What to do if the knees hurt - what to treat and what kind of doctor should I contact?
Questions about why knees ache, than to treat this unpleasant affliction, people of any age ask. In the elderly, arthritis is the cause, young people face sports injuries and sprains, even children can suffer pain. The best solution is to visit a doctor. A competent expert will understand the cause of discomfort and tell you what to do if your knees ache.If necessary, he will also select a comprehensive treatment.
What is the cause of the pain?
To understand the mechanisms of the work of your own organism is never superfluous, in spite of the fact that in most cases it is better to contact the doctor immediately. What are the anatomical reasons for the pain of the knees? Than to treat such problem? The thing is that the leg bend is served by a complex system of bones, muscles and ligaments. The spherical endings of the bones, called the condyles, are joined by menisci. In addition, reduce the friction of the joint helps a special synovial fluid. Therefore, the cause of what the knees ache, the methods of treatment depend on each of the constituent elements of the foot. The cause may be hiding in bone fracture or fracture, in a kneecap injury, stratification of the condyle cartilage, rupture of the meniscus, sprain of the ligaments and tendons, or inflammation of the bursa that produces synovial fluid. The determining sign of this or that case is the location of the pain - the pulling pain under the knee or the sharp side of the leg may be the key symptoms. Precisely determine the diagnosis will help orthopedist, neurologist or traumatologist. If the pain is chronic and the cause can not be found, it is worth turning to the osteopath. Perhaps it is the external influences - flat feet, varicose veins or pelvic injuries. In this case, questions about why the knees hurt, rather than treat them, can be solved precisely in the osteopathic clinic.
Folk remedies for pain
Folk remedies, such as eucalyptus tincture, also help with discomfort. Take a half-liter of vodka and three tablespoons of eucalyptus leaves and insist in a dark place for about two weeks. The resulting composition must be rubbed sore spots both at the time of seizures and for preventive purposes.If your knees often hurt, than treat and relieve pain? Tincture from the root of the sabelnik is also an effective remedy. Five hundred milliliters of vodka should take thirty grams of the plant and insist a mixture of about three weeks. The resulting tincture should be rubbed on your knees before going to bed. Try also to mix the crushed celery root, lemon, garlic and a couple of spoons of honey. This mixture should be eaten on a teaspoon on an empty stomach in the morning or in the evening, a couple of minutes before dinner. Another simple remedy is ordinary kefir, mixed with chalk ground. The mixture should be used as a compress. To enhance the effect of treatment, use foot baths made of buttercup or a decoction of pine needles. For the preparation of the first medicine, brew three plants in a glass of boiling water, dilute in a basin to five liters of water and steam the legs until it cools. Of the remaining infusion, you can make a compress at night. For the second method of treatment, take a handful of needles and boil in a half liters of water. Insist four hours, then strain and drink the broth instead of water. Store the resulting beverage in the refrigerator.
My knee aches: which doctor will help to cure my leg
My left knee cap is very sore when I give it weight. Especially when I'm on my knees. Also it becomes very warm. What could be the reason?Answer:
One of the most common questions / complaints that orthopedic surgeons discuss with patients from the area affecting the kneecap. These are small bones on the front of the knee, which are of great importance. Our ability to crawl, climb and jump depends on them. Over the years, this bone and its layer of cartilage wear out and the knee begins to ache due to arthritis. It's good that the cartilage layer on the patella is thick, so arthritis does not begin at a young age.
Pain due to wear of this cartilage appears in front of the leg, deep in the center of the knee. In an embryonic state, cartilage wear is called chondromalacia, and pain is a patellofemoral syndrome. The positive thing is that this is usually not a surgical problem. However, this also means that there is no quick fix.
There are many causes of pain in the anterior part of the knee: excessive joint work, exercise, sports injuries, arthritis and even flat feet. Symptoms are varied and include pain that occurs after too long sitting and the classic effect of visiting the theater - discomfort in the patella, swelling. When swelling is felt warmly.
Treatment is aimed at soothing ice inflammation / rest / lifting higher and using anti-inflammatory drugs. These tablets give side effects, do not forget to read the instructions and contact your doctor if you are not sure whether to take them.
Exercises to strengthen the quadriceps femoris in front of the thigh are also indicated to reduce the severity of the symptoms. The doctor prescribes orthopedic insoles / shoe inserts, if it is necessary to level the patella by restoring balance. Official physical therapy is reserved for long-term problems, and operations, as mentioned earlier, are rarely done.
If the pain does not go away or is associated with new symptoms or trauma, talk with your doctor or surgeon. Further examination is necessary.
Diagnosis of causes of knee pain
Pain is caused by local structures inside and around the knee or transmitted from other sources( eg, from the lower back or hip joint).
With its sudden onset, athletes often face, with fast movements with a change of direction, in contact types of competitions and such that include twisting, acceleration, deceleration( football, basketball and downhill skiing).These acute injuries often involve the rupture of cartilaginous tissue or ligaments. One of the most common causes of sudden onset of pain in the knee is the medial rupture of the meniscus, felt on the inside of the knee.
The gradual onset of pain in the knee occurs in patients participating in sports activities with high loads. Jumping, twisting, rack on the knees. The gradual onset of pain in the anterior part of the joint is associated with the patellofemoral syndrome and is caused by rupture of the medial meniscus or lateral ligament. In elderly patients, the most likely cause of the symptoms are degenerative changes in the knee or patellofemoral joint in osteoarthritis.
Common knee injuries accompanied by pain and swelling
Medial rupture of the meniscus
Damage to the cartilage located on the inside of the knee joint( medial meniscus) is usually due to excessive weight of the bearing and not twisting forces. Pain on the inner side of the knee, increasing when touching a particular area of the internal line of the knee joint. Edema, crunch, feeling of blockage. Symptoms are aggravated by the load on the legs, deep squats.
Side tear of the meniscus
Damage to the cartilage located on the outside of the joint( lateral meniscus) due to excessive weight. Pain on the outside, increasing when touching a specific area of the outer line of the joint. Swelling, clicking, blocking. Symptoms are aggravated by stress, squatting and twisting.
Rupture of medial collateral ligament
Associated with valgus force or twisting and is associated with a crack, a sensation of rupture at the time of injury. Edema, instability of the joint.
Rupture of anterior cruciate ligament of the knee
Occurs when planted after a jump, sudden braking, due to stretching, lateral or torsional force. Associated with a feeling of cotton or a rupture at the time of injury. It is associated with severe pain, significant swelling, and joint instability.
Rupture of the posterior cruciate ligament of the knee
Occurs after hyperextension or a direct impact on the anterior part of the tibia. Especially badly hurts in the back of the knee. Swelling not strong, the joint appears jelly during movement.
Dislocation of the knee cap
It completely exits from its normal position( usually to the outside) after injury, landing when jumping, due to rotational movement or direct impact on the side of the cup. It can also occur without injury, especially in young girls. Associated with severe pain in the anterior part of the joint, deformity, loss of function and edema.
Back, spine, joints ache. To what doctor to address?- Kazan Center for Kinesitherapy. Treatment of a hernia without surgery
A huge number of clinics and doctors specialize in the treatment of the spine and joints today. Neurologists, vertebronevrologists, neurosurgeons, orthopedists, traumatologists, rheumatologists, osteopaths, manual therapists, kinesitherapists. How to determine which specialist is needed in our case, so as not to waste time and money on expensive treatment?
Let's see what each of the directions of treatment of diseases of the organs of the musculoskeletal system represents.
What does a neurologist cure?
The doctor-neurologist deals, first of all, with vascular diseases of the nervous system - spinal cord and brain, peripheral nerves. In his competence, for example, neuritis, neuralgia( nerve damage), strokes and other disorders of cerebral and spinal circulation, headaches, cerebral arteriosclerosis, multiple sclerosis, vegetative vascular dystonia, convulsions, tics, epilepsies, Parkinson's diseases, Alzheimer's, etc. For all these diseases, medical centers offer to make an appointment for a consultation with a neurologist or neurologist( the difference is only in the name).
Recording to a neurologist is recommended in the case of diseases of the musculoskeletal system, namely, the spine, since the spine is the most that neither is the organ of the nervous system. Therefore, a good neurologist and is considered the number one specialist in the treatment of diseases of the spine. But not the joints.
Nowadays, when back aches almost everyone, neurologists are particularly active in this field of activity, so much that a separate direction of neurology - vertebroneurology - has appeared.
The doctor is a vertebro neurologist. Is the back hurting? Then you - to us.
The vertebro neurologist is the same neurologist who has chosen a narrower specialization for himself: treating spine diseases as part of the nervous system. In other words, this is a doctor who still specializes in diseases of the nervous system, but due to diseases of the musculoskeletal system, especially the spine. If we proceed from the fact that the connection of the nervous system to the entire human body is provided through the spinal cord, then it is quite logical.
The competence of the vertebroneurologist includes osteochondrosis, herniated discs, protrusion, curvature and deformation of the spine( scoliosis, kyphosis, lordosis), headaches, dizziness, numbness of the extremities. However, the vertebroneurologist is often treated with joints - arthrosis, arthritis, and private clinics of vertebroneurology receive such patients. But is this correct? The question remains open.
The methods of treatment offered by neurologists and vertebroneurologists are approximately the same: blockades, drugs, therapeutic massage, manual therapy, osteopathy, reflexology. However, anti-inflammatory drugs and vertebrae "corrections" bring only temporary relief, eliminating pain, discomfort, but not healing. They alleviate the condition of a person, but do not affect the causes that caused the illness. The disease, meanwhile, continues to progress. Even if the pain goes away for a long time - for a year or two, then it all the same returns and with age passes into a chronic form. Patients become dependent on drugs and their own doctors( usually, regular clients of paid clinics go to a specific specialist who can skilfully remove pain and support psychologically).
Let's turn to the dictionary. Orthopedics is a division of medicine that studies various diseases and types of injuries of bones, tendons, ligaments, joints and other elements of the human musculoskeletal system.
Orthopedic specialist specializes mainly in injuries, joint operations in case of fractures, arthroplasty. One of the important directions of the orthopedist's work is rehabilitation and rehabilitation after injuries, operations on the spine and joints. Therefore, an orthopedic physician would be more correct to call a doctor an orthopedic traumatologist.
Meanwhile, orthopedic clinics and orthopedic physicians also position themselves as universal specialists in the treatment of musculoskeletal diseases and offer to make an appointment for a consultation with the orthopedist for any pain in the back or joints, not even a clear origin. However, arthrosis, arthritis, osteochondrosis, hernia and protrusions often occur not as a result of injuries, inflammations, but "on their own".The true causes of these diseases a little later.
Rheumatologist. What heals?
Again we turn to the dictionary. Rheumatologist is a doctor who is involved in the diagnosis and treatment of diseases related to the defeat of the musculoskeletal system, the heart( acquired heart diseases), as well as systemic connective tissue diseases, joint diseases - rheumatism, rheumatoid arthritis, systemic lupus erythematosus, vasculitis, etc.
way, rheumatologist is a key specialist in the treatment of rheumatoid arthritis, gout, and rheumatism. But not arthrosis. There is a fundamental difference between arthrosis and arthritis. In the case of arthritis, soft tissues around the joint become inflamed. The main sign of arthritis, rheumatoid arthritis is affection of the connective( soft) tissue around the joint, inflammation and swelling, pain and swelling of the joints, which are often accompanied by an increase in body temperature for no apparent reason. Arthritis, as a rule, is associated with other autoimmune sores, for example, chronic tonsillitis, allergies, can be caused by staphylococcal infection, past purulent tonsillitis, bronchitis, pneumonia, antibiotic treatment. Arthritis is, in fact, an inflammatory disease of the whole body, and not just the joints of .
The rheumatologist offers mainly medicamental treatment - hormones-corticosteroids, immunodepressants, and all this, of course, together with antibiotics. At the same time, rheumatologists acknowledge that it is impossible to completely recover from the disease, and drugs only suppress inflammatory processes in the tissues( and at the same time, the immune system).
The true cause of the disease is chronic purulent processes in the body that cause the destruction of connective tissue proteins. And it is not eliminated by medicines. Rather, on the contrary. Suppression of the immune system, the use of antibiotics leads to the fact that the toxins and bacteria that kill antibiotics are again transformed into pus and bacteria. Purulent foci dilate. Thanks to this "treatment", the illness temporarily stops, returns and continues to develop, grow according to the principle of a snowball.
Manual therapy and osteopathy. Hand treatment
Manual therapy and osteopathy can be attributed to new, dynamically developing and popular methods of treatment of diseases of the musculoskeletal system. The art of an osteopathic physician consists in the ability to detect, diagnose a disease with his hands. A good osteopath also with the help of the hands can relax the tense muscles, fix the micropathology, help the spine, joints and internal organs function properly. The osteopath in Kazan is treated with back pain, headaches, diseases of the gastrointestinal tract, chronic fatigue syndrome, gynecological problems. The success of treatment depends largely on the skill of a single osteopath or manual therapist.
As already mentioned, almost all the methods of treatment adopted by the official medicine, with the possible exception of osteopathy, are aimed at eliminating the pain, the external manifestation of the disease, but not for treatment. Meanwhile, the causes that cause the destruction of the joints and spine - remain and continue to undermine the body from the inside.
As a way not to put in order, sealing only potholes in the spring, and the body does not make healthy, patching its patches here and there. But doctors have to deal with just patching holes: do not eliminate the cause, but drown out the manifestations of the symptomatology.
It is necessary to eliminate the cause that causes the disease, otherwise a person is doomed to eternal treatment and constantly deteriorating the quality of life.
Academician Pavlov liked to repeat: "The organism is a self-regulating and self-restoring system."He will heal himself. But for this, it is necessary to create conditions that are natural for its normal functioning, as foreseen by Nature.
What are the causes of the destruction of the spine and joints?
We have already said more than once in our articles, the main reason is a sedentary lifestyle that leads to muscle atrophy and slagging of the body.
Skeletal muscles are not just "meat" supporting both the surrounding joints and the spine. This is the main source of nutrition of our spine and joints. The fact is that the heart can quickly pump blood only through large vessels. In small blood vessels, blood is moved mainly due to contraction of muscles, because they are called the second heart, which brings food to different organs and tissues of .For lymph and intercellular fluid, an individual heart is not provided at all, so the movement of these substances entirely depends on the state of the skeletal muscles. And if the muscles do not give loads, then they will weaken and shrink in volume. What is not used, then atrophy. This is the law of Nature. This means that both the vessels and nerves that pass through these muscles contract, worsening the blood flow and nutrition of almost all organs of the .Osteophytes are deposited on the spine, and the intervertebral discs and joints of the body dry up. So, the main cause of diseases of the vertebral column and joints, be it osteochondrosis, spondylarthrosis, arthrosis or scoliosis, is muscle atrophy, loss of muscle tissue, in return for which excess weight and fatty layer appear.
Therefore, one can only be truly cured by performing special exercises aimed at improving the work of the muscular apparatus, activating the deep skeletal muscles adjacent to the spine and large joints. This is the method of kinesitherapy - to create conditions for the natural restoration of the cartilaginous tissue of the discs and joints.
Our Kinesitherapy Center offers a special program that allows you to train your back muscles with the help of exercises , which maximally use the back muscles without stress on the joints and spine of .At the same time, not only large but deep back muscles are strengthened, which allow you to keep your back upright when we stand or sit. Since most of us lead a sedentary lifestyle( at the desk, in the car), the strength of these muscles is even more important than the larger ones. Force loads by the method of kinesitherapy strengthens the muscular corset as a whole, improves nutrition and promotes natural restoration of the joints and spine.
The uniqueness of kinesitherapy is that it helps in the treatment of all the diseases that are being treated, and mostly unsuccessfully, by neurologists, vertebro neurologists, orthopedists, since it eliminates the main causes of diseases of the spine, joints and vessels, restoring the person's health and the former high quality of life.
to which doctor to handle with pain in the knees?
to the local doctor, he will send
To the surgeon or orthopedist. And on a roentgen! URGENTLY!!!!
I went to the orthopedist.
Rheumatologist. Traumatologist or orthopedist. Physiotherapist. Masseur or chiropractor
Most often, knee pain is associated with his injuries in case of excessive physical exertion, bad form during exercise, improper warm-up or hitching. In most of these cases, the pains go away on their own for several days.
Other causes of joint pain.
Arthritis - inflammation of the joint( with osteoarthritis, rheumatoid arthritis, gout).
A cyst of Baker is a fluid sac( bag) behind the knee, which can be formed with arthritis( for example, with rheumatoid arthritis).
Bursitis is an inflammation of the periarticular bag that occurs due to repeated pressure on the joint( with prolonged kneeling), with overloads and for other reasons.
Joint damage in various rheumatic diseases, for example, in systemic lupus erythematosus.
Shift of the patella.
Infection of the joint.
Injury to the joint.
Tendonitis is a pain in the anterior part of the joint, which usually increases significantly when climbing or descending the stairs.
Sprain of ligaments and tendons.
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Which doctor should I go if my legs hurt?
RELEASING FROM PATIENTS IN THE GOLYNOSTOPIC JAMS
Pain in the ankles, in fact, is an indicator of weakened antimicrobial immunity, and the strongest manifestation of weakened antimicrobial immunity is polyarthritis. Therefore, in order to get rid of the pain in the ankles, it is required to stimulate antimicrobial immunity, that is, simply rub the feet and hands three to five times a day, for 2-3 minutes per limb. The effect is carried out from day to day until the burning sensation on the skin of the extremities and painfulness of the periosteum of the foot bones disappears completely. It should be said, the longer and stronger, and more often the impact of massage, the faster you get rid of the pain.
STRENGTHEN ANTIMICROBIAL IMMUNITY
The indicator of weakened antimicrobial immunity, in mild cases, is the presence of a burning sensation and soreness on the skin of the limbs that are revealed when we begin to rub our legs or hands with the palm of our hands, or this burning sensation, the soreness is felt by itself, even withouttouching. Such level of weakened antimicrobial immunity will be accompanied by inflammatory processes in the larynx, throat, in the lungs, kidneys and.etc. The presence of aches and aching pain in the bones and joints of the legs and hands is already a signal about the strong suppression of antimicrobial immunity( rheumatism, polyarthritis, arthritis).To strengthen or restore antimicrobial immunity, you must rub the base of your palm with the back of the hand and the outer area of the forearm to the elbow inclusive, rub your legs: leg on the leg, begin with the lifting of the foot, the shin, from all sides. We rub the knee joints, knead them between their palms. The rubbing is 1-2-3 per day and day after day until the burning sensation and soreness on the extremities disappear completely, and in the case of severely weakened immunity, until we get rid of the aches and pains in the bones and joints of both hands and feet. And this requires a local massage by the joint area. At elevated temperature, grinding should be done 8-10 times a day, spending on the entire massage of the limbs, at a time, about 5 minutes of time. What effect can you expect from such exposure at elevated temperature? First of all, this is a drop in temperature from high figures to 37.5 ° C and lower. The effect appears in just 20-30 minutes. Pain and aches can go away, too, in some cases, even after the first exposure, but that it will never appear again, in mild cases it will take you about two or three weeks to work with yourself. With a strong weakening of immunity, it will be necessary to work for this from 1 to 3 months. Daily rubbing of legs and hands on the effect of antibacterial exposure significantly exceeds the best, most expensive imported, of course, antibiotic of the widest spectrum of action and in this you can quickly see for yourself. Good luck to you.
With veins - to the phlebologist, but it is better to start with the therapist, he will direct.
We must go to the therapist, he will send to the right doctor.
To nature you need. .. if it does not interfere with inadequate food, it will restore everything. Doctors do not treat, treats nature. ..
Professional massage in Moscow
Surgeon, phlebologist, orthopedist - traumatologist
In the trauma, go to the registry and send there where you need
how much you pass( in km) at a fast pace?
I also have a little ache after running the Marathon( 42 km 195 m). ..
and no doctor will help. ..
To any doctor the ticket is given by the therapist You can not pass him by