What to do if the leg joint is sprained and the tendons hurt

If you accidentally sprain your leg joint in your daily life, you will feel very painful. At this time, you must deal with it urgently and go to the hospital for fixation. This can relieve the patient's pain symptoms. You should also take some adrenal glucocorticoid drugs on a regular basis. This drug can have a good anti-inflammatory and analgesic effect and improve the condition.

3. Adrenal glucocorticoids

The indications for use are: ① When conventional treatment is ineffective, it can be used in combination with first- and second-line drugs. ②Severe extra-articular complications, such as pericarditis, pleurisy, vasculitis and iridocyclitis.

4. Immunosuppressants

Also known as “third-line” drugs. It can be used for patients who are ineffective or have severe reactions to first- and second-line drug treatments. Such drugs include: ① cyclosporine; ② sulfasalazine ③ cyclophosphamide; ④ azathioprine; ⑤ methotrexate, etc.

5. Molecular Immunology

Such drugs include: ① interferon-γ; ② specific antibodies (McAb), etc.

6. Others

For joint pain caused by degeneration, physical therapy and painkillers can temporarily relieve pain, but they cannot change the fundamental problem of cartilage loss.

(6) Antinuclear antibody test is often used in the diagnosis of connective tissue diseases, especially in systemic lupus erythematosus, where the antibody titer and positive rate are the highest and the diagnostic specificity is the strongest.

(7) Immunoglobulins and complement can be used to observe the status of immune function and are helpful in the diagnosis of connective tissue diseases such as liver disease, autoimmune diseases, chronic bacterial, viral and parasitic infections, tumors, etc.

(8) HLA-B27 testing: HLA-B27 positive cases are most common in ankylosing spondylitis, with a positive rate of 86% to 96%.

(9) Uric acid: Determination of blood uric acid and urine uric acid levels.

(10) Examination of synovial fluid: In acute inflammation, synovial fluid shows sparse flocculent protein clots. The white blood cell count in degenerative joint disease is (0-1)/L, and in rheumatoid arthritis it is (3-15)x10, or even higher.

4. Arthroscopy

Arthroscopy is a new surgical technique that is currently widely used in the examination and treatment of the knee, shoulder, elbow, hip, ankle, and even wrist and interphalangeal joints. Arthroscopic technology causes less damage and has a quick recovery. It can directly observe structural changes within the joint with the naked eye and is more accurate than imaging examinations.

5. Imaging examination

X-ray is one of the routine examination methods for joint diseases. It is mainly used to check the changes in bone quality, especially for bone tumors in the joints, bone destruction, deformities, and joint effusion and swelling, which has obvious diagnostic significance. CT and MRI are also methods for examining joint lesions.