The human body's limbs are very important because when people walk, the leg joints need to move to support the body to walk. However, as people age, various parts of the body will gradually decline. For example, the joints of the limbs will be more susceptible to various diseases. Leg pain is often a symptom of rheumatoid arthritis. Why does it hurt when I bend the inner side of my leg joint? Osteoarthritis is a degenerative disease caused by many factors such as aging, obesity, strain, trauma, congenital joint abnormalities, joint deformities, etc., which leads to degeneration of articular cartilage, reactive hyperplasia of joint margins and subchondral bone. It is also called osteoarthritis, degenerative arthritis, senile arthritis, hypertrophic arthritis, etc. The clinical manifestations include slowly developing joint pain, tenderness, stiffness, joint swelling, limited movement and joint deformity. Osteoarthritis is divided into two categories: primary and secondary, depending on the presence or absence of local and systemic pathogenic factors. 1. Secondary osteoarthritis (1) Mechanical or anatomical abnormalities: abnormal development of the hip joint, slipped capital femoral epiphysis, femoral neck abnormalities, multiple epiphyseal dysplasia, old fractures, meniscectomy, joint replacement, acute or chronic injuries. (2) Inflammatory joint diseases: suppurative arthritis, osteomyelitis, tuberculous arthritis, rheumatoid arthritis, seronegative spondyloarthropathies, Behcet's syndrome, and Paget's disease. (3) Metabolic abnormalities: gout, Gaucher's disease, diabetes, progressive hepatolenticular degeneration, chondrocalcinosis, and hydroxyapatite crystals. (4) Endocrine abnormalities: acromegaly, sex hormone abnormalities, hyperparathyroidism, hypothyroidism with myxedema, and adrenal cortex hyperfunction. (5) Neurological defects: peripheral neuritis, syringomyelia, and Charcot arthropathy. 2. Primary osteoarthritis The cause of the disease is still unclear, but it may be related to factors such as advanced age, female gender, obesity, and occupational overuse. Clinical manifestations The main symptom is joint pain, which often occurs in the morning. The pain is relieved after activity, but the pain may worsen if there is too much activity. Another symptom is joint stiffness, which often occurs when you wake up in the morning or after the joints have been in a certain position for a long time during the day. Examination of the affected joints may reveal joint swelling and tenderness, and a friction or "clicking" sound during movement. In severe cases, muscle atrophy and joint deformities may occur. treat The main treatment for this disease is to reduce the weight on the joints and excessive large-scale activities to delay the progression of the disease. Obese patients should lose weight to reduce the load on their joints. When there are lesions in the lower limb joints, crutches or a cane can be used to reduce the burden on the joints. Physical therapy and appropriate exercise can maintain the range of motion of the joints. When necessary, splints, braces, and canes can be used to help control acute symptoms. Anti-inflammatory and analgesic drugs can alleviate or control symptoms, but they should be used with caution after assessing the patient's risk factors and should not be taken for a long time. Chondroprotective agents such as glucosamine sulfate have the effect of relieving symptoms and improving function, and long-term use can delay the structural progression of the disease. For advanced cases, if the patient's general condition can tolerate the surgery, artificial joint replacement is currently recognized as an effective method to eliminate pain, correct deformities, and improve function, which can greatly improve the patient's quality of life. |
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