The name of such an ancient and well-known disease of the joints since the time of Hippocrates, like gout, in Greek means "leg in a trap." And there is an explanation for such a flashy name, since the joints of the toes, or rather, the first toe (where it is “attached” to the foot) most often suffer from gout. The development of this chronic disease is based on a violation of purine metabolism, accompanied by an increase in the content of uric acid in the blood and the deposition of its salts (urates) in soft tissues. Other joints (elbow, knee, ankle, hands and fingers), kidneys and urinary tract may also be involved in the pathological process. Frequent companions of gout are diabetes mellitus, atherosclerosis, and hypertension. The disease is more susceptible to men over the age of 40 and women after menopause. A certain role in the development of gout is played by heredity, a sedentary lifestyle, overweight, taking diuretic drugs, acetylsalicylic acid. Previously, gout was called the disease of the rich or the pan's ailment, and was even considered a sign of genius. Such famous historical figures as Alexander the Great, Michelangelo, Cromwell, Ivan the Terrible, Peter I, Pushkin, Turgenev, Maupassant, Stendhal, Columbus, Newton, Darwin suffered from it ... However, scientists did not reveal any convincing connection between gout and genius .

Abundant festive food, alcohol intake, hypothermia or injury precede the first attack of gout - gouty arthritis, which usually manifests itself at night or early in the morning with sudden and intense pain, swelling, redness and a feeling of heat in the joint, an increase in body temperature up to 39 - 40 ° C. Symptoms in most cases develop within one hour, but their duration can vary from two to three days to several weeks (if not treated). Another similar attack may occur in a few months or even years, but with each subsequent "attack" the time interval between attacks is reduced and the disease captures an increasing number of joints.

To diagnose gout, the doctor needs to assess the nature of the complaints, examine the patient and perform a biochemical blood test to determine the level of uric acid, and in some cases it may be necessary to perform an X-ray examination of the joint.

Unfortunately, it is impossible to completely get rid of gout, but it can be effectively controlled with the help of medicines that prevent the formation of uric acid and accelerate its removal from the body.

So, if you have gout or have a hereditary predisposition, take these recommendations seriously:

Change the nature of your diet - exclude or significantly limit the use of table salt, young meats, meat offal and rich broths, fatty fish, canned meat and fish, legumes, mushrooms, caviar, tomatoes, smoked meats, marinades, cauliflower, asparagus, sorrel, chocolate, strong tea, coffee, cocoa;

Include whole grains, eggs, vegetables, berries, fruits, low-fat dairy products, white chicken meat, lean fish in the diet;

Completely exclude the use of alcoholic beverages (especially beer and grape wines), stop smoking;

Regularly monitor the level of uric acid in the blood;

Maintain a normal weight, but remember that a sharp decrease in body weight can lead to an exacerbation of the disease;

Observe a sufficient drinking regime - drink at least 2 - 2.5 liters of free fluid per day (in the absence of kidney and heart diseases), give preference to fruit, berry, vegetable juices and alkaline mineral waters;

During an attack of gout, try to provide maximum rest to the affected joints, do not injure them with clothes or shoes;

Do not wear narrow and uncomfortable shoes, as they can injure the big toe, which so “loves” gout;

Lead an active lifestyle, do daily gymnastics for the joints, be outdoors more often and take walks.

The disease is accompanied by congestion in the superficial veins of the lower extremities, a decrease in elasticity and an increase in the permeability of the vascular wall. In the later stages, the pathology can be complicated by thrombophlebitis, which is characterized by the formation of blood clots on the inflamed mucosa of the veins. This causes constant pain syndrome against the background of edema and heaviness in the muscles of the legs.

Arteriosclerosis

Violation of water-salt metabolism

In case of violation of water-salt metabolism, a decrease in the concentration of potassium in the blood serum occurs. This chemical element is responsible for the processes of excitation in cells and the transmission of a neuromuscular impulse. As a result, there is a violation of the contraction of muscle cells, including the lower extremities. Causes of potassium loss can be:

1. Diseases that occur with profuse diarrhea.
2. Conditions accompanied by profuse vomiting.
3. Uncontrolled intake of diuretics.

Dehydration results in:

• pain behind the sternum, rhythm disturbance;
• decrease in blood pressure;
• feeling of thirst;
• cramps of the lower extremities;
• pain and heaviness in the calf muscles;
• violation of motor function, up to the development of paresis and paralysis.

A critical decrease in the content of potassium in the blood can lead to death as a result of a violation of cardiac activity.

Cramps in the calves, which are more common at night, may indicate a lack of magnesium in the body. Usually, taking this element is able to fix the problem.

Excessive exercise

With fatigue and overtraining, heaviness in the legs occurs as a result of excessive accumulation of lactic acid and does not need treatment. Discomfort in the calf muscles associated with diseases requires careful diagnosis and the appointment of complex therapy.

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1. Hello Anastasia.
   Consultant's response:

   There are more than enough reasons for pain:
   outflow of venous blood is broken;
   there was a focus of inflammation in the nerve fibers on the periphery.
   If the pain is pulsating, then there may be an inflammatory process in the vein. If the place swells and is compacted - the development of thrombophlebitis, which is fraught at any time with the separation of a blood clot.
   In a sitting position, calves begin to hurt with a deficiency of vitamins, trace elements, in particular calcium in the body. It is worth reviewing the diet, passing a general and detailed blood test.
   Perhaps there are problems of a neuralgic nature or there have been old injuries in case of sprains or sprains of the muscles of the joint.
   The calves also hurt with vascular diseases, impaired circulation of venous blood. When walking, the blood rises. With prolonged sitting, it begins to stagnate in the calf muscles. The reason for this is a sedentary lifestyle, overweight, or the accumulation of toxins, oxygen starvation in the muscles.
   With inflammation of the sciatic nerve, the spine itself does not hurt, but in the muscles there is a paroxysmal pain syndrome.
   It is osteochondrosis, as you noted, that leads to muscle discomfort. The reason for this is a pinched nerve, damage to the nervous system in the periphery. The help of a neurologist is required and most likely you need to contact him.
   The musculoskeletal system has a complex structure, is practically entangled in nerve fibers, and pain can radiate to the calves of the legs from almost any node peripheral to the spinal column. As a rule, blood circulation is disturbed in one leg, i.e. at the site of pathology and has a local course. What to do, the joint loses its elasticity and flexibility.
   A comprehensive examination, CT, MRI is required. If the cause of pain in the calf muscle is unclear, it is the syndrome that needs to be eradicated, and not the pain itself, by rubbing in various ointments and gels. Try using anti-inflammatory agents to increase blood flow. Apply a cold towel to the affected area.
   You need to see a rheumatologist, an infectious disease specialist. And, of course, only a complete diagnosis. Massage, physiotherapy, therapeutic mud, foot baths with the addition of nettle, mint, chamomile, sage, plantain should benefit.

2. Hello.
   Sorry for the delay - I just arrived.
   Consultant's response:

   It is not entirely clear what “feelings, as if they are driving along a hematoma” mean. Feelings in your son's leg or you, as if you are feeling the liquid structure? Or is it about the pain in your son, similar to that if you touch a bruise on the skin?
   If we are talking about the suspicion of the presence of fluid, then it is urgent to contact the surgeon directly.

   If we are talking about pain, and before such sensations were not observed, then they can really be associated with severe hypothermia against the background of a recent cold and pharyngitis. In viral diseases, the vessels of the whole organism suffer and can even be damaged. Also, high temperature, intoxication impairs the functioning of the thyroid gland, which affects the metabolic processes in the tissues and blood vessels of the body, and can even contribute to vascular spasms.
   Recommended:
   Contact your pediatrician or teen doctor. Ultrasound of the vessels of the lower extremities, rheovasography can determine the functional state of the vessels and surrounding tissues. Also, consultation with an endocrinologist will eliminate the negative impact of a recent disease on the hormonal activity of the thyroid gland.
   Herbal preparations with anti-inflammatory, decongestant and antispasmodic effects can improve metabolism and metabolism in blood vessels, help recovery. For example, Quercetin. Also shown are vitamin preparations that have a positive effect on the vascular wall: rutin or in combination with vitamin C - askorutin. The choice of specific drugs, doses and time of admission can only be selected by the attending physician after examination and diagnosis.

3. Hello Oksana.
   Here is what a consultant doctor (a good therapist) says:

   With flat feet, equinism, hallux valgus, uneven and prolonged contractions of individual sections of the muscles, stretching of the fascia, disruption of the ligamentous apparatus of the lower extremities occur. In addition, in the described case, shortening of the muscles and tendons of the lower leg is also likely. This leads to constant tension of the muscular-ligamentous system, the impossibility of relaxation. As a result, the blood supply, nutrition and metabolism in the legs are disturbed. And it is precisely the deformities of the foot that are most likely to be the cause of the child's impaired condition. Unfortunately, a prolonged, uneven load affects not only the muscles, but also the joints (knee, hip), which can also hurt and deform in the future.
   Examination, observation and treatment by a competent orthopedic doctor is necessary. Pain, exercise intolerance are symptoms, they form part of the clinical picture and are significant to the doctor. The degree of flat feet is fixed during X-ray examination using special techniques (in different projections, with a load). This study should be carried out periodically, images and conclusions should be saved to record the possible progression of the process.
   It is very important to carry out therapeutic measures under the supervision of an orthopedist. Special massages, physiotherapy, physiotherapy exercises are used, designed individually to restore the normal arch of the foot. A good sport is swimming, it reduces the load on the joints, muscles, ligaments and blood vessels. To reduce tension and pain, it can be recommended to take warm foot (for shins, feet) baths with salt (2 tablespoons of coarse or sea salt per 10 liters of water) for about 20 minutes in the evening.
   Depending on the situation, it is possible to resolve the issue not only about orthopedic insoles (they need to be changed several times a year), but also about special shoes with rigid fixation of the foot. Constant medical supervision is necessary, with the progression of the process - a decision on the issue of possible surgical correction.

4. 1. Hello Elina.
      Sorry for such a long answer.

      Yes, pain can be the result of an injury.
      With the symptoms described, it is necessary to exclude the presence of muscle injury, sprain of the ligamentous apparatus, traumatic damage to blood vessels, as well as dilation of venous vessels (deep vein varicose veins). It is important to take into account (during sedentary work and intense loads) that changes in the spine can also be manifested by pain in the limbs, swelling and heaviness in them.
      In this case, it is recommended to consult a surgeon. The doctor will examine the leg and send it to the necessary examinations: a general blood test (to exclude an inflammatory process), determination of indicators of the blood coagulation system (which is important in case of possible vascular changes), ultrasound of the vessels of the lower extremities. And also, if necessary, he will refer you for a consultation to related specialists: a vascular surgeon, a traumatologist, a neuropathologist.

5. Good afternoon, Timur. Now is the time that the main doctors who answer questions are all either on the road (business trips, recertification, etc.) or have just returned and are still busy ... Therefore, we had to wait so long. Sorry. If the answer is valid, then here it is:

   Such a symptom complex makes it necessary, first of all, to exclude the pathology of the vessels of the lower extremities, muscles and nerve endings. In this case, nerve fibers are most often affected secondarily.
   Also, intense physical activity can provoke pain in the presence of flat feet (both longitudinal and transverse). At the same time, pain in the calves can gradually occur and intensify, as well as decrease after rest.
   First of all, in this case, a consultation with a surgeon is recommended. If necessary, the doctor will refer you for a consultation with a vascular surgeon, neuropathologist, orthopedist. To confirm the diagnosis, instrumental methods are used: x-rays of the feet, ultrasound examinations of the arteries and veins.
   After receiving the results of a complete examination and confirming the diagnosis, an adequate and effective therapy can be prescribed by the attending physician.

6. Hello Christina.
   The answer of the practitioner and site consultant:

   In medicine, there is Restless Leg Syndrome. In this case, first of all, it is necessary to exclude it. Given the family history (the presence of varicose veins in the father), we can assume the presence of varicose changes in the lower extremities. When deep veins are affected, no changes occur on the surface; upon examination, the skin will not be changed, dilated veins are not visible.
   There are a lot of other possible causes: from changes in the spine (osteochondrosis with secondary changes in nerve endings (radiculopathy or radiculitis), malnutrition with the development of a deficiency in certain vitamins and minerals, changes not only in veins, but also in arteries, and ending with general diseases (hormonal sphere, respiratory system).
   To diagnose the described changes, it is necessary to examine the state of the vascular system (ultrasound of the vessels of the lower extremities, rheovasography), general clinical studies (the state of the coagulation system).
   A consultation with a surgeon, phlebologist and general practitioner is recommended. Doctors will select the direction of the diagnostic search, and only after establishing the diagnosis will they be able to prescribe an adequate correction.

7. Good afternoon, Maxim.

   Gonarthrosis was diagnosed. This disease can be manifested by pain in the knee and movement disorders. It is treated for a long time (since the disease is usually chronic, it can last for months and years, with periods of exacerbations and remissions). The course of therapy includes both anti-inflammatory drugs and physiotherapy. Effective spa treatment (mud therapy) in the absence of signs of an active inflammatory process, which often accompany gonarthrosis (arthrosis of the knee joint). Particular attention should be paid to the ligamentous apparatus (taking into account the surgical intervention). It is treated under the supervision of an orthopedist or surgeon.
   Discomfort in the legs can be associated not only with venous vessels, but also with arterial ones. In this context, it is recommended to consult a vascular surgeon, conduct studies of arterial vessels, ultrasonic duplex angioscanning of the arteries of the lower extremities and rheovasography. And based on the results of the studies, doctors will be able to prescribe the appropriate treatment.

8. Good afternoon, Olga.

   The described picture most likely corresponds to changes in the veins, internal veins of the lower extremities. Therefore, they may not be visible from the outside.
   For diagnosis (exclusion of varicose veins of the lower extremities), it is recommended to contact a surgeon (you can - to a vascular surgeon, a phlebologist). Instrumental studies are carried out: rheovasography and ultrasound (Dopplerography) of the veins of the lower extremities. It is important to determine whether there is a tendency to thrombosis (blood test for clotting and bleeding duration, blood platelets, coagulogram, IPT or INR).
   Therapeutic measures will be determined by the attending physician.
   It is also important to exclude the presence of flat feet (it can increase or even cause pain, heaviness in the legs, is diagnosed by the surgeon).
   From the general recommendations: comfortable shoes, try not to be for a long time with bent knees (sitting, in particular), as this worsens the movement of blood in the legs, try not to stand for a long time, take foot salt baths in the evening, lie in the evening for half an hour with legs raised above the level of the head (to facilitate the outflow of blood from the veins of the legs to the torso area), a diet without a large amount of salt, so as not to increase swelling of the tissues.

9. Hello Dmitry!

   Given such precise localization with the involvement of specific muscles in the process, and symptoms that resemble a change in sensitivity (stony, heavy legs), which can be combined with changes in the blood circulation of these muscles, first of all, it is necessary to exclude secondary changes (nerves and muscles) against the background of disorders from the side of the spine (osteochondrosis, pinched nerves, secondary radicular syndrome, up to the exclusion of protrusion and herniation of the intervertebral disc, when the nerve endings are pinched in the area of ​​exit from the spinal column).
   It is recommended to visit a competent neurologist. The doctor can diagnose local changes in sensitivity, as well as disorders of the motor nerve endings.
   In terms of examination, the most informative MRI of the spine, the study can only be prescribed by a doctor.
   Until the diagnosis is established, it is recommended to refrain from physical efforts that can aggravate the condition, including stretch marks. If you can’t do without swimming, then it’s better on your back and with a small range of motion and speed.
   It is indicated after establishing the diagnosis and determining possible contraindications drug therapy, manual therapy.

10. Hello Andrey!

    With prolonged and intense loads (which include long-distance marathon running), trauma to vascular formations, nervous structures, muscle tissue and the articular-ligamentous apparatus is possible. Therefore, it is necessary to exclude the presence of neuropathy (changes in the nerves) and vasopathy (vessels) of a traumatic nature. Traumatization increases when running on a hard and uneven surface (asphalt, slabs, rocky road), imperfectly matched shoes, and increases in the presence of flat feet.
    For an accurate diagnosis, it is necessary to consult a doctor (neurologist, surgeon), additional studies: ultrasound of the vessels, blood tests to identify signs of inflammation and the state of the blood coagulation system.
    Of the general recommendations, it is important to pay attention to the nature of the warm-up (warming up all muscle groups) and stretching exercises. Water procedures (pool, bath) and massage contribute to the normalization of blood circulation (in the absence of inflammatory changes).
    Products and vitamin complexes (containing vitamins P, C (ascorutin)), group B, bioflavonoids (quercetin)), agents that affect venous outflow and blood vessels in general (detralex, escin, angionorm), chondroprotectors (containing chondroitin and glucosamine) improve the condition of the vascular wall, the nervous system and the musculoskeletal system. The choice of specific means can only be made by the attending physician.

11. Hello Angela!

    The described picture requires the determination of the state of the vessels and nerve fibers of the lower extremities along with the diagnosis of changes in the spine. Changes in blood vessels (both arteries and veins) may be secondary to osteochondrosis of the spine, as well as mechanical pressure and malnutrition of tissues with excess body weight. It is important to exclude any common diseases. Especially those associated with metabolic disorders.
    Since it is necessary to exclude radicular syndrome with damage to the sciatic nerve, nerve fibers and plexuses of the thighs, legs and feet (the so-called secondary neuropathy), arterial angiopathy, deep vein varicose veins of the lower extremities, it is recommended:
    Consultation of a therapist (determination of the state of the cardiovascular and other systems), consultation of an endocrinologist (to exclude diseases that cause changes in blood vessels and nerves), a neurologist and, if necessary, which will be determined by the therapist - a vascular surgeon.
    In terms of examination, in addition to general clinical blood and urine tests: X-ray (and, if necessary, MRI) of the lumbar and sacral spine), rheovasography and ultrasound of the vessels of the lower extremities.
    After examination and diagnosis, doctors will be able to give clear recommendations on lifestyle and nutrition, select medicines, doses and timing of administration.

12. Hello Yana!
    Therapist's response:

    Considering the described picture, first of all, it is necessary to exclude changes in the vessels of the veins of the lower extremities. A feeling of fullness and pain may indicate local venous congestion. At the same time, if the changes relate to the internal venous network, then this does not manifest itself from the outside - there may be no expansion and visual appearance of the veins, as well as swelling.
    The presence of pain indicates the need to determine the condition of the peripheral nerves. Osteochondrosis of the spine can lead to secondary radicular syndrome and reaction of nerves located far from the spine. What causes pain.
    For the diagnosis of osteochondrosis at the first stage, an X-ray study is used, in this case it is necessary to examine the lumbar and sacral regions. Osteochondrosis is often a common process, it may not be limited only to the cervical region.

Pain in the legs is caused by a combination of symptoms arising from various diseases of the lower extremities. They manifest themselves in the form of painful sensations of an acute or pulling nature. As a rule, it accompanies diseases of the muscular or vascular systems, and is also a consequence of trauma or neurological abnormalities.

Causes of leg pain

The most common cause of pain in the legs are violations in the vascular system of the lower extremities. This can be caused by atherosclerotic changes, leading to a narrowing of the lumen of the vessels and a decrease in blood flow to the muscle tissue. As a rule, varicose veins subsequently develop, which is also accompanied by painful sensations.

Significantly increases the risk of circulatory disorders in smokers, hypertensive patients, diabetes mellitus, stroke, heart attack. Lack of oxygen causes blockage of the arteries, which manifests itself most often in the form of a sudden onset of cramps when walking.

Pain in the legs is also present in neurological disorders due to inflammation and irritation of the nerve fibers that innervate the legs. Often the pain is caused by gout and arthritis, in which the joints become inflamed. The cause of pain in the legs may be associated with diseases of the lower spine, for example, with the vertebral column, pulling pains in the leg are often noted.

For disruption of the venous system is characterized by a decrease in pain when lifting the leg; with problems with the arteries, the pain subsides a little if the leg is lowered. Numbness and tingling in the lower extremities indicates the presence of diseases of the spine.

Leg pain symptoms

With the development of venous stasis, pulling dull pains in the legs appear, a feeling of tension and heaviness is created. If the process has a protracted course, it most often ends with varicose veins of the lower extremities. The pain is pronounced and manifests itself most often in the lower part of the limb, while patients may feel a feeling of numbness, tingling. As a rule, it occurs in the late afternoon, after prolonged exertion in a standing or even sitting position.

Pain can also occur when exposed to heat in a sauna, bath, or while taking a hot bath. In women, it is provoked by a change in the hormonal background, which is associated with the menstrual cycle. Externally, varicose veins are manifested by protrusion of venous nodes and the appearance of spider veins.

Infectious diseases such as osteomyelitis, which cause acute, prolonged pain in the bones of the lower extremities, are very dangerous and have extremely serious consequences.

Injuries and bruises of the lower extremities, alone or in combination with other injuries, are often the cause of pain in the legs. Most often, leg bruises occur, swelling and hematoma form in their place. The nature of the pain is determined by the location, the degree of its intensity and the area of ​​\u200b\u200bdamage.

№ 41 562 Vascular diseases 14.02.2017

Consultation of a lymphologist 10. 04. 2016 Varicose disease of the lower extremities, CVI 2 tbsp. Left: C1.2, 3, S, Ep, As, p Pr, 1.4, 5.18, Lll Right: C1.2, 3.4a, S, Ep, As, p Pr, 1.4, 5.18, Lll Consultation with a lymphologist 26 10. 2016 Post-thrombotic disease of the right lower limb. Varicose disease of the lower extremities. HVN 2 tbsp. The recommended Wessel Due F and Angiovit did not bring any relief. Dynamics is negative. What to do? Thanks.

Irina Grigorievna, Moscow

ANSWERED: 02/15/2017

For an adequate assessment of the situation, knowledge of the diagnosis alone is not enough. It is necessary to know the state of the blood flow. To do this, it is necessary to carry out CDS of the superficial and deep veins + iliac veins and preferably the veins of the small pelvis. Based only on the information provided, it is unambiguously possible to say only that the pathology you have cannot be cured by prescribing the drugs you indicated, because. they are used only as an addition to the main (basic) therapy.

Similar questions:

A person remembers his two only when they get sick. And almost never connects the problem with diseases of other organs. Meanwhile, the culprits of your suffering can be disorders and inflammation in different body systems, explains Doctor of Medical Sciences, Professor, Head of the 2nd Department of Internal Diseases of the Belarusian State Medical University Nikolai Soroka.

What makes you suffer

Indeed, leg pain can occur for a variety of reasons. For example, due to inflammatory diseases associated with infections, intestinal diseases, psoriasis and rheumatoid arthritis. But still, most often people are plagued by osteoarthritis, popularly known as the deposition of salts in the joints. In this case, the pain is clearly formed in the area of ​​​​the joints - ankle, knee or hip.

Another reason is the obstructed blood flow through the arteries. This will be indicated by cold and pale lower limbs, as well as pain that occurs when walking - the so-called symptom of intermittent claudication. According to Professor Soroka, the cause may be atherosclerosis - with such a disease, an atherosclerotic plaque blocks the artery, disrupting blood flow. And not necessarily at the level of the legs, but often where the largest vessel passes - the aorta.

Arteries are quite often affected in smokers - obliterating endarteritis occurs, or inflammation of the inner lining of the artery. It causes severe pain, which often annoys even 30-40-year-old people.

Pain associated with arterial disease is not uncommon in patients with diabetes mellitus - this is the so-called diabetic foot syndrome. They are burning and are initially associated with damage to the vessels, and then the nervous system.

The knee is hurt? Heal your lower back!

But what if the pain occurred at the level of the knee, lower leg, foot or thigh, and no violations were found in any of these organs? The reason should be sought in the lumbar spine, says the professor. Such symptoms usually occur with sciatica. Severe pain is also caused by lumboischialgia - irritation of the roots of nerve structures at the level of the lumbar region. Lower back pain radiates to one or both legs. It mainly spreads along the buttock, as well as along the posterior surface of the leg, sometimes even reaching the toes.

What a heaviness!

Feelings with varicose veins are also not pleasant - heaviness in the legs and swelling, inflammation of the veins. The condition may worsen if you walk, stand or sit for a long time. Due to stagnation of blood, blood circulation in the limbs is disturbed, the tissues experience a lack of oxygen - hypoxia and begin to “beep” with pain, as if calling for help. With severe varicose veins, pain of indefinite localization may appear - in the lower leg, foot, etc.

With thrombophlebitis - inflammation of varicose veins, edema, swelling and redness can be found in this place. Then, of course, there will be pain.

Helpful Hint

If the knee hurts, and there are no visible changes in this joint, then the source of the problem should be sought at the level of the second or third lumbar vertebra. And if the pain is localized in the foot, then in the fifth lumbar and first sacral vertebrae.

Sometimes the pain that has arisen due to problems with the hip joint radiates to the knee. What do such patients not do! They use ointments, drugs, but all in vain. An x-ray of the hip joints will help to understand, which will clarify the nature of the pain.

Sensitive people

Professor Soroka names another group of patients whose legs hurt, and it can be difficult to explain the reason. This is typical for weather dependent people. They ache and “twist” their legs a day or two before the weather changes. It is not easy to deal with such manifestations, the expert admits.

When the pain in the foot, lower leg and knee is very burning - such as if burned with nettles, or shooting, as if a person was shocked, this is usually associated with damage or compression of the nerve structures, and not just with inflammation or changes in the nervous system.

The professor points to another reason - the presence of a focus of infection in adolescents and young people from 15 to 20 years old also causes pain in the legs. Boys or girls with chronic tonsillitis with purulent plugs may experience pain along the anterior surface of the lower leg, in the bone. This is how intoxication manifests itself.

Flat feet can also be a source of suffering. People with flat feet during exercise and overload experience pain in the foot, especially towards the end of the day. To test for flat feet, you can wet the sole of your foot and then step on a dry sheet of white paper. With flat feet, the foot will be imprinted completely. And for a healthy person, only the prints of the heel and the edge of the foot will remain on paper.

Advice of Professor Nikolay Soroka

If the pain syndrome is associated with the spine, do not look for salvation in compresses and electrical procedures on the leg joints! Relief will come only when the pinched or irritated nerve root is released. All efforts - rubbing, compresses, physio- and electrical procedures should be directed to the lumbar spine, then the pain will decrease.

If the pain is caused by damage to the arterial vessels, then painkillers are not helpful, Professor Soroka warns.

If it is localized in the joints or associated with damage to the spine, then by taking non-steroidal anti-inflammatory drugs (for example, drugs based on diclofenac, meloxicam, nimesulide, etc.), you can alleviate the condition. And for problems with the gastrointestinal tract and pain in the legs, you can use a new generation of nonsteroidal anti-inflammatory drugs that are safe for the gastrointestinal tract (etodolac, etoricoxib).

Arcoxia became a kind of first aid, which begins to act quickly - after 24 minutes and anesthetizes for 24 hours. There are other medicines as well.

With thrombophlebitis, anti-inflammatory drugs and venotonics will help.

Endarteritis is a very serious disease that is treated by rheumatologists, and they prescribe potent drugs.

Atherosclerosis of the arteries is a chronic disease. It is not worth hoping for a speedy success. Symptomatic therapy is prescribed in the form of vasodilators, but most importantly, long-term use of statins, which lower blood cholesterol levels and “smooth out” atherosclerotic plaques in the vessels.

But first, you should still visit a general practitioner who will determine which specialist to refer you to.