After getting up
Rheumatic diseases and inflammations are often characterized by the fact that they cause the patients pain, especially in the morning, and the complaints then decrease or even disappear in the course of the morning. Pain on occurrence can also be caused by a rheumatic disease. It is generally known that rheumatism affects the hands and fingers, but feet, ankle joints and knees can also be affected. This can cause pain when it occurs. If the pain is strongest in the morning after getting up and is accompanied by stiffness of the joints, which only improves after about an hour, this can be an indication of a rheumatic disease.
Diagnosis
Pain when it occurs can have numerous causes as listed. In order to make a diagnosis, it is therefore important to know exactly where the pain is, which accompanying symptoms are present and whether there was a triggering event. The medical history of the patient can also be important.
Diagnosis includes, especially in the case of pain after an accident or the suspicion of an orthopedic disease, an X-ray of the painful body part. Depending on the suspected diagnosis, other imaging procedures such as MRT or CT may also be performed. A blood test may be indicated, for example, if inflammatory diseases are suspected.
Treatment/Therapy
The treatment of pain when it occurs depends on the cause. General measures such as sparing, cooling or the local application of ointments can relieve pain. Taking a painkiller for a short period of time can also be helpful, but should not be done without medical supervision.
If incorrect postures or positions and the resulting painful overstrain are present, insoles can be helpful. Malpositions such as a shortening of the Achilles tendon or muscular imbalances can be corrected by physiotherapy. Heel spurs can be treated well with extracorporeal shock wave therapy.If a torn ligament is present, the affected joint should be relieved and stabilized with a tape bandage or splint for a few weeks.
Surgery is generally no longer performed in the case of torn ligaments in the ankle joint. In the case of a fracture, the affected leg must be relieved even more consistently. This is usually done on crutches, and the foot is immobilized in a plaster cast or splint. If the bone fragments are displaced, surgery may be necessary.
