Очень многим людям знакомо вечернее чувство усталости и тяжести в ногах, даже если весь день «ничего не делал». Выясним, от чего может появляться это чувство, и что делать, чтобы вернуть ногам энергичность.
Почему ноги устают и становятся тяжелыми
Чувство тяжести и усталости в ногах – это заболевание, которое поражает, в основном, нижние конечности женщин. Проявляется онемением, болью, иногда опуханием и недомоганием, передающимся на всё тело.
Если Вы испытываете чувство усталости, не связанное с особыми физическими нагрузками, а в обычной повседневной жизни, то проблема может быть связана с сердечно-сосудистой системой. Тогда усталость объясняется тем, что мышцы ног не получают достаточное количество «свежей» крови, и, соответственно, достаточно кислорода.
Все это происходит из-за процесса закупорки капилляров, т.е. мельчайших кровеносных сосудов, через которые кровь проходит в клетки. Закупорка приводит к накоплению крови и застою в лимфатической системе.
Это может создать, с течением времени, повреждения сосудистой системы (варикозное расширение вен), а также эстетические проблемы, когда сосуды будут ярко просвечивать через кожу ног.
Каковы причины усталости и тяжести в ногах
Усталость и тяжесть в ногах часто связана со слабостью мышц, но, на самом деле, существует много других причин, которые могут определить это расстройство, некоторые патологического происхождения, а другие, связаны с физиологическим состояниям или неправильными привычками.
Непатологические причины
Среди причин, в основе которых отсутствуют патологии, мы имеем:
- неправильные привычки в еде, – диета бедная клетчаткой или с низким содержанием магния, что способствует накоплению жидкости и отёчности;
- ношение высоких каблуков и слишком узких брюк, что затрудняет циркуляцию крови;
- сидячий образ жизни, что увеличивает риск таких заболеваний, как ожирение, сахарный диабет, сердечно-сосудистые расстройства, мышечная атрофия и варикозное расширение вен;
- высокая температура: в таких условиях, кровь, которая поступает в нижние конечности, больше не в состоянии подняться обратно к сердцу, таким образом, сосуды расширяются и кровь застаивается, вызывая тяжесть в ногах, отёки и покалывание;
- недостаток сна, что не позволяет организму восстановить силы;
- беременность: из-за гормональных изменений, вены расширяются и становятся менее эластичными;
- статическая работа: пребывание долгое время в положении стоя или сидя ухудшает периферическое кровообращение и, следовательно, вызывают отечность и усталость.
Патологические причины
Существует множество патологий, симптомы которых будут уставшие и тяжелые ноги:
- Межпозвоночная грыжа: заболевание, при котором внутренняя часть межпозвоночного диска выходит наружу и сдавливает нервы спинного мозга. Основным симптомом патологии является боль, которая может иррадиировать в различные части тела.
- Почечная недостаточность: это неспособность почек фильтровать все метаболические отходы. Первым признаком заболевания является задержка жидкости с отёками ног и ступней.
- Миастения: это аутоиммунное заболевание, при котором нарушается связь между нервными волокнами и мышцами, что влечет мышечную слабость и чрезмерную утомляемость мышц всего организма.
- Диабетическая стопа является осложнением диабета, что включает в себя изменения в кровообращении нижних конечностей.
- Истинная полицитемия: патология, которая приводит к увеличению размера клеток крови, из-за чего кровь становится слишком густой.
- Преэклампсия: поражает беременных женщин, вызывает высокое кровяное давление и задержку воды с отёками, особенно в ногах.
- Тромбофлебит: воспаление вен с образованием тромбов, что влечёт появление болей и отеки конечностей, обычно ног.
- Варикозное расширение вен, что вызывает боль и чувство тяжести в нижних конечностях.
- Боковой амиотрофический склероз: это прогрессирующее заболевание, которое приводит слабости в нижних и верхних конечностях;
- Синдром беспокойных ног: расстройство, которое влечет покалывание в ногах и стимулирует к движению ногами.
Средства от тяжести и усталости в ногах
Как справиться с этой проблемой? Если проблема усталости и тяжести в ногах связана с патологическим состоянием, нужно его вылечить и удалить.
Когда причина связана с физиологическим состоянием, можно прибегнуть к помощи натуральных средств:
- Питание является основой нашего здоровья, поэтому следует придерживаться здоровой и сбалансированной диеты, в частности, есть меньше соли и пить много воды (минимум два литра воды в день), что помогает стимулировать правильное кровообращение.
- Регулярная физическая активность (по крайней мере, 3 раз в неделю). Мышцы в хорошем тонусе улучшают состояние вен и способствуют циркуляции крови.
- Избегайте долго сидения. Изменение положения тела или подъем на пальцы способствует возвращению крови к сердцу.
- Сон с подушкой под ногами, чтобы облегчить возвращение крови.
- Не используйте обувь на слишком низких или слишком высоких каблуках.
Также существуют различные растительные продукты, которые весьма полезны в случае усталых и тяжелых ног:
Гинкго билоба содержит флавоноиды и полифенолы, снижающие отечность и тонизирует кровеносные сосуды.
Голубика полезна для циркуляции, благодаря действию антоцианов, которые защищают кровеносные сосуды и уменьшают отечность и тяжесть в ногах. Достаточно съедать 100 грамм свежей черники в день.
Конский каштан, благодаря эсцину и сапонинам, способен уменьшить проницаемость капилляров, а значит отёки.
Если человек испытывает трудности при ходьбе, особенно при подъеме по лестнице, боль и чувство тяжести в ногах, это тревожный сигнал. Возможно, это начали развиваться патологии, которые нельзя оставлять без внимания. Фибромиалгия, заболевания периферических артерий, а также другие расстройства нервной и кровеносной системы, обязательно должны быть исключены. Более распространенными причинами тяжести в ногах являются варикозное расширение вен или сосудистые звездочки. Типичные симптомы подобных патологий включают повышенную усталость в ногах, отек, зуд, синдром беспокойных ног, жжение, судороги и изменение цвета кожи.
Почему вы постоянно испытываете тяжесть в ногах, откуда берутся неприятные ощущения?
Ноги — это самая удаленная от сердца часть тела, а значит, доставка крови туда и обратно осуществляется со значительными усилиями. Кроме того, велика физическая нагрузка на конечности, ведь им приходится «носить» много килограммов в течение всего дня.
Физическая нагрузка требует хорошей обеспеченности кровью мышц, соответственно возрастает давление на кровеносные сосуды, особенно на вены. Поэтому именно вены чаще всего становятся первыми жертвами воздействия негативных факторов.
Боль и тяжесть в ногах чаще всего возникает по причине недостатка кровообращения. Клеткам мышц недостаточно кислорода и других питательных веществ, и они настойчиво начинают об этом сигналить болью.
Стоит отметить, что даже при здоровых сосудах ног после сильной физической нагрузки чувство тяжести и легкой болезненности будет присутствовать в любом случае, и это считается нормой. Однако, если проблема повторяется, становится регулярной или замечены какие-либо факторы, усиливающие боль, стоит обратиться к специалисту с целью поиска и исключения патологии, если таковая имеется.
Причины тяжести в ногах: диагностика заболеваний, симптомы и признаки
Причины боли в ногах — болезни костей, суставов и мышц
- Мышечные судороги
Это характеризуется проявлением внезапных, плотных, интенсивных болей в нижней части ноги. Часто причиной подобной болезненности является мышечная усталость, жара или обезвоживание. Мышечные судороги чаще встречаются среди людей пожилого возраста и профессиональных спортсменов. В большинстве случаев мышечные спазмы исчезают после исключения факторов, их вызывающих. При необходимости, рекомендовано мягкое потягивание ног или массаж поверхности мышц в момент проявления боли. Применение тепла в области стянутой судорогами мышцы или холодного компресса может облегчить остроту боли симптомы.
- Болезни в области голени
Боль в этой области возникает, когда соединительная ткань и мышцы вдоль края большеберцовой кости становятся воспаленными. Это часто происходит по причине простудных явлений или сильных растяжений. Плоскостопие и дефект стопы с выворотом наружу также может внести свой вклад в эту проблему. Боль, как правило, исчезает с симптомами болезни. В качестве поддержки помогает прикладывание льда, прием противовоспалительных средств, а также в такие моменты лучше избегать физических нагрузок.
- Разрыв сухожилия или мышцы
Один из первых признаков тендинита, или воспаления сухожильных тканей, является боль в нижней части стопы или области пяточной кости. В таком случае показано прикладывание льда и прием противовоспалительных средств. Кроме того, нужно избегать всего, что вызывает боль. Поддерживающая обувь, уменьшающая напряжение на сухожилия, также может помочь. Если болевые ощущения очень сильны, возможно, случился разрыв ахиллова сухожилия, а это потребует срочного обращения к врачу.
- Перелом кости, растяжение коленных или лодыжечных связок
Переломы костей нижних конечностей и растяжения связок вызывают, как правило, очень сильные болевые ощущения, возникающие непосредственно после несчастного случая. Однако источником ноющих болей, особенно в ночной период, могут послужить трещины в кости, а также нетяжелые растяжения, которые проявляют себя порой через некоторое время.
Боли в ногах по причине расстройств кровообращения
- Тромбофлебит
Тромбофлебитом называют заболевание, связанное с образованием кровяных сгустков -— тромбов, которые образуются в русле глубоколежащих вен нижних конечностей в сочетании с воспалительными процессами в стенках сосудов. Процесс образования тромбов называется тромбозом глубоких вен. Тромбофлебиту больше подвержены глубокие вены нижней части ноги или бедра. Часто к этому расстройству приводит неактивность в течение длительного периода, избыточный вес, курение или прием лекарственных препаратов. Эти условия обуславливают повышенную свертываемость крови и, как следствие, образование тромбов.
Стоит отметить, что тромбоз — это заболевание очень опасное. Ведь отрыв тромба — частое явление, а его доставка током крови в легочную артерию может привести к тромбоэмболии или закупорке вены. Тромбоэмболия крупных стволов легочной артерии чревата скоропостижным летальным исходом.
- Варикозное расширение вен
Слабые клапаны и стенки наружных вен нижних конечностей приводят к застойным явлениям в сосудах, что провоцирует нарушение нормального оттока крови. Варикоз — частая причина болей в ногах, усиливающихся после тяжелой физической нагрузки. Внешне варикозное расширение вен характеризуется наличием очагов синих или фиолетовых образований под кожей конечностей, напоминающих гематомы. Следует очень осторожно и бережно относиться к этим вздутиям. Ведь стенка вены в этих местах истончена, а просвет переполнен кровью. Потому даже небольшой прокол может вызвать сильное кровотечение. Варикозное расширение вен является причиной тупой боли, особенно при долгом положении «стоя».
- Поражения кожных покровов
Аллергические, инфекционные или паразитарные заболевания кожи часто приводя к дискомфорту в области нижних конечностей. Кроме болевых ощущений, часто сопутствующей симптоматикой является зуд, очаговые или диффузные покраснения, повышенная чувствительность, отечность и местное повышение температуры.
- Заболевания периферических артерий
Склеротические изменения в артериях приводят к сужению их просвета или полной блокировке, что сильно снижает кровяное давление и, как следствие, объемы требуемой для мышц крови. Часто такие явления приводят к сильной боли в ногах, судорогам, нарушениям походки, хромоте. В особо тяжелых случаях пациенту недоступен подъем по лестнице и любая другая, даже незначительная, физическая нагрузка.
Если артерии становятся значительно суженными или закупориваются, боль может сохраняться в момент покоя. Характерным симптомом склеротических болезней вен является ухудшение заживания ран на поверхности кожи ног.
При затянутом или некорректном лечении болезни, вызывающем склеротические поражения в венах, может произойти омертвление мышечной ткани, так называемый некроз.
Риск развития артериосклероза повышается у пациентов с сахарным диабетом, ожирением, высоким кровяным давлением или высоким уровнем холестерина. В особой группе риска находятся заядлые курильщики. Болезнь требует внимательного правильного лечения и регулярных обследований.
Боли в ногах по причине расстройств нервной системы
- Стеноз или сужение спинномозгового канала и пояснично-крестцовый радикулит
Распространенной причиной стеноза позвоночного канала является артрит позвонков. В некоторых случаях грыжа межпозвоночного диска давит на близлежащие нервные корешки, что может привести к симптомам радикулита.
- Жжение, схваткообразные боли в ноге положении «стоя» или «сидя».
- Онемение ног.
- Покалывание.
- Усталость.
- Слабость.
Боль может начаться в спине и бедре, потом распространиться вниз в ноге. Лечение может включать отдых в течение нескольких дней наряду с приемом противовоспалительных средств и обезболивающих препаратов. Холод и тепло может помочь с некоторыми симптомами. Физическая терапия в виде специальных упражнений на растяжку весьма полезна. Не стоит начинать резких движений после долгого сидения или лежания.
- Диабетическая нейропатия
При сахарном диабете нервы могут быть повреждены высоким уровнем сахара в крови, что является частым осложнением сахарного диабета. Боль, как правило, появляется в обеих ногах наряду с онемением и ощущением слабости в нижней части конечностей. Лечение включает в себя применение обезболивающих препаратов и назначенную схему лечения для контроля уровня сахара в крови.
Тяжесть в ногах, боль и отечность: какой врач поможет?
Посещение лечебного учреждения начинается с хирурга, либо более узкого специалиста, если таковой имеется в штате, — сосудистого хирурга (флеболога). В случае неуточненных изменений нужно обратиться к участковому терапевту.
Чем опасна тяжесть в ногах при беременности и как избавиться от болезненных ощущений в этот период?
Беременность — физиологический процесс, обуславливающий множество изменений в организме будущей матери. Частые ноющие боли в ногах возникают по причине увеличения веса и смещения центра тяжести. Кроме того, состояние усиливают попутные патологические процессы, которые уже имеются или имелись ранее в анамнезе беременной.
После посещения специалиста и исключения сложных патологических состояний, требующих лечения, можно порекомендовать ряд мероприятий, которые, возможно помогут снизить боли в ногах.
- Необходимо постоянно следить за собственным весом, придерживаясь правильного меню. Особенно это касается употребления жидкости. Воды в процессе беременности требуется много, но при ее избытке возможно образование отеков ног, что усугубит болевые ощущения в ногах.
- Во время движения необходимо следить за осью осанки и по возможности равномерно распределять вес на обе ноги.
- Беременным женщинам рекомендуется избегать длительного стоячего положения во избежание лишней нагрузки на нижние конечности.
- Во время ночного сна нужно чаще менять положения тела. Не стоит долго задерживаться на левом боку, поскольку масса живота оказывает компрессионное воздействие на полую вену, в которой собирается венозная кровь с нижней части тела. Замедление кровотока в ней затрудняет обмен в ногах, что на утро вызовет ощущение недостатка отдыха.
Гимнастика и народные средства для снятия тяжести в ногах
Существует несколько гимнастических упражнений, способствующих перераспределению крови в мускулатуре ног, что обуславливает снижение чувства усталости и болевых ощущений. Занятия рекомендуется проводить на пустой желудок не позже, чем за 3 часа до ночного сна.
- Поза «сидя», ноги вытянуты вперед. Пятки прижаты к полу. Проводятся круговые движения ступнями по 10 раз в каждую сторону.
- Аналогичное упражнение. Однако выполняется по очереди каждой ногой.
- В положении «сидя» поочередно делается упор на пятки и кончики пальцев.
- Положение «сидя», колени под углом в 90 градусов. Необходимо, удерживая носки в прижатом к полу положении, стараться тянуть пятки как можно выше. Выполнять 10-20 раз.
- В положении «стоя», руки «по швам», ноги — вместе. Одновременно двумя ногами требуется потягиваться вверх и плавно опускать их вниз.
- Аналогично предыдущему упражнению, однако руки подняты вверх. В момент опускания на пятки — полный присяд.
- Ходьба на месте, не отрывая носки от пола, приподнимая только пятки. Для удобства можно ладони рук прижать к стене.
Из народных средств для снятия тяжести в ногах рекомендуют несколько рецептов (применяется наружно).
- Чайную ложку соли растворить в стакане оливкового масла.
- На стакан растительного масла — сок одного среднего лимона.
- Компресс из растертых отрубей, заваренных на молоке, с предварительным охлаждением смеси.
Загрузка.
Ощущение тяжести в руках может беспокоить людей при переутомлении или сильных стрессах, в таких случаях после отдыха и легкой физической разминки дискомфорт исчезает. Если же тяжесть появляется регулярно, на протяжении нескольких дней, стоит задуматься о посещении врача, так как этот симптом может проявляться при различных патологических состояниях организма.
Причины тяжести в руках
В зависимости от локализации чувства давления и распирания в руке можно предположить наличие того или иного заболевания. Например, дискомфорт в запястье или кисти чаще всего говорит о возникновении воспаления суставов, разлитая тяжесть слева по всей конечности может сигнализировать о нарушениях сердечной деятельности, патологическая подвижность костей говорит об их травматическом повреждении. Поэтому, чтобы определить, какое заболевание провоцирует тяжесть в руках, необходимо пройти полное обследование и рассказать врачам обо всех сопутствующих симптомах.
Естественные причины возникновения тяжести в руках
- Неудобная ("застывшая") поза во время сна, выполнения профессиональных обязанностей или дел в быту.
- Ношение тяжестей или одежды, аксессуаров (часов, браслетов, колец), сдавливающих руки.
- Влияние магнитных бурь и резких перепадов атмосферного давления, температуры воздуха.
- Стрессовые ситуации, приводящие к временному спазму сосудов и, как следствие, нарушению периферического кровообращения в конечностях.
- Малоподвижный образ жизни, лишний вес, недостаточная физическая активность обуславливают застойные явления в конечностях и возникновение чувства тяжести в них.
При устранении провоцирующего фактора (смене позы, отдыхе, расслаблении, снижении массы тела) дискомфорт в руках исчезает бесследно.
Патологические причины (заболевания), при которых появляется тяжесть в руках
- Сердечные и сосудистые болезни:
- стенокардия, ишемия, при них давящее чувство возникает не только в левой руке, но и распространяется на лопатку и грудину, оно сопровождается жжением и болевыми ощущениями распирающего или простреливающего характера;
- гипертония, вегетососудистая дистония, кардиомиопатия, артериит, атеросклероз, эти патологии протекают с ощущением тяжести в одной или обеих руках, с возникновением небольшой отечности подкожной клетчатки на них, перепадами артериального давления, головными болями, чувством тошноты и слабости.
- Патологии опорно-двигательного аппарата:
- остеохондроз (шейный или грудной), спондилез, которые протекают с воспалением или механическим сдавливанием нервных корешков и сосудистых сплетений, что обуславливает появление тяжести, мышечного спазма или резких болей в спине и в руке на стороне поражения;
- искривление позвоночника (сколиоз), протекает с перенапряжением скелетной мускулатуры, которая пытается поддерживать его в физиологичном состоянии, из-за этого появляются ощущения давления и напряжения в спине, плечевом поясе, в области лопаток;
- воспаление мышц (миозит), болезнь проявляется их отечностью и болезненностью, связанными с накоплением молочной кислоты и утратой естественной эластичности мышечными волокнами, начальный этап заболевания может протекать с ощущением ломоты и тяжести в больных местах, в том числе и руках.
- Болезни костной системы:
- артриты, ревматизм, плечелопаточный периартрит, синовиты, бурситы, остеомиелит, туберкулез костей, эти состояния характеризуются воспалительными изменениями в суставах, накоплением патологического выпота, что может выражаться в появлении чувства тяжести и ощущения распирания в больной руке;
- артроз, остеопороз, дегенеративные изменения тканей, эти процессы часто выражаются дискомфортом в верхних конечностях по утрам (скованностью и тяжестью при движениях руками).
- Заболевания крови и лимфы:
- анемии, лейкозы, при них клетки испытывают большой дефицит кислорода, поэтому пациенты часто жалуются на слабость и тяжесть в руках, ногах, во всем теле;
- лимфостаз, лимфаденит, лимфогранулематоз, здесь нарушения оттока лимфы провоцирует ее застой в сосудах и пропитывание экссудатом близлежащих тканей, что субъективно ощущается как тяжесть, распирание или давление в руке.
- Гормональные болезни:
- сахарный диабет, ожирение, эти патологии протекают с нарушениями клеточного метаболизма, при них в организме происходят значительные изменения в питании и функционировании всех тканевых структур, со временем развиваются их дистрофия и атрофия;
- тиреотоксикоз, микседема, здесь изменения нормального уровня гормонов провоцируют слабость мышечной ткани и патологические изменения в костных и хрящевых структурах организма человека.
- Травмы:
- ушибы, растяжения, трещины характеризуются ощущением тяжести и умеренной болезненности в руке;
- вывихи, переломы, растяжения связок протекают с выраженным болевым синдромом, ненормальной подвижностью конечности, слабостью или тяжестью в ней.
- Почечные болезни, протекающие с накоплением излишней жидкости в тканях могут выражаться ощущением "чугунных" рук и ног.
Дополнительные симптомы
Каждое заболевание, симптомом которого является тяжесть в руках, имеет ряд дополнительных клинических признаков:
- при заболеваниях позвоночника дискомфорт возникает, как правило, во время активных движений, физических нагрузках или подъеме тяжестей, которые сопровождаются ощущением онемения в конечностях, чувством "ползания мурашек". Эти патологии чаще всего являются следствием напряженного физического или интеллектуального труда или длительного переохлаждения;
- эндокринные болезни оказывают негативное влияние на весь организм: мышцы утрачивают свою силу (становятся дряблыми и слабыми), возможны резкие изменения веса (набор или падение) и аппетита (повышение или снижение), эмоциональная неустойчивость, нарушения сна. Обострения возникают при грубых изменениях в питании или после эмоциональных перегрузок;
- болезни сердца характеризуются изменением частоты пульса, появлением одышки, кожного цианоза. Они обостряются после физических нагрузок или стрессов;
- воспалительные заболевания суставов и костей проявляются бурными местными реакциями (покраснением и отечностью подкожной сетчатки), повышением температуры тела. Часто эти патологии заявляют о себе в ответ на перенесенные вирусные или бактериальные инфекции.
Диагностика
Важным этапом в определении происхождения возникновения тяжести в руках является опрос больных, установление первого момента появления этого ощущения, предшествующих травм или заболеваний.
О многом может рассказать осмотр больных: цвет их кожных покровов, частота дыхания и сердечных сокращений, показатели АД, наличие отеков, мышечного напряжения и т.д.
Для изучения работы и состояния внутренних органов широко применяются инструментальные методики: ЭКГ, УЗИ, КТ, МРТ, рентген и т.д.
Лабораторные тесты помогают выявить воспалительные заболевания в организме и изменение биохимического равновесия в нем.
Исследования уровня гормонов в организме выявляют эндокринные отклонения.
Лечение
Терапия ощущения тяжести в руках основана на лечении фонового заболевания:
- при дегенеративных процессах в позвоночнике и суставах используются противовоспалительные и обезболивающие средства, хондропротекторы и физиопроцедуры;
- при эндокринных заболеваниях назначается заместительная терапия гормонами, диета, седативные средства;
- при сердечных недугах помогают сердечные гликозиды и анаболические средства;
- при травматических повреждениях необходимы оперативные вмешательства и последующие реабилитационные мероприятия (ЛФК, массаж, плавание).
В любом случае лечение должен назначать только врач, после комплексной диагностики.
Домашние методы лечения
В случаях с травмами или подозрением на острую сердечную недостаточность, другие патологии сердечно-сосудистой системы самолечение недопустимо, важно как можно быстрее вызвать скорую помощь.
Облегчить тяжесть в руках дома можно, если она вызвана болезнями позвоночника, миозитом, дегенеративными заболеваниями суставов. Уменьшить дискомфорт помогут:
- гимнастические упражнения: взмахи вверх-вниз руками, их встряхивание, не менее 5-6 раз;
- массаж или самомассаж: проведение легкого поглаживания и пощипывания в направлении вверх-вниз, 10-15 минут.
Профилактика
Для предотвращения или уменьшения чувства тяжести в руках необходимо:
- рационально чередовать периоды труда и отдыха;
- поддерживать нормальные показатели веса, заниматься физкультурой, пешими прогулками или другими видами двигательной активности;
- своевременно проходить лечение по поводу острых и хронических болезней.
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