What causes stiffness in the limbs upon waking up?

Mar 27, 2023 Source: Cainiu Health
Dr. Xu Shuai
Introduction
Stiffness in the limbs upon waking may be caused by incorrect sleeping posture, lack of exercise, rheumatoid arthritis, cervical disc herniation, or ankylosing spondylitis. It is advisable to visit a hospital for examination to determine the exact cause. Incorrect sleeping positions may compress blood vessels, leading to poor circulation, or excessive physical activity before bedtime may result in a significant buildup of lactic acid, causing muscle tension.

Generally, stiffness in the limbs upon waking may be caused by incorrect sleeping posture, lack of exercise, rheumatoid arthritis, cervical disc herniation, or ankylosing spondylitis. It is advisable to visit a hospital for examination to determine the exact cause. Specific analysis is as follows:

1. Incorrect sleeping posture

An improper sleeping position may compress blood vessels, leading to poor circulation, or excessive physical activity before bedtime may result in significant lactic acid buildup, causing muscle tension and impaired blood flow. This condition usually does not require special treatment. Developing good sleeping habits is recommended to help alleviate symptoms.

2. Lack of exercise

Insufficient physical activity can lead to reduced muscle strength and a sensation of stiffness. Appropriate exercise is recommended to help relieve symptoms.

3. Rheumatoid arthritis

Rheumatoid arthritis is a common chronic, systemic autoimmune disease. In affected joints, inflammation causes congestion, swelling, and fluid exudation, resulting in stiffness in the limbs upon waking in the morning.

4. Cervical disc herniation

Excessive strain or injury to the cervical spine can lead to degenerative changes in the intervertebral discs, causing rupture of the annulus fibrosus and protrusion of the nucleus pulposus, resulting in cervical disc herniation, which may also cause the aforementioned symptoms. Patients may undergo traction therapy or massage under medical guidance for treatment.

5. Ankylosing spondylitis

Ankylosing spondylitis may be triggered by factors such as low immunity or trauma, leading to spinal rigidity. When peripheral joints are involved, limb stiffness may occur. It is recommended to take medications such as methotrexate tablets, thalidomide tablets, or sulfasalazine enteric-coated tablets under medical supervision to suppress immune responses and improve symptoms.

Upon noticing any abnormal symptoms, individuals should seek medical attention promptly and choose appropriate treatments to prevent worsening of the condition.

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