Treatment and Types of Musculoskeletal Pain | Othopaedics

What is musculoskeletal pain?

Musculoskeletal pain refers to pain in muscles, bones, tendons, ligaments, and nerves. You may experience this pain only in one area of the body such as the back. If you have an extensive condition like fibromyalgia, it can be all over your body as well.

The pain can range from mild to severe enough to interfere with your daily life. It can start suddenly and be short-lived, called acute pain. Pain that lasts longer than 3 to 6 months is called chronic pain.

Types of musculoskeletal pain

There are several symptoms and causes of musculoskeletal pain. Some common types of pains are:

  • Bone pain: Usually deep, piercing, or numb. It usually comes from an injury. It is important to make sure the pain is not related to a fracture or tumor.
  • Muscle pain: Often less severe than bone pain, but still debilitating. Muscle pain due to injury, autoimmune reaction, loss of blood flow to the muscles, infection, or tumor. Pain can also include muscle aches and cramps.
  • Tendon and tendon pain: Pain in the tendons or ligaments is often caused by injuries, including sprains. This type of muscle pain is often aggravated when the affected area is stretched or moved.
  • Fibromyalgia: Fibromyalgia is a condition that causes pain in the muscles, tendons, or ligaments. The pain usually appears in several places and is difficult to explain. Fibromyalgia is often accompanied by other symptoms.
  • Arthritis: Joint injuries and diseases generally cause stiff and painful “arthritic” pain. The pain can range from mild to severe and worsens when the joint is moved. The joints can also swell. Inflammation of the joints (arthritis) is a common cause of pain.
  • “Tunnel” syndromes: Refers to muscle disorders that cause pain due to nerve compression. These defects include carpal tunnel syndrome, cubital tunnel syndrome, and tarsal tunnel syndrome. The pain spreads along the innervation pathway and feels like burning. These disorders are often due to overuse.

Symptoms of musculoskeletal pain

People with musculoskeletal pain sometimes complain of pain throughout the body. Your muscles may feel stretched or overworked. Sometimes muscles twist or burn.

  • Muscle pain can be severe and short-lived due to numbness or the powerful muscle contraction commonly known as Charlie Horse. The muscle can twist or contract uncomfortably.
  • Tendon pain from an injury can feel sharp. It usually intensifies when the affected tendon is moved or stretched and improves with rest.
  • Joint pain feels like pain. It is characterized by firmness and swelling.
  • Fibromyalgia causes multiple spots all over the body.

Nerve compression pain may have tingling, tingling, or burning sensation. Other symptoms depend on the cause of the pain and include:

  • Perspective
  • Pain
  • Inflammation
  • Red
  • Cracking or popping sound in the joint
  • Difficulty moving the affected area
  • Weakness
  • Fatigue
  • Sleeping problems
  • Muscle aches or seizures
  • Injuries

Causes of musculoskeletal pain

The causes of musculoskeletal pain vary. Damage to muscle tissue with the wear and tear of daily activity. Injuries to one area (jerky movements, car accidents, falls, fractures, sprains, dislocations, and direct injuries to a muscle) can also cause muscle pain. Other causes of pain include postural stress, repetitive movements, overuse, and chronic stabilization. Changes in posture or body mechanics can lead to spinal alignment problems and muscle contraction, causing other muscles to become overused and painful.

Muscle disorders: These disorders directly affect the bones, muscles, joints, and tendons. Injury to bones, joints, muscles, tendons, or ligaments is the most common cause of muscle pain. Waterfalls, sports injuries, and car accidents are some of the events that can cause pain.

There are more than 150 different muscle defects. The most common are:

  • Arthritis including rheumatoid arthritis, psoriatic arthritis, lupus, osteoarthritis, gout, and ankylosing spondylitis
  • Osteoporosis
  • Injuries such as fractures and dislocations.
  • Muscle damage (sarcopenia)
  • Problems with bone or joint formation, such as scoliosis

Diagnosis of musculoskeletal pain

Because there are many causes of musculoskeletal pain, your doctor will first take a detailed medical history and ask about your symptoms. Expect answers to questions like:

  • When did the pain start?
  • What are you doing at the moment (for example, exercising or playing sports)?
  • What does it feel like throbbing, burning, pain, tingling?
  • Where does the pain arise?
  • What other symptoms do you have (drowsiness, fatigue, etc.)?
  • What is worse or better?

Your doctor may press or move the affected area in different positions to find the exact location of your pain. Many tests can help determine the cause of your pain.

  • Blood tests to look for signs of inflammation that indicate arthritis.
  • X-rays or CT scans to find problems with the bones
  • Magnetic resonance imaging to detect problems with soft tissues such as muscles, tendons, and ligaments
  • Joint fluid test to detect crystals that cause infection or gout

Treatment for musculoskeletal pain

A variety of manual therapies or equations can be used to treat people with spinal alignment problems. For some severe musculoskeletal pain, these techniques have been shown to heal quickly. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) can be used to treat inflammation or pain.

In patients with a musculoskeletal disorder such as fibromyalgia, low levels of serotonin and norepinephrine (neurotransmitters that modulate sleep, pain, and immune system function) may be indicated at the body level. Some sleep aids include Zolpidem (Ambion), Esopiclone (Lunesta), and Ramaltian (Rozerem).

Other treatments may include:

  • Sedative or anti-inflammatory injections in or around painful areas
  • Exercises such as muscle stretching and strengthening
  • Physical or occupational therapy
  • Acupuncture or acupressure
  • Leisure/biofeedback methods
  • Osteopathic manipulation (the entire evaluation and treatment system designed to achieve and maintain health by restoring normal body function)
  • Chiropractic care
  • Therapeutic massage
  • Drugs
  • Acetaminophen (Tylenol)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Olive)
  • Corticosteroid injections in the painful area
  • Opioids (only for more severe pain due to addiction and risk of side effects)
  • Practical therapy
  • Therapeutic massage
  • Chiropractic / Osteopathic Manipulation
  • Physical therapy
  • Alternative therapies
  • Acupuncture
  • Herbs, vitamins, and minerals
  • Aids and equipment
  • Orthosis
  • Suspenders
  • Cervical collars
  • Pressing
  • Pelvic support

Surgery: Surgery is usually reserved for cases that do not improve with conventional treatments. Policies can include:

  • Joint replacement
  • Laminectomy
  • Cartilage and soft tissue repair
  • Arthroscopy

Changes in lifestyle

For injuries or problems related to overuse, your doctor may recommend resting until the affected body part has healed. If you have arthritis or other muscle pain, it may help to do some stretching and other exercises as directed by a physical therapist.

Both ice and heat are good pain relief options. Ice reduces inflammation and reduces pain immediately after the injury. Reduce heat stress a few days after the initial injury.

Sometimes it helps to talk to someone about your pain. Cognitive-behavioral therapy (CBT) teaches ways to manage pain more effectively.


Symptoms and Types of Ankle Arthritis | Orthopaedics

What is ankle arthritis?

Arthritis is a common term for a group of more than 100 diseases. The word “arthritis” means “inflammation of the joints.” Arthritis involves inflammation (swelling) in and around the joints. The inflammation can cause pain, stiffness, and swelling. Arthritis is an acute or chronic inflammation of the soft tissues of the joint and its surroundings.

In arthritis, progressive joint degeneration occurs and the soft “cushion” cartilage in the joints gradually disappears, causing the bones to wear down each other. The soft tissue in the joints also begins to wear out. Arthritis can be painful and eventually lead to limited mobility, loss of joint function, and joint deformities.

As you get older, your risk of developing arthritis will increase. Joint damage caused by this condition can cause swelling, pain, and physical changes in the feet and ankles.

Symptoms of ankle arthritis

 Symptoms of foot and ankle arthritis are usually:

  • Tenderness when touching the joint
  • Pain when you move it
  • Difficulty moving, walking, or putting weight on it.
  • Stiffness, warmth, or swelling of the joints
  • More pain and swelling when sitting or falling asleep after resting

Types of ankle arthritis

Arthritis is a common term for a group of more than 100 diseases. It can cause inflammation and swelling in the joints and surrounding soft tissues.

With many types of arthritis, your joints wear out over time. You will gradually lose the soft “cushion” cartilage within them. As a result, your bones rub against each other and wear out. The soft tissue in the joints also begins to wear out. After a while, the joint may not work or may not move as it should.

Several types of arthritis can cause pain in the feet and ankles, including:

Osteoarthritis, or “wear and tear” arthritis, is the most common type. Doctors also call it a degenerative joint disease or age-related arthritis. Osteoarthritis usually causes changes over many years. These are the most common foot and ankle joints:

  • The three joints of the heel bone, the inner midfoot bone, and the outer mid-foot bone.
  • The toe joint and foot bone.
  • The joint where the ankle and tibia meet.
  • Rheumatoid arthritis is one of the most serious forms. It is an autoimmune disease in which your immune system attacks the joint. It usually occurs in the same joint on both sides of your body.
  • Gout occurs when uric acid builds up in your diet. It is most common in the toe because it is the most distant part of the body from the heart.
  • Psoriatic arthritis can occur in one or more joints, including the ankles and toes. It can also cause an inflammation of the toes called dactylitis.
  • Post-traumatic arthritis occurs after an injury, especially after a dislocation or fracture. You may not notice problems for years.

Diagnosis of ankle arthritis

Doctors can often diagnose RA with a physical exam. They visually inspect the ankles for swelling or other signs and examine their range of motion.

Doctors primarily diagnose rheumatoid arthritis (RA)based on symptoms, but may also recommend other tests to get better details.

For example, doctors often recommend X-rays, ultrasounds, or sometimes MRIs to assess the extent and location of joint damage. This is higher when the doctor suspects RA in the ankle because the initial damage is more immediately apparent than in other areas.

Blood tests can help determine if antibodies in the blood indicate RA or have ruled out other conditions.

Treatment for ankle arthritis

Depending on your symptoms and the cause of your ankle arthritis, you may receive one or more of these treatments:

  • Steroids are injected into the joints
  • Anti-inflammatory drugs that help with inflammation
  • Analgesics
  • Supports pads or arch on your shoes
  • Cane or support braces
  • Shoe inserts that support the ankle and foot (orthotics)
  • Physical therapy
  • Custom footwear
  • Surgery for foot and ankle arthritis

Some people need at least one type of surgery to treat foot and ankle arthritis. Your doctor will prescribe the best treatment for you. Arthritis surgeries:

Fusion surgery: This is also known as arthrodesis. Fix the bones with rods, pins, screws, or plates. Once they heal, the bones stick together.

Joint replacement surgery: It is used mainly in severe cases. Your doctor will call it an arthroplasty. They remove damaged bone and cartilage and replace them with metal or plastic.

Home remedies for ankle arthritis

When you have arthritis in your foot or ankle, it is very important to wear comfortable shoes. Check out these details:

  • Shoes are shaped like your foot
  • Supportive shoes (for example, no slip-on shoes)
  • Rubber soles for cushioning
  • Flexibility
  • Proper fit; Ask the seller for help
  • Exercise helps keep your feet strong, straight, and painless. Good moves for your feet

Achilles stretch: Flatten with your palms against the wall. Take one step forward and one step back. Keep your heels on the ground and move forward. Pull the Achilles tendon on the back leg and calf. Hold for 10 seconds. Do this exercise three times on each side.

Big toe stretch: Put a thick rubber band around the big toe. Pull your muscles toward each other and the other leg. Hold this position for 5 seconds. Do it 10 times.

Pull the toe: Put a rubber band around the ball of each foot and extend your leg. Hold this position for 5 seconds and do the exercise 10 times.

Finger flexion: Remove the marbles with your foot.

Other home remedies for ankle arthritis

Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen. These can cause side effects such as stomach irritation, so consult your doctor before taking them.

  • Creams that contain menthol or capsaicin, which can prevent nerves from sending pain signals
  • Keep the area warm or cold
  • Acupuncture
  • Glucosamine and chondroitin medications
  • Gentle exercises like yoga, tai chi
  • Massage

Medications: It is very important to reduce inflammation so that a person can limit the inflammation in their ankles and control their pain. The following medications can help with RA symptoms and reduce chronic joint damage:

  • Pain relievers to control uncomfortable symptoms
  • Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation
  • Disease-correcting antirheumatic drugs (DMARDs)
  • biology

Maintaining inflammation can help restore mobility to the ankle and other joints. If RA causes permanent damage to the ankle joint, medications will not reverse it, but they will help with pain, prevent further damage, and improve quality of life.

Doctors can also use corticosteroid injections in the ankle to quickly reduce acute inflammation and prevent damage or pain. Because they can suppress the immune system, people should know that they are more likely to get an infection if they take DMARDs and biologics.

Surgery: People with advanced forms of RA or people who do not respond well enough to treatment may need surgery. The surgery doctors offer depends on the type of arthritis and the extent of the damage. Some surgeries involve massaging the bones of the ankle to prevent inflammation and pain.

Ankle replacement surgery may be an option to reduce pain and restore joint mobility in more severe cases if fusion is not effective.

Lifestyle Changes for Foot Arthritis: Some changes in your daily life can make you feel better and prevent your arthritis from getting worse. If a specific activity triggers inflammation, try to keep it to a minimum. Instead of high-impact exercises like jogging, do less spin like swimming or biking. Maintain a healthy weight to put more stress on your joints.