Be wary of this "warm water boiled frog" bone pain
Author:China Centers for Disease Cont Time:2022.06.25
When it comes to bone pain, many people think of fractures, and when they think of "the bone is broken, it is painful", it immediately feels shuddering. In fact, not all bone pains are so "fierce". For example, this bone pain to be said today, although it seems "gentle", but "hiding needle" must be vigilant!
Cause of bone pain
In orthopedic clinics, about 80%to 90%of patients involve various pains, mainly including neck and shoulder pain, chest and back pain, low back and legs, hip and knee pain. These pains are caused by muscle, fascia, ligament, intervertebral discs, cartilage, bones and other various anatomical structures. Among them, the pain caused by bone tissue is called bone pain due to various lesions.
Generally, bone pain is mainly caused by trauma, infection, tumor, degeneration and other reasons.
★ Fractures caused by trauma are the most severe bone pain. In addition to severe pain, the pain caused by fractures will also seriously affect physical function.
★ Bone marrowitis caused by bacterial infections, due to the erosion of bone tissue in bacterial and inflammatory cells, can also cause severe pain, usually accompanied by fever. The infected limbs will swell and the surface of the surface is swollen. When anti -infection is effective, pain can be reduced.
★ The pain caused by tumors is also more sensitive and caring. We often see patients in the clinic because of bone pain and asking doctors to check to eliminate the possibility of "bone cancer". Generally speaking, early bone tumors are smaller and hidden in deep muscles. It is not easy to be touched and found. Pain is its earliest clinical manifestation. The pain caused by bone tumors has a characteristic manifestation: static and dysfunction, that is, when patients sleep at night, the pain at the sensation of the bone disease is more obvious than during the day. This is just the opposite of bone pain caused by trauma.
★ Degenerate, that is, the natural aging of human tissues and organs. Like "warm water boiled frogs", the bone pain caused by degeneration is the most incidence and the least valued pain in the early stage. Over time, the pain accumulation is difficult to return, and the pain is difficult to eliminate the pain in the later stage. The bone pain caused by degeneration is the bone pain we focus on here.
Bone pain caused by degeneration
Osteoarthritis
The lower limbs include hip, knees, and ankle joints. The pain caused by degeneration is the more common bone pain in the clinic, especially the knee pain. The regular medical name of the joint degeneration is osteoarthritis. In popular terms, the cartilage on the surface of the joint surface becomes thinner and broken due to long -term wear. Fiction caused pain.
Generally, in the early days, the knee arthritis occurred in the upper and lower stairs, especially when the stairs went down the stairs, and pain also occurred in the later stage. The knee joint will be swollen. If the internal and outward deformities can be manifested as "O -shaped legs" or "X -shaped legs", the extension activity of the knee joint will also decrease significantly. When you go to the hospital, you can find that the joint gap becomes narrower, and the bone spurs of repayment hyperplasia can appear on the edge of the joints.
Although the degeneration is the natural aging process of the human body, obesity, joint use or in a wet and cold environment for a long time will make the joint aging faster and more serious. We generally require patients to control weight, reduce the stairs and mountain climbing and squatting exercises. Pay attention to the warmth of the joints. For example, the temperature of the air conditioner in the summer should not be too low, and wearing autumn pants in winter. These measures can prevent premature aging degeneration of knee joints.
If you have symptoms of joint pain, you can take non -steroidal anti -inflammatory analgesic drugs and joint nutrition, lubricating drugs such as amino glucose. In the end, if the joints are severely worn, the joint replacement surgery can be performed, which is equivalent to the dental dental dental dental dental.
Osteoporosis
Another common bone pain caused by degeneration is chest, waist, and back pain caused by osteoporosis. Many patients, especially women, often have hidden pain in the back of the chest and waist. Patients mostly think that it is caused by lumbar muscle strain, bone spurs, lumbar disc herniation, and can not completely eliminate pain when taking painkillers, plasters, labels, and physical therapy. It was found that the culprit was osteoporosis.
The pain caused by osteoporosis can be systemic pain, or pain in a certain part (such as chest, waist, or back). Unlike the severe pain caused by trauma, the pain caused by osteoporosis is generally blunt pain, such as hidden pain, pain, soreness or radiation pain, intermittent pain and continuous pain. Patients usually only point out the pain of pain, but the specific parts are often not clear, and the pain caused by trauma is very clear. In patients with osteoporosis, when they change from a quiet state to a activity state, they will have more obvious pain. Long -term sitting, standing, and walking will make the pain worse. After the bed rest, the pain will be reduced.
The pain caused by osteoporosis is generally induced by bone converting too fast and bone absorption. Bone pain can occur when the bone mass is lost by more than 12%. In addition, the vertebral bone bone bone beams of the elderly osteoporosis atrophic, the number of bone bone bone bone is atrophied, the number is reduced, the vertebral body is compressed and deformed, the spine is forward flexion, and the waist muscles are doubled in order to correct the spinal flexion, which will cause muscle fatigue or even spasm. It will also cause pain. Essence When the thoracic lumbar spine compressed fracture, the pain will increase significantly, and there is a strong knock pain at the spiny process (commonly known as the "abacus") at the fracture part.
There are individual differences in pain. The same degree of osteoporosis, some people have obvious pain and even difficulty, and some people only feel mild pain and discomfort. Therefore, it is difficult to determine the severity of osteoporosis from the degree of pain. It is best to go to the hospital for bone density measurement. At present, the "gold standard" that measures bone density adopts the dual -energy X -ray absorption measurement method. The prevention of osteoporosis should start from a youth and is a lifelong behavior. After entering the elderly, it is suspected that when there is osteoporosis, the bone density and bone metabolic logo should be performed in time. After the diagnosis is diagnosed with osteoporosis, patients should actively take drug treatment, including taking calcium tablets, active vitamin D, and various drugs that inhibit osteosoplastics or promote osteocytes.
(Source: Healthy China)
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