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Dr. Philip Brown |
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Overview | Causes | Common Types of Pain | Symptoms | Diagnosis | Treatment
Pain that attacks the muscles, ligaments, tendons and the bones is known as musculoskeletal pain. In many cases, the body's response to injury is to tense the injured area, which restricts blood flow. An increase in pain can result in increased tension and a pain-tension cycle that could be hard to overcome. Incorrect body mechanics and posture, coupled with stress, may also cause increased muscle tension and pain. People often reduce activity because of pain, may lead to gradual muscle weakness and de-conditioning, resulting in further pain. There are many causes of musculoskeletal pain. Daily activities can cause wear and tear to muscle tissue. Trauma, such as jerking movements, auto accidents, falls, fractures, sprains, dislocations, and direct blows to the muscle, may also lead to musculoskeletal pain. Posture changes or poor body mechanics may cause spinal alignment problems and muscle shortening, this can lead to the misuse of other muscles. Other possible causes of pain include:
[Top] Common Types of Musculoskeletal Pain Like back strain, neck strain is an irritation to tendons, muscles and ligaments in the upper back and neck area. Whiplash is characterized by a collection of symptoms that occur following damage to the neck, usually because of sudden extension and flexion, such as in a car accident. Back Pain Back strain is a fairly broad category called “soft tissue injury,” which covers muscles, tendons and ligaments. About 80% of back and neck pain is muscle-related. The stomach muscles, or abdominals, enable the back to bend forward. They also assist in lifting. The abdominals work with the buttock muscles to support the spine. The oblique muscles go around the side of the body to provide additional support to the spine. Another type of strain relates to spinal ligaments that run in front and in back of the vertebral bodies. Tendons, which also connect muscles in the spine, can develop inflammation, or tendonitis. Some people believe that part of what makes the back muscles more prone to strain is that they are shorter than other big muscles in the body. The muscles in our thighs that enable us to walk, run and jump are longer and less prone to strain. It’s very unusual to strain a thigh muscle. The shoulder can be described as several joints that combine with tendons and muscles to allow a full range of motion to the arm, from scratching your back to throwing the perfect pitch. Mobility may come with a price, however. The shoulder movement can lead to increasing problems with instability or impingement of soft tissue resulting in pain. Pain may be felt only when the shoulder is moved, or all of the time. The pain may be acute and disappear in a short time, or it may continue and require medical diagnosis and treatment. Arm & Hand Pain One of the only physical liabilities of having an office job is a hand injury in the form of carpal tunnel. Hands, arms and shoulders can also be hurt from sports injuries, arthritis, congenital deformities, and repetitive stress. The most common types of injuries are:
The primary cause of hip pain is arthritis, specifically osteoarthritis. Arthritis is the most common chronic condition and is characterized by inflammation of the joints. Common causes of arthritis include wear and tear on the bones and joint cartilage, most often when the body has too much weight to support. This can be caused by carrying heavy loads consistently for years but is more commonly a byproduct of being overweight. Knee Pain
The most common knee problems include the following:
Foot & Ankle Pain
Our feet and ankles bear the brunt of every step we take. Women in particular wear uncomfortable, jarring yet fashionable shoes that can do damage to the structure of the foot over time. Athletes are at risk of foot problems from traumatic injury, joint, tendon, or ligament problems.
[Top] Oftentimes, sufferers of musculoskeletal pain complain that their entire bodies ache. The muscles may feel like they have been pulled or overworked. The muscles may twitch or burn. Symptoms vary from patient to patient, but the common symptoms are:
[Top] Outlined below are some of the diagnostic tools that your physician may use to gain insight into your condition and determine the best treatment plan for your condition.
[Top] With any muscle pain or injury, it’s natural for an individual to stop moving the injured area and wait for it to heal. Ironically, this is counter-productive. Restricting movement causes the muscle to weaken, become less flexible and receive less circulation. In fact, gentle stretching and exercise is the best way to resolve the injury by getting it moving and increasing circulation. For patients with musculoskeletal disorders such as fibromyalgia, medicines may be prescribed in low doses to increase the body's level of serotonin and norepinephrine. Sleep aid medications, including zolpidem tartrate (brand name Ambien), clonazepam, and trazadone, may offer some relief. Other treatments might include:
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