Common Diseases in Older Adults: Part 2
This is the most common cause of pain in the legs in the elderly, and it is associated with degenerative-dystrophic changes in the joints.
Types of pain in osteoarthritis:
pain arising at the beginning of the movement;
increased pain during prolonged load on the joint;
the absence or reduction of pain at rest and during passive movements in the joint.
There is an increase in pain when the weather changes. With the progression of arthrosis, deformities and contractures develop. A characteristic feature is the periodic seizure of the joint.
Osteoarthritis of the ankle joint:
The initial stage is characterized by the appearance of a small swelling and moderate pain on the front surface of the joint and in the ankle area in the second half of the day, later the pain becomes constant, a crunch is heard when walking, periodically the joint is jammed. During the later stages of this disease, the mobility of the joint is severely limited.
Treatment of this disorder begins with non-steroidal anti-inflammatory: paracetamol, ibuprofen, nimesulide. Chondroprotectors are often recommended: glucosamine and chondroitin, both individually and in combination. But these drugs are ambiguous: in 2014, they were removed from the European recommendations for the treatment of osteoarthritis after revising the research data, and in the US they were never included because US experts did not find conclusive evidence of their effectiveness.
The pain is localized in the area of the inguinal fold, spreads over the anterolateral surface of the thigh and gives to the knee joint and buttock. At the beginning of the disease, painful sensations occur only after considerable physical exertion and pass quickly after a rest; climbing the stairs is somewhat difficult.
As the disease progresses, starting pains appear on rising, at the beginning of walking, and a sudden change in body position. Patients noticeably limp, and are forced to use a cane. The limitation of mobility in the joint gradually develops – it is difficult for the patient to move, bend the leg, as well as perform rotational movements.
The last stage of coxarthrosis is accompanied by severe pain in the hip joint, aggravated by slight movements. Due to the developed muscular contracture, only swinging movements in the joint are possible.
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