The main reason for degenerative changes in left shoulder arthritis is bone hyperplasia, which is also a symptom of arthritis. For example, people who often engage in heavy physical labor or are athletes may cause this situation. In addition, it also has an important relationship with age. The older you are, the decline in physical function, which is also an important cause of joint degenerative changes. Causes of degenerative changes in the left shoulder joint 1. Advanced age is the main risk factor for the onset of this disease. 2. Occupational This disease is related to occupation. Long-term and repeated use of certain joints can cause an increased incidence of disease in these joints. Such as the elbow and shoulder joints of foundries, the spine and knee joints of miners, the knee and ankle joints of loaders, the shoulder joints of drivers, the wrist joints of repairmen and textile workers, the metatarsophalangeal joints of ballet dancers, and the cervical joints of people who work in embroidery, typing, or desk work for a long time. 3. Racial genetic factors 4. Physical factors Weight gain makes the already worn and degenerate joints more vulnerable to damage due to the added load. Therefore, this disease often occurs in the hip, knee, calcaneus, lumbar spine and other parts that bear heavier weight. 5. People with poor posture, such as those who work at a desk for a long time, have poor sleeping posture, or use inappropriate pillows, have a particularly high incidence of cervical degenerative diseases. This is due to the imbalance of the paravertebral muscles, ligaments and joints. The side with greater tension is prone to varying degrees of strain. 6. Intraosseous venous congestion and intraosseous hypertension. The abnormal bone hemodynamics characterized by intraosseous venous congestion and the resulting intraosseous hypertension reduce the arteriovenous pressure difference, reduce the blood flow in the nutrient vessels, and nutritional disorders can cause trabecular necrosis. Osteocyte necrosis may be one of the causes of this disease.Clinical manifestations 1. Degenerative lesions of the cervical spine include a stiffness in the neck, limited movement, and snapping sounds when the neck moves. The pain often radiates to the shoulders and upper limbs. There is numbness and electric shock-like sensation in the hands and fingers, which may be aggravated by moving the neck to a certain angle. Different lesions affect different parts of the body and cause different symptoms. In severe cases, the cervical spinal cord may be compressed, leading to paralysis. Certain types of cervical vertigo can also cause cervical vertigo, cervical spondylosis hypertension, cardiovascular and cerebrovascular diseases, gastritis, angina pectoris, dysphagia, etc. 2. Lumbar degenerative lesions are most common in L3 and L4. Clinically, symptoms such as soreness, distension, stiffness, fatigue in the lumbar spine and lumbar soft tissues, and even limited bending ability are common. If the adjacent nerve roots are compressed, it may cause corresponding symptoms, such as local pain, stiffness, posterior root neuralgia, numbness, etc. Compression of the sciatic nerve can cause sciatica, with radiating numbness, burning pain, cramping pain, and stringy pain in the affected limb, radiating to the entire lower limb. Intermittent claudication may occur if spinal canal stenosis occurs. 3. Patients with slow onset of degenerative knee diseases have mild knee pain, but persistent dull pain. The pain worsens when the temperature drops, which is related to climate change. Patients experience knee pain and stiffness when starting to move in the morning, walking for a long time, doing strenuous exercise, or standing up from sitting for a long time. The pain improves after a little activity. Patients have difficulty going up and down stairs, and their knees become weak when going downstairs, making them prone to falling. Pain and stiffness when squatting. In severe cases, there is soreness and swelling in the joints, lameness, and limited joint function, which is most obvious when squatting. There is a popping sound when extending and flexing. Some patients may have joint effusion, obvious local swelling and tenderness. Those with combined rheumatic disease may have redness, swelling and deformity of the joints. |
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