Muscular and skeletal systems cooperate to support the movement of the body smoothly and flexibly, but during life stages a person may be exposed to some problems that target some major parts of the bones, muscles or vertebrae, especially in the neck, elbow, hand, shoulder, and spine, which causes pain They range from simple to severe, and may affect the practice of daily activities and life in general, and in the following lines, experts and specialists will shed light on this topic and methods of prevention and treatment.
Dr. Zakaria Amana, a specialist in orthopedic surgery, says: There are some pains that mix with each other, and cause a feeling of discomfort in general, and when practicing any movement activity, especially neck, shoulder, elbow and hand pain, and it is usually diagnosed by clinical examination and radiography, Magnetic resonance imaging, ultrasound (sonar) or electromyography, and the specialist determines the treatment according to the severity of the disease, either with anti-inflammatory drugs or joint injections in the painful place, and the situation may need surgical intervention.
Dr. Zakaria explains that acute neck pain is often targeted directly behind the neck, and may be accompanied by a strong headache, and in most cases it results from the presence of roughness and compression in the last cervical vertebrae. As it results from sitting for long periods in front of the computer or as a result of office work for some professions such as accountants and teachers, and sometimes occurs in drivers who are forced to drive long distances, and pain can spread to the upper extremities, and reach the fingertips as a result of compression of the nerve root or nerve, which is considered as a tape Electric, and the pain may spread to one shoulder from the back.
Shoulder and elbow pain
Dr. Zakaria mentions that the presence of shoulder pain prevents the patient from raising his arm up, or even placing the hand behind the back, and causes him a movement disability, which is inflammation or calcification of the tendon of the muscle above the spinal cord, and this pain is characterized as nocturnal and leads to frozen shoulder if not treated, As for the elbow pain, it mostly occurs due to inflammation of the extensor tendon origin in the elbow as a result of repeated movement, and most often affects tennis players while they throw the ball. Where the patient feels pain in the external area of the elbow.
Dr. Zakaria explains that hand pain is caused by inflammation of the tendons and their sheaths, and the movement of the hand is often painful with inflammation of the extensor tendon of the thumb, and it is called (De Quervain’s disease). Hand pain can be associated with numbness, tingling, swelling and waking the patient at night, to move the hand to get rid From pain, and this condition is caused by compression of the median nerve in the wrist, and in some patients the movement of one of the fingers is painful, especially in the early morning and during the closing of the finger, and it may be accompanied by a sound that results from moving the finger similar to the movement of the piston, and it is called the front finger.
Dr. Walid Magdy, a specialist in orthopedic and spine surgery, mentions that osteoporosis or osteoporosis occurs as a result of bone loss of its properties and strength without any symptoms, and the vulnerable parts are the spine, hip, wrist in the event of failure to manufacture enough new bones, or when the body destroys a lot Of old bones or both, and hormonal disorders are a major cause in women, during the changes that occur after menopause in the levels of the female hormone estrogen, which leads to a rapid decrease in bone density, in addition to advancing age, race, healthy lifestyle choices, and states Medicinal and types of treatments.
He adds: Excessive consumption of soft drinks, drinking alcohol, and smoking are among the most important factors of infection, as is the lack of daily exercise, the lack of commitment to eating dairy and its derivatives, the decrease in the rate of exposure of the body to the sunlight that gives vitamin (D), and taking some types of medicines such as steroids. And antispasmodics and obesity surgeries.
Symptoms of infection
Dr. Walid points out that the symptoms of osteoporosis do not appear in the early stages, but once they are weak, they are accompanied by back pain as a result of fracturing the bony vertebrae, and fractures that occur due to falling or simple movements such as sneezing or coughing are among the most common signs of weak and fragile bones. The spine is for compression fractures, and the patient suffers from slight or severe pain in the back and neck as a result of pressure on the nerves in this region, in addition to the curvature of the upper part and short stature, and fragility is diagnosed by examining bone density.
Dr. Walid points out that following a healthy lifestyle is the most important step in treating osteoporosis, and in recent years surgeries have developed, especially those suitable for advanced people who suffer from various diseases, and we mention these modern techniques:
– Vertebral straightening surgery, which is performed by inserting a needle into the fractured vertebrae through X-ray guidance, then injecting medical cement directly into the disciplined vertebrae.
– Vertebral supportive surgery that takes place under local anesthesia, by installing stents within the vertebral body to create a space, returning the vertebra to its original length, then injecting medical cement into that area, and helps in erecting the vertebral body and relieving it.
Dr. Walid affirms that the treatment of vertebral fractures with a balloon contributes to re-straightening and stabilizing the vertebral bodies, in order to overcome the main cause of pain, as well as to prevent exacerbation of vertebral fractures and prevent deformities, such as hunchback in patients who suffer from advanced cases of osteoporosis, including The immediate disappearance of pain and the unlimited functional capacity of the affected lumbar spine; Where it is possible to move and walk directly after the surgery with a speedy recovery, and to engage in usual activities after six weeks.
Dr. Atallah Al-Rifai, a specialist in orthopedics and sports medicine, mentions that the symptoms of a lumbar herniated disc are multiple and range from simple to severe depending on the case, and the pain often surrounds the vertebrae, and it may spread to the nerve walls exposed to pressure from the slipped cartilage, and is accompanied by numbness and tingling in more than one area, in addition to To cold extremities, and slight muscle weakness that leads to the inability to move and walk, and severe cases resulting from nerve compression can cause paralysis of the patient, and perhaps this compression may cause primary paralysis that needs surgical intervention.
Dr. Atallah states that the lumbar herniated disc is one of the most common back and neck injuries, and it targets the elderly over 50 years old. Where the cartilage is compressed and eroded, and pressed on the nerves, it can also affect young people as a result of practicing harsh sports and carrying heavy weights, wrong exercises and traffic accidents, and the diagnosis of herniated disc begins from a clinical examination, to detect the presence of pain or imbalance in walking, and to examine reflexes in the feet And a comparison of muscle strength or weakness, and in simple cases an x-ray is made for a back image, then an MRI scan to determine the location and size of the slide and the compressed wall.
Dr. Atallah points out that there are several stages for the treatment of a lumbar herniated disc, and they differ according to the degree of pain and complications, and the beginning is through educating and educating the patient with some advice such as: moving away from wrong habits, the correct way of standing and walking, practicing daily exercise and avoiding harsh and violent exercises and carrying weights Heavy exposure to sunlight before ten in the morning or after four in the evening, to obtain vitamin D, which works to strengthen the bones and joints, and then the patient undergoes physical therapy and medical rehabilitation that includes exercises that contribute to strengthening the muscles surrounding the lumbar vertebrae, to protect against the development of slipped Cartilage.
De Quervain’s tendinitis
De Quervain’s tendinitis occurs as a result of excessive use of the thumb and causes chronic pain in the tendons that surround the base of the thumb, and it targets women ten times more than men, and the increased swelling leads to friction and pressure that results in the transmission of pain to the wrist, and thus difficulty movement of the hand when picking up Or holding things, and treatment is determined based on symptoms, in simple cases the patient can wear splints to support the wrist and thumb to limit their movement, while refraining from activities that contribute to the aggravation of pain, and taking some anti-inflammatory drugs or injecting the tendon sheath to reduce swelling. Lack of response, doctors perform de Quervain’s tendonitis surgery under local anesthesia.