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什么是骨痛?
骨痛是一个或多个骨骼的极端压痛,酸痛或其他不适。它不同于肌肉和joint painbecause it’s present whether you’re moving or not. The pain is commonly linked to diseases that affect the normal function or structure of the bone.
许多情况和事件会导致骨痛。
受伤
受伤是骨痛的常见原因。通常,当一个人经历某种形式的创伤(例如车祸或摔倒)时,就会出现这种痛苦。撞击可能会破坏或骨折骨骼。对骨骼的任何损害都会引起骨痛。
矿物质缺乏
To stay strong, your bones require a variety of minerals and vitamins, includingcalcium和维生素D。钙和维生素D缺乏通常会导致骨质疏松症,最常见的骨骼疾病类型。骨质疏松症晚期的人们通常患有骨痛。
Metastatic cancer
这是癌症,开始于体内其他地方,但分布到其他身体部位。癌症的癌症胸部,肺,甲状腺,肾脏和前列腺是通常传播到骨骼的癌症之一。
Bone cancer
Bone cancer描述起源于骨骼本身的癌细胞。骨癌比转移性骨癌稀有得多。当癌症破坏或破坏骨骼的正常结构时,它可能导致骨痛。
干扰骨骼血液供应的疾病
一些疾病,例如sickle cell anemia,干扰骨骼的血液供应。没有稳定的血液来源,骨组织开始死亡。这会引起严重的骨痛并削弱骨骼。
感染
If an infection originates in or spreads to the bones, it can cause a serious condition known as骨髓炎。This infection of the bone can kill bone cells and cause bone pain.
白血病
白血病是骨髓癌。骨髓是在大多数骨骼中发现的,并负责骨细胞的产生。患有白血病的人经常患骨痛,尤其是在腿部。
骨痛最明显的症状是不适,无论您仍在移动。
其他症状取决于骨痛的特定原因。
骨痛的原因 | 其他相关症状 |
受伤 | 肿胀,可见的断裂或畸形,受伤时刺痛或打磨噪音 |
矿物质缺乏 | 肌肉和组织疼痛,睡眠障碍,抽筋,疲劳,弱点 |
Osteoporosis | 背痛,弯曲的姿势,随着时间的流逝丧失身高 |
Metastatic cancer | A large range of symptoms depending on where the cancer has spread that may include头痛,胸痛,骨折,seizures,头晕,黄疸,呼吸急促,腹部肿胀 |
Bone cancer | Increased bone breaks, a lump or mass under the skin, numbness or tingling (from when a tumor presses on a nerve) |
骨骼的血液供应破坏 | Joint pain, loss of joint function, and weakness |
感染 | Redness, streaks from the infection site, swelling, warmth at the infection site, decreased range of motion, nausea, loss of appetite |
白血病 | Fatigue,苍白的肤色, 呼吸急促,night sweats,无法解释的减肥 |
Pelvic bone pain is a common occurrence for many pregnant women. This pain is sometimes referred to as pregnancy-related pelvic girdle pain (PPGP). Symptoms include pain in the pubic bone and stiffness and pain in the pelvic joints.
PPGP typically doesn’t resolve until after delivery. Early treatment can reduce symptoms, though. Treatment options may include:
- manual therapy to move the joints correctly
- physical therapy
- water exercises
- 锻炼以加强骨盆底
While common, PPGP is still abnormal. You should contact your doctor for treatment if you experience pelvic pain.
A doctor needs to identify the pain’s underlying cause to recommend treatment. Treating the underlying cause can drastically reduce or eliminate your pain.
您的医生将进行身体检查,并询问您的病史。常见问题包括:
- Where is the pain located?
- 您什么时候第一次遭受痛苦?
- Is the pain getting worse?
- 骨痛还有其他症状吗?
Your doctor may order blood tests to look for vitamin deficiencies or cancer markers. Blood tests may also help your doctor detect infections and adrenal gland disorders that can interfere with bone health.
BoneX射线, MRIs, and CT scans can help your doctor evaluate the affected area for injuries, bone lesions, and tumors within the bone.
尿液研究可用于检测骨髓中的异常,包括多发性骨髓瘤。
In some cases, your doctor will need to run multiple tests to rule out certain conditions and to diagnose the exact cause of your bone pain.
当医生确定骨痛的原因时,他们将开始治疗根本原因。他们可能建议您尽可能地休息受影响的区域。他们可能会为您开处方缓解中度至严重骨痛的止痛药。
如果您的医生不确定原因并怀疑感染,他们将开始使用抗生素。即使您的症状在几天内消失,也要全部服药。皮质类固醇也通常用于减少炎症。
The treatment options for bone pain include:
止痛药
止痛药是减轻骨痛的最常用药物之一,但不能治愈潜在的疾病。可以使用非处方治疗,例如布洛芬(Advil)或对乙酰氨基酚(Tylenol)。扑热息痛或吗啡等处方药可用于中度或严重疼痛。
抗生素
如果您患有骨骼感染,您的医生可能会开出强大的抗生素来杀死引起感染的细菌。这些抗生素可能包括环丙沙星,克林霉素或万古霉素。
Nutritional supplements
People who have osteoporosis need to restore their calcium and vitamin D levels. Your doctor will give you nutritional supplements to treat the mineral deficiency. Supplements are available in liquid, pill, or chewable form.
寻找calcium supplements和维生素D补充剂在线的。
Cancer treatments
Bone pain caused by cancer is difficult to treat. The doctor will need to treat the cancer to relieve the pain. Common cancer treatments include surgery,放射治疗, 和化学疗法(这会增加骨痛)。双膦酸盐是一种有助于预防转移性骨癌患者的骨损伤和骨痛的药物。阿片类止痛药也可以开处方。
手术
您可能需要手术以去除因感染而死亡的骨骼的一部分。还可能需要手术才能重新设置骨折并清除由癌症引起的肿瘤。重建手术可以在可以更换或取代关节的严重情况下使用。
Maintaining strong, healthy bones makes it easier to avoid bone pain. To maintain optimal bone health, remember to:
- 保持健康的锻炼计划
- 获得足够的钙和维生素D
- 仅适度喝酒
- 避免吸烟
Read more: 8 fast facts about calcium »
除了改善骨骼健康外,您还可以避免导致骨痛的伤害。尝试通过保持地板无混乱并观察松散地毯或较差的照明来防止跌落。上楼梯时,您也应该小心。要进行体育活动,尤其是与足球或拳击等体育运动联系,请穿上适当的防护装备。
在许多情况下,无论疼痛来自化学疗法还是骨折,都需要一些时间来治愈导致骨痛的问题。
During recovery, avoid aggravating or bumping the affected areas. This can prevent further injury and pain and allow healing. Rest the affected areas as much as possible and immobilize the area if there’s a risk of further injury.
For some people, aids such as braces, splints, and casts can offer support that can both protect the bone and relieve pain.
严重的条件通常是骨痛的原因。即使轻度骨痛也可能表明紧急情况。如果您经历了几天之内无法改善的无法解释的骨痛,请咨询您的医生。
如果骨痛伴有体重减轻,食欲减少或一般疲劳,您还应该去看医生。
如果你不已经有一个革命制度党mary care doctor, you can browse doctors in your area through the雷竞技app官网Healthline FindCare工具。
受伤引起的骨痛也应促使医生去看医生。从直接创伤到骨骼需要骨折的治疗。如果没有适当的治疗,骨骼会在不正确的位置愈合并抑制运动。创伤也使您感染。