Thigh soreness

Introduction Limb pain refers to the diseased limb or limb or limb vein, muscle, joint pain symptoms, limb pain, early in the "Nei Jing" "leg pain", "bone pain", arm pain", "foot pain", "waist pain", "Feed, knee, sputum, foot pain", etc. "Treatise on Febrile Diseases" and "Golden Chambers" contain "calendar pain", "four limbs pain", "bone pain". The world calls "gout" and "wind" Waist and leg pain, "wind pain", "shoulder arm", "finger pain", "femoral pain", "foot pain", "heel pain", "foot pain", "leg pain" and mountains The "Luanhuan disease" in the hilly area belongs to the category of painful limbs of the extremities. The "Nei Jing" discusses the "Xinyi ()", "()", "()", "" "," "gluten", "pulse", "muscle", "skin", "bone", "Zhou", "Zhong", etc. are also the main evidence of limb pain for clinical dialectic.

Cause

1. Defects in the structure of the vein wall: The long-term expansion of the vein can cause the valve to be disused and atrophy, and even gradually disappear and disappear. If the valve defect precedes the varicose vein, then the valve wall will be affected, while the vein wall will be affected. Intravenous hemorrhage can also be followed by varicose veins or dilation.

2, venous valve defects: the vein wall is relatively weak, can be expanded under the action of venous pressure, the expansion of the valve sinus causes the original venous valve can not be tightly closed, the valve function is relatively incomplete, blood backflow. Valve dysplasia or loss, can not play an effective role in preventing reflux, leading to disease.

3, the posture is not correct: According to the survey, 10% of patients with varicose veins are engaged in occupations that often move around; 30% of the patients are engaged in occupations that often keep sitting; 60% of people are engaged in standing work and physical activity, indicating no Active standing causes more damage to the veins of the lower extremities.

4, pregnancy: At present, about 20% of pregnant women will have varicose veins during pregnancy, because women's changes in estrogen levels during pregnancy make the venous smooth muscles relax, leading to valve insufficiency, part of the phenomenon can be postpartum Self-elimination, some patients are difficult to recover without treatment, and even more and more serious.

5. Age: At present, the incidence of primary deep venous insufficiency increases with age, which is the result of long-lasting action of blood gravity on the valve.

an examination

Related inspection

Molybdenum target X-ray examination CT examination EMG

1, lumbar X-ray film

Simple X-ray film can not directly reflect the presence of disc herniation, but the degenerative changes such as narrowing of intervertebral space and vertebral edge hyperplasia are sometimes seen on X-ray films. It is an indirect suggestion. Some patients may have spinal deviation and spinal side. Convex. In addition, X-ray film can be found with or without bone disease, tumors and other bone diseases, with important differential diagnosis.

2, CT examination

It can clearly show the location, size, shape and nerve root and dural sac of the disc herniation. It can also show the laminar and ligamentum hypertrophy, small joint hypertrophy, spinal canal and lateral recess stenosis. In other cases, it has a great diagnostic value for this disease and has been widely used.

Differential diagnosis

Lateral femoral cutaneous neuritis is also called paresthesia. The lateral femoral cutaneous nerve is emitted by the 2nd to 3th lumbar nerves. It passes through the lateral edge of the psoas muscle, obliquely across the diaphragm, and along the pelvis through the deep side of the inguinal ligament. The fascia is worn to the skin of the thigh 10 cm below the anterior superior iliac spine. In this nerve stroke, if the lateral femoral cutaneous nerve is affected due to some pressure or trauma, the lateral femoral cutaneous neuritis may occur. More common in younger and younger men who are more obese.

Lateral cutaneous nerve of thigh entrapment syndrome is a neurological dysfunction caused by compression of a certain pressure factor at the path of the nerve.

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