"Doctor, my shoulder is going to hurt to death, I can't sleep all night, it's hard to go to the toilet to wipe my ass..."
"Doctor, my back is feeling sore and stiff all the time, and every day I live like a big stone slab..."
"Doctor, my neck is bent, I don't dare to turn at all, it hurts so much when I turn, I'm dizzy, I feel like I can't live..."
Friends of women around the age of fifty, are your periods starting to change? Do you feel the same way? Do you still impatiently think that you are moaning and moaning when you communicate with your family about your uncomfortable state?
If you see this article, please be patient to read it, just so that you who are tortured know what to do, and sincerely help you solve your problems!
Menopause is a bad hurdle
Some friends will see the previous description and think, doctor, why are you so accurate? I feel this way! In fact, it is very simple, that is, when our doctors went out of the clinic, they met a lot of women of this age, because the above conditions came to the doctor, these problems have a great commonness, the main reasons are two:
●Age factors. You can think about it, if a machine is used for forty or fifty years, whether there will also be some wear and tear of parts, we people are the same, aging is a process that we humans must go through, when we are young, we are too hard, we are tired a lot, we have suffered some injuries, and slowly, with the accumulation of time, the problem begins to appear.
●Hormonal changes. Female friends in the age of 45 to 55 years old will face an important problem, that is, perimenopause, estrogen levels will slowly decline more and more obviously, showing a cliff-like downward trend. Estrogen is very important for female friends to maintain female sexual characteristics, but it is also very important for maintaining the health of bones and for the repair of resistance to inflammation and damage in the body, which is equivalent to female friends will have a protective cover before complete menopause, protecting us! But at this age, the protective cover becomes more and more brittle, then the problem will appear.
Next, let's get into the main topic and talk about common causes and responses!
scapulohumeral periarthritis
Frozen shoulder is a very common cause of shoulder pain and limited mobility in female friends. If you are a woman in menopause, you are around 50 years old, if you have high blood pressure, coronary heart disease, diabetes or thyroid problems, or have had thyroid surgery (all of which are high risk factors), etc., you may develop frozen shoulder at this age.
Whether it is frozen shoulder or other causes, resulting in pain in your neck and shoulder back, there is a very important identification measure, that is, whether our shoulder joint can do obvious internal or external rotation activities, if your shoulder joint can freely do the two actions in the following figure, then prove that your pain is likely not caused by frozen shoulder, which is very important, please do a self-examination now.
Why? Because of primary frozen shoulder, it leads to a widespread inflammatory response in our shoulder joints, leading to inflammatory exudation, and eventually forming extensive adhesions, so the patient's movements in all directions will be significantly restricted, especially internal and external rotation, doing these two actions will induce unbearable pain, patients have a tearing sensation in the shoulder joint, and even radiate to the outside of the upper arm.
If your shoulder pain is particularly pronounced, accompanied by shoulder and back pain, and at the same time there is a severe limitation of the range of motion of the shoulder joint, especially at night, the pain is very serious, often in the middle of the night by pain, then you are likely to have perietal inflammation, then at this time appropriate oral and topical anti-inflammatory analgesics, such as oral celecoxib (sulfa allergy contraindication), lozoprofen, topical diclofenac sodium latex or flurbiprofen, is a very good treatment option, if you can use this type of drug in the early stage of symptoms, Control the inflammation, coupled with appropriate rehabilitation exercises, avoid excessive adhesions, and the symptoms will be well controlled.
But in fact, there are many patients in the clinic who have pain, at first did not care, the symptoms were delayed for two or three months and then remembered the treatment, then the effect of drug treatment is poor, at this time it is recommended that if you are serious, you should go to a professional rehabilitation institution for passive manual treatment, to help you loosen the adhesion part, your symptoms are naturally slowly and slowly. Of course, if you can adhere to the rehabilitation exercise on your own, you can also slowly open your own adhesions, but due to your lack of professional treatment techniques, you may suffer more sins and may take a longer time. Here are some of the Kangkang rehabilitation exercises that are suitable for most shoulder pain patients, please laugh at it:
If after a period of treatment and rehabilitation exercise, your symptoms are still not relieved, then you can consider shoulder joint closure treatment, a certain amount of anesthetic and a small amount of hormone injection into the joint cavity, to help you control the inflammatory response, to help you have a better state of rehabilitation exercise, to avoid excessive pain affecting the confidence of rehabilitation exercise.
If you want to go to the hospital for examination, it is recommended to have an X-ray of the shoulder joint, especially a shoulder exit position examination, which can better help us determine whether your shoulder joint has significant bone hyperplasia, shoulder joint impact, etc., and if conditions permit, you can perform an MRI examination.
Cervical spondylosis (shoulder and back fasciitis)
Cervical spondylosis, including changes in cervical curvature, bone hyperplasia, severe disc herniation or spinal stenosis, as well as fasciitis of the neck, shoulders and back induced by these problems, can cause pain in your neck, shoulders, and back.
If your neck often feels stiff, painful and obvious, especially in the morning, can not lift the head, neck and shoulder back pain, and even radiate to one side of the upper limb to reach the fingers, do the internal rotation of the shoulder joint, external rotation action is not obviously restricted, then your problem is likely to be caused by cervical spondylosis.
Some patients will also obviously feel the tension in the shoulder and back, and when they wake up in the morning, they feel that the whole neck, shoulder, and back are as painful as if there are needles in it, which is particularly obvious! It takes a while to slowly improve symptoms, which can be a problem caused by cervical spondylosis.
In this case, it is recommended that you must go to the hospital for an X-ray of the cervical spine, and if the last numbness has occurred, especially the numbness of the fingers, then it is recommended to have an MRI to determine whether there is a significant herniated disc compressing the nerves.
For neck, shoulder and back pain caused by a variety of cervical spine problems, Dr. Xie advocates that conservative treatment should be taken as much as possible, and it is a better choice to give patients acupuncture and physical therapy. If there are obvious symptoms of neck, shoulder and back fasciitis, such as stinging and stiffness in the shoulder and back, discomfort, you can find a professional manual treatment doctor for manual treatment, the effect is more accurate.
If the pain is indeed very severe and the numbness is obvious, then oral or external anti-inflammatory analgesics can be considered to help us relieve muscle inflammation and reduce pain, and oral neurotrophic drugs such as methylcobalamin can be considered, which can be treated with oral horse millet seed extract to reduce swelling.
If symptoms are particularly severe, intraspinal therapy may be considered.
Here Dr. Xie also recommends some to everyone, neck discomfort can often carry out rehabilitation exercises, persistence, can help you relieve the neck stiffness and discomfort and tingling and other symptoms.
osteoporosis
Osteoporosis induced female friends back pain, very easy to be ignored, many people checked the sixty-three tricks, the results did not find a problem, the patient will still have obvious back pain, low back pain, and even body wandering pain, in fact, did not consider the possibility of osteoporosis.
Female friends in this period of menopause is very easy because of the cliff-like decline in estrogen levels, resulting in cells that promote the absorption of our bones called osteoclasts, becoming abnormally active, so there is a decrease in bone mass, when our bone mass is reduced by 10%, there will be obvious pain, when the bone mass is reduced by more than 20%, it is likely to occur the risk of fracture.
This condition is called menopausal osteoporosis.
Many female friends with this problem show back pain, especially the pain in the middle of the upper back spine, and the patient is accompanied by weakness, easy hot flashes, night sweats and other symptoms.
If you also have such a situation, it is recommended to go to the hospital for a dual-energy X-ray examination, which is the gold standard for diagnosing bone loss or osteoporosis, through this test we will get a constitution, if your T value is between -1.0 and -2.5, the lower the T value, the more serious the bone mass loss, when your value is lower than the limit of -2.5, then you can diagnose osteoporosis.
Here to tell the truth, before Dr. Xie for osteoporosis is not particularly concerned, in recent years with the understanding of this disease more and more deeply, found that many women who are in the menopause have more or less bone mass problems, osteoporosis patients are not many, because the back, especially the upper back pain, to Dr. Xie's outpatient clinic, found that osteoporosis more and more women, but most of these female friends have not considered the possibility of osteoporosis.
If osteoporosis is diagnosed, then it is recommended that you must actively learn to fight it, and take bone resorption inhibitors appropriately with the help of a doctor, which mainly refers to drugs such as bisphosphonates, salmon calcitonin or desulzumab, but also to strengthen bone formation, you can take active vitamin D, such as calcitriol or alphacalciferol. At the same time, we should also pay attention to some details in life, such as proper weight-bearing exercise, pay attention to high-calcium diet, and pay attention to sun exposure.
Here we want to emphasize in particular, many friends think that the fight against osteoporosis is very simple, supplement calcium on the line. In fact, calcium supplementation is only a very basic measure in our fight against osteoporosis, here Dr. Xie asked a few questions you will suddenly understand, such as the calcium you take must really be absorbed by the body? The second question is, even if the calcium you take is absorbed by the body, will it necessarily be deposited on the bones? The third problem, osteoporosis is a very complex disease, it is difficult to correct it simply by calcium supplementation, and if bone resorption is not corrected, even if the calcium supplement is deposited on the bone, it will be quickly destroyed.
To know that our bones it is a dynamic organ, there is bone resorption and bone formation, here bone resorption refers to the removal of aging bones, the entire bone resorption process, may take 3 to 5 weeks to complete, how long does bone formation take you know? It takes 4 to 5 months, this huge time difference, if we do not suppress bone resorption, even if there is strong bone formation, osteoporosis will still be aggravated.
Fighting osteoporosis is a relatively slow process, we don't worry, if your back pain is really induced by osteoporosis, then you need active anti-osteoporosis treatment for 1 to 2 months to slowly show results, do not worry.
Other causes of back pain
The causes of back pain in women's friends, there are other situations, such as relatively rare heart problems, thoracic spine problems and gallbladder problems, but these problems are relatively rare, so I will not repeat them here.
summary
People familiar with Dr. Xie's genealogy must know that Dr. Xie often says that menopause is a hurdle for female friends, a very sad kaner, in this period due to hormonal changes will cause female friends to face many abnormalities, such as blood sugar, blood lipids, blood pressure and blood uric acid abnormalities, etc., which will also have a great impact on the skeletal system.
There are many menopausal female friends in this special period of suffering from orthopedic chronic diseases, but do not know how to do, today Dr. Xie will introduce the common reasons to you to make a detailed introduction, hope to help everyone, please pay attention to fight some chronic diseases of orthopedics, must be based on moderate rest, to scientific rehabilitation exercises based, appropriate medication, appropriate other measures to assist us to control the problem, but osteoporosis is relatively complex, It is recommended that you must use drugs scientifically and rationally with the help of a doctor and actively fight against them in order to help you alleviate symptoms and solve problems.
If you have other questions, you can leave a message below and let's discuss it together.
I am Xie Xinhui who insists on explaining complex disease knowledge in simple language, code words are not easy, if you agree with my point of view, please help to pay attention to or like it, if you or your friend is also in menopause, is suffering from upper back pain, please forward this article to them in need, let us help more female friends, thank you!