How does senile leg do, how to treat?

When people get old, symptoms of aging will appear in all parts of the body, and various problems will appear. Leg pain is one of the common symptoms and has become a life problem for the elderly. So what is the problem of leg pain in the elderly? How to prevent and treat it? Let's take a look.

What should the elderly do with leg pain?

Intermittent claudication of nerve

1. If the spinal canal is compared to a house, there are no more than two reasons for intermittent claudication. Either the "room" of the spinal canal has become smaller, or there are many things in the "room". 2. The "room" has become smaller. With the increase of age, the intervertebral disc in front of the spinal canal swells and even protrudes after dehydration, and it squeezes into the spinal canal from the front. The posterior ligamentum flavum and facet joint capsule proliferate and thicken, and the facet joints also proliferate and hypertrophy like fists, which oppresses the spinal canal from the rear and side.

Another kind of spinal stenosis comes from spinal deformity. It is common that the vertebral body is unstable or even obviously slips, which makes the continuous and smooth spinal canal twist or turn.

3. The rare case of "atrial debris" is tumor. Primary or metastatic tumors of the spine grow into the spinal canal, or there are tumors in the spinal cord or cauda equina itself, or metastatic tumors in the spinal canal occupy the spinal canal.

The pain of patients with intermittent vascular claudication is more related to exercise than to the change of spinal posture. Its symptoms are prone to one side, accompanied by cold sensation, and generally there is no sensory paralysis. When you stop walking, the symptoms can be improved or disappeared. Most importantly, the pulse of the dorsal foot artery on this side must be weakened or disappeared because of arterial occlusion.

Because the onset of the two diseases is in the old age, the changes of the spine and blood vessels can coexist, so the symptoms are similar and difficult to distinguish.

Intermittent claudication of blood vessels and intermittent claudication of nerves are somewhat similar, but they are two completely different diseases. The former belongs to vascular surgical diseases, while the latter belongs to orthopedics.

Prevention and treatment of intermittent claudication

So far, there is no way to prevent spinal stenosis. For mild lumbar spinal stenosis, short-term bed rest, physical therapy, acupuncture and injection can be used for conservative treatment. At the same time, the strength of back muscles and abdominal muscles can be exercised to stabilize the spine and reduce the pressure between vertebral body and articular process. You can also reduce the protrusion and overstretching of the lumbar spine through waist circumference, exercise and other braces, and keep the posture of lumbar flexion to reduce pain.

2. Moderate and severe spinal stenosis requires surgical resection of the lamina, ligamentum flavum and hyperplastic articular process behind the spinal canal, so that the spinal cord and cauda equina can get enough space.

Osteoarthritis Osteoarthritis is a joint disease characterized by degeneration, degeneration and hyperplasia of articular cartilage. Most of them have hidden onset and slow progress, and the most prominent symptom is joint pain. When I get up in the morning, the pain is more severe. A little exercise will relieve the pain. After excessive activity, the pain will reappear and can be relieved again after rest. If you stay in a certain position for a long time, or exercise for a long time, the pain will start again, and you can hear the rough rubbing sound of the joints. With the increase of age, the symptoms will gradually worsen, which can also affect other joint parts.

The diagnosis of osteoarthritis mainly depends on X-ray examination. Unequal width or narrow joint space, osteoporosis, hyperosteogeny, joint expansion and even deformation, subchondral bone plate hardening and osteophyte formation at joints are the basic characteristics of osteoarthritis.

Leg pain caused by knee osteoarthritis is related to climate change. Leg pain is aggravated when it is cold (including catching cold) and relieved when it is warm. At the same time, the patient's knees are weak when walking, and the pain is obviously aggravated when going upstairs and downstairs. For osteoarthritis, it is best to find it early and treat it early.

Prevention of osteoarthritis

1, early physical therapy for early osteoarthritis, physical methods can be used, especially for patients who are intolerant to drugs. In the acute stage, it is mainly used to relieve pain, reduce swelling and improve function. In the chronic stage, it is mainly to enhance local blood circulation and improve joint function. Hot compress, ultrashort wave irradiation, iontophoresis of traditional Chinese medicine, fumigation of traditional Chinese medicine, hydrotherapy, wax therapy, etc. Can be selected according to needs, which is helpful to relieve pain and accompanying muscle spasm, and maintain and restore joint function.

2, early exercise therapy Early exercise can also achieve the purpose of treatment. First of all, you should lose weight through exercise, do more exercise to enhance muscle strength, and avoid climbing mountains and other sports.

However, it should be noted that during the acute inflammatory period, it is forbidden to exercise, walk less and sit more. After the inflammation subsides, you can choose walking, jogging, swimming, Tai Ji Chuan and other mild exercises that have little influence on the joints to improve joint function and promote rehabilitation.

3. You can use some auxiliary measures, such as walking AIDS, crutches, etc. You can also wear shoes that absorb impact, use insoles with low inside and high outside, and use brackets on the inside of the knee joint, which can effectively control the development of the disease.

4. Prevent late disabling osteoarthritis, which can be disabled later.

5. Prevent sprain and overwork, adjust diet to avoid overweight, pay attention to keep warm, and prevent a joint from being overburdened;

6. On the basis of proper rest and reasonable exercise (maintaining muscle strength and joint stability), physical therapy, massage (not suitable for joint swelling and pain), sealing, drugs (including Chinese medicine) and other treatments are carried out;

7, joint deformation, in the case of physical conditions permit, it is recommended to accept artificial joint replacement surgery to improve the quality of life.

Osteoporosis

1, some people say, "osteoporosis, it is good to supplement calcium." This is actually wrong. Suffering from osteoporosis, it is not enough to supplement calcium at ordinary times, and appropriate therapeutic drugs must be selected according to different causes and syndromes.

2. Primary type I osteoporosis is due to the decrease of estrogen after menopause, which increases bone absorption and causes bone loss. Therefore, bone resorption inhibitors such as estrogen, calcitonin and calcium preparations should be selected for treatment.

3. Primary type II osteoporosis is the imbalance of hormone self-regulation and low bone formation due to aging. Bone formation promoters, such as active vitamin D, anabolic steroids, fluorinating agents and vitamin K2, should be selected for treatment.

4. Of course, supplementing calcium in daily food can be used as one of the adjuvant treatments for osteoporosis. First of all, it is mainly to improve the calcium content in the diet. If the calcium content in food is not enough, calcium-containing preparations need to be supplemented. However, if osteoporosis has already formed, simply eating more calcium-containing foods cannot replace drug treatment. Proper outdoor activities during medication can enhance the curative effect.

5. After menopause, the estrogen level drops, leading to bone loss and brittle bones. At this time, estrogen replacement therapy can prevent osteoporosis and reduce the incidence of fractures.

Therefore, estrogen is the first choice to prevent postmenopausal bone loss in women, but estrogen alone may increase the chances of breast cancer and endometrial cancer, so the lowest effective dose should be used, supplemented by appropriate progesterone. Women who use estrogen therapy should have regular gynecological and breast examinations before and during medication.

How to treat osteoporosis

Chinese medicine treatment, tonifying the kidney is the basis of Chinese medicine. Osteoporosis is classified as "bone weakness and bone dryness" and its onset is considered to be caused by kidney deficiency. Kidney-tonifying therapy can obviously improve the symptoms of osteoporosis, increase the average bone mineral density, and increase bone calcium content and bone mineral density.

Traditional Chinese medicine treats kidney-yin deficiency and kidney-yang deficiency with Zuogui Pill and Gui You Pill respectively (see the column of "Classic Prescriptions" on page 25 of this issue 10-editor's note), and adds and subtracts kidney-tonifying drugs, such as Epimedium, Eucommia ulmoides, Morinda officinalis, Radix Dipsaci, Placenta Hominis, Ligustrum lucidum, Eclipta prostrata, Alisma orientalis and keel. So as to regulate the balance of bone metabolism, promote bone formation, improve bone density and treat from the source.

Arteriosclerosis of lower extremity

1. As winter approaches, many elderly people begin to suffer from backache and leg pain, "old cold legs". It is the arteriosclerosis obliterans of lower limbs that occurs every year with the decrease of temperature.

2. Atherosclerotic occlusive disease of lower limbs refers to the formation of atherosclerotic plaques on the inner wall of arteries, which proliferate and protrude into blood vessels. With the continuous expansion of plaque and the formation of secondary thrombosis, blood vessels become narrower, blood flow slows down and blood flow decreases. When the stenosis reaches a certain degree, even the lumen occlusion is formed, and the blood flow to the lower limbs can not meet the needs of the human body, chronic or acute ischemic symptoms will appear in the lower limbs.

Pay attention to diet to prevent disease.

1. In daily life, the following foods can effectively reduce the concentration of cholesterol in serum and reduce the possibility of atherosclerotic plaques.

2. Milk contains a factor that can reduce the concentration of cholesterol in serum. Milk also contains a lot of calcium, which can also reduce the absorption of cholesterol.

3. Soybean contains a saponin substance, which can reduce the content of cholesterol in blood.

4. Ginger contains an oily resin, which has obvious effects of regulating blood lipid and lowering cholesterol.

5. Garlic contains volatile allicin, which can eliminate fat accumulated in blood vessels and significantly reduce harmful blood lipids.

6. Onion has a good effect on regulating blood lipid, preventing atherosclerosis and myocardial infarction.

7. Eggplant contains more vitamin P, which can increase the elasticity of capillaries and has certain preventive and therapeutic effects on hypertension, arteriosclerosis and cerebral hemorrhage.

8. Auricularia auricula can lower blood cholesterol, lose weight and fight cancer.

9. Oats can regulate cholesterol and triglycerides in the blood, and regular consumption can prevent atherosclerosis.

10, hawthorn has the functions of strengthening and regulating myocardium, increasing cardiac contraction amplitude and coronary blood flow, and regulating serum cholesterol.

1 1. Eating more oranges can improve the detoxification ability of the liver, accelerate the transformation of cholesterol, regulate serum cholesterol and reduce the content of harmful blood lipids.

How to prevent leg pain

1. Hold the wall or table, and stand on one foot for 10 second, alternating left and right for 20 times.

2. Hold the wall or table with your hands, lift your heels, and then squat for 5 seconds, so that your chest is as close to your thighs as possible. Repeat 15 ~ 20 times, and be careful to squat and stand up slowly.

3. Hold the wall or table and kick your hips with your heel, alternating left and right for 20 ~ 30 times.

4. Sit on the sofa or chair, press your hips with your knees, hold your middle thighs with your hands, fold your thighs separately, and abduct your hips as much as possible. Do 10 ~ 20 times.

5. Lie flat on the bed, bend your hips and knees with your left leg, hold your lower limbs with your hands, make your knees as close as possible to the shoulder on the same side, stay for 3 ~ 5 seconds to recover, and alternate left and right for 20 ~ 30 times.