The forearm is swollen
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Pain in the forearm - very commona phenomenon that can be caused by a variety of reasons. Among them, both mechanical injuries and serious diseases of the nervous, vascular or immune systems, metabolic disorders, infectious diseases and other factors can lead to the onset of pain. The determination of the nature of diseases and the setting of an accurate diagnosis are the first steps towards cure.
Among the main ailments that can cause pain in the forearm, we can distinguish the following:
1. Injuries, including bruises, sprains, dislocations andfractures and other injuries to the muscles, bones and joints of the forearm. In comparatively light injuries, hematomas and localized pain sensations can be observed, sometimes - abnormalities in the operation of fingers and hands. In more serious cases, for example, with severe bruises that lead to closed fractures or damage to muscles and tendons, there is a possibility of subfascial hematomas and edema caused by increased pressure of the fascia on damaged and enlarged muscles. This condition is also called "subfascial hypertensive syndrome", and the consequence of its development is a violation of blood circulation in the damaged limb and its sensitivity, compression of nerve trunks, complete or partial dysfunction of the hand and fingers of the injured hand. As medical measures in complex cases, surgical intervention with dissection of fascias and neutralization of compression is indicated.
2. If for a long time it hurtsthe forearm, strained as a result of sports activities, work or other regularly performed actions, then the speech is probably about a dystrophic process caused by a constant load on the muscles. The diagnosis is based on a combination of symptoms (soreness in palpation, muscle tension even in a calm state) and circumstances related to professional activities.
Another disease associated with occupationalactivity, - aseptic (non-infectious) tendovaginitis and creping tendovaginitis. Most often occurs in those who, by the nature of their activities, are forced to make monotonous movements with their fingers and a hand, for example, in grinders, polishers, carvers, ironers, machinists, violinists and representatives of other professions. As a result, movements begin to be given by pain in the forearm, it happens that they are accompanied by a crunch of joints (crepitation). Painful sensations become more intense during the load on the limb, can be accompanied by swelling.
When compressing the median nerve roundPronator pain spreads on the inside of the forearm, sometimes with impaired motor functions of the hand and fingers. Compression (squeezing) of the median nerve by the biceps muscle of the round pronator can also be caused by intense, monotonous movements associated with rotation and rotation of the forearm.
3. Myositis can also be an answer to the question,why does the forearm hurt. It is an inflammatory process that occurs in the muscles, it can be caused by infections, autoimmune diseases, muscle overcooling or overexertion. For the representatives of the above-mentioned professions and those who are forced to regularly and for a long time make monotonous movements, straining the same group of muscles or a single muscle, myositis is a professional chronic disease.
4. Purulent inflammation of the tissues of the hand or fingerscan lead to complications in the form of purulent tenosynovitis. The pain in this case is strong, sharp, often there is dysfunction of the fingers, swelling, local redness, intense fever. In the case of purulent tenosynovitis, hospitalization is indicated with further treatment in the hospital.
5. Reflex neurodystrophic syndrome canrepresent a consequence of either trauma (usually a fracture) or an inflammatory process. Moreover, pain in the forearm is not the main and not the only symptom, often the whole hand wounds, pain is given to the neck and neck. In some cases, the syndrome occurs with impaired motor functions of the hand and fingers.
6. Radiation nerve injury in the ulnar regionjoint - neuropathy of the radial nerve - the result of excessive loads on the muscles responsible for flexion and extension of the hand and fixation of the forearm. As a rule, there is a sudden, characterized by acute pain in a stressed state and aching at rest.
7. Neurovascular syndromes are not characterized byonly the pain of the forearm and numbness of the limb, but also noticeable swelling and spasms. One of the most common, including among youth, forms of NAF are tunneling neuropathies. For example, it is rarely found "in its pure form", but, nevertheless, can cause pain in the forearm carpal tunnel syndrome, which is expressed in its narrowing with simultaneous consolidation of the transverse ligament. Numbness of the hands, which occurs at night (more often in women) is usually associated with this syndrome or concomitant diseases. The latitude of distribution of SZK is associated with world-wide computerization and the characteristic movement of the fingers and wrists.
It happens that pain can be caused and lesscommon and less obvious reasons. For example, in some cases, what the forearm hurts may indicate the occurrence of syringomyelia, a progressive nervous disorder with a chronic course. 1/5 of the patients complained of pain in the forearm in the early stages of the disease, but only the forearms, soreness with syringomyelia, as a rule, is not limited, but extends to other limbs and organs.
Another example is the Scalenus-Synrom, otherwise calledsyndrome of the front staircase or Nuffziger syndrome. The pain from the plexus pinched by the stair muscles extends over the shoulder and forearm, hypotension and swelling may occur. The treatment shows manual therapy, acupuncture, physiotherapy.
When the forearm of the left or right hand hurts, thismay also indicate the appearance of so-called age-related ailments - osteoarthritis. rheumatoid arthritis. osteoporosis. leading to thinning of bone tissue, pain and trauma in the region of the femurs, spine and forearm. At the age of 35 to 50 years, pain in the forearm can also be the first symptoms of arthritis and even polyarthritis caused by chronic gout. if it was diagnosed earlier. In addition to the main diseases and injuries that can cause pain in the forearm, there may also be a multitude of ailments in which the pain in this area is a secondary symptom. Among them, malignant and benign tumors, systemic lupus erythematosus and even parasitic diseases.
In any case, if the pain is persistent, debilitating,Increase during exercise and make themselves felt at rest, if they are accompanied by swelling, fever, crepitus (crunching or clicks), or have occurred soon after the trauma, should contact a doctor as soon as possible - a neurologist, traumatologist, surgeon or orthopedist .