate diagnosis be made and adequate treatment prescribed.

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Joint pain occupies one of the first positions among the painful symptoms that cause painful sensations and problems with the musculoskeletal system. According to doctors, this problem develops in almost half of the world's population. Often, disorders in the functioning of the joints begin in people after 40 years. According to statistics, joints hurt in 50% of people after 40 years of age, and at the age of 70, the symptom is diagnosed in 90% of cases.

A joint is a moving part that is present in all limbs. It is located at the junction of two bones, and the movement occurs due to the muscles and tendons. Pain in any of these parts is considered by doctors as joint pain.

Etiology

Pathological processes can form in the joints, for example, inflammation, sprains, tears, or problems with metabolic processes. A symptom characteristic of such diseases:

  • or ;
  • benign and malignant diseases.

Various irritating factors can provoke pain in the limbs, these indicators can also determine the risk group:

  • age - over 60 years;
  • genetics;
  • congenital defects;
  • excessive exercise;
  • excess weight;
  • injuries and fractures;
  • gender identity.

The shoulder, arm, or other places where there are connective tissues can develop from impaired circulation of the synovial membrane of the joint. This contributes to the deterioration of cartilage tissue regeneration. Articular cartilage begins to break down and then the bone itself, muscles and adjacent joints are damaged.

Another common cause that doctors identify when diagnosing an ailment is nutrition. To reduce joint pain from this factor, doctors advise sticking to a diet that will have the maximum amount of calcium, manganese, boron, phosphorus, silicon and zinc.

Chronic joint pain is often the result of a sedentary lifestyle, microtrauma or inflammation. In addition to preparations for relieving inflammation and gymnastic exercises, dietary supplements for food of the Glucosamine-Maximum line from Natur Product, which contains two active ingredients: glucosamine and chondroitin, have proven themselves well. These substances are natural building blocks healthy cartilage tissue, are directly involved in metabolic processes. Due to their natural nature, they are well absorbed and stimulate the metabolism in cartilage cells, contribute to the restoration of the structure of cartilage tissue after the inflammatory process.

A person may experience a functional articular painful syndrome, which is formed from stress and nervous tension. Why the joints hurt, the doctor will be able to find out after examination and diagnosis.

Classification

A symptom manifests itself in various forms and types, so doctors have developed a classification that allows you to quickly determine the type of symptom:

  • from the nature of the damage - inflamed and non-inflamed;
  • the extent of progression - mono-, oligo- and polyarticular;
  • by localization - general and localized.

During the development of many diseases, patients feel a painful syndrome of a different nature and time of manifestation. Clinicians have identified 4 main types of pain:

  • mechanical;
  • starting;
  • night;
  • reflected.

Pathologies for joint pain

Often, if a person has pain in the joints of the fingers, this may be due to the development of arthritis. Other signs may also alert the patient to the development of pathology:

  • tissue swelling;
  • heat in the joints;
  • heaviness in motion.

The disease is formed in the form of mono- and, in which one or several joints are damaged at once.

Gout is recognized by signs of monoarthritis. With relapses of inflammation, the patient also affects neighboring joints. The whole organism is involved in the pathological process. Gout is characterized by the fact that the pain in the elbow joint manifests itself sharply and intensely.

Another common disease of the joints of the fingers is this. In older people, the elastic cartilage that protects the joint from damage gradually hardens, loses its former elasticity and goes into a more vulnerable stage. In the process of damage, the cartilage is erased, ligaments and tendons are stretched, which provokes increased pain. Osteoarthritis can develop in any joint, regardless of its initial condition. The disease can succumb to the fingers, elbow, spine, shoulders, knees.

You can quickly recognize such a pathology by some specific signs:

  • pain syndrome and sensitivity of the affected area;
  • lumps on the bones.

To eliminate the symptom, the patient will need to reduce body weight, reduce the load on inflamed joints, play sports and take painkillers.

Another common ailment that manifests itself in pain is considered. It belongs to the group of degenerative-dystrophic pathologies of cartilage tissue. Osteoarthritis spreads over large joints:

  • humeroscapular;

The disease develops gradually. In this case, the patient may feel a slight crunch and pain in the hip joint when walking. Microcracks appear on the hyaline cartilage, which lead to a rough surface. With the development of pathology, it is completely destroyed. The joint loses its previous mobility, stiffness and pain increase. Neurological signs are added to the general symptoms.

Bursitis is similar in its manifestation to arthritis, therefore, at the first examination of a patient, doctors often confuse these ailments. When such a pathology is detected, the patient does not need to wonder why the joints hurt, since the focus of inflammation is in the joint bag. With the development of the disease, the patient feels such additional signs:

  • discomfort;
  • stiffness of movements.

Often the disease is formed in the knee, shoulder or hips. It can be triggered by inflammation of the synovial membrane due to damage, compression or trauma.

A disease that manifests itself from an incomprehensible etiology. The disease is characterized by severe pain in the muscles, in the area of ​​\u200b\u200bthe joints, in the head and a failure in the sleep pattern. With the progression of the pathology, patients may feel fatigue and impaired bowel functionality.

Developing osteoporosis is characterized by a decrease in bone density. As a rule, pathology is formed in women in the postmenopausal period. The manifestation is based on changes in the structure of bone tissue.

Diagnostics

In order to establish why pain has formed in the shoulder joint, leg, hip joint or hand, the patient should definitely consult a doctor. A full examination of the body and the identification of pathology can be carried out by a traumatologist,. Diagnosis of the causes of the appearance of an unpleasant symptom consists in conducting laboratory and instrumental examinations:

  • blood analysis;
  • immunological research;
  • test for the determination of antistreptolysin;
  • sample of synovial fluid;
  • radiography;
  • tomography;
  • myelography;
  • intraosseous phlebography;
  • arthroscopy;
  • discography;
  • radionuclide research;
  • arthrography;
  • biopsy.

To make an accurate diagnosis, it is important for the doctor to immediately collect an anamnesis. It includes information about the clinical picture, the infectious process, psoriasis, injuries, dietary disorders and other data that can tell about the etiology of the symptom. After that, the patient is assigned to conduct the above examinations, depending on the presumptive diagnosis.

Treatment

With the development of the disease, the protective cartilage of the joint is destroyed. Due to this process, the surface of the joint is deformed and the movement of a certain part of the body is limited. Pain in the knee joint or other limbs when walking increases and atrophy of the muscles of the limb gradually develops.

Doctors prescribe various drugs and ointments to patients for joint pain, so the treatment consists exclusively of conservative methods:

  • balanced nutrition - reduce the amount of meat, salt and spicy ingredients, increase the consumption of vegetables and fruits, consume less;
  • get rid of excess weight;
  • do not abuse alcohol;
  • go in for sports - gymnastics in water, swimming;
  • do cold and warm compresses.

  • compresses from cottage cheese, mustard flour, bran, therapeutic mud, potatoes;
  • tinctures, juices and tea from dandelion, horseradish, elderberry;
  • baths with anti-inflammatory essential oils.

Also, mixtures and ointments from nettle, St. John's wort, yarrow, potatoes and cabbage are excellent for eliminating pain.

As for traditional measures of therapy, doctors recommend starting treatment according to the following principles:

  • the use of painkillers;
  • removal of inflammation;
  • stop degenerative processes;
  • restoration of the musculoskeletal system;
  • lifestyle control.

By choosing the ideal medicine for joint pain, the patient is provided with medical, surgical, physiotherapy and rehabilitation methods. The effectiveness of the technology also depends on the stage of the pain syndrome and the formed disease.

An important component of complex treatment is the use of chondroprotectors - for example, Alflutop. The injectable form provides maximum bioavailability and speed of action of the drug, which helps to stop the progressive destruction of cartilage, reduces inflammation and stimulates the synthesis of hyaluronic acid. Due to the rapid onset of the effect, there is no need for long courses of the drug. Adding them to the treatment of arthritis allows you to reduce the dosage and duration of NSAID use.

For example, in acute diseases, the patient is given a blockade of nerve endings, which is an injection with strong drugs. After this procedure, the patient's symptoms and discomfort during movement disappear for a long time.

Doctors resort to this method in rare cases. A component of any therapy is medicines. They are assigned to the patient in any situation and with the development of various pathologies. A person is recommended to use such drugs that improve the general condition of the patient and painkillers for pain:

  • nonsteroidal drugs;
  • antibiotics;
  • hormones of the cortex and adrenal glands;
  • chondroprotectors;
  • vitamins.

You can eliminate the pain attack with various drugs that are administered intravenously, orally or locally. To quickly combat the symptom, it is recommended to use an ointment for joint pain based on natural ingredients. From the above ingredients traditional medicine You can make a natural pain reliever at home. It should be applied when an unpleasant sensation appears, and sometimes as a preventive measure.

Medicines for back pain and joint pain often reduce pain and inflammation, but do not contribute to the restoration of cartilage structure.

As a means of improving the structural state and metabolism of cartilage tissue, you can use dietary supplements for food of the Glucosamine-Maximum line, which contains two active components: glucosamine and chondroitin. These substances are natural structural elements of healthy cartilage tissue and are directly involved in metabolic processes.

Due to their natural nature, they are well absorbed and stimulate the metabolism in cartilage cells, contribute to the restoration of the structure of cartilage tissue after the inflammatory process.

For local elimination of the sign, a pain patch is also used. It works in the same way as the ointment. You need to apply it to the inflamed area and it is advisable not to make sudden movements for some time so as not to inflame the joint.

Prevention

Preventive measures for pain in the shoulder joint, legs, arms or hip apparatus are simply following the right way of life. In order to reduce the chances of developing severe pathologies, doctors advise exercising several times a week for half an hour. Thanks to such minor exercises, inflammation of the joints can be prevented.

It is also recommended to choose the right foods for nutrition, which are filled with useful trace elements and can fill the bones and joints of the body with the necessary substances. At the slightest manifestation of discomfort in the limbs or the musculoskeletal system, you should immediately seek the advice of a doctor in order to prevent the development of pathology in time.

THERE ARE CONTRAINDICATIONS. CONSULT YOUR PHYSICIAN BEFORE USE.

dietary supplement. It is not a medicinal product.

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What to do when joints hurt - this question worries many people, since diseases of the musculoskeletal system, physiological or pathological, occur in the life of all people and more than once. Joint diseases, if they occur, last for a long time, manifesting themselves as extremely painful symptoms.

There are about 230 joints in the adult human body. They are a unique mechanism by which bones are connected, and people have the ability to change the position of the body in space. It is thanks to the joints that a person has the ability to walk, move, hold objects in his hands (cutlery, mobile phones, etc.).

When the joints are healthy, few people pay attention to their functioning, but over time, the situation does not change for the better. Joints lose their mobility and begin to hurt, forcing a person to think and start taking measures to correct the situation.

The main thing when a joint hurts is not to self-medicate, but to consult a specialist. It is he who will help in the diagnosis and prescribe the correct treatment, which will help get rid of painful symptoms and improve the functioning of the musculoskeletal system.

What not to do with joint pain

When a person has a joint pain, he does not always seek help from a doctor, trying to solve the problem on his own. All kinds of medicinal and folk remedies recommended by friends, colleagues or advertising. Such treatment not only does not bring any benefit, it can exacerbate the problem.

What not to do with joint pain:

  1. Use warming ointments. Quite often, if all joints hurt or the pain is localized in a specific place, people begin to use warming ointments, which is fundamentally the wrong tactic. The main cause of an unpleasant symptom is inflammation and swelling. When using warming ointments, there is an increase in blood flow, vasodilation, which further increases the inflammatory process and the edema itself. For a short time, the burning sensation that occurs after the use of warming agents distracts a person from pain and it seems to him that the ointment helps. This is a false opinion and in the future the problem will only worsen, therefore, it is strictly forbidden to use warming ointments if the joint hurts.
  2. Use chondroprotectors as a treatment. Drugs designed to initially protect and restore cartilage from damage are effective only at the initial stage of treating the disease. It is not advisable to use them as an independent therapy, which is confirmed by clinical experiments and studies. Chondroitin sulfate and glucosamine (which are part of the preparations) - chemical compounds that form the basis of cartilage tissue, are designed to restore cells and intercellular lubrication, as well as relieve a person from pain. For a long time, chondroprotectors were used as an independent treatment of joints, but after that some studies were carried out that proved that chondroprotectors are not effective in serious diseases, and they can only be used at the initial stage of the disease or as a preventive measure.

What to do when joints hurt and how to get rid of pain, only a doctor knows. Many drugs that are sold in pharmacies as a panacea for joint diseases cost a lot of money.

Applying them out of ignorance, a person will spend a lot of money on acquiring such funds and precious time, which will be completely wasted on improper treatment.

Many diseases of the joints are successfully treated at an early stage, the main thing is to undergo a diagnosis in a timely manner and start treatment prescribed by a qualified specialist.

Main causes of joint pain

The causes of arthralgia (pain in the joint) are irritation of neuroreceptors located in the structure of cartilage tissue by a variety of factors that have arisen against the background of the underlying disease. If the joints of the knees and elbows hurt, then this may be due to both the pathological process in them, and the usual bruise and the occurrence of an internal hematoma.

The most common chronic joint disease is osteoarthritis. As a result, it affects the hip and knee joints. The disease occurs due to degenerative-dystrophic disorders of the articular tissue, interarticular fluid, ligamentous apparatus.

The disease often develops in adulthood, against the background of obesity, as a result of injury, with a lack of certain vitamins. The main symptom of the disease is severe pain, which increases with exercise and decreases at rest.

With spondyloarthritis, the intervertebral, costovertebral and sacroiliac joints are affected, a person feels aching constant pain in the back and buttocks, which intensifies at night. Over time, the patient's posture is disturbed (the spine is bent), the body temperature rises slightly, the internal organs- heart, kidneys, eyes.

As a result of reactive arthritis, the joints of the legs are affected, which is expressed in acute pain, swelling, hyperemia, and fever. The disease often occurs after past infections - intestinal, colds, urogenital. The disease is quite serious and requires immediate treatment.

In rheumatoid arthritis, small joints of the hands and feet, knees and elbows are affected. Symptoms of the disease are severe pain in the joints, cartilage deformity, stiff pain in the morning, etc. The disease is dangerous for its complications, as a result of which almost all internal organs and systems are affected.

If the joint hurts, the cause may be hiding in psoriatic arthritis. The disease affects those people who have a genetic predisposition to the occurrence of psoriasis.

Almost simultaneously, such patients develop lesions of the skin and joints. Symptoms of the disease - pain in the heels, lower back, hands and fingers. In addition to pain, there are signs of redness and swelling of the tissues.

With gout and pseudogout, metabolism is disturbed, as a result of which salts are not excreted from the body, but are deposited in the periarticular tissues. Symptoms are pain in the knee area, inflammation, tissue swelling, deformity changes in the joints, etc.

If all joints hurt, the cause may be short-term, associated with taking certain medications. Such a manifestation is not a disease and often disappears after discontinuation or a decrease in the dosage of drugs. Such a condition can occur against the background of taking antibacterial drugs, barbiturates, tranquilizers, light sleeping pills, contraceptives, etc.

Traditional treatment for joint pain

When the joints hurt, how to treat in order to eliminate not only the pain, but also the very cause of the unpleasant symptom? If the joint hurts and it lasts for quite a long time, you should first visit a doctor and be examined. There are several basic rules that are recommended to be followed by all patients suffering from diseases or physiological disorders of the musculoskeletal system.

  1. Gentle mode. What to do when joints hurt to relieve pain? First you need to fix the damaged joint with various bandages, gauze cuts or a plaster cast.
  2. Cold exposure. If the joint is damaged as a result of an injury, ice or a container with cold water. This can only be used for damage to the joint and never for cartilage diseases.
  3. If the joints hurt, what to take to eliminate the pain? The best drugs for this are NSAIDs. You can take them for a short time so that there is no side effect, and only as directed by a doctor. The components of these drugs act immediately on two causes of pain - inflammation and swelling. The most popular of them are Ibuprofen, Indomethacin, Diclofenac, etc. Non-steroidal anti-inflammatory drugs are available in the form of tablets, injections and are part of many ointments for the treatment of joints.
  4. The use of NSAIDs in the form of ointments helps when the knees and shoulders hurt, as well as the lumbosacral spine. There are several types of ointments that contain ibuprofen (Nurofen or Dolgit), diclofenac (Diklak gel, Diclovit, etc.), ketoprofen (Fastum, Febrofit), etc. Despite the fact that ointments are for external use, they have There are a number of contraindications, so before buying, you must read the instructions for the drug.
  5. The use of local manipulations on the joints. For pain in the ankle, damage to large joints, injections with anti-inflammatory drugs are prescribed. Such therapy gives a fairly good and long-lasting result.
  6. Chondroprotectors can be quite effective in diseases of the joints, if they are used at the initial stage of the disease or in combination with other means and procedures. Since many chondroprotectors are drugs with a high price, it is better to take them as prescribed by a doctor.
  7. Application folk remedies. As an auxiliary therapy, folk remedies can be used at home, but they are not suitable as an independent treatment of the musculoskeletal system. It is good to use folk remedies between courses of medications, but strictly after consulting a doctor.

What to do with joint pain so that it goes away quickly? To do this, you can drink an anesthetic from the group of analgesics to eliminate pain and continue to take the drugs prescribed by the specialist, according to the scheme. The course of treatment, as a rule, lasts at least 6 months. For a complete cure, you will need a change in lifestyle, nutrition correction, exercise therapy.

Treatment with folk remedies

When joints hurt, how to treat at home? For this you can use medicinal plants, making ointments, decoctions, infusions and rubbing from them. If the joint hurts, but there is no inflammation and swelling, you can apply tincture of burdock leaves to the damaged area.

To do this, freshly picked leaves are crushed with a meat grinder, poured with alcohol, and infused for 1 week. After the tincture is used as a compress or rubbing. This tincture is good for knee pain.

You can quickly relieve shoulder pain with an alcohol tincture made from a golden mustache. The tincture is prepared in advance, after which it is applied directly to the affected area and rubbed. It is better to do the procedure before going to bed.

If the joints in the area of ​​the hand or fingers are very sore, and there is no opportunity to visit a specialist, you can prepare hand baths daily with the addition of soda. This will help you quickly remove unpleasant symptoms and reduce inflammation.

Salt growths on the joints are well eliminated with the help of black radish. A fresh and juicy vegetable must be peeled, cut and applied to a sore joint. The radish can be attached with gauze or bandage for about 3-7 minutes. The course of treatment is 2 weeks.

It is good to apply a decoction compress to the area of ​​the hip joints. bay leaf. To prepare a decoction, 7-8 leaves are placed in a container, 200 ml of water is poured and boiled for 5 minutes. In the finished broth, you need to moisten the gauze cut and apply to the site of pain localization.

In addition to using folk and medications, you need to reconsider your lifestyle and normalize sleep and rest. Joints often hurt in people who sit for a long time and move little, so it is necessary to walk daily and do simple exercises. This will help not only during the treatment period, but also at the stage of prevention of joint problems.

Many of the people one way or another met with such an unpleasant, and sometimes very painful condition, like joint pain. There are a lot of reasons for this phenomenon - from weather changes to systemic diseases. But what to do about it and is it worth worrying about? What does pain in the joints of the arms, legs, as well as the shoulder, hip, knee and other joints indicate? Why does joint pain occur? What are the remedies for this type of pain? All this will be discussed today. So…

Arthralgia- the scientific name for pain in the joints, characterized by the absence of obvious signs of their damage. Very often, joint pain is the only symptom that indicates the onset of development or the course of an adverse process in the body, which cannot be detected even with the help of x-rays and other diagnostic methods.

Joint pain can also be mild, in the form of "ache", which usually indicates the presence of some kind, for example, when the body is infected or act as a consequence of injury or other pathologies. Severe joint pain most often indicates the course of an acute pathological process of an inflammatory or non-inflammatory nature, and directly in the joints themselves or other constituent parts of the musculoskeletal system - gout, osteomyelitis, bursitis, arthritis, fracture, bruise, etc.

Arthralgia - ICD

In the event that the exact cause of pain in the joint cannot be established, arthralgia in the International Classification of Diseases 10 (ICD-10) is classified under F45 (Somatoform disorders).

Why do joints hurt?

The main causes of pain and aches in the joints:

Joint pain may be accompanied by the following symptoms:

  • - is considered a marker of the presence in the body of an inflammatory process, often of an infectious nature;
  • Paresis and paralysis.

Diagnosis of arthralgia

Diagnosis for pain in the joints includes the following examination methods:

  • visual inspection;
  • Densitometry;
  • arthroscopy;
  • If necessary, synovial fluid is taken from the synovial bags with the help of a puncture for examination.

The treatment of joint pain should first of all be aimed at eliminating the root cause of this condition, and therefore, a timely examination of the body is one of the key points necessary to achieve a positive result.

The very essence of relieving joint pain lies in symptomatic treatment - that is, therapy is aimed at suppressing unpleasant sensations and in no way replaces the need to treat the underlying disease.

The main drugs for joint pain are included in the group of painkillers and anti-inflammatory drugs, among which one can distinguish -.

Painkillers for joint pain

Drugs from the NSAID group - have the ability to relieve pain, swelling, redness (), lower body temperature, minimize, and sometimes completely stop inflammatory processes. However, remember that all NSAIDs are based on various acids (depending on the specific drug) - salicylic, aminoacetic, propionic, indole and others, and therefore, a side effect of taking these drugs is irritation of the gastrointestinal tract (GIT), reduction blood clotting, impaired renal circulation, etc., which is why they should be taken only in the absence of contraindications, and even better, after consulting a doctor! Side effects from taking NSAIDs are -, internal bleeding, allergies.

Among NSAIDs, one can distinguish - diclofenac sodium ("Diclofenac", "Voltaren", "Ortofen"), "Indomethacin", "Analgin", "", "Nimesulide", "", "Naproxen", "".

The list of drugs listed above is made according to the strength of the analgesic effect - from largest to smallest. Sometimes drugs are combined with each other.

More severe pain can be relieved with the help of drugs based on - ketorolac ("", "Ketorol", "Ketalgin"), tenoxicam ("Artoxan").

If taking NSAIDs is accompanied by a gastrointestinal disorder, the doctor may prescribe proton pump inhibitors - Omez, Nexium, Pariet, which reduce the production of hydrochloric acid.

Other pain relievers for joint pain

If there are contraindications to taking NSAIDs, Katadolon can be prescribed.

Some pain relievers come in the form of gels that need to be rubbed into the affected area. Joint pain gels usually have fewer contraindications and side effects, therefore, are considered safer for pain relief.

Among the anesthetic gels can be identified - "Voltaren", "Ketonal", "Gevkamen", "Olfen".

If there is severe joint pain, and NSAIDs do not help relieve it, the doctor may prescribe hormonal drugs (glucocorticoids), which have a more pronounced anti-inflammatory activity.

Among the glucocorticoids can be identified - "Hydrocortisone", "Prednisolone".

Physiotherapy procedures

If the pain in the joints is mild, physiotherapy treatment can be used to relieve it - magnetotherapy, shock wave therapy, electrical impulse therapy, ultrasound treatment, exercise therapy, massage.

Diet

In many cases, the relief of joint pain must be combined with a diet, since some are based on the accumulation of a large amount of salts in the area of ​​\u200b\u200bthe joints (gout), or (violation of the structure of the intervertebral discs).

For chronic pain, minimize the use of table salt, and also avoid the use of spicy, fatty, fried, smoked and other foods. Stop drinking alcohol.

Joint pain - folk remedies

Important! Before using folk remedies, be sure to consult your doctor!

Birch, willow and elder. Make a collection of 1 teaspoon of birch leaves, 1 teaspoon of black elderberry flowers and 1 teaspoon of willow bark. Pour the resulting mixture with 250 ml of boiling water and leave covered overnight for infusion. In the morning, strain the remedy and drink during the day, for 3 sets. With this infusion, you can also make compresses on sore joints. The course of treatment is 2 weeks.

Medicine for joint pain. Dissolve in 1 liter of water 1 tbsp. a spoonful of salt. In a separate container, carefully mix 10 g of camphor alcohol and 80 ml of 10% ammonia. Then combine the salt and alcohol mixtures together. After, at the bottom of the container you should find white "flakes". It is necessary to shake the container until the "flakes" disappear. The resulting mixture can be used as compresses - put a moistened cloth on the sore joint, put cellophane on top and tie it with a scarf. Do 2-3 such compresses per day. By the way, this remedy can also be used against headaches, only for this the solution must first be heated a little in a water bath.

Cabbage. Take a little cabbage leaf, then heat it over the fire and while it is warm, brush one side of it with a thin layer of natural. Attach the sheet to the aching joint with the honey side, wrap it with cellophane and tie a warm scarf or scarf on top. It is good to do this procedure at night.

Alcohol, iodine and analgin. Make a mixture of 300 ml of medical alcohol, 10 ml of camphor alcohol, 10 ml of iodine and powder from 10 "" tablets. Mix everything thoroughly and set aside to infuse for 21 days in a dark place. With the resulting infusion, rub the sore spots until the ache in the joints passes.

Herbal ointment for joint pain. Grind into powder 2 teaspoons of herbs and 1 tbsp. spoon of grass, then mix the resulting mixture with 1 tbsp. spoon of vaseline melted in a water bath. Mix everything thoroughly and treat the diseased joints with the resulting ointment before going to bed until the pain subsides.

Chalk and kefir. Grind the chalk to a powder state, then add a little kefir to it to make a thick slurry. Apply the resulting mixture to the sore spot, tie it with cellophane, and tie a warm scarf over it. Do these procedures at night, until complete recovery.

Magnet. Some folk healers apply a magnet or copper products to the sore spot to relieve aches in the joints.

Prevention of joint pain

To prevent joint pain, follow these recommendations:

  • Try to move more;
  • Eat foods rich in vitamins and

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