Joint pain can wear long or fleeting in nature, but it is always a sign of chronic or acute diseases.

Joint pain is classified:

• depending on the nature of lesions: noninflammatory and inflammatory type. Swelling of joints, redness of the skin and fever - signs of inflammation of the joints Inflammation of the joints - how to relieve the pain?   (arthritis). Lack of swelling, redness and fever affected joint, even if there is pain, noninflammatory indicates the character of the disease of a joint.
• depending on the extensiveness of defeat: mono-, oligo- and polyarticular type. The definition of "monoartikulyarny" means that one joint is amazed, "oligoarticular" - two to four joints, and "polyarticular" - five or more joints.
• depending on the location of the lesion: a general or localized type. Pain in common (or diffuse) character often change location and affect several joints at the same time. Localized pain in the joints occurs in a particular joint or joints.

Trauma and load

Trauma or excessive load on the joints cause localized pain of inflammatory type. However, after some injuries, for example, received in a car accident, can diffuse joint pain. Joint pain can be caused by adding weights (results in change of center of gravity), as well as changes in gait due to trauma, as in these cases, the posture is changed and increased stress on the joints.

Joint pain is often the result of inflammation:

• tendon tendinitis (ahillotendinit), the capsule of the shoulder joint, tendinitis supraspinatus muscle;
• bags tendon bursitis;
• enthesis (the junction of the tendon to the bone): enthesopathies ("tennis elbow");
• nerves: carpal tunnel syndrome.

Systemic infections

Joint pain - a common symptom of some systemic infections usually is non-inflammatory in nature and affects multiple joints. Reactive arthritis can also occur as a result of an infection elsewhere in the body, or as a result of infectious diseases, but in this case is of an inflammatory nature and affects multiple joints.

• Viral infection: chicken pox, hepatitis Hepatitis - the scourge of our time   (especially B and C), glandular fever, mumps, rubella.
• Bacterial infections: tuberculosis Tuberculosis - a full recovery is not guaranteed , Subacute bacterial endocarditis, Lyme disease, sepsis.
• Fungal infections

Localized infection

When localized infections, joint pain are inflammatory in nature, as in the following trauma can penetrate microorganisms. This condition is known as septic arthritis. In the absence of injury a few joints and penetration of pathogens affect only one joint. Although bacteria, mycobacteria, viruses and fungi can cause septic arthritis pathogens are often Neisseria gonorrhoeae, Staphylococcus aureus and Streptococcus spp.

Autoimmune diseases

Autoimmune diseases often cause pain in the joints of the inflammatory nature, and in most cases the damage affects several joints, although initially only one inflamed.

For autoimmune diseases, causing joint pain include:

• rheumatoid arthritis Arthritis - a variety of forms and complications ;
• systemic lupus erythematosus;
• ankylosing spondylitis;
• systemic sclerosis;
• Sjogren's syndrome.

Degenerative diseases of the joints

Degenerative diseases cause pain noninflammatory nature, often involving two or more joints, although it can be hit and only one joint. Typically, the pain increases when moving. Osteoarthritis - a degenerative joint disease, is accompanied by pain (pain often - the only sign of inflammation).

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Tumors

Tumors of bone and cartilage generally cause noninflammatory joint pain, although some fast-growing tumor of the musculoskeletal system can cause not only pain, but also to provoke inflammation. Usually affects only one joint, though metastases can affect multiple joints simultaneously. Joint pain may also occur as a systemic response to tumor distant organs, such as breast or prostate cancer.

The deposition of crystals

The deposition of uric acid crystals in the joint cavity or around it can cause inflammation and pain. This occurs when gout when uric acid crystals accumulate around the joint, or pseudogout, occurs when the deposition of crystals of dihydrate calcium pyrophosphate.

Voltaren solution for injection is used for sufficiently intense pain when too early to prescribe drugs. The need for Voltaren injections usually occurs early in the disease, or exacerbation of pain when the strongest, then you can go to the reception of the drug inside.

How do Voltaren injections

Voltaren (active ingredient - diclofenac) in a solution for injection (1 ml of 25 mg Voltaren, each vial 3 ml) was injected intramuscularly. After administration it is rapidly and completely absorbed into the blood, where it reaches maximum concentration after 20 minutes. After two hours, voltaren concentration in synovial fluid (synovial fluid) becomes higher than its concentration in the blood. Action Voltaren continued for 12 hours, after which it is decomposed in the liver and excreted by the kidneys in urine and partially with bile. A small amount of the drug is excreted unchanged.

Antipyretic its effect is negligible. The mechanism of action of the drug is associated with suppression of the synthesis of prostaglandins - biologically active substances that perform a variety of functions in the body. One such function is to support the development of inflammatory process.

Prostaglandins are also involved in protecting the gastric mucosa against various irritants and activating muscle contractions of the uterus before delivery. Therefore, Voltaren can irritate the stomach lining, until the formation of her ulcers and bleeding occurrence. In the first stage of labor (during labor), he can suppress the onset of labor process, so it is not recommended its introduction in the third trimester of pregnancy (after 33 weeks), and Voltaren injections during pregnancy is not recommended at all, because it can give a lot of unwanted side effects.

Purpose voltaren injectable

Voltaren by injection administered in recommended when acute exacerbation of an inflammatory process or any chronic disease begins with severe pain. But the injection should be done no more than two consecutive days. During this time, sharp pains usually subside and you can go on the pill for oral administration or rectal suppositories. Voltaren by injection often is prescribed for diseases such as rheumatoid arthritis Arthritis - a variety of forms and complications   and ankylosing spondylitis Ankylosing spondylitis - a lot of patience is required Aggravated start with severe pain.

Do Voltaren and with injuries, of course, if they are not accompanied by bleeding, as Voltaren helps reduce blood clotting abilities. Sometimes it is necessary to appoint Voltaren by injection under severe headaches such as migraines. In milder cases, with less intensive pain prescribe tablets or rectal suppositories Voltaren.

Will injection of Voltaren in patients with renal and hepatic colic, if Voltaren Voltaren - relieve inflammation and pain   combined with the appointment of antispasmodics. In this case you need to quickly remove the spasm of urinary and biliary tract, which can lead to necrosis (necrosis) of tissues of these organs. Voltaren in many cases to cope with this task.

Contraindication to intramuscular Voltaren is yazvenno- erosive processes of the digestive system, the attacks of bronchospasm during treatment with aspirin and other NSAIDs, age 18 years, pregnancy, breast-feeding Breastfeeding - a personal choice   breast and idiosyncrasy of the drug.

Precautions Voltaren injections carried out in the human liver and kidney disorders of blood clotting, asthma, any gastrointestinal disease in the elderly. Sometimes, when administered in patients Voltaren having dizzy spells, in this case, it is not recommended to drive vehicles.

Side effect

In intramuscular Voltaren all of its side effects may be intensified. Especially dangerous allergic reactions, so the first few injections is best done in a hospital.

Often, too, complications of the gastrointestinal tract (nausea, vomiting, diarrhea, constipation, bleeding from the stomach) and liver (dysfunction). Numerous disorders of the nervous system from headaches to seizures and depression. There are violations of taste, sight and hearing. With prolonged use often have blood clotting (Voltaren reduces the number of platelets in the blood) and reduce immunity (reduced blood leukocyte counts, including granular). In intramuscular voltatrena may develop severe complications such as acute renal failure.

At the injection site sometimes have swelling, pain, and sometimes - the accession of the infection and the development of septic complications.

Galina Romanenko