Causes and danger of increased body temperature with osteochondrosis

Author, editor and medical expert – Petrashevich Anna Aleksandrovna.

Number of views: 16 260

Last updated date: 08/26/2021

Average reading time: 7 minutes

The common cold is a common disease caused by both bacteria and viruses. Acute respiratory viral infections (ARVI) are one of the most common reasons for visiting a doctor worldwide1.

Symptoms of ARVI may differ depending on the pathogen that caused the disease1. However, in most cases, the manifestations of a cold are typical1:

• runny nose;
• pain and sore throat;
• cough;
• hoarseness of voice1.

In many cases, acute respiratory viral infections are accompanied by signs of intoxication: weakness, increased fatigue, headache, fever, sweating.
The general symptoms of influenza are especially pronounced1. Most often, the prognosis for influenza is favorable and the disease proceeds benignly for 2-5 days, however, according to WHO, complications can develop in 10-30% of cases5.

The entry of infection into the body leads to the development of local and systemic inflammation . Without proper treatment, the inflammatory reaction progresses. Symptoms of intoxication increase, body temperature rises sharply (above 38°C)5.

If you do not see a doctor in time, a common cold or flu can lead to serious complications - sore throat, otitis media, sinusitis, bronchitis and even pneumonia2,4.

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When is a painkiller prescribed for a cold?

of a cold appear, comprehensive within the first 24-48 hours3 . It usually includes 3:

1. etiotropic drugs to destroy the infectious agent (antiviral agents and interferon inducers);
2. symptomatic drug therapy (antipyretics, antihistamines, antitussives, decongestants for the common cold)3.

Nonsteroidal anti-inflammatory drugs (NSAIDs or NSAIDs) have a complex effect, including pain relief5. These drugs are often used to relieve pain, but for colds and flu they bring relief to people not only with pain, but also with fever due to their antipyretic properties6.

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Understanding the problem

Arthrosis is considered a severe and incurable pathology. The disease often affects older people. Common forms are:

• arthrosis of the legs;
• spinal damage;
• changes in the hip joint.

Symptoms of spinal disease are more common in the female half of humanity. The disease with arthrosis of the spine, legs, and pelvis goes through three stages of development.

The first stage does not bother people much, which allows the disease to progress further. However, already during this period, arthrosis is accompanied by mild pain in the joints. In addition, with arthrosis of the spine or limbs, a characteristic crunch may be observed when bending them, rapid fatigue of body parts and other affected areas.

In the second stage, the patient experiences a feeling of stiffness, as well as limited mobility of the affected joints. It is worth noting that signs of this degree of damage are observed, as a rule, during exercise and disappear after rest. At the second stage of the disease, a person does not yet experience severe, ongoing pain, and the temperature from arthrosis also does not increase.

With the onset of the last, third degree of damage, the patient feels constant pain that does not go away even after rest. For this stage, meteorological sensitivity of the joints becomes a characteristic feature. Sometimes the patient experiences a decrease in body temperature.

Symptoms relieved by NSAIDs

Nonsteroidal anti-inflammatory drugs are unique due to the combination of pharmacological properties: anti-inflammatory, antipyretic and analgesic (pain reliever)6.

Inflammation

Inflammation is a protective reaction of the body in response to various damaging factors. NSAIDs reduce inflammation regardless of the cause and location of the inflammatory process10.

Heat

infectious agents enter the body . At the same time, there is a rise in temperature, increased heart rate, and increased blood flow, which leads to the suppression of viruses and bacteria and stimulation of the immune system6. However, the system sometimes fails - during the maximum temperature increase, overheating and damage to the body is possible. This is especially dangerous for people with poor health, with heart and vascular diseases, for the elderly and children6.

On the other hand, a sharp decrease in elevated temperature can lead to collapse (sudden cardiovascular failure), which is also very dangerous for the body6.

NSAIDs smoothly reduce temperature by acting directly on the thermoregulation center in the brain - heat production decreases and heat transfer increases6. Also, these drugs only work during fever and do not affect normal body temperature7. This is why NSAIDs are the symptomatic drugs of choice for high fevers such as colds and flu .

Pain

Headache and muscle pain are manifestations of ARVI, which may require taking non-steroidal drugs3. The pronounced analgesic effect of these drugs for colds and flu is due to the fact that they inhibit the synthesis of prostaglandins - substances that increase pain sensitivity7.

When choosing medications, it is important to focus on drugs with minimal risk of side effects11.

Motrin® is a non-steroidal anti-inflammatory drug that can be used to treat febrile conditions during colds and flu , as well as as part of complex therapy for infectious and inflammatory diseases of the ear, nose and throat with severe pain (pharyngitis, tonsillitis, otitis media)8. It is an over-the-counter naproxen-based drug that has analgesic, antipyretic , and anti-inflammatory effects8,9.

The advantage of naproxen is that it is not inferior to other NSAIDs in terms of analgesic and anti-inflammatory effects, but at the same time causes fewer side effects9. The duration of the analgesic effect of naproxen is up to 12 hours*.

Motrin® is used to reduce pain, inflammation, reduce elevated body temperature and does not affect the development of the underlying disease8.

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Non-arthritic causes of pain

Meniscal pain – usually occurs after an injury and affects one joint. Most often appear in children 10-12 years old. They are disturbing under loads, concentrated in the projection of the joint gap where the meniscus is damaged.

Osteochondral - affect one joint, most often on the leg, occur in children 8-10 years old. The mechanism for the development of such pain may be improper physical activity. However, the exact reason is unknown. The pain occurs with exertion and is limited to one joint.

Pain in the patellas , in addition to osteochondropathy and pathological dislocations, can occur with high position of the patellas, chondromalacia, and mediopatellar fold syndrome.

Stress pain in the feet - their causes can be: a number of bone associations, congenital malformations of the feet, joint stiffness syndrome against the background of systemic skeletal pathologies.

Tendon-muscular and enthesitis - variants of chronic and acute pathology (post-traumatic, transient, etc.). Primary enthesopathy is a symptom of SEA syndrome or juvenile arthritis. Secondary occurs against the background of an underlying orthopedic disease.

Joint syndrome – pain varies in variation and severity, usually affecting the hip, ankle, and knee joints. Less commonly – elbows and shoulders. Such pain is accompanied by inflammation. The pain is limited to one joint and the tendon-muscular element or the area where the tendon attaches to the bone.

Pain due to hypermobility affects preschoolers and primary schoolchildren. They can be symmetrical, have a diffuse nature, and are localized on the anterior surface of the legs. In some cases, the ankle and knee joint are affected. Most often these are night and evening pains, which are preceded by exercise. This pain syndrome is myalgia as a consequence of overstrain of the muscles of the legs with a weak capsular-ligamentous element. Many literature sources call this condition “growing pains . Parents should be wary of their child's night pain, because it may be associated with a tumor, especially against the background of fever and profuse sweating.

At an older age, pain due to hypermobility is not detailed and has a diffuse nature. May affect one joint or several. They occur both during and after load (during the day and evening). Such pain appears due to microtrauma of the structures inside the joint, excessive tension of the patellofemoral joint, and stretching of the ligamentous-capsular element.

Interaction of NSAIDs with other drugs

The selection of the most effective drug should be carried out individually based on existing symptoms and contraindications . It is also important to consider what other medications the patient is taking and their compatibility7.

Naproxen in combination with other drugs may8,12:

• enhance the effect of indirect anticoagulants, increasing bleeding time;
• potentiate the effect of drugs that bind to plasma proteins, for example, hydantoin derivatives;
• reduce the antihypertensive effect of beta-blockers, for example, propranolol, and also increase the risk of developing renal failure while taking ACE inhibitors and cyclosporine;
• increase plasma lithium levels by inhibiting renal clearance;
• cause nephrotic syndrome when taken simultaneously with amoxicillin;
• when combined with lithium carbonate - increase its concentration in the blood, with methotrexate, phenytoin, sulfonamides - increase their toxicity, and with morphine - lead to the development of myoclonus (impaired muscle activity);
• when used simultaneously with prednisolone, it increases its concentration in the blood, and with salicylamide, it enhances its effect;
• in combination with furosemide, reduce its diuretic effect8,12.

Taking two or more NSAIDs at the same time may reduce their effectiveness and increase the risk of adverse reactions7.

Also, many medications taken with NSAIDs can affect their effectiveness7:

• antacids containing aluminum (almagel) and cholestyramine reduce the absorption of non-steroidal drugs in the gastrointestinal tract;
• sodium bicarbonate increases the absorption of NSAIDs in the gastrointestinal tract;
• glucocorticoids enhance the effect of NSAIDs;
• narcotic analgesics and sedatives (sedatives) increase the analgesic effect of non-steroidal drugs7.

Thus, the use of NSAIDs has many nuances. Only a doctor can take everything into account and choose the optimal drug. Self-diagnosis and self-medication, even for common colds, are unacceptable.

_______________________

*The frequency of taking Motrin® is 2 times a day (see instructions).

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The information in this article is for reference only and does not replace professional advice from a doctor. To make a diagnosis and prescribe treatment, consult a qualified specialist.

To shoot down or not to shoot down?

What to do when the temperature rises to 37 and above. Although in the presence of arthrosis this figure may be much lower.

• Fever and joint pain

Only a doctor should answer this question after a complete examination of the patient’s condition. Whether the temperature rises or falls, no measures can be taken to normalize it until the true cause of the change in temperature indicators has been identified. Prescribing medications in such a situation is a difficult issue, since most drugs can aggravate the course of the disease.

How to treat arthrosis with such an unpleasant symptom before going to the clinic? Doctors recommend rubbing body parts with your palms. These actions will help improve blood circulation. When the temperature drops or rises and remains this way for a long time, the above procedure should be performed up to 10 times. When a patient’s pathology is accompanied by unpleasant symptoms, such as pain and high fever, they should immediately go to the doctor for a visit to the doctor.

It is important to recognize a disease aggravated by hyperthermia. This term refers to the state of the human body when body temperature begins to rise sharply. Doctors are confident that hyperthermia cannot be called a concomitant factor in joint diseases. Experts consider this condition to be a separate pathology that requires appropriate treatment.

Bibliography

1. The role of combination drugs in etiopathogenetic pharmacotherapy of acute respiratory viral infections. Mubarashkina O. A. Medical Council. 2014. No. 11. pp. 14-17.
2. Infectious diseases. Budanov B.V., Marushkin I.I., Filimonov V.V. E-Scio Journal. 2021.
3. Modern view on the problem of symptomatic treatment of acute respiratory viral infections. Lazareva N. B. Medical Council. 2014. No. 1. pp. 35-38.
4. Modern approaches to the prevention and treatment of acute respiratory viral infections. Mubarashkina O. A. Remedium. Magazine about the Russian drug market and medical equipment. September 2014. pp. 42-22.
5. Possibilities of pathogenetic therapy of influenza. Tsvetkov V.V. Medical Council. 2014. No. 17. pp. 14-17.
6. Comparative study of the antipyretic effect of non-steroidal anti-inflammatory drugs when administered intragastrically and rectally. Orlova T.V., Pankrusheva T.A., Pokrovsky M.V. et al. Kuban Scientific Medical Bulletin. 2012. No. 2 (131). pp. 134-137.
7. The use of non-steroidal anti-inflammatory drugs in therapeutic practice. Lysenko N.V., Soldatenko I.V., Kartvelishvili A.Yu. Bulletin of V.N. Kharkov National University Karazin. Series "Medicine". 2010. No. 918. pp. 114-125.
8. Instructions for use of the drug Motrin®.
9. Naproxen: a versatile analgesic with minimal risk of cardiovascular complications. Karateev A.E. Modern rheumatology. 2021. No. 10(2). pp. 70–77.
10. Pharmacology, under. ed. Yu. F. Krylova and V.M. Bobyreva. - Moscow, 1999.
11. Clinical effectiveness of non-steroidal anti-inflammatory drugs in some ENT diseases in children. Sergeev M.M., Kovalenko S.L. Issues of modern pediatrics. 2009. pp. 81-84.
12. Instructions for use of the drug Naproxen.

Diet

Nutrition is a significant factor influencing joint diseases. When a person’s weight exceeds the norm, diet will become a panacea that will help alleviate the suffering of the patient. Since the load on the joints will be reduced, they will hurt much less.

There are no specific recommendations regarding diet. There are only general rules regarding the products consumed. These include:

• exclusion of meat;
• increased consumption of fresh vegetables;
• preference for eating fruits;
• mandatory presence of vitamins in the daily diet.

According to statistics, the risk of developing arthrosis increases in a person who is overweight. It is also a known fact that losing body weight by just 10 kg reduces the risk of developing arthrosis several times. When a patient has knee pain, he will feel relief even if he loses 5 kg.

• Wobenzym: in what cases is the drug taken?

At the same time, the unloaded knees will begin to recover. Therefore, the most effective treatment option is diet. The daily diet must certainly contain raw vegetables and fruits.

We publish simple recommendations regarding diet for joint diseases. First of all, they are aimed at controlling the amount of food consumed, while simultaneously reducing the feeling of hunger.

1. Portions consumed must certainly be small. Determining the optimal serving size is easy: it should fit into two cupped palms.
2. When it is completely impossible to give up meat products entirely, you need to give preference to lean varieties of meat or eat fish.
3. Be sure to enhance your daily diet with raw fruits and vegetables, use them as freshly squeezed juices.
4. Completely avoid consuming any amount of alcoholic beverages.
5. You should eat without haste and take short breaks during the meal.
6. As soon as you feel full, stop eating immediately.
7. You should eat only when you feel hungry.
8. While eating, do not be distracted by TV, telephone, newspaper, etc.
9. Don't eat after 7 pm.
10. Keep a diary, note your daily diet and your own weight. When you wake up in the morning, weigh yourself and write down your readings. Before going to bed, record what you ate during the day.

Avoid flour products. This is really important. And with everything else, you need to know when to stop, especially for those who suffer from salt deposits in the joints or gout. For arthrosis and arthritis, proper nutrition is also of great importance. It is in the fall that exacerbations of these diseases usually begin, since at this time a person is plagued by vitamin deficiency, the climate gives constant dampness, wind and cold.

Vitamin deficiency is provoked by the fact that a person is forced to switch in the fall to food that is not sufficiently enriched with vitamins. Summer is characterized by eating fresh foods, but when cold weather comes, the diet is more replenished with rich fatty broths and canned foods: people lean on meat. Light salads no longer help during this period, since the body, freezing, requires more dense food.

All such foods are rich in toxins, so the body quickly fills with toxins - hence the direct path to exacerbations. Everything bad settles inside the joints, provoking inflammatory processes. Therefore, in order not to suffer from arthrosis during the cold period, it is still necessary to give up junk food, no matter how much you crave it.

Complications and consequences

An increase in the thermometer reading against the background of orthopedic problems leads to disruption of organ function. Possible confusion of consciousness, development of a delirious state, as in organic or alcoholic psychosis. High numbers give delusions and hallucinations.

The destructive processes in cartilage tissue themselves result in a decrease and then a complete loss of the functional activity of the limb. Deformations are also possible. The result is disability, inability to perform physical labor, and, in the long term, inability to perform independent services at home. The usual way of life is subject to revision. Psychological problems and forced social isolation are possible.