This is the most common and the most difficult to treat, because once cartilage is damaged, it can't be repaired unless it is treated surgically, so many people are seriously ill and need bilateral knee replacement, or some people need hip replacement.
Secondly, it may be caused by lumbar spinal stenosis, which compresses the lumbar related nerves, thus causing numbness and weakness of both lower limbs, or intermittent rupture in some people. Then at this time, you need to go to the hospital to do relevant examinations, in order to finally make it clear that CT or MRI of lumbar spine is generally needed, and the registration department is generally spinal surgery or orthopedics.
Another one should also be alert to whether there are cerebrovascular diseases, such as cerebral hemorrhage and cerebral infarction. And the probability of cerebral infarction is relatively better. If you doubt this gene, you must also go to the hospital for head CT and head magnetic resonance detection. Moreover, cerebral infarction is often a problem of half the body, and there are few bilateral influences at the same time. So this should also be judged according to the actual situation of the patient. Although the number is small, it must not be ignored.
There is also a need to be alert to whether there is a certain degree of hypoproteinemia and malnutrition, mainly because of poor diet, poor eating, or other high-consumption diseases in the body. Sometimes the body has a tumor, which will also cause some numbness and weakness in the whole body.
It may also be caused by low potassium, which is also caused by poor diet or high consumption.
Therefore, first of all, we should improve the relevant inspection and make clear the specific changes of the situation, so as to finally have a clear diagnosis. If there are some critical situations, it is very necessary to carry out relevant treatment in time, otherwise the condition will get worse and worse in many cases.
I wish you all good health!
At the age of 48, I was dizzy and weak, and my legs were wobbly. Dare not go out of the office for more than two months. Later, a colleague said that you lie at home every day, and you get sick without illness. Go for a walk with us. I think they really want to accompany me and take care of me, so they went with them and walked nearly three kilometers. Although I feel dizzy and weak in my legs, I don't have a rapid heartbeat or high blood pressure. The phenomenon of needing rest, I feel better to sleep at night after walking. From that day on, I began to exercise on foot. At first, I walked along the bus line and walked about five kilometers to the center of the county. I can walk back and forth step by step after I come back by car for a dollar. After ten kilometers, my head stopped dizzy, my legs became strong, and my sleep quality improved. Then I adjusted my job. I go to the field site almost every day. All dirt roads, 300 to 400 kilometers back and forth. Japanese tauren off-road vehicles and Nissan cars are bumping around looking for bones and headaches! Sometimes the traffic can't get in, and I have to walk into the construction site. The high temperature in summer and the snow and ice in winter survived. Now my old friends and acquaintances tell me that I am in such good health. After more than ten years, I worked overtime, stayed up late, drank, smoked and ate fat until I officially retired. Life lies in exercise. Walk well and exercise well, my friend!
Weakness and leg weakness are not a concept!
Weakness may be systemic, and weakness of both legs is dysfunction of both lower limbs. These are two concepts!
If you show weakness in your legs, Dr. Xiaomei wants to tell you that there may be several reasons to consider first:
To sum up, in fact, we must first make clear whether our main symptoms are "dysfunction of both lower limbs".
In addition, we need to know whether we have other "accompanying symptoms" that are helpful for differential diagnosis of diseases.
I hope my answer is helpful to you!
This condition may be some kind of disease. Here are a few simple cases, hoping to help you!
First, rheumatism arthralgia syndrome
From the perspective of Yulong Song alone, it is rheumatism that makes it difficult to stand on one's knees. If you know that Ershi point can be moxibustion, it may be rheumatism.
There was once a patient, 59 years old, who complained of weakness in his knees and legs for one month and aggravated it for one week. A month ago, the patient developed weakness of the left lower limb knee and leg, accompanied by knee pain. In the past week, his illness got worse and he had to walk slowly on the flat road. He needed help going up and down the stairs. After taking the medicine, he found no obvious effect, so he went to the clinic. After diagnosis, it was confirmed as arthralgia syndrome.
Second, cardiovascular diseases.
For lower limb weakness, we should first consider whether it is one limb or both limbs. If there is sudden weakness and no pain in one limb, it is necessary to rule out whether there is cerebrovascular disease, because cerebrovascular disease may cause hemiplegia. Weakness of both lower limbs may also lead to cerebrovascular diseases, such as cerebral infarction and cerebral hemorrhage, which must be diagnosed and treated in time.
Third, Cushing's syndrome
Repeated rash on hands and feet, weakness of limbs, and discoloration of hands when exposed to cold were initially diagnosed as Cushing's syndrome. Hair loss and photosensitive reaction occurred during the course of the disease. Physical examination, full moon face, loss of sexual consciousness with limb convulsions for 8 years, slow response, general weakness, edema of face, hands and feet, scattered rash at the distal end of limbs, thin and firm skin for 3 years, dermatoglyphic disappearance, thick breathing sounds in both lungs, a little sonic boom can be heard, joints of limbs are not swollen or soft, and muscles of limbs are atrophied.
Parkinson's disease
The 60-year-old patient was diagnosed with Parkinson's disease. If you walk slowly and can't walk, it may be Parkinson's disease. Parkinson's disease has a sense of rigidity, increased muscle tension and inflexible walking. I feel that I can't walk a step when I start my activities at ordinary times, and I need to go to the hospital for examination and treatment.
Six, progressive limb weakness
The patient is 30 years old and has been suffering from progressive limb weakness for 20 years. Sports ability is worse than peers, jumping is not good, easy to fall, accompanied by muscle wasting of both lower limbs, weakness of limbs, and slow progress in drinking water. Family history Father has a history of weakness and atrophy of both lower limbs.
Seven, lower extremity vascular diseases
The 56-year-old patient has cold lower limbs, and his lower limbs are weak or even painful after walking. He needs a rest to continue walking, and even needs to take a bench with him. This is a typical symptom of lower limb ischemia. Vascular diseases of lower limbs have always been a silent killer. Once the above symptoms appear, first check whether it is a problem of vascular ischemia or embolism in the lower limbs.
I am a visiting scholar in orthopedics, Dr. Hu. I mainly answer questions from the angle of orthopedics.
Walk feebly, feel weak all over. First of all, we should consider the knee problem, the important realization of early knee arthritis: weakness in walking, weakness in kicking and strangulation. This is because around the age of 60, some women even reach the age of 50 in advance. With the change of hormone level, the nutrition supplied to the knee joint also changes. If you don't give me nutrition, I will be in a state of lack of nutrition. Joint degeneration and hyperplasia in the early stage of knee arthritis. Meniscus wear, some joint effusion, ligament injury. The whole force line changes, leading to unstable joints, weak walking and soft legs.
Registered in the hospital: orthopedics, joint, sports medicine. Doctors will do several experiments: patella friction experiment, lateral stress experiment, grinding experiment and other physical examinations. Auxiliary examination: X-ray film is mainly to see the degeneration and hyperplasia of knee joint, and MRI of knee joint is mainly to see the ligament and meniscus problems in knee joint. Make a definite diagnosis.
The second disease to be considered is cervical spondylotic myelopathy. The clinical manifestations of cervical spondylotic myelopathy include weakness and numbness of both lower limbs, and a feeling of banding in the chest. Unstable walking, eating chopsticks, writing difficulties, etc. Can be ruled out by cervical MRI.
60 is not old. In today's society, many 60-year-old people are still working, so we can't take this kind of leg weakness and decreased mobility as a normal phenomenon.
Are there any other symptoms or abnormalities besides weakness? Whether there is pain or not is very important. Lower extremity abnormalities are easily associated with lumbar spondylosis, but in fact, lumbar spondylosis is only one of the possibilities. For example, the weakness of lower limbs caused by the compression and stimulation of nerves by lumbar spondylosis is mostly a by-product of numbness, which often has pain symptoms, and numbness and fatigue will have different manifestations, so I don't think patients are lumbar spondylosis.
If the patient's lower limb weakness is unilateral and there is no pain, then intracranial diseases should be suspected. 60-year-old, in the high incidence of cardiovascular and cerebrovascular diseases, intracranial blood vessels are more or less blocked. Once the brain tissue is perfused with hypoxia for a long time, necrosis will occur. According to the different necrotic areas, patients will have various abnormalities, and hemiplegia is one of them.
If the patient is weak in both lower limbs, then the possibility of cervical spondylosis should be considered. Patients like this will have some neck symptoms more or less. The clinical manifestations are not only leg weakness and boredom, but also the feeling of long feet and short feet (stepping on cotton). Cervical spondylosis is not only many types but also very complicated. The lower limbs are affected by spinal cord type and need to be treated as soon as possible, otherwise there is a danger of paralysis.
Pay attention to the patient's posture If the patient feels stiff and clumsy when walking, and it is difficult to maintain his center of gravity, he should be alert to the possibility of Parkinson's disease. Parkinson's disease mostly occurs in people over 60 years old, and the dopamine level in substantia nigra and striatum of patients is decreased. In addition to the symptoms of lower limbs, there will be paroxysmal hand trembling.
I have always stressed that symptoms can't be used to diagnose a disease, so it is unrealistic to determine one's own disease simply by symptoms, because many diseases are divided into different periods, and the symptoms of the same disease will be different in different periods, which is easy to mislead patients.
Normal! It's normal for people to be 60 years old and feel weak after noon. In the past, the old people, especially the 60-year-old people in the countryside, squatted on the wall in winter. Especially in Hebei, Shandong Province, in the early 1950s, the old man wore a coarse cotton-padded jacket, buckled on the right side, tied a big cloth waist around his waist, held a gourd in his arms, basked in the sun under the wall, and gave out bursts of cries in his arms. People often say that when people get old, their legs get old first, and when they get old, their legs will be weak when they walk. Before liberation, the average life expectancy in China was less than 40 years old, and it was 60 years old at that time, so it was 60 years old. Now people live a good life, and the average life expectancy has increased to 76 years. It's not unusual to live to 80 or 90. We should respect the laws of nature and serve the elderly!
Thank you for your answers. It happened to me three years ago. I suddenly find it difficult to walk and my legs are weak. I must have a rest before I can move on. When I got home, I touched my leg and found that it was swollen badly. I pressed a nest with my finger.
I immediately stopped all sports and rested at home (I used to go to the community fitness area to practice fitness equipment every day). About a month later, the unit informed the physical examination. Not long, about ten days. The unit leader asked me to go to the hospital to check my renal function immediately, because the check list showed that creatinine was on the high side.
I waited for the physical examination report, and immediately found an expert of integrated traditional Chinese and western medicine and asked for Chinese medicine treatment.
The expert gave me a pulse, and seven pairs of Chinese medicines cost more than 200 yuan.
Slowly, my legs stopped swelling and I became stronger when I walked.
After taking medicine for less than a month, I tested my renal function again, and the numbers on the laboratory sheet made me happy and normal.
The doctor said there were many reasons for leg swelling. For example, venous thrombosis of lower limbs, renal insufficiency, cardiac insufficiency and so on. Ask the patient to go to the hospital as soon as possible.
I hope my answer can help my patients a little, and I wish them a speedy recovery!
There are many reasons for the weakness of the 60-year-old leg. Common ones are as follows:
1, long-term elderly hypertensive patients, taking potassium-preserving diuretics to lower their blood pressure, resulting in low blood potassium and lower limb weakness, which many people have not noticed.
2, cervical spondylosis, lumbar disc herniation on the nerve compression, will cause leg weakness, accompanied by paralysis and discomfort.
3, a simple increase in blood pressure will cause top-heavy and weak legs.
4. Cerebrovascular accidents, such as cerebral infarction, cerebral hemorrhage and transient cerebral hemorrhage. , can cause dizziness, lower limb weakness, etc.
5, rheumatic diseases, such as polymyositis, rheumatoid arthritis, systemic lupus erythematosus, etc. , will involve the joints and muscles of lower limbs, leading to muscle weakness of lower limbs.
6, varicose veins of lower limbs, thrombosis of lower limbs, etc. , causing blood supply disorder and poor circulation of lower limbs, which in turn causes weakness of lower limbs.
7. Edema of lower limbs caused by heart failure and renal failure. Compression of local tissues will cause circulatory disorder, which will cause fatigue of lower limbs.
8, diabetes, diabetic foot patients, easy to destroy peripheral nerves and blood vessels, usually accompanied by limb nerve paralysis and leg weakness.
Of course, there are many other conditions that can lead to leg weakness, and it is necessary to improve the relevant auxiliary examinations in clinic to judge, so we still have to go to the hospital for systematic examination and treatment.
I'm Dr. Wang, a doctor of integrated traditional Chinese and western medicine. Welcome to comment and exchange at the end of the article.
Leg weakness is a symptom, which may be the following diseases:
The first is vascular diseases, such as varicose veins or phlebitis. Due to blood circulation disorder and insufficient nutrition supply, the body is weak.
The second is lumbar spinal stenosis, which is the weakness and weakness of the whole leg, often accompanied by numbness, and it is getting more and more serious. Bending or squatting can relieve symptoms.
The third type is cervical spondylotic myelopathy, which is the most serious type of cervical spondylosis and is caused by the compression of the cervical spinal cord. In addition to weakness, there will be a feeling of standing or walking on cotton, unable to move, or suddenly falling down.
The fourth is knee joint diseases, such as knee osteoarthritis. The muscles and strength around the joint contract and stick together, and the strength drops, and there will be weakness and weakness when walking. This situation often limits the function of the knee joint, such as difficulty in squatting as follows, and aggravation of symptoms when going upstairs and downstairs.
The fifth is gastrocnemius myositis. When aseptic inflammation occurs in the gastrocnemius muscle of the calf, the strength is weakened, and the legs will be weak and weak.
The sixth is cerebrovascular disease, and a slight cerebral infarction can also lead to weakness in both legs.