“Joint” stiffness and soreness to see more than bone and arthropathy, beware of Parkinson’s disease symptoms

2022-06-23 0 By

If the elderly hands and feet tremor, often attract the attention of the family, and take its medical treatment.Diseases can be treated promptly and effectively.For people with rigor mortis Parkinson’s, there is often a delay.Mainly due to the stiffness of the limbs that outsiders cannot see, often overlooked.Generally speaking, in the early stage of the disease patients will feel body activity is not flexible, do not love exercise, neck and shoulder muscle pain.It is often considered to be a manifestation of aging. Some patients even go to orthopedics for treatment because of neck muscle rigidity and soreness, which has not been improved for a long time.Therefore, if the elderly have the following symptoms, they need to go to the neurology department to see a doctor, and clear the condition as soon as possible.1. Limbs and bodies lose their softness and become very stiff.2, the early start from the side of the limb.The initial feeling of a limb movement is not flexible, there is a sense of stiffness, and gradually aggravated, there is tardiness, and even do some of the movements of daily life are difficult.3, neck, shoulder, arm or leg pain.4. If you pick up the patient’s arm or leg and help him move his joints, you will obviously feel that his limbs are stiff and it is difficult to move his joints, just like folding a lead pipe back and forth.Parkinsonian lower limb rigidity is often accompanied by paroxysmal spasms, which may occur during sleep at night or when the patient wakes up, and may be accompanied by toe spasms and pain while walking.Patients with low back pain are often accompanied by dorsiflexion standing posture, when patients stand straight or lie down, the pain can be quickly relieved;Back leaning forward is often more pronounced in sitting positions, with increased pain, reflecting body posture and muscle rigidity as the main cause of pain, which can also manifest as neck and shoulder pain, headache, and arm pain.Antipyretic and analgesic drugs such as aspirin are often ineffective in treating the pain caused by muscle rigidity in Parkinson’s disease.While levodopa is used to improve motor symptoms, pain in most patients is usually relieved with a decrease in muscle tone.However, in the later stage of medication, a few patients may experience spasmodic pain in the lower limbs, especially the toes, during the peak of levodopa effect.In such cases, decreasing the single dose of levodopa and increasing the number of dosing times, or increasing the dopamine agonist, are generally effective, and in severe cases, local injections of botulinum toxin into the spastic muscle may be considered to control the symptoms.External secondary tremor is often the earliest manifestation of the disease, usually from the distal end of a side of the upper limb to the thumb, index finger and middle finger, the performance of the fingers like rubbing balls or counting money as the movement.Then, gradually spread to ipsilateral lower limbs and contralateral limbs, late can affect mandible, lip, tongue and head.In the early stages of the disease, tremors do not bother patients much. They occur when the fingers or limbs are in a particular position and disappear when they change positions.Later, it develops to occur only when the limbs are still, such as when watching TV or talking with others, the limbs suddenly shake involuntarily, and the shaking decreases or stops when changing position or movement, so it is called static tremor, which is the most important feature of Parkinson’s disease tremor.Tremor intensifies when the patient is agitated or nervous and disappears completely during sleep.Another characteristic of tremors is their rhythmicity, the frequency of tremors is 4-7 times per second.This feature can also help distinguish diseases such as chorea, cerebellar disorders, and hyperthyroidism.What are the characteristics of Parkinson’s tremor?1, in addition to subjective paresthesia, about 1/2 patients in the early experience: the affected limb difficult to describe the acid, swelling, numbness or pain and other discomfort, and this discomfort occurs in the rest after fatigue;The obvious early symptoms of Parkinson’s disease, which can be relieved by hammering, resemble restless leg signs.2, some patients with the affected limbs prone to fatigue, especially the wrist and shoulder joints of the upper limbs, the ankle and knee joints of the lower limbs, when tired, these parts can be difficult to find the slight tremor.3. The main early symptoms of Parkinson’s disease are unexplained numbness, tingling, ant movement and burning sensation at the joints, mainly at the wrist and ankle, which are intermittent or wandering at the beginning and fixed at the later stage.4. Routine nervous system physical examination showed no obvious objective paresthesia in the early symptoms of Parkinson’s disease. Electrophysiological examination showed somatosensory evoked potentials in some cases, especially prolonged latency and conduction time of lower limbs.Tremor is one of the main symptoms of Parkinson’s disease, but we can’t make a definitive diagnosis of Parkinson’s disease because there are many other symptoms that also feature tremor.If the old man in the home has tremor, it is best to go to the relevant regular hospital examination, to avoid delaying the condition.Professor Wang Maode of the First Affiliated Hospital of Jiaotong University said Parkinson’s disease is a chronic progressive disease, and current treatments can only improve symptoms, not stop the progression of the disease, let alone cure it.Therefore, the whole process management, individual comprehensive treatment is very important.Choose different drugs according to the condition, cooperate with rehabilitation and psychological treatment, and cooperate with surgery when necessary. Regular assessment and adjustment can maintain the function of patients, reduce disability and improve the quality of life.