Is shoulder pain really tiring in winter? Doctor’s reminder: Or the heart is calling for help.
(Graphic irrelevant) Figure/Guangzhou Daily All-Media Reporter Chen Youzi
Joint pain is high in winter, especially shoulder pain. Many people think that it may be caused by cold or cervical fatigue. Just put on more clothes and have a rest.
Liu Yongxin, deputy chief physician of the Second Department of Cardiology, Guangdong Second People’s Hospital, reminded that there is a kind of "shoulder pain" that may be caused by heart disease. It is necessary to seek medical treatment in time so as not to miss the best treatment opportunity.
Guangzhou Daily All-Media Reporter He Xuehua Correspondent Wang Meng
Is shoulder pain really tiring?
When encountering shoulder pain, many people usually feel "just tired", especially those who often sit in front of the computer and work at their desks for a long time. Shoulder pain is normal. Usually get up and exercise, or do a simple massage to relieve it quickly.
For Guo Qiang (a pseudonym), an office worker in Guangzhou, this "shoulder pain" has become a big trouble.
The 43-year-old Guo Qiang is in middle age, and he is the pillar of the family. He is usually in good health, but he suddenly appeared flustered the other day and then fainted. The frightened family quickly dialed 120 and sent him to the hospital. After the medical staff struggled to rescue him, Guo Qiang finally turned the corner. The attending doctor said that Guo Qiang had an acute myocardial infarction this time. Fortunately, he was rescued in time, otherwise he would probably die.
When asking about the family members, the doctor found a detail: as early as a week ago, Guo Qiang told his family that his left shoulder hurt. The family thought it was caused by fatigue, so they didn’t care. Liu Yongxin, deputy director of the Second Department of Cardiology, Guangdong Second People’s Hospital, told his family that sometimes shoulder pain is an atypical symptom before myocardial infarction, not just muscle pain that everyone thinks.
Before female myocardial infarction
There are many atypical symptoms
"Before the onset of acute myocardial infarction in coronary heart disease, angina pectoris is often used as a precursor symptom. Failure to find it in time will delay treatment." According to Liu Yongxin, the symptoms of angina vary from person to person. Most of them are chest tightness and chest pain. Atypical symptoms can be manifested as abdominal pain, shoulder and arm pain, neck and pharynx pain, and even toothache.
"Angina pectoris is the pain caused by chemical products stimulating visceral nerves. Because the positioning is unclear, the pain parts are often diversified." Liu Yongxin pointed out that women have more atypical symptoms.
When angina pectoris is suspected, ECG is the simplest and most convenient identification method. Through the nature, inducement, relieving factors and accompanying symptoms of pain, it can also be roughly judged whether it is shoulder musculoskeletal pain or angina pectoris.
Generally speaking, angina pectoris can be relieved by quiet rest at the time of intense activity or emotional excitement, which usually lasts for several minutes to ten minutes. If the pain lasts for more than half an hour, you must see a doctor in time. However, the pain of skeletal muscles is related to a large number of local activities or local cold, and the pain is clearly located and lasts for a long time.
Liu Yongxin pointed out that the cold weather in winter is the high incidence season of cardiovascular diseases. People with basic diseases such as hypertension, diabetes, hyperlipidemia and obesity should pay special attention, and people who smoke, drink and are nervous should also attach great importance to it. People with family history and middle-aged and elderly patients should have regular physical examinations. Pay special attention to the abnormal symptoms that suddenly appear on the body, especially the atypical symptoms mentioned above, and don’t be careless.
Attention!
These may be
"distress signal" of the heart
The following may be signs of heart disease:
1. indigestion.
Different from ordinary stomach diseases, stomach pains caused by heart disease rarely cause colic and sharp pain, and tenderness is not common, but there is a feeling of oppression and fullness, sometimes accompanied by dull pain, burning sensation and nausea and vomiting. There may be some relief after defecation, but the uncomfortable feeling will not disappear completely.
2. Shortness of breath.
Shortness of breath means feeling "insufficient breath". After sitting still for a few minutes, breathing seems to return to normal, but when the patient walks again, breathing begins again. This wheezing symptom of heart disease is often ignored by women and elderly patients with lung disease.
3. Extremely tired.
After a brisk walk, there will be signs of extreme fatigue, so tired that I don’t even have the strength to straighten up. Fatigue is not confined to a certain part of the body, but is systemic. If you feel more tired than ever, you should go to the hospital for examination immediately.
4. shoulder pain.
Different from ordinary shoulder pain, this kind of pain is generally dull, not sharp, and often radiates to the front and inside of the arm until the little finger. Most of them are fatigue, and the pain is relieved after rest. Of course, this symptom of heart disease needs to be differentiated from cervical spondylosis.
In particular, these may also be "distress signals" of the heart:
1. The lower lip and ring finger on one side are numb, paroxysmal and sometimes accompanied by sweating;
2. Toothache, excluding the problems of the teeth themselves, is best to have a look at the cardiology department;
3. Headache, especially accompanied by symptoms of chest tightness, intensifies during activities, and it is better to stop and rest;
4. Abdominal pain, which feels like "spicy" pain like eating a lot of peppers, sometimes accompanied by nausea and vomiting;
5. Back pain, from front chest pain to back, is radial pain, especially when accompanied by sweating.