Why is the sudden pain in the hands and feet, what to do?
Pain in hands and feet often occurs without injury. Many times we do not pay attention to this matter. This negligence can cause danger.
This pain is sometimes short-term and sometimes long-lasting. This pain is often caused by a block in the artery. Again, this problem occurs even if the blood circulation of hands and feet is obstructed.
Today I will discuss about the causes of pain in hands and feet and what to do to get rid of this problem, Inshallah.
Acute limb ischemia often causes pain in the limbs.
We all know that blood circulates in liquid form through blood vessels to different parts of the body. Blood clots in the blood vessels or heart are abnormal and dangerous. Blood clots can form within the chambers of the heart for a variety of reasons. These pieces of clotted blood can flow with the bloodstream and reach any part of the body in a moment and can disrupt the blood supply there. If such an event occurs in the brain, it is called a stroke. When an artery in the arm or leg is blocked, the condition is known as acute limb ischemia. There are many causes of blood clots inside the heart.
Blood Vessels
Sometimes the blood vessel or artery itself causes acute limb ischemia. Maybe the inner walls of the arteries already have a cholesterol coating. If this lining is broken for some reason, blood starts to clot on it. At some point, this blood clot blocks the entire path of blood circulation in the artery. And the whole thing happens in a very short time. In most cases, these patients present with early symptoms of chronic limb ischemia (such as leg pain when walking), although they do not notice or care about it at the time. These patients are the prime examples of acute on chronic limb ischemia.
Sometimes a blood clot can escape from a swollen part of an artery or an aneurysm and occlude the next part of the artery, causing acute limb ischemia.
In case of acute limb ischemia of hand, cervical rib should not be kept in mind. The cervical rib is an extra bone from the lower vertebrae of the neck that sometimes puts pressure on the subclavian artery that supplies blood to the arm. As a result of this pressure, the inner walls of the arteries are damaged. This often causes the injured part of the artery to swell (aneurysm) and blood clots inside it. This blood clot escapes and occludes the artery of the next limb causing acute limb ischemia. Patients come to the doctor with cold hands, severe pain and black/blue fingers. In these cases, along with the operation of the blood vessel, cutting the extra neck bone is also part of the treatment. Cervical ribs are higher in girls than boys.
Blood
Sometimes blood also causes acute limb ischemia. A blood component problem or a temporary increase in blood density (such as dehydration) can cause blood clots to form inside the arteries and block blood flow.
Symptoms of acute limb ischemia
* Sudden coldness of hands or feet and severe pain.
* Hands and feet start turning pale and blue quickly.
* Sensation in hands and feet decreases.
* Decreased mobility.
* Pulses are not felt in the affected area.
What Happens
The main difference between acute limb ischemia and PVD or chronic limb ischemia is timing. In chronic limb ischemia, the events occur gradually over many days, months, years, in the case of acute limb ischemia, the events occur within minutes or hours. That is, blood circulation stops very suddenly. So the presentation of acute limb ischemia is also very dramatic. In chronic limb ischemia, as blood flow gradually decreases, the body has time to develop alternative pathways or collaterals. In acute limb ischemia, the affected limb is suddenly almost completely deprived of blood, oxygen and nutrients because there is no time to develop an alternative pathway. Failure to quickly restore blood supply can result in limb loss.
What to do
Understanding acute limb ischemia is the real task. When the problem comes to mind after seeing the symptoms of the patient, it is safe. The patient should go to the nearest hospital or doctor without wasting time. It is the doctor's responsibility to diagnose or predict the disease and send it to a vascular specialist quickly. There is a big problem in our country regarding this sending matter. First, many fail to diagnose the disease, and even if the diagnosis is made, the referral is delayed. Poor condition of road distance communication system is responsible for this. Whatever the cause, the cost of this delay in treatment is high. Those who understand the value of money, they say the value of time in earning money - 'Time is money'. As vascular doctors, we say 'time is limb' to understand the value of time in acute limb ischemia.
Thank you
To be with us.
Let's talk about something else. Until then, God bless you all.
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