Causes of weakness in the shoulders and arms. Muscle weakness in the legs and arms: causes, treatment and prevention

Severe muscle weakness manifested by severe fatigue and muscle weakness. Often this symptom is one of the first signs.

How does severe muscle weakness manifest?

Muscle fatigue characterized by a pronounced decrease in strength in one muscle or several at once. It is very important to clearly distinguish between muscle weakness and the general state of fatigue, weakness and lethargy. Chronic muscle fatigue is felt both in a specific limb and in any other area of ​​the body.

In medicine it is determined objective (in this case, the study confirms the fact of a decrease in muscle strength) and subjective (a person feels tired in a muscle, but the results of the study show that strength is preserved) muscle weakness. Classification related to the affected area is practiced. Varies localized And generalized forms of this disease.

This condition is characterized by rapid fatigue of the striated muscles, which will determine the functioning of the human musculoskeletal system. Quite often, a person, feeling weakness in the muscles of the arms or legs, only suffers from, so the doctor needs to be very careful in the process of making a diagnosis.

Often muscle weakness in the arms or muscle weakness in the legs is a symptom of a disease that is caused by autoimmune attacks of the body . This disease usually appears periodically. Exacerbations of the disease alternate with periods of remission. In patients with myasthenia gravis, the muscular system loses the ability to contract, as the person gradually loses muscle strength. In most cases, the disease affects young and middle-aged women, as well as men over 50 years of age.

Proximal muscle weakness It occurs primarily in the arms and legs, but sometimes it can occur in both the upper and lower extremities.

A patient with this symptom often finds it difficult to move long distances or walk up stairs. In some cases, it is even difficult for such people to stand and sit. Often their gait takes on the characteristics of a so-called “duck” walk - they walk as if rolling from side to side. If the muscles of the foot are affected, then over time the person develops. Subsequently, a person may develop hyperparathyroidism - a disease associated with too active hormone production parathyroid hormone , which subsequently leads to the development hypercalcemia . In such patients, in addition to muscle weakness, there are disorders of the kidneys, gastrointestinal tract, and signs of changes in the nervous system.

Why does severe muscle weakness occur?

The causes of muscle weakness are associated with various diseases and factors affecting the human body. Severe muscle weakness in older people and in younger patients can develop against the background of both muscular and mental diseases. Causes of muscle weakness in the legs and arms are often associated with the development of myasthenia gravis. This disease is of an autoimmune nature. Myasthenia gravis affects synapses – places where nerves and muscles connect. Consequently, this process leads to innervation. Myasthenic syndrome often develops against the background thymus tumors , hyperplasia , as well as for some diseases of the human nervous system. Symptoms of muscle weakness associated with myasthenia gravis are more common in women. Sometimes this illness is a consequence of severe stress or an infectious disease. Muscle weakness is sometimes noted in children. As a rule, the manifestation of this symptom indicates the development muscle tissue dystrophy . A child with this symptom often has various types of disturbances in the functions of the central nervous system, muscle development defects, or the presence of certain genetic disorders.

However, the causes of weakness in the arms and legs are not always associated with myasthenia gravis. If a person feels normal, but at the same time notices severe fatigue and weakness in the legs, then in some cases the manifestation of this symptom is explained by overwork, constant work in a standing position, or even regular wearing of not very comfortable shoes. In this case, the patient suffers from fatigue, rumbling in the legs, and fatigue. This symptom is most often observed in older people, but women who prefer high-heeled shoes often report fatigue and a feeling of weakness in the lower extremities. In addition, this phenomenon may be a sign , spinal diseases .

Weakness of the muscles of the neck, back, pelvic floor, limbs, etc. manifests itself not only as a result of an independent autoimmune disease, but can also be a symptom of certain diseases and pathological conditions. Often, muscle weakness is observed with a constant protein deficiency, with the active development of inflammatory processes or infectious diseases, with intoxication or dehydration of the body. Patients with, thyroid diseases . Muscle pain and weakness are a symptom of severe poisoning, an overdose of certain medications. Weakness in the leg muscles is characteristic of. It should also be taken into account that in some cases the causes of muscle weakness are associated with the development asthenic syndrome . A person sometimes notices a pronounced feeling of fatigue in the calf muscles after experiencing stress or serious emotional stress.

Weakness of the heart muscle leads to the development heart failure and occurs against the background of many cardiovascular pathologies.

How to get rid of severe muscle weakness?

Treatment of muscle weakness always depends on the underlying disease and is prescribed only after a complete diagnosis and determination of the cause of the disease. For patients who suffer from myasthenia gravis, it is very important to establish a diagnosis as early as possible, since the disease is more effectively treated at an early stage. In the diagnostic process, both laboratory and instrumental research methods are practiced.

During therapy, the doctor prescribes symptomatic treatment, as well as a course of physiotherapeutic procedures that help restore the normal state of a person’s muscles. However, as a rule, the disease has a chronic course, so it is impossible to completely get rid of the symptoms. The doctor prescribes medications and their dosage regimen for patients with myasthenia gravis individually, since it is necessary to take into account the characteristics of the symptoms and course of the disease. Most patients are prescribed drugs that block the destroyers acetylcholine - a substance that is formed in the body and takes part in the transmission of impulses to the muscles.

If necessary, radical treatment methods are prescribed, in particular surgical removal of the thymus gland or its tumor. In some cases, radiation exposure is indicated. With proper treatment, most patients note a noticeable improvement in their general condition. However, periodic maintenance therapy is necessary throughout the patient's life.

The question of how to relieve muscle fatigue is also relevant for people who have fatigue and pain in limbs - This is a consequence of the influence of other factors. If constant pain and a feeling of fatigue are associated with general fatigue, it is necessary to reconsider your lifestyle, ensure regular good rest, and reduce stress. Often, rapid and very severe pain and fatigue in the muscles appears after training. It is important to take a responsible approach to the selection of exercises, taking into account the general condition of the body and the presence of chronic diseases. However, a person must constantly practice adequate physical activity.

It is important to balance your diet and constantly maintain the correct drinking regime to prevent dehydration. If necessary, you should take care of changing your shoes to more comfortable ones. Massage and a warm, relaxing bath help to effectively relieve fatigue.

If muscle weakness is associated with other diseases, you should definitely tell your doctor about this symptom, who will adjust the treatment regimen. Particular attention should be paid to the health of those who have weakness of the heart muscle, since if not properly treated, this condition can be life-threatening.

People very often encounter such a seemingly insignificant ailment as weakness in the hands. A feeling of heaviness appears, and your arms become so weak that it is difficult to even lift a cup of water. Many begin to attribute this to physical fatigue, but such a symptom can hide more serious illnesses.

Causes

The appearance of weakness in the upper extremities does not depend on age category and gender characteristics. Such a manifestation may be a consequence of other ailments, and the causes are divided into physiological and pathological.

Physiological factors

This type of factors includes:

  • trembling and fatigue may appear after prolonged physical exertion, for example, when holding a heavy object at a level that exceeds the heart. Then the weakness should go away within 3-4 minutes after the limb has returned to its normal position;
  • due to circulatory disorders. More often this happens when a person is sleeping. In the process of constant squeezing, the arm or hand may become numb, and then pain and unpleasant tingling sensations appear;
  • a sharp change in temperature conditions (from cold to warm) also refers to physiological reasons.
  • These factors do not indicate disorders in the human body.

Pathological factors

These types of reasons include:

  • anemia, due to a decrease in hemoglobin in the blood, a person feels dizzy and drowsy;
  • arthritis begins to manifest itself with weakness and pain in the fingers, and then spreads to the entire limb;
  • dysfunction of the thyroid gland;
  • diabetes mellitus, high blood sugar. At the same time, various metabolic processes are disrupted. Muscle weakness in the arms is the first sign of this disease, which must be treatable;
  • neurological changes.

Important! Trembling and weakness in the left hand may indicate diseases of the cardiovascular system (stroke, vegetative-vascular dystonia, myocardial infarction, coronary vessel diseases)

Similar symptoms in the right limb are often the cause of the following diseases:

  • osteochondrosis in the cervical spine. Due to this, the arterial veins are compressed, as a result of which blood circulation is disrupted;
  • pinching of nerve endings in various parts of the spine and shoulder joints;
  • spondylosis, in addition to weakness, there is also pain, not only in the arms, but also in the legs.

In any case, such a symptom cannot be ignored. It is necessary to contact a qualified specialist.

Symptoms of the phenomenon

As it was written earlier, constant weakness and tremors in the hands are not a separate disease, but symptoms of more serious diseases. But in parallel the following can also be observed:

  • pain in the upper extremities that radiates to the back;
  • mild nausea and dizziness;
  • loss of physical strength and arm activity;
  • swelling in the joint area.

Sometimes there is increased or decreased blood pressure, changes in local temperature indicators.

Carrying out diagnostics

Making a correct diagnosis is the key to further treatment. The doctor, as a rule, prescribes the following diagnostic measures to determine the reasons that caused this condition:

  • visual examination and detailed questioning of the patient;
  • studying the history of previous or concomitant diseases, because one of them could be the reason for the development of new pathological changes;
  • radiography, if necessary CT or MRI;
  • general blood and urine tests;
  • biochemical blood test.

If there is constant weakness in the arms, identifying the cause will help prescribe comprehensive treatment appropriate to the situation.

Therapeutic measures

After a comprehensive diagnosis, the attending physician can refer you to a specialist: a surgeon, neurologist, endocrinologist, toxicologist or rheumatologist. For additional and general treatment of weakness and numbness in the hands, the following is prescribed:

  • bed rest, as well as regulation of the active period with rest;
  • special diet. With low hemoglobin, emphasis is placed on foods that contain a lot of protein and iron;
  • prescription of vitamin-mineral complexes (Duovit, Supradin, etc.);
  • if weakness in the arm is accompanied by pain, then non-steroidal anti-inflammatory drugs with an analgesic effect are prescribed (Diclofenac, Indomethacin, Ibuprofen, Movalis, Nimesil, etc.);
  • excellent results can be obtained with physiotherapy;
  • therapeutic exercises at moderate intensity also have a positive effect on eliminating weakness in the limbs;
  • prescription of chondroprotectors (Teraflex, Glucosamine with chondroitin, etc.);
  • Sedatives such as Valerian, Novopassit or Fitosed will not be superfluous;
  • taking a course of massage and manual therapy.

If weakness suddenly appears in the muscles of the limbs, you should lie down or at least take a comfortable position and relax them. It should go away in fifteen to twenty minutes

If you have bad habits, you need to reconsider your lifestyle. It is necessary to quit smoking and not abuse alcoholic beverages, as well as strong tea and coffee.

In addition to your doctor’s recommendations, you should also review your daily diet and daily routine. Food should be low-fat, but nutritious and varied, rich in vitamins and amino acids. Drink 1.5-2 liters of water a day, because a lack of fluid causes inhibition of the body's metabolic processes.

You should combine work and take rest breaks, sleep at least seven to eight hours a day. Physical activity should not be exhausting, but it cannot be eliminated completely.

Part of the prevention and treatment complex may be rest in sanatoriums. The specialization of prescribed treatment measures depends on the diagnosis.

Traditional methods

Previously, our ancestors were treated only with herbs and gifts of nature, because there were simply no medicines. When treating weakness in the hands, you can additionally use traditional methods. Here are some common methods outlined below.

  1. Instead of tea, brew herbal decoctions or make infusions from them. For example, you can take chamomile, lemon balm, linden flowers, and yarrow and make an herbal mixture equally. Infuse at the rate of 1 tablespoon of the mixture per glass of boiling water. Drink a quarter glass three times a day. These components have a calming effect and have a beneficial effect on the nervous system.
  2. Taking a pine bath. After a hard day at work, this is a great way to recover. Your muscles will all relax, and your sleep will be more sound. The most convenient way is to use an extract purchased at a pharmacy and dilute it according to the instructions for use.
  3. Chopped garlic and honey. Based on 1 tbsp. l for 1 tsp. each component respectively. Take a tablespoon of the mixture with boiled chilled water. This remedy should be taken every morning on an empty stomach; it will have a general tonic effect.
  4. An infusion of wheat bran will help cleanse the body and also give you energy for the whole day. The components are taken at the rate of 1 tbsp. bran per 1 liter of chilled boiled water and infuse for 8 hours. It should be strained and drunk before meals.
  5. Tea with rose hips, its fruits are crushed and boiled. This drink is rich in vitamin C. It should be consumed before meals.
  6. Honey wrap. You should put a honey compress on the area that is most numb overnight. Thanks to warming, blood will circulate better. It will help not only with weakness, but also with numbness.

Important! Traditional methods should not form the basis of treatment, but only be an addition to the overall complex

A good result can be achieved using contrast baths. You should alternately dip your hands in cold and then hot water; you can use a shower. This procedure will increase blood circulation and tone the muscles.

So, weakness in the right hand indicates possible osteochondrosis, pinched nerve, spondylosis, and in the left - about pathologies of the cardiovascular system. In any case, with constant fatigue, weakness, numbness, and trembling in the upper extremities, you should immediately consult a doctor. This manifestation is not a separate disease, but a symptom of a more serious disease.

Muscle weakness syndrome is called myasthenia gravis - it is a pathological process of an autoimmune nature that reduces muscle contractility. This disease can develop as a result of damage to the anatomical components of the limbs (vessels, bones, articular surfaces, nerves). Muscle weakness can develop in both the arms and legs. In this section we will look at the main causes of muscle weakness in the legs and arms and their treatment.

Main symptoms of myasthenia gravis:

  • 1. Decreased muscle strength. The measurement can be made either using a special tool - a dynamometer, or the hands of an examining doctor. To assess muscle strength without an instrument, the doctor simultaneously shakes the patient's two hands while assessing the symmetry of muscle tension.
  • 2. Difficulty performing routine tasks (walking, climbing stairs, holding a mug in your hands, writing with a pen, carrying moderately heavy packages);
  • 3. In addition to decreased strength in a particular limb, blepharoptosis (drooping of the eyelid), difficulty swallowing, speaking, or chewing may occur.

Causes of muscle weakness in the legs

This syndrome in the legs most often develops due to the following reasons:

  • 1. atherosclerosis of the vessels of the lower extremities;
  • 2. pinching of the innervating nerve;
  • 3. varicose veins of the lower extremities;
  • 4. wearing uncomfortable shoes or flat feet;
  • 5. damage to blood vessels or muscles by infectious agents;
  • 6. metabolic disorders (damage to the thyroid gland);
  • 7. calcium deficiency in the body.

Causes of weakness in the hands

The syndrome develops much less frequently in the arms than in the legs. Its main reasons:

  • 1. atherosclerosis of the vessels of the upper extremities;
  • 2. pinching, injury, hypothermia of one of the nerves;
  • 3. sudden changes in blood pressure;
  • 4. stroke;
  • 5. infectious damage to blood vessels and muscles of the upper extremities;
  • 6. metabolic disorders;
  • 7. lack of calcium in the body.

Treatment of muscle weakness

Severe flaccidity in the legs and arms causes discomfort to the patient. To the question “How to treat muscle weakness?” experts answer that there are several methods: conservative (medicinal) method, surgery and physical therapy. If the cause of weakness lies in infection, then antibacterial, anti-inflammatory, and antiviral drugs are used. Additionally, physiotherapeutic procedures are prescribed that improve blood flow in the area of ​​the necessary muscles.

Treatment depends on the cause that causes it (injuries, infections, genetic, autoimmune processes, consequences of stroke, etc.). If muscle weakness occurs, you should immediately contact a specialist in neuromuscular pathology.

Various pathological processes in the body can cause weakness in the hands. Only a specialist can understand the problem after a full examination. You cannot diagnose yourself, much less self-medicate, so as not to worsen your condition and face even greater problems.

Possible etiological factors

Sudden weakness in the arms can occur in anyone, even the healthiest person. Despite the fact that such a condition passes as quickly as it arises, it cannot be ignored. Perhaps in this way the body signals the onset of a serious illness. To find out the cause of this syndrome, you need to consult a doctor.

The appearance of unexpected weakness in the upper extremities may indicate the presence of neurological disorders, which result in disruptions in muscle activity. Unpleasant symptoms may be the result of impaired metabolism or dehydration. This situation occurs when the required drinking regime is not observed or during a strict diet. Malfunctions of the gastrointestinal tract, kidneys or liver can also cause weakness and pain in the arms. In addition, discomfort is caused by inflammatory processes in the scapular, wrist and shoulder areas.

When the first signs of weakness appear in the upper extremities, you need to analyze whether they are accompanied by additional symptoms: numbness, severe pain, loss of sensitivity. If such deviations are noted, this indicates the development of a number of diseases:

  • inflammatory process in one of the body systems;
  • the presence of infection, diabetes, protein deficiency, anemia, hypovitaminosis.

As a result of these diseases, weakness of the arm muscles may develop. To eliminate this syndrome, it is necessary to begin treatment of the underlying disease.

Diseases that cause unpleasant symptoms

Quite often, weakness in the arms is a signal from the body about an impending stroke. As soon as serious blood flow disturbances occur, this symptom is one of the first to appear. Most often one side is affected. Weakness in the left arm causes a right-sided stroke. Pathology of the left hemisphere of the brain provokes weakness in the right hand. In many cases, the same symptoms are felt in the lower extremities.

In addition, there is a disturbance in speech and coordination of movements; the patient may complain of headaches and dizziness, darkening of the eyes, vomiting and nausea. In case of acute stroke, it is necessary to quickly transport the patient to the hospital. If treatment is not started in time, the condition can worsen sharply and even lead to death.

Weakness in the limbs of the left side may also indicate problems with the cardiovascular system, disorders of the kidneys and spleen, the development of vegetative-vascular dystonia, and problems with the spine.

Much more often you can hear complaints of discomfort in the right hand. The cause of this may be scoliosis, a curvature of the spine. Incorrect location of the vertebrae leads to pinching of nerve endings and provokes weakness and numbness of the hand.

Among the reasons that cause weakness in the arms, tingling, partial loss of sensation and impaired motor functions, some experts note various damage to the spinal cord that occurs as a result of its compression. For example, loss of strength in the arms due to osteochondrosis is caused by compression of the cervical spinal nerves. The same symptoms are observed with the development of cervical spondylosis. This pathology is characterized by the formation of bone growths around the vertebrae.

Unilateral weakness in the arm is observed with radiculopathy, a disease caused by damage to the nerve roots. This pathology also has additional signs. Its development is accompanied by pain in the neck, transmitted to the right or left arm. Quite often there is not only a decrease in strength in the limbs, but also a violation of their sensitivity.

Most often, the development of the disease can be triggered by heavy physical exertion or injury. Its onset is either acute or gradual. At the first signs, you should consult a neurologist or neurologist. In addition to drug therapy, the doctor will recommend massage, physiotherapy, and physical therapy. If necessary, he will carry out a drug blockade.

A gradual increase in weakness in the arms is characteristic of polyneuropathy - multiple lesions of the peripheral nervous system. Although an acute stage of the disease is also possible. In addition to the main symptom, severe pain is observed in the upper and lower extremities, and sensitivity is impaired.

Treatment of pathology is based on eliminating the underlying cause and establishing control over the general condition of the patient. In addition to visiting a neurologist and neurologist, you will also need to consult an endocrinologist. If the patient complains of severe pain, he is prescribed complex therapy, including painkillers. Physical therapy, physiotherapy and massage will definitely be prescribed.

Weakness in the arms can be caused by myasthenia gravis, a neuromuscular disease characterized by pathologically rapid fatigue. The main symptoms of this disease develop after prolonged and heavy physical exertion associated with constant flexion and extension of the hands and arms. The muscles begin to “get tired” and stop obeying. In the most severe cases, paralysis occurs.

A targeted interview and identification of accompanying signs allows us to assume what happened to the person. other cases, when weakness occurs in the midst of complete health, recurs or increases, requires prompt consultation with a doctor.

There are many reasons for the development of weakness, the main part being inflammatory and degenerative diseases of muscles, nerves and blood vessels.

Reasons

In general terms, the reasons for the development of weakness in the hands look like this:

  • compression or constriction of the spinal cord caused by degenerative-dystrophic processes in the vertebral bodies, joints, ligaments, especially intervertebral hernias;
  • disturbances of cerebral or spinal (spinal cord) blood flow, most often ischemic stroke;
  • injuries – domestic, sports or industrial;
  • calcium deficiency;
  • congenital muscle dystrophies or progressive myopathies;
  • autoimmune diseases - multiple sclerosis, Guillain-Barré syndrome, Charcot's disease, systemic lupus erythematosus, rheumatoid arthritis;
  • damage to the aortic arch or its branches;
  • various vasculitis or vascular inflammation - Raynaud's syndrome, Buerger's disease;
  • arthrosis and arthritis;
  • parkinsonism syndrome;
  • hyperthyroidism or increased thyroid function;
  • scalenus syndrome or anterior scalene muscle, when the muscle compresses the roots of the brachial plexus;
  • inflammation or neuritis of one of the large nerves supplying the upper limb;
  • tunnel syndrome, when the nerve is compressed in some anatomically narrow place;
  • metastases of tumors of internal organs;
  • myasthenia gravis;
  • damage to the peripheral nerves of the hand due to diabetic or alcoholic causes;
  • emotional stress.

Our doctors

When should you see a doctor?

If you are only worried about weakness in your arms - one or both, but nothing else is bothering you, then you need to contact them within the first 24 hours. The peripheral nerve is a sensitive formation; its myelin sheath, without which normal impulse transmission is impossible, is destroyed very quickly by inflammation or compression. With some compression, not only the shell is destroyed, but also the central fiber - the axon. If myelin can be restored in a relatively short time (we are not talking about hours or days, but weeks and months), then with the axon things are more complicated. The sooner nerve damage is stopped, the greater the likelihood that a person will remain able to work.

If weakness in the arms, even minimal, is accompanied by dizziness, headache, unsteadiness of gait, and vomiting, then the likelihood of a stroke is high. In this case, the clock counts. Medical assistance is required immediately; treatment cannot be delayed until the morning, or even for several hours. The same applies to traumatic brain injury, in the acute period of which the arms often weaken. Time is truly invaluable in these situations.

Frequent cases

Stroke – weakness develops more often in the arm and leg at the same time, muscle strength decreases. Speech may be impaired, the level of consciousness may change, and the head may hurt severely. Anyone who sees this should urgently call an ambulance.

“Cervical radiculitis” - the arm and neck hurt, the arm weakens. Several fingers and sometimes a strip of skin lose sensitivity. Sometimes it develops gradually, sometimes after a jerk or injury.

Myasthenia gravis is often bilateral, the greater the physical activity, the weaker the muscles; symptoms increase in the evening or after even minor physical activity, almost completely regressing after rest.

Polyneuropathy is almost always bilateral and develops against the background of diabetes mellitus or after heavy drinking. I am concerned about burning pain and numbness like “gloves”, sometimes up to the forearm.

Parkinson's disease and parkinsonism - one arm begins to tremble and weaken, then the other becomes involved. Movements slow down, muscle stiffness is felt, and the accuracy of movements decreases.

Multiple sclerosis – weakness appears suddenly, like a stroke, but then can go away spontaneously and without treatment. Multiple sclerosis is a severe autoimmune disease that diffusely affects different parts of the nervous system (this is what is meant by “absent-mindedness”).

CELT doctors use every opportunity to establish the true cause of the disease. Not only the latest diagnostic systems are used, but also the experience of related specialists and consultations with the best doctors in their field.