Limb pain

Introduction Physical pain refers to localized pain in some part of an individual limb, mostly caused by local conditions; it can also be induced pain or radiation pain in the proximal part of the disease, or early symptoms of systemic disease. The pain of the affected limb has changes in skin color and temperature. The onset of pain is related to changes in movement, posture, and external temperature/may be vascular lesions.

Cause

Localized pain is caused by local conditions; it can also be induced pain or radiation pain in the proximal part of the disease, or early symptoms of systemic disease. ·The pain of the affected limb has skin color and temperature change. The pain episode is related to the movement, body position and external temperature change. It may be a vascular lesion. · The pain is distributed or radiated along the affected nerve, accompanied by other nervous system symptoms. It may be Nervous system lesions, manifested as spontaneous soreness or severe pain in the affected muscles, local tenderness and tenderness, muscle atrophy and muscle weakness, may be muscle lesions; skeletal deformities (change in limb length, deformation), bone after trauma Abnormal activity or bone squeaking (relative movement of the segment at the non-joint or simultaneous friction) may be a skeletal lesion.

an examination

Related inspection

Joint examination electromyography continuous plasma protamine dilution test plasma tissue plasminogen detection plasma tissue plasminogen activator inhibitor antigen detection

Symptoms / possible illnesses:

The pain of the lesions has skin color and temperature changes. The pain episodes are related to exercise, body position, and external temperature changes/may be vascular lesions. Please refer to the relevant diseases.

Pain is distributed or radiated along the affected nerve, accompanied by other neurological symptoms / may be neurological lesions, please consult the relevant disease.

It is manifested as spontaneous soreness or severe pain in the affected muscles, local tenderness and tenderness, muscle atrophy and muscle weakness/may be muscle lesions, please refer to the relevant diseases.

After trauma, skeletal deformities (change in limb length, deformation), abnormal bone activity or bone squeaking (relative movement of bone segments or friction at the same time), accompanied by local pain, swelling, or even bleeding or shock / You should go to the hospital immediately for treatment, which may be a fracture.

Skin, soft tissue redness, swelling, heat and pain in the limb pain area; or only local edema and deep tenderness, but obvious systemic symptoms (high fever, headache, fatigue), regional lymphadenopathy, tenderness, etc. / should go to the hospital for treatment May be acute cellulitis.

First skin damage and secondary infection, sudden appearance of systemic infection (chilling, high fever, general malaise), from the local lesion along the lymphatic vessel pathway, an irregular red line can be seen on the surface of the skin to the axillary or inguinal lymph nodes, lymph nodes, Tenderness / should go to the hospital for treatment, may be acute lymphangitis.

Shoulder pain, middle-aged, slow onset, long course of disease, especially at night, can be radiated to the neck or upper arm, shoulder muscle atrophy, limited shoulder activity, tenderness around the scapula muscles should go to the hospital for treatment, may be shoulder Inflammation around the joints. Shoulder pain? Pain, numbness, abnormal feeling, even hand weakness, coldness, muscle atrophy / should go to the hospital for a diagnosis, the alert may be thoracic outlet syndrome.

Upper arm and elbow pain, elbow pain, obvious occupational characteristics (long-term frequent upper limb activities, such as woodworkers, fitters, badminton/tennis players), lateral elbow pain, limited fixed tenderness points, arm weakness, unrestricted activity There is no redness and swelling in the local area. There may be extension of the wrist and extension of the finger. The wrist is flexed and the wrist is stretched forward. The elbow joint has obvious pain on the outside of the elbow. It should be treated in the hospital. It may be external iliac crest, upper arm and elbow pain, hand. The pain in the department is an infectious disease caused by minor injuries in the nails, fingers, and palms. It is characterized by red, swollen, hot, painful, and even dysfunctional parts of the hand. It should go to the hospital for diagnosis.

Vigilance may be acute suppurative infection of the hand, pain in the upper arm and elbow, numbness of the palms and fingers, pain, radiation to the arms, increased pain at night, reduced activity after or after handcuffs, more middle-aged women, or acute trauma History or history of chronic strain, should go to the hospital for treatment, may be carpal tunnel syndrome, upper arm and elbow pain, upper limb symmetrical limb pain, when the cold or emotional, the extremities (hands) occur within a few minutes " Pale-cyan-tidal red staged evolution, lasting 15-30 minutes, with hand numbness on the attack, less severe pain; more common in light-aged women / should go to the hospital for treatment, may be Raynaud's syndrome, knee pain, Pain in joints or bones, clear and fixed, persistent pain, obvious tenderness in the lesions, joint swelling and dysfunction / should go to the hospital for treatment, may be bone and joint lesions, calf pain.

The lower limbs have a sense of sinking and fatigue. After standing for a long time, there is stinging, dull pain in the calf, edema of the calf, and cramps in the calf at night. The veins of the lower extremities are dilated, bulged, and distorted. It is more obvious when standing/should go to the hospital. Diagnosis and treatment may be varicose veins of the lower extremities, pain in the lower leg, sudden and severe pain in the lower limbs (from intermittent, rapid to persistent), and radiate to the distal part of the limb. The affected limb is pale and pale, feeling lost, and the arterial beat is weakened or disappeared. Dyskinesia, even can cause shock, heart failure and renal failure / should go to the hospital immediately, may be acute arterial embolism, foot pain, pain when walking or standing on the heel, often causing lameness, or may have local Pain, swelling, tenderness or deep tenderness, which occurs in middle-aged and elderly people, should go to the hospital for treatment. It may be heel pain, foot pain, children over 10 years old, causing soreness or tiredness of the feet after standing or weighing for a long time. Even the feet are swollen and painful, aggravated after exertion, relieved or disappeared after rest / should go to the hospital for treatment, may be flat and foot, foot pain, in the weight-bearing part of the foot (often subject to friction and oppression Positions such as the outer side of the small toe, the inner edge of the toe, the point of the front of the foot, etc.) appear round or oval, light yellow or dark yellow, mung bean to soybean size, smooth surface and slightly transparent, skin texture exists, clear boundary, A localized tenderness that is flat or slightly higher than the surrounding skin surface. Sometimes a layer of grayish white film is visible underneath. It should go to the hospital for treatment, which may be corns.

Differential diagnosis

Differential diagnosis of limb pain:

1, the fingers are stiff and painful: rheumatoid arthritis, often the proximal knuckles of the fingers are involved, there is morning stiffness (the morning finger is stiff, difficult to make a fist), generally multiple joint pain, often symmetry, swimming The characteristics of walking. May also be proliferative arthritis, generally older, more than 40 years old, X-ray examination has bone hyperplasia.

2, stretching arms and shaking hands: stretching arms and shaking hands: rotation with tendonitis, for the early stage of the disease, the pain only occurs when the upper arm is lifted over the head and force abduction. Later, the arm will also appear when shaking hands. Usually, The pain attacks when pushing forward, and there is no or only slight pain when pulling things.

3, numbness, pain or abnormal sensation of the distal extremities: sensory peripheral neuropathy, mainly manifested by different degrees of numbness, pain or abnormal feeling at the distal end of the extremities.

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