Joints ache and legs swell

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Diseases of the joints in our time are the thirdthe place of prevalence and the second place among the causes of primary disability. Pain in the joints of the legs is a consequence of the lesion of these joints or periarticular tissues; most often in patients with such complaints diagnose:

  • rheumatoid arthritis;
  • osteoarthritis;
  • gout;
  • much less often - other diseases.

The main causes of pain in the joints of the legs

Osteoarthritis and rheumatoid arthritis rheumatologistdiagnoses on the basis of X-ray examination, indications of tests, as well as a very specific symptomatology. For example, about rheumatoid arthritis the identical joints of both feet are affected most often (symmetrical lesion); usually the disease affects the joints of the foot, ankle, accompanied by stiffness, swelling, redness of the skin and other inflammatory symptoms. The disease can begin both in early childhood and in an adult, in many cases the pathological process also extends to the joints of the upper limbs.

Osteoarthritis, on the contrary, usually occurs without obvioussigns of inflammation, patients complain of pain in the hip joint or in the knees. The disease is typical for mature and elderly people, in children and youth, osteoarthritis is much less common - in cases of adverse heredity for this disease. In patients with osteoarthritis, the joints of the legs strongly hurt at the end of the day, after walking and other loads, and with rheumatoid arthritis the physical movement slightly reduces the intensity of pain.

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  • In what joints arises pain in rheumatoid arthritis. Rheumatoid arthritis can affect joints of the ankle, foot, hand phalanx, temporomandibular joints.
  • What are the signs of the disease? Characteristic is the symmetry of joint damage and the involvement of at least two joint groups in the pathological process; for example, in the feet and the temporal region. There is swelling or swelling of the painful area, redness. Joints are limited in mobility, especially after awakening; It takes a long time (sometimes several hours) for a person to "disperse" and cease to feel stiff. Pain in the joints of the legs are of medium intensity, as patients often say - "tolerant".
  • How often does pain occur? Pain can be permanent or paroxysmal.
  • What measures need to be taken? Seek immediate medical attention. Today it is believed that rheumatoid arthritis is not completely cured, but this is not meant to be reconciled and abandoned to the will of the disease. Pathological changes in joints develop gradually, and they can be successfully inhibited in the early stages, using anti-inflammatory drugs or by surgical removal of the synovial membrane of the joint-sinovectomy.

    Developing, rheumatoid arthritis is capable ofturn a person into a complete disabled person; In this insidious disease, not only the joints of the legs ache, but the most important internal organs are affected. Early consultation with a specialist and timely treatment started make the forecast much more favorable.

  • In what joints does pain occur with osteoarthritis? Patients complain that the hip hurts, feel pain in the knees or ankle.
  • What are the signs of the disease? Typically, during the day, patients are concerned about dull pain, which increases after a long standing on the legs, physical activity and in general any active movement. In the morning, the intensity of pain is much lower; it is often enough for a person to lie down and rest for an hour and a half, so that the pain sensations decrease sharply. If osteoarthrosis affects the hip joints or knee pain, during movements often there are clicks in the joints, crunching, characteristic creaking, clearly felt by the patient.
  • How often does pain occur? The disease individually, pain in the hip, knees or ankle can occur with long pauses and last no more than a day, and can constantly torment the patient for weeks or months.
  • What measures need to be taken? Medication for osteoarthritis rarely gives a positive result. Much more effective means are massage, mud baths and other balneological procedures, swimming classes, physiotherapy.

    Gout refers to the category of diseases associated withwith metabolic disorders. It arises as a consequence of the deposition of urate crystals - salts of uric acid; this happens with an excess of purines in the body (special substances necessary for life and coming from food) and their incorrect exchange. The purines are most often found in meat products, because gout is also called "meat-eating disease" or "aristocratic sickness". There is a certain amount of truth in this, since gout most often affects men in their mature years, who eat well, love meat, and generally allow themselves excesses in food and drink. The onset of the disease is characterized by a sharp, sudden attack of pain in the joints of the legs; the joints of the foot located at the base of the thumbs most often hurt. The affected area swells, the skin becomes red with a hint of crimson color. The methods for treating gout are, firstly, the "antimyas" diet, and secondly, the intake of special medicines to normalize the exchange of purines.

    • In what joints does the pain of gout occur? In the overwhelming majority of cases, the joint on the big toe is affected. Also susceptible to gout are joints of other fingers, ankle, wrists; a person can feel pain in the knee joint or in the elbows.
    • What are the signs of the disease? In patients suddenly there are very strong, sharp pains in the joints of the legs; pain can pulsate, create a feeling of severe burning, pressure, or be tearing, pulling. The greatest intensity is at night, in the morning, as a rule, a little subsides. As a provoking attack of the factors is a plentiful meal (meat and fatty dishes), drinking alcohol, staying in a sauna or a bath.
    • How often does pain occur? Gouty attacks can occur every 2-6 months and last up to three to four days.
    • What measures need to be taken? Immediately during an attack, when the joints of the legs are very painful, it is necessary to ease the pain symptom with the help of preparations of the analgesic series; which ones - the treating or family doctor will tell. To prevent bouts of gout, you need to revise your diet, restrict or exclude meat, fish, fatty foods, refrain from alcohol. If the doctor finds it necessary to prescribe medication to reduce the blood level of uric acid - to regularly and fully pass the prescribed course.

    Another disease, which can be feltpain in the knee joint, elbow joint and some others is rheumatism. A prerequisite for its occurrence is a previous streptococcal infection that affects the upper respiratory tract. The beginning of rheumatism itself is marked by a feverish condition, pain in the joints, most often large ones: pains occur in the knees, elbows, ankle, wrist zone. A painful sensation can "wander", appearing in one or another joint. There may be a slight swelling and redness in the area of ​​the affected joint. If the disease lasts a long time, the appearance of rheumatic nodules, clustered around the patient's joint, is observed: these are painless roundings of the form, ranging from a millet seed to a bean. There are seals, as a rule, in the places of folding of the limbs - on the wrist, forearm, knee, elbow. If rheumatism is diagnosed in a child, there may be a characteristic rash in the form of spots that have the shape of curved "blots", rings or narrow strips.

    As a rule, rheumatism does not cause irreparable harm to the joints; this disease is dangerous because in its further development the vascular system and heart are seriously affected.

    To whom of the doctors to seek medical help?

    With any pain in the joints of the legs (in the hip,ankle joint, finger joints, feet, knee, heel, thigh or others), you need to contact a rheumatologist for examination and treatment. Especially if the pain is accompanied by other symptoms: creaking, burning, swelling.