Myositis Muscle - Causes, Symptoms and Treatment .MF .
Myositis - a defeat muscle inflammatory, traumatic or toxic nature, arising as a result of various factors and causes pain, development of muscle weakness and sometimes atrophy.Under myositis understand the inflammation of one or more skeletal muscles: neck muscles, back muscles (lumbar muscles), muscles of the chest when in the pathological process involved a lot of talk about muscle development polymyositis.In some cases the damage affects not only muscles but also the skin, the disease is called - dermatomyositis.
Causes Myositis myositis
develops as a result of infectious diseases (influenza, chronic tonsillitis, angina, rheumatism, etc.);parasitic infections (trichinosis, echinococcosis);toxic effects (metabolic disorders, gout, diabetes);occupational diseases in violinists, pianists, typists, drivers, whose work is related to the stress the same muscle groups, or have long-term work in an uncomfortable position.Perhaps the emergence of diseases after injuries, excessive cooling or muscle tensio
most common cause of myositis are infectious diseases such as influenza, SARS chronic tonsillitis.In addition, myositis can cause a variety of parasites and toxins.Provided a group of patients who developed myositis due to professional activity - are drivers, computer operators, pianists, violinists, iepeople who every day for long hours of work in an uncomfortable position.Factors such as hypothermia, muscle cramps, injuries may also contribute to the appearance of myositis.A number of pathologies in which affects the connective tissue, sometimes accompanied by myositis (systemic lupus erythematosus, rheumatoid arthritis, rheumatism).Purulent myositis develops as a result of local infection, for example, when the hygiene rules have been violated in the implementation of medical procedures (intramuscular injection).
frequent cause myositis is due to overexertion of muscles unaccustomed exercise or muscle trauma.
Distinguish acute and chronic myositis, most common are divided into localized and diffuse.
consider in more detail some types of myositis: myositis, polymyositis.
Dermatomyositis often occurs in young and middle-aged women.The origin of the disease is not precisely defined, presumably pathology can be triggered by a virus or genetic factors (genetic predisposition).The trigger is stress, colds, hypothermia and even sunlight.The defeat of the skin is expressed in the appearance of the characteristic rash on the hands, face, upper torso.Eruptions are red or purple color, in addition, sometimes there is swelling of the eyelids.Associated symptoms - weakness, chills, fever (usually low grade), dramatic weight loss.The worsening state of health can be both rapid and gradual.Dermatomyositis have a lot of unpleasant consequences for the patient - so can long remain flabby and shortening of the muscles, and may be accumulations of calcium under the skin, causing pain to the patient.When
polymyositis, and as already mentioned above, several muscle groups affected.When this is not as pronounced as the main symptom is muscle weakness unlike myositis local pain.First, the patient is difficult to climb the stairs, then he can not get up from his chair, and later atrophy muscles of the neck and the patient can not afford to keep even the head in an upright position, the last stage of the disease is atrophy of swallowing, chewing muscles and the muscles involved in breathing.Sometimes it polymyositis accompanied by swelling of muscles and swelling of the joints - arthritis develops.All of the above symptoms when treatment is initiated promptly, and there comes a full recovery.
Myositis has two phases - acute and chronic.As a rule, undertreated acute myositis hroniziruetsya and then worried about the patient periodically - pain intensified when supercooling, changing weather conditions, appearing at night and during prolonged static posture.
Chronic myositis may be the result of an infectious disease, such as the common cold.Sometimes the patient is not even aware that he was struck by the disease as long as the symptoms become too pronounced.Acute myositis develops after infection when the local muscle generalizovanoy acute infection and injury due to muscular overstrain and (especially in combination with hypothermia).
myositis primarily exposed muscles of the neck, waist, calves, chest.In that case, if there is a local myositis (polymyositis and not) pain and muscle weakness, apply only to a specific group of muscles.The main symptom of myositis is a pain that is aching in nature, and especially increases with movement and touch to the muscles.On palpation palpable painful lesions - cords and nodules.Partly edema and hyperemia (redness) of the skin occurs in some cases.Sometimes myositis accompanied by fever, headache.The patient's condition deteriorates without adequate therapy.
One of the most common forms of the disease is the so-calledcervical myositis.His "popular" because the neck is often subjected to hypothermia.The main symptoms - nagging, dull pain in the neck, which gives the back of the head, extending between the shoulders and covering the shoulder girdle.In this situation it is necessary to differentiate the disease from degenerative disc disease of the cervical spine - x-ray examinations carried out in the absence of degenerative lesions of vertebral mobility is preserved.
symptoms of myositis
When myositis appear aching pain in the muscles of arms, legs, torso, aggravated by movement.Often muscle palpated dense knots or cords.In an open injury due to contact with the infection, may develop suppurative myositis, which is manifested by fever, chills, a gradual increase in pain, swelling, seal and muscle tension, skin redness over her.
Acute myositis occurs immediately, often unexpectedly, during acute infections after trauma, sudden muscle tension.
Chronic myositis may be the outcome of an acute or a consequence of any infection.Most often affects the muscles of the neck, lumbar region, chest, calf.
myositis clinical picture is characterized by local pain, whose intensity increases.Pain aggravated by sharp movements, causing contraction of the affected muscles, as well as their feelings.
There may be swelling, swelling of soft tissue, sometimes - redness of the skin (eg, purulent myositis).Develops protective muscle tension, limitation of movement in the joints.Due to the presence of pain arises muscle weakness, at least - atrophy.
possible fever, headache, increased sensitivity of the skin.When myositis masticatory jaw muscles clenched convulsively, the muscles strongly strained.The pain sometimes becomes so severe that the person is unable to chew, not only, but also to talk.Soreness in the muscles is enhanced compressed not only when driving but also at rest, at night, when the weather changes.In mild cases, pain usually pass after a few days, but under the influence of adverse factors such as cooling or excessive physical strain, there may be frequent recurrence of the disease.
peculiar form of myositis is a parasite that occurs when muscles defeat parasites (Trichinella, cysticerci) and is characterized by fever, pain in the limbs, chest, tongue, chewing muscles.
Treatment of myositis myositis
Treatment is carried out under medical supervision and is to fight infection and the proper organization of labor, sports and recreation.Treatment of myositis pathogenetic and symptomatic.First of all, it is necessary to determine the cause of the disease.So, at the origin of the parasitic myositis appointed anthelmintics, in the case of infectious (bacterial) injury - antibiotics, and if myositis was the result of an autoimmune disease, corticosteroids and immunosuppressants shows long courses.
In any case, analgesics (painkillers) and anti-inflammatory drugs, most commonly used NSAIDs (diclofenac, Nurofen, ketonal) both orally and parenterally, except for local myositis good effect therapy warming ointments (Apizartron, Nikofleks, finalgon).These drugs improve trophism muscles exert local irritating effect, and reduce muscle tension, and hence reduce the intensity of pain.
Good help ointment such as warming up Finalgon, and in the case myositis in children is well proven ointment from the series "Doctor Mom".Useful as massage and physiotherapy on the affected muscle.Chronic myositis requires a treatment at the spa.
In the acute phase of the disease needs rest, bed rest must be observed with the defeat of the back muscles, legs, abdominal wall.Assign painkillers (NSAIDs - reopirin, indomethacin, Brufen etc..), In purulent myositis - antibiotics.In rheumatoid arthritis, and tuberculous or syphilitic myositis conducted specific therapy.It is necessary to use dry heat, physiotherapy.The duration of treatment depends on the activity of the process and the timely initiation of therapy.
Acute myositis patient is shown with bed rest and limit physical activity.Exposure to elevated temperatures can receive antipyretics.The affected area (neck, back, calf) should be kept warm, you can apply warming woolen bandages - the so-called effective"Dry heat".
In the case of suppurative myositis should consult a surgeon - might be the source of infection produced an autopsy, removing the pus and then draining the imposition of bandages.In this case, antibiotics are used not only parenterally but also a place (ointments, powders).
id are used for the treatment of myositis physical therapy techniques, massage (with purulent myositis is contraindicated), therapeutic exercise, a special diet.
Preventive measures: avoid overvoltage muscles, hard work in the cold, drafts, time to treat colds and other infectious diseases (should not be moved "on your feet" disease).
Cervical myositis - an acute inflammation of the muscles of neck and shoulder girdle, which can occur in anyone, even completely healthy person, as a result of stress, hypothermia, sleep posture in a failed or work in an uncomfortable position.But often, cervical myositis is triggered by a draft.
neck symptoms of myositis
disease usually manifests itself in the morning after sleep, in a day or two after the traumatic effects of the previously mentioned.During this time, "zastuzhennye" inflamed muscle fibers are swollen, their reflex spasm occurs, which causes irritation of the nerve endings and pain.
pain caused by myositis, usually distributed on the side of the neck from the nape of the neck to the shoulder;but if you are involved in cervical-brachial plexus and major nerves, the pain can spread hand to your fingertips.According to the observations of common medical clinic it occurs in 10-15% of cases.
Inflammation of nerves when myositis is almost always asymmetrical: the pain is stronger on one side than the other.Regardless of where came the inflammatory process, pain in myositis is always very strong: cares absolutely can not turn his head or move his hand sore.
When conducting proper remedial measures in 70% of cases, the attack passes without a trace for a period of 3 days to 2 weeks.If untreated, prolonged attack.The pain becomes less intense, but sore muscles spastic "distort" the neck, and provoke the development of further damage: Offset (subluxation) of the intervertebral joints of the cervical spine or the appearance of herniated disc.
Treatment of cervical myositis
Despite terrible pain, cervical myositis treated quite easily (in the event that treatment is started immediately and the attack did not take long character).
Firstly, ill be an experienced doctor will advise on the possibilities for peace and quiet.The patient area should be lubricated with ointment warming, and inside to take anti-inflammatory drug.The best effect is produced by novocaine blockade - obkalyvanie the most painful parts of novocaine affected muscles with the addition of corticosteroid hormone.The therapeutic effect of novocaine blockade of the evident almost immediately after the procedure: reduced muscle inflammation and pain disappears.
However, those who are contraindicated for the treatment of chemical drugs, the doctor will recommend to carry out a series of post-isometric relaxation procedures (PIR).PIR is one of the most useful procedures in the treatment of cervical myositis.PIR (stretching of muscles and ligaments) - a relatively new therapeutic method of manual therapy, which involves active engagement of the patient and the doctor.The patient is not passive during the procedure, it is annoying and relaxes certain muscles.A doctor at the time of relaxation spends stretching his muscles.During the procedure, the patient was surprised to notice that the stress and pain disappears right before our eyes.Number of PIR procedures prescribed depending on the condition of the patient.
Myositis muscles of the back (lumbar muscles)
Myositis lumbar muscles - a common cause of back pain.The disease is characterized by a prolonged course.Pain in the lumbar muscles are not as intense as in lumbago, mainly aching.Muscles are sealed, painful on palpation, and stretching.In patients with chronic infections and metabolic disorders Myositis lumbar muscles may be associated with pain in the joints.