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- Neurological symptoms and syndromes
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- Tumors of the spine and spinal cord
- Osteoporosis, osteopenia
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- The answers to the questions of the visitors
- Pathology of the spinal cord
- Diseases of joints and bone tissue of the vertebrae
- Goods
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- Methods of treatment of diseases of the spine
Related Posts
Why suffer pelvic bones when sitting and after
In the modern world people over the age of 65 is increasing. This leads to the fact that the frequency of detection of pathology of the musculoskeletal system increases. The more the age of the patient, the more likely the formation of organic disease of the joints. Painful articular syndrome have 35% of people over the age of 70 years. A large percentage of the pathology falls on a core group of joints, primarily the hip.
The Main group pathology – deforming osteoarthritis of various localization, dramatically reduces the quality of life. Men get sick less often women twice, but the first symptoms of the disease develop before age 45, women – 55 years.
As for the osteoarthritis of the hip joint (OATC), then there is the opposite dependence on age: in men, it develops more often and earlier than in women (after 50 years), and is one-sided defeat. In women, this disease is bilateral lesions and develops after 70 years. Other diseases that cause pain, are less common, but just as relevant, as OATC, their adverse effects on the patient's quality of life.
Diagnosis of pain syndrome
Over time pain increases, the patient may spend a long time sitting, arise, in addition to pain, tingling and prickling from the affected area. How to determine where the main source of pain? After all, in the aggregate pathology gives an unexpected location and migration of pain.
Only a specialist, owns the methods of diagnosis of pathology of the musculoskeletal system, can determine the topography of the lesion. Having the results of the standard examinations by a physician, the patient is sent for further testing to a neurologist or orthopedist.
| pathology | Complaints | Symptoms |
| OATC | Pain from various radiating, always associated with the walk. Difficulties in flexion of the trunk. Night pain after an intense walk | Limitation of mobility in the joint during passive movement, disorders of the amount of internal rotation |
| Arthritis in systemic diseases | Sharp pain in the joint, inability to move | Pain, swelling, redness, increased temperature in the affected area, limitation of range of motion. Long periods of fever |
| Injuries of pelvic bones and joints | Pain in the bones of the pelvis occurs acutely at the time of injury | the Presence of swelling, abrasions, or hematomas at the site of injury, sharp pain on palpation, the impossibility of abduction of the foot to 90° |
| Neuralgia | Fickle intense burning pain in various areas of the pelvis, lower back, numbness in the limbs, buttocks | pain at the exit of the sciatic nerve, the local tension of the back muscles |
| Trochanteritis (trochanter enthesopathy) | Inability to lie on her side | Local tenderness trochanter. The safety of the amount of rotation of the hip. Pain on resistance to active abduction of the hip |
| piriformis Syndrome | Pain in the lower back, buttocks, sacroiliac joint, hip joint and posterior thigh, worse while sitting or standing, when standing up from sitting or squatting from standing position | Pain and muscle weakness in abduction bent to 90° for the femur in the hip joint. The pain and the detection of compacted bundles of muscles at the outer or intrapelvic palpation |
| Enthesopathy of the ischial tuberosity | Pain when sitting on a rigid base in the area of the ischial tuberosity. Pain when walking as it lifts your feet off the floor | on palpation tension and sharp pain in the area of the ischial tuberosity |
| Dysfunction sacroiliac joint | Pain in sacral region, radiating to the groin, lower abdomen, buttock, knee. Decreases after walking and in the evening | Increased symptoms dysfunction for percussion in presacral region in the projection of the sacroiliac joints |
How to evaluate the function of a joint at home before visiting the doctor
You Need to analyze and write answers to the following questions:
- How many meters you can walk without pain?
- is it Possible to walk without a cane?
- how many steps can you climb?
- Ability to sit down in public transport.
- Ability to independently put on socks and shoes.
- How long can you sit without pain?
having answers to these questions will help the doctor to quickly make the diagnosis and prescribe the appropriate methods of diagnosis and treatment.
receiving
The Doctor will need to clarify the features of pain:
- localization
- time of occurrence
- connectivity with walking and the position of the body;
- irradiation
- ability to walk without canes
- opportunity to get in the car;
- there is pain in the bones in the torso.
Active and passive movement
Conducting the inspection will identify the presence of restrictions in movement, lameness, shortening of the limb, reducing joint mobility. Traffic restrictions are checked by the certain techniques. To assess active movements, the patient will be asked to go over to the Cabinet, stand on tiptoe, heel, sit down, take the leg out to the side, back and forth.
Passive movements are defined in the patient supine:
- Flexion – trying to bend my knee to 120° while bending the knee.
- Abduction to 45°and adduction to 30°. Legs extended, and the pelvis is on the couch exactly. Shin takes his hand and hung to the side. Other hand the doctor is in the area of the pelvis to monitor the degree of movement. It is important that the pelvis did not move.
- Rotation of the limb inwards and outwards – each 45°. The leg joints bend up to 90° angle. The foot moves laterally (rotation inward) and medial (rotation outwards).
- Extension to 15° – patient lies on his stomach. Given the leg in the hip joint, fixing the pelvis horizontally.
additional Methods survey:
- x-ray diagnosis helps to determine the state of the joint and the joint cavity, the presence of growths and deformities of the epiphyses.
- MRI visualizes the state of the cartilage tissue, its integrity.
- ultrasound helps to detect the presence of liquid in the cavity, the phenomena of edema.
- Arthroscopy is the most accurate method to help determine the degree of destruction of cartilage.
It is Important to remember that timely access to medical care depends on the degree of preservation of the joint and continued normal life without restriction and disability. The chronic process occurs very quickly. Therefore, when symptoms repeatedly, it is necessary to pass the examination.
Sources:
- Traumatology and orthopedics. Tutorial. Author: G. S. Yumashev
- Arthrology Kalmin O. V., Galkina T. N., Bochkareva I. In