Are you 55 years old or older and still pain free? Chances are you have osteoarthritis and don't know it. X-rays show arthritic changes in eight out of every 10 adults age 55 and older. Knees, hips, and spines are affected most, in that order. Older adults with leg pain may have arthritic changes in both the hip and spine. They sometimes have a total hip replacement (THR) only to develop groin and buttock pain next. Or suddenly they have muscle weakness that isn't related to the THR. In these cases, lumbar spinal stenosis (LSS) may be the problem. LSS occurs when age-related changes narrow the canal where the spinal cord and nerves travel. Bone spurs, thickened ligaments, and worn-down joints are just some of the changes leading to LSS. These doctors from Baylor College of Medicine offer other orthopedic surgeons some guidance. They say that when a patient with a recent THR has severe pain after the operation, look for infection, an unstable implant, or LSS. Location of the pain is a key...
One of the things that I seemed to have inherited from my mom was a tendency to have bad foot and leg cramps in the middle of the night. For several years, I found myself regularly waking up with my foot and leg muscles clenched, making it impossible to find any comfort. If I was lucky, I would wake up soon enough to feel the beginning of the cramp start in my toes, thus enabling me to work on it before it became a full-fledged rock-solid, muscle-burning cramp that took over the whole extremity. However, in the past few years, my night leg cramps have seemed to come around less often and they’re less severe. So what are these muscle cramps? How can you limit them? And what do you do if you have a leg cramp? “A muscle cramp is a sudden, uncontrolled contraction of a muscle,” wrote Dr. Jonathan Cluett on About.com. “Leg cramps occur when the muscle suddenly and forcefully contra...
Restless leg syndrome (RLS) is a common and sometimes
devastating condition. I see it quite frequently
in many of my chronic pain patients. In
fact, it contributes to quite a bit of chronic pain, because of the difficulty
it causes in terms of getting a good night's rest, and because it in and of
itself can be rather painful. And there
are diseases associated with chronic pain which can result in so-called
Restless Leg Syndrome is a nighttime condition that has a huge impact on
daytime functioning for those afflicted.
The diagnosis of RLS is mostly arrived at through interviews
with the patient, and basically involves four important features:
is a compelling need to move, usually associated with unpleasant
sensations in the legs, which have been described variously as painful,
electric or "creepy-crawly."
sensations of RLS are worse or exclusively present at rest.
sensations are at least partial...
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