First of all, we need to see what causes the protrusion and whether there is any trauma. Trauma can cause bones in the head to protrude, and there will be no protruding objects. This condition is usually caused by damage to the bulge. This phenomenon may also be caused by bone hyperplasia. The reasons are quite varied. So you should go to the hospital in time to check and confirm your condition. You can refer to the symptoms of bone hyperplasia to make a judgment: Symptoms of bone hyperplasia The onset is slow, with no systemic symptoms, and most patients are middle-aged or elderly people over 50 years old. It often occurs in multiple joints, but can also occur in a single joint. The affected joints may have persistent dull pain, which worsens with increased activity and improves with rest. The pain is usually mild but worsens with lower air pressure and is associated with changes in climate. Sometimes there may be acute attacks of pain, accompanied by joint stiffness and occasionally friction sounds in the joints. Joint stiffness worsens after sitting for a long time and improves after a little movement. Some people call it "rest pain." In the later stage, the joints become swollen, enlarged and limited in movement, rarely completely ankylosing, and generally manifest as bone block signs. Differential diagnosis of bone hyperplasia 1. Acute rheumatic fever The onset is acute, the systemic symptoms are severe and the duration is short. The skin over the joint is red and hot. The affected joints have migratory pain and tenderness, but there is no joint dysfunction. Often accompanied by heart disease. X-ray examination showed no changes. 2. Rheumatoid arthritis It usually occurs between the ages of 20 and 50. Acute attack, systemic symptoms are mild and last long. The affected joints are often symmetrical or multiple, and the distal interphalangeal joints are not invaded. In the early stage, the joint swelling is fusiform, while in the late stage, there is dysfunction and ankylosis. X-ray examination shows local or systemic osteoporosis, bone healing with joint surface absorption, and ankylosis. Laboratory examination showed rapid erythrocyte sedimentation rate and positive rheumatoid factor. 3. Ankylosing spondylitis It is more common in young and middle-aged men aged 15 to 30. The onset is slow, with intermittent pain and multiple joints affected. Restricted spinal movement and joint deformities. X-ray examination showed that the sacroiliac joint space was narrow and blurred, and the spinal ligaments were calcified and had bamboo-like changes. Laboratory tests showed that the erythrocyte sedimentation rate was fast or normal and HLA-B27 was positive. Rheumatoid factor is mostly negative. treat Reduce the weight on the joints and excessive large-scale activities, take care of the diseased joints to delay the progression of the disease. Obese people should lose weight to reduce the load on the joints and delay the development of the disease. When there are lesions in the lower limb joints, crutches or a cane can be used to reduce the burden on the joints. Physical therapy and appropriate exercises can be done to maintain the range of motion of the joints. If necessary, splints, braces, and canes can be used to help control acute symptoms. Anti-inflammatory and analgesic drugs can relieve or control symptoms, but cannot change the progression of the disease. They only play a symptomatic role during acute pain attacks. They should be used with caution after assessing the patient's risk factors and should not be taken for a long time. Chondroprotective agents such as glucosamine sulfate have the effect of relieving symptoms and improving function, and long-term use can delay the structural progression of the disease. For advanced cases, if the patient's general condition can tolerate the surgery, artificial joint replacement is recognized as an effective way to eliminate pain, correct deformity, and improve function, which can improve the patient's quality of life. |
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