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How to treat back inflammation. How does myositis of the lumbar muscles manifest itself? Types and stages of development of myositis

Myositis is various etiological processes of pathological changes in skeletal muscles. In other words, the muscle tissue that provides mobility to the musculoskeletal system becomes inflamed. But the occurrence of myositis is associated not only with inflammation; it can be toxic or form as a result of injuries.

The inflammatory process can be accompanied by pain of various types: weak, aching, intolerable. Sometimes muscle weakness develops and muscles atrophy. Inflammation involves the lumbar muscles, muscles cervical spine And chest. Polymyositis develops if the pathological process involves various groups muscles. Dermatomyositis is a disease that affects both muscles and skin.

After reading the description of the above forms of myositis, you cannot diagnose yourself and begin self-medication. Only good doctor can accurately qualify the disease and prescribe therapy. Treatment should only be done after consulting a specialist!

Causes of the disease

The cause can only be identified through a thorough examination and conversation with the patient. Sometimes myositis is classified as an independent autoimmune disease, but more often it is the result of other diseases.

Myositis of the back muscles often occurs as a result of stress. Muscle tension occurs as response body to a stimulus.

The development of purulent myositis is promoted by local infection. For example, during the introduction intramuscular injection personal hygiene rules were not observed.

Symptoms How does it manifest?

Myositis of the back muscles is characterized by the manifestation of local, intense muscle pain. When pressing on the affected area, a person feels pain. Unpleasant symptoms V in rare cases may disappear after a long rest.

When palpating, you can feel a tense muscle, and redness of the skin area (hyperemia) often occurs.

Main symptoms:

muscle swelling is observed;
temperature rises;
headache;
upon palpation, nodules and compactions are felt;
muscle weakness;
the number of leukocytes in the blood increases;
skin sensitivity increases.

The disease can progress, leading to partial or complete atrophy of skeletal muscles. The patient will not be able to get up and will lose the ability to self-care.

Chronic myositis develops due to improper treatment or in its complete absence. Its flow can be wave-like. Patients react strongly to change weather conditions, the pain intensifies after strenuous work, as a result of hypothermia. A feature of the course of the disease is a slight restriction of movement.

Diagnosis of the disease

When the first symptoms occur, it is recommended to consult a neurologist, therapist and rheumatologist. At the initial stage of the disease, a therapist consults. Only he can prescribe the examination of other doctors. You should contact a therapist at the first pain localized in the legs, back or neck.

Depending on the etiology of the disease, the doctor will advise and give a referral to to the right specialist. Autoimmune diseases is treated by a rheumatologist, the competence of a therapist includes the treatment of myositis associated with colds, and a neurologist treats neuromyositis and dermatomyositis.

First, the patient is examined and interviewed. In addition, diagnosis of the disease includes various studies, so the patient must be prepared to undergo tests on a paid basis.

Diagnostics includes:

conversation with the patient;
thorough inspection;
rheumatic tests are carried out in the laboratory;
instrumental studies;
taking a biopsy test.

Conversation with the patient

Very important stage which should not be neglected. As a result of the survey, factors that led to the development of a disease such as myositis can be identified; it is recommended to identify symptoms and prescribe treatment.

It is the responsibility of the physician to ask the patient the following questions:

"What are the symptoms in at the moment cause more concern?
“What was the first symptom?”
“Is the temperature rising? And if it increases, how often?”
“Were there any injuries or hypothermia?”
“Tell me about your existing diseases.”
“What diseases have you suffered recently?”
"Name previous diseases in childhood."
“What diseases is there a genetic predisposition to?”

Carrying out an inspection

After interviewing the patient, the doctor begins the examination. During observation, he pays attention to the skin: he diagnoses paleness of the skin or, conversely, redness.

If over elbow area redness of the skin is noticeable, nodules or plaques are peeling, the doctor proceeds to examine the patient’s nails. At the initial stage of development of dermatomyositis, redness appears on the nail bed, and skin growth is observed.

Next, the doctor performs palpation, since the affected muscle must be felt and the most painful points. Assessing muscle tone is also important. Acute period The course of the disease is characterized by the development of hypertension. Skeletal muscle thus exhibits its protective function to irritants: flu, colds, stress. For example, if the neck muscles are in constant tension, this makes it difficult for the patient to walk. Inflammatory processes that have become prolonged can disrupt the swallowing process.

Purulent myositis of the back is detected by palpation, as a result of which painful points are felt. The pain is unbearable.

Laboratory research

To diagnose local or systemic diseases, the doctor prescribes a rheumatic test. As a result of the study, many factors are confirmed or refuted. Revmotest is reliable way identify the etiology of myositis.

Taking tests for a biopsy

The diagnostic research method involves taking pieces of tissue for the purpose of their subsequent study. As a result of the analysis, changes in the structure of muscle and connective tissues. And also vessels.

A biopsy is prescribed if there is suspicion of:

myositis of an infectious lesion;
polymyositis;
polyfibromyositis;
dermatomyositis.

The studies carried out help determine the nature of the disease.

Treatment of myositis

Depending on the cause of the disease, treatment of back myositis is prescribed.

Purulent infectious myositis requires treatment antibacterial agents. For inflammation, non-steroidal medications and local painkillers are prescribed. Autoimmune rheumatic processes require the use of corticosteroids. Novocaine blockades are prescribed for neuromyositis.

Non-purulent infectious myositis

"Fastum gel" or "Bystrum gel". When myositis is diagnosed, treatment with ointments is prescribed. It is aimed at relieving inflammatory processes and is used to relieve pain.

"Diclofenac" or "Meloxicam" is intended for intramuscular administration. Injections are prescribed when the disease spreads to large areas, if there is an increase in temperature. The injections have an anti-inflammatory effect and relieve pain.

"Aponil" or "Traumel". Nonsteroidal tablets relieve inflammation, lower temperatures, and are prescribed as an anesthetic.

Polymyositis

Prednisolone is a glucocorticosteroid. Its action is aimed at relieving inflammation and reducing allergic manifestations.

"Azithioprine" or "Methotrexate" are tableted immunosuppressant drugs. The doctor prescribes them for severe cases of the disease.

Myositis ossificans

A successful treatment outcome is possible only at the initial stage of the disease. Otherwise, surgical intervention cannot be avoided. Hydrocortisone is prescribed for treatment.

Attention! If you are ill, you should not rub ointments or massage.

Purulent infectious myositis

To treat muscle myositis, antibiotics, antipyretics and painkillers are used. The operation is indicated only in severe cases. Rubbing ointments is contraindicated.

"Penicillin", "Cefazolin". The injections inhibit the synthesis of microorganisms and have a broad antimicrobial effect.

"Amidopyrine", "Reopirin". The tablets reduce fever and relieve inflammation.

Prevention

To prevent recurrence of the disease you need to:

avoid drafts;
clothing must be appropriate for weather conditions;
perform muscle relaxation exercises;
you can’t start catching colds;
exercise helps strengthen the immune system.

Back myositis is considered an office disease. Representatives of “sedentary” professions are recommended to move more often, change body position to a more comfortable one, and do exercises. If you consult a doctor in time, the disease will be easier to cure. But every person who has been diagnosed with myositis must monitor their health and prevent the disease from reoccurring.

Myositis of the back muscles, the symptoms and treatment of which are very varied, is an inflammation muscle fibers in the back area. The process of myositis often affects nearby tissues, and the inflamed area of the back acquires a reddish tint. Most often, the lesion is located in the lumbar spine, which accounts for heaviest load.

Inflammation of muscle fibers with myositis

With myositis, a person is constantly in a forced position to reduce discomfort in the area spinal column. The main sign of pathology is severe pain in the back muscles, which intensifies during movement and palpation. Other symptoms depend on the type of myositis, the severity of its course and concomitant diseases.

Some forms of muscle fiber inflammation go away on their own, while others require surgical intervention. Because of this, at the first sign of discomfort, you should visit a specialist who will select competent treatment myositis.

Types of myositis

Depending on the duration and severity of the course, acute and chronic myositis are distinguished. The acute form of inflammation is manifested by severe pain symptoms, often accompanied by fever and fatigue. Without appropriate treatment, myositis becomes chronic, when all symptoms are characterized by a blurred manifestation.

It is possible to determine the presence of myositis only during the next exacerbation, and the rest of the time almost no discomfort is felt.

There is a division of myositis into various types by origin:

Depending on the form of the disease, severity and additional symptoms appropriate treatment for back muscle myositis is selected. When trying to cope with myositis on your own, difficulties may arise, since traditional medicine is aimed only at combating external symptoms.

Signs and causes of pathology

The following stand out: common reasons development of myositis:

Signs of pathology:

Severe tension in the back muscles.
Pain that gets worse during physical activity and palpation.
Redness and swelling in the affected area.

Specific signs may vary, so you have to resort to special diagnostics. Without professional consultation, it is impossible to completely cure myositis of the back muscles, as it simply goes into remission. Under the influence unfavorable conditions the muscles will become inflamed again, and the condition will worsen greatly.

Diagnostic features

As soon as the first signs of the disease appear, you should urgently visit a specialist. Otherwise, there is a high probability of developing a chronic form of myositis, after which it will be difficult to say how long treatment will last.

For staging accurate diagnosis required:

Palpation and visual inspection.
General and biochemical analysis blood.
Testing for antibodies.
Muscle biopsy.
Electromyography.

A visual examination helps determine the presence of inflammation and tension. The possibility is also taken into account free movement, which is impossible with certain forms of myositis of the back muscles.

A blood test can reveal the presence of inflammatory processes, which is important for choosing effective treatment. MRI and biopsy show the condition of the muscle and surrounding tissues, which may also be involved in pathological changes. If the examination was carried out thoroughly, the neurologist will quickly tell you what it is, how to treat it and how to alleviate this condition.

Treatment of back myositis

Treatment for back muscle myositis includes: various schemes, which depend on the severity of the course, the form of pathology and the characteristics of the body. In many forms it is required drug treatment, without which the disease becomes chronic.

Anti-inflammatory drugs can relieve muscle tension, remove pain symptoms. The most commonly prescribed drugs are movalis, diclofenac, ibuprofen and some others. They are used in the form of tablets, but injections give the best effect.

You should not use these medications for more than a week, as side effect from the outside gastrointestinal tract.

When myositis is purulent, antibiotics are required. In complex cases, surgical intervention is necessary if damage to adjacent tissues and organs is diagnosed. Only after removal of the pus is it prescribed antibacterial drugs, which prevents the dangerous condition from returning.

If myositis is caused by injury, physiotherapy and painkillers are actively used. A good effect is achieved by myorestruction, which is special massage with myositis. It must be performed by a specialist with medical education, since if performed incorrectly, such an effect gives the opposite effect.

Any form of myositis requires bed rest for the first days until the severe pain symptom. If the disease is accompanied by fever, antipyretic drugs are required.

You cannot independently treat myositis during pregnancy, since many medications have large number contraindications. If you make the wrong choice, the risk of miscarriage or the development of pathologies in the fetus increases.

Possible exposure during pregnancy local drugs, but their application in the lumbar region is prohibited. Only a gynecologist can prescribe medication, taking into account possible risks to the health of the mother and child.

Help at home

To alleviate the condition at home, various ointments are used to relieve tension and relieve back pain. They provide blood flow, improve metabolic processes in the muscles and warm. Thanks to local application, the ointment guarantees quick results, but long-term application is required to consolidate it. Before first use, it is necessary to check for allergic reaction.

Warm compress for myositis of the back muscles

Anti-inflammatory ointment for the treatment of back muscle myositis can be used several times a day. It performs distracting functions and helps with muscle pain of various etiologies. It is also successfully supplemented with folk remedies, including:

Warming compresses.
Warming up.
Rubbing.

Dry heat is especially effective, but any warming procedures are dangerous for purulent myositis. Heat in such cases accelerates the spread of infection, which can lead to serious complications.

Without an accurate diagnosis, any medications and folk remedies prohibited.

Prevention

To prevent the development of myositis of the back muscles, you should avoid hypothermia and drafts, and also do not overuse medicines. If any pain occurs, a visit is necessary. medical institution, which will allow timely detection of pathology.

Back muscles that can be affected by myositis

Dosed physical activity has a beneficial effect on general condition health and muscular system. A good muscle corset is less susceptible to external influence, therefore the likelihood of inflammatory processes is reduced. You should also adhere to a proper, balanced diet and do not refuse to take vitamin complexes.

Every person in his life, to one degree or another, faces different types pains that are equally unpleasant for everyone. However, without pain, our body would not be able to function normally, because with the help of pain, a damaged organ signals us about violations that need to be eliminated. If we feel pain in the muscles, then this may be a sign inflammatory process in tissues.

What is muscle myositis?

Disease muscle tissue, which is inflammatory, traumatic, chronic in nature and is accompanied by pain and weakness throughout the body. Most often, the disease is present in the muscles of the neck, back, shoulders, and chest of a person.

Muscle tissue with myositis

Types of myositis depending on the cause of occurrence

Depending on the cause of occurrence, types of myositis are distinguished:

Dermatomyositis of the hands

According to the nature of the flow, they are distinguished:

Chronic myositis- inflammation after treatment is not completely eliminated, occurs with sluggish symptoms and can progress as a result of unfavorable factors (overwork, hypothermia, etc.).
Acute myositis- sudden onset of pain and inflammation after injury or severe stress on the muscles.

Manifestations of polymyositis

According to the nature of the pathology:

Local myositis- development of the inflammatory process of one muscle. There is a sharp pain when pressing and moving the affected area. As a result of a constant state of tension, the mobility of joints and limbs is limited.
- damage to a muscle group in which there is muscle pain with increasing strength, for example, in the lumbar and shoulder muscles.

There is also myositis ossificans, It is quite rare, appears after injuries, muscle damage or have a congenital hereditary nature. Symptoms - painful sensations, swelling, redness of the skin.

Myositis of the pectoral muscles

The main sources of the inflammatory process are:

colds, infections;
chronic pathology;
purulent tissue lesions;
autoimmune diseases and stress.

Often, after an infectious disease, illness may occur. Hypothermia, trauma, large physical activity, poisoning toxic substances can also cause illness.

Diagnostics

An initial examination of the patient by a doctor and compilation of the examination results can confirm or refute the presence of inflammation in the muscles. A study of blood and secretions that were taken from the affected area complements the initial information.

The sequence of diagnostic measures allows us to identify the presence of the inflammatory process, the area of distribution, the degree of damage, and the cause of formation.

Photo of myositis

To make a correct diagnosis, it is necessary to carry out certain types examinations:

blood test, which shows how fast red blood cells settle;
electromyography allows you to identify the condition in the affected area; the muscles have nerve fibers;
computed tomography allows for early stage identify signs of myositis ossificans;
magnetic resonance imaging shows in detail the condition of the soft tissues.

The diagnostic results will be used to determine the type of myositis and prescribe quality treatment.

Which doctor treats myositis?

The doctor who will treat the disease may have different competence - it all depends on the localization of myositis. Treatment of myositis can be carried out by a therapist, traumatologist, neurologist, orthopedist or surgeon.

At the first manifestations of pain, you should contact a rheumatologist or therapist, who will initial examination, will be able to refer to to a specialist for diagnosis and treatment.

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Symptoms and manifestations of myositis

Type of disease	Description	Symptoms	Manifestations
Myositis of the neck	Inflammation occurs as a result of exposure to cold on the muscle tissue of the neck and affects not only it, but also the head area, temporal part and cervical vertebrae.	Neck pain, muscle swelling, headache.	Muscle thickening on the affected area. Most dangerous look diseases.
Myositis of the back and lumbar muscles	Inflammation begins in the muscle fibers and can affect the skin and even the spine.	Aching pain that increases with movement.	Fever, migraine, muscle atrophy.
Myositis of the chest	The inflammatory process can affect the superficial and deep muscles of the chest.	Muscle spasms, pain when breathing.	Function loss upper limbs, swelling, muscle tissue density changes.
Myositis eye muscles, faces	A disease that causes pain and swelling.	Severe pain in the orbital area, limited or absent eye mobility.	The orbital tissue is colored predominantly gray, lack of natural shine, high density.
Myositis of the cleidomastoid muscle	Inflammation of the cervical spine, which is accompanied by limitation of movement.	Dysfunction of the cervical spine.	Tissue destruction and scar formation.
Intercostal myositis	A form of the disease that occurs in muscle tissue.	High fever, cramps, chronic cough, swelling	Tissue damage in the rib area can, as it progresses, affect the chest area.
Myositis of the abdominal muscles	A muscle disease that is accompanied by pain in the affected muscle.	Increased temperature, pain on palpation.	Swelling, the appearance of nodular seals.
Myositis of the legs and thighsa, knees, legs, feet	A disease that is chronic, traumatic and infectious.	Fever, redness, swelling.	Weakness in the legs, with chronic form There may be problems with movement.
Myositis of the arm-shoulder, forearm, elbow	An inflammatory process that limits the movement of the arm.	Tension and swelling of the muscles, pain when moving the arms.	Formation of nodules in the muscle.

How to treat myositis?

To avoid complications, it is necessary to begin treatment under the supervision of a doctor immediately after confirming the diagnosis.

Drug treatment

Drug treatment is prescribed by a doctor to eliminate symptoms and the inflammatory process.

To treat the disease, medications from different pharmaceutical groups can be prescribed:

NSAID drugs in tablets(Nimesulide, Ibuprofen, Movalis, Peroxicam, etc.).
Non-steroidal drugs for injection(, Mydocalm).
Analgesics(Antipyrin, Analgin, Paracetomol).
Ointments(Turpentine ointment, Traumeel S, Dolaren-gel, Roztiran, etc.).

Nimesulide tablets Movalis - drug latest generation
Ibuprofen tablets Meloxicam tablets Diclofenac tablets

Physiotherapy for myositis restores muscle contraction and significantly increases blood circulation.

The following procedures are recommended:

Warming up and wrapping inflamed area.
Manual therapy- a set of techniques carried out through statistical voltage, the main purpose of which is the diagnosis and treatment of the disease.
- normalizes blood circulation, relieves pain in muscles, eliminates swelling. Main goal Such therapy is to start the recovery process, to start the work of all limbs. The massage is carried out with increasing effect using a thermal procedure, which allows you to completely relax the sore muscles.

Magnetotherapy

Purulent myositis is the most dangerous type of disease. Self-treatment is prohibited, especially the use of ointments. Myositis seriously impairs the normal functioning of muscles, organs and the very quality of life.

Main symptoms:

weakness;
swelling;
muscle hardening;
discomfort in the affected area;
high temperature.

Conservative treatment for this form of the disease is not effective; surgery is often performed to clean the affected area of pus.

The causes of purulent myositis are:

staphylococci;
streptococci;
pneumococci;
gonococci.

Timely diagnostics are necessary: MRI, ultrasound, electromyography, tests. When treating purulent myositis, antibiotics, antipyretics and painkillers are prescribed.

Purulent myositis of the legs

Nutrition for muscle myositis

Accumulation in muscles harmful substances can neutralize several vitamins (A, C, E).

For this reason daily diet should include:

Salads(sweet peppers, tomatoes, green lettuce).
Salad dressing in the form of vegetable or olive oil.
Fruits rich in vitamins for example, kiwi, tangerines, plums, oranges, apples (preferably green, sweet and sour).
Add foods rich in salicylates giving fruits an anti-inflammatory effect.
Carrots, potatoes, beets must be on the menu every day.
Decoctions from raspberry leaf, peony, marsh cinquefoil will only bring benefits.
Daily up to 300 grams sea fish , the method of preparation is not important, boiled or stewed will do.

Spasms are present in any form of myositis.

One of the causes of seizures may be a deficiency of certain substances:

magnesium(present in cereals, cereals, blackberries, legumes);
calcium(found in fermented milk, dairy products, garlic, cabbage, parsley, celery);
zinc(found in liver, cheese, meat, chicken egg, pumpkin).

For any form of myositis, the patient is prescribed rest(sometimes bed rest).
Diet recommended, you must completely avoid spicy, alcoholic, salty and fatty foods. It is better to prefer vegetables, cereals, and fruits during the treatment period.
Antibiotics must be prescribed if the disease occurs against the background of a previous infection,
Surgery may be prescribed when purulent myositis is detected.
Anti-inflammatory drugs mandatory for the use of any type of myositis. The purpose of the ointment is specific to the local affected area.
Therapeutic massage and physiotherapy necessary for all patients who turn to specialists for help.

Prevention

To avoid the occurrence of myositis, it is necessary to pay attention special attention disease prevention:

Avoid hypothermia and drafts.
At sedentary work do muscle exercises.
Avoid overstraining your muscles during physical activity.
Diseases that provoke the occurrence of myositis should be treated in a timely manner.
Do gymnastics, cycling, swimming.
Watch your posture.

Back myositis is an inflammatory muscle disease that can occur due to the influence various factors. Symptoms of this disease can vary, but generally there is pain in the affected area. There are other symptoms. It intensifies during movement and palpation. There is an increase in body temperature.

The disease occurs due to drafts or hypothermia, muscle injuries or damage, bacterial infections, toxic lesions. We can also talk about autoimmune lesions, acute viral infections, and long-term stress on the body.

Drug treatment for this disease can not only cure the underlying disease, but also eliminate the cause of the disease.

Therefore, it is very important to undergo a course of therapy under the supervision of a specialist. He will know exactly what means to use and will be able to help at any moment if something goes wrong. Moreover, you, as a patient, will be able to constantly take tests and monitor your health constantly.

All adults have at least somehow encountered inflammation of the back muscles. This is a very familiar feeling when, after a couple of days at the dacha, the lower back ache or a person does not feel comfortable straightening up. It is the inflammation of the back muscles that causes such discomfort.

The main symptoms of the disease are pain, which intensifies when palpated. Pain also intensifies during movement or when the weather changes. In addition, there are other symptoms. The inflammatory process is complemented by muscle atrophy, redness and swelling of the body, as well as muscle weakness.

It is very important to diagnose on time, then treatment will give a good result. The main signs of the disease include:

pain, aching in nature, that intensifies when the muscles are touched or when they move;
the presence of cords and nodules, which are painful inflammatory foci;
redness of the skin, the appearance of slight swelling;
presence of headaches and elevated temperature;
deterioration of the patient's condition (this is possible in the case where adequate treatment is not available).

Main symptoms of the disease in children

Very often, back myositis in children can be recognized only by monitoring their behavior. This is due to the fact that it is difficult for young patients to talk about what and where they hurt.

There are local and general symptoms illnesses in children.

General symptoms of back myositis include the presence of pain syndrome, elevated temperature, weakness and other signs that indicate general intoxication.

Local symptoms appear depending on where the inflammation is located. But such symptoms do not differ, regardless of the form of back myositis.

Such symptoms are the presence of:

You can often notice the presence of the first signs of back myositis in the morning, after a seemingly normal preliminary state. The baby begins to behave differently. He is characterized by lethargy, he is capricious, and begins to cry. If you try to change the position, the baby starts crying more. An increase in temperature is very common. It is not necessary that a viral or bacterial infection be present.

When a doctor examines a child, tension in a specific muscle group is detected. Can't do without a spastic state, sharp pain when feeling the body. Often the area of skin over the area of inflammation is hot and red.

What medications will help adults?

Treatment of back myositis in adults is aimed at eliminating the inflammation process. Treatment of the main disease or factor that provoked the development of inflammation is also expected.

If we talk about traditional means, then in order to relieve inflammation, it is recommended to use non-steroidal anti-inflammatory drugs:

"Diclofenac".
"Ketorolac".
"Ibuprofen."
"Movalisa".

It is better to use these remedies as injections. But you should not use them for more than a week. This can lead to the appearance of medicinal ulcers in the gastrointestinal tract.

Also good effect The drugs that have venotonic and angioprotective effects will differ. Such a medicine could be L-lysine escinate. Thanks to it, swelling of soft tissues is eliminated, the inflammatory process is eliminated, and pain is reduced.

If the disease is caused by bacterial flora, then drugs such as antibiotics should be used. Sometimes you can't do without surgical intervention, for example, in the presence of pus in the interfascial area.

Ointments during the treatment of back myositis provide a warming effect and relieve pain. The use of warming ointments (Finalgona, Zostrix, Apizatron, Capsicam) is recommended to relieve spasms and warm up the muscles. They are used in situations where the disease is caused by prolonged stress.

Improper application of the ointment causes skin burns.

Ointments that relieve inflammation can be taken when different forms illness immediately after diagnosis. They provide pain relief, prevent swelling, and fight inflammation.

Therefore you can use:

"Diclofenac."
"Indomethacin."
"Ketonal".
"Bystrum gel."
"Nise gel."

What medications will help cure the disease in children

Treatment of the disease in children should be carried out only after a specialist has determined correct diagnosis. Under no circumstances should you self-medicate. This could end in tragic consequences. Everything is due to the fact that under the guise of myositis, dangerous illnesses can be hidden.

The complex uses medications that can improve blood supply to the affected area and fight inflammation and pain.

To relieve muscle inflammation and pain, it is necessary to use non-steroidal anti-inflammatory drugs. If the case of the disease is advanced, then hormonal drugs are used.

To improve blood supply and relieve the spastic state of the baby's muscles, treatment with ointments that can warm (rubbing, massages, compresses with a warming effect) helps. Treatment with physiotherapeutic procedures (UHF, ultrasound and medications) also has a good effect on the child’s body.

What is important to know?

Treatment of myositis should be individualized. Only qualified specialist can do this. Under no circumstances should you self-medicate. This way, the pain syndrome can be eliminated, and the cause of the disease will remain unnoticed. Therefore, the doctor must first conduct a serious examination. This is how the cause of the disease is revealed. After this, you can begin prescribing appropriate therapy.

The use of analgesics is usually recommended to relieve pain. They also prescribe medications that relieve inflammation. If myositis is local, then use ointments and creams with a local irritant effect. If the form of the disease is too acute, then the patient cannot do without bed rest. This way the affected muscles are at rest. The purulent form of the disease is expected surgery. In addition, it is recommended to prescribe massages, physiotherapeutic procedures and therapeutic exercises.

The term “myositis” refers to damage to skeletal muscles inflammatory in nature, which can have different origins and manifest themselves in different ways. The leading symptom of the disease is pain, which intensifies with movement and physical activity.

Reasons

Myositis of the back is characterized by a violation contractility muscles and blood circulation in the affected area. It can occur in acute or chronic form, and occur under the influence of a number of factors. The most common provocateur of back muscle myositis is a previous infectious viral pathology - influenza, tonsillitis or acute respiratory viral infection. Somewhat less common is bacterial or fungal infection. Other reasons include the following:

Myositis against the background of influenza often goes away on its own, so you need to treat the flu first

There are several types of myositis of the back muscles - infectious (purulent), local, eosinophilic, giant cell and idiopathic. The disease can affect the chest, shoulders, legs, but most often the neck and back are affected. IN the latter case Not all muscle structures are involved in the pathological process, but separate groups. Particularly vulnerable lumbar region, since it bears the main load. For inflammation lumbar muscles the pain often radiates to lower limbs.

Symptoms

The symptoms of back muscle myositis and their intensity are determined by the cause of the disease. A common feature is a pain syndrome with a tendency to intensify in evening time. The pain may worsen as a result of physical activity or being in an uncomfortable position. In the affected area there is slight swelling and muscle tension, which hinders movement.

If the muscles of the upper back become inflamed, the pain is localized in the shoulder and shoulder girdle area on one side of the body. Myositis thoracic may be accompanied by irradiation along the ribs. When the lower back is affected, it becomes difficult for a person to walk due to limited mobility of the spine.

Myositis is included in the list occupational diseases office workers, since they spend the whole day in a sitting position

Exacerbation of pain is possible not only during movements, but also during a night's rest, as well as when the weather changes. As the disease progresses, muscle weakness increases and daily activities may become more difficult to perform.

In addition, the pathological process gradually spreads to neighboring muscles, and the lesion expands. Myositis is also characterized by the so-called intoxication syndrome, when body temperature rises and lymph nodes.

It is worth noting that in some cases myositis develops very quickly, and, in addition to pain, subcutaneous thickening occurs - trigger points Cornelius. They are dense and painful nodules the size of a millet grain and are most often located in deep layers muscles at the borders with tendons.

With infectious or purulent myositis, disorders of the gastrointestinal tract are observed. Muscles are affected mainly due to infections such as trichinosis and toxoplasmosis. The acute form of the disease caused by toxoplasmosis begins with a sharp rise in temperature after eating contaminated foods. Muscle damage in this case quickly leads to the development of paralysis.

Clinical picture with trichinosis it is weakly expressed and is characterized by headaches, pain, aches and weakness in the muscles.

Electromyography, or EMG, can help determine weak and sore muscles and the severity of the disease.

If infectious myositis of the back muscles occurs in a chronic form, then purulent processes develop extremely rarely. Purulent inflammation typical for open injuries, which serve as entry gates for harmful microorganisms. Most often these are staphylococci, streptococci, less often - gonococci and Ebert's bacillus.

Eosinophilic and focal (local) myositis are rare forms of the disease. In the first case, there is pain and tension, but there is no muscle weakness. In the second, one or more lesions develop in different places.

Separately, it should be said about the alimentary form of spinal myositis, which is also called Yuksov’s disease. In Russia, its first outbreak was registered in the middle of the last century, when mass fish poisoning occurred in the vicinity of Lake Yuksovskoye.

The causes of intoxication remain unknown. According to some data, toxic substances accumulate in some fish species that feed on toxic plankton. Alimentary myositis is characterized by an acute onset: pain absolutely unexpectedly appears not only in the back, but also in the arms, legs, and sometimes in the chest area.

The pain syndrome is paroxysmal in nature and intensifies with palpation and movements. Symptoms of general intoxication are also observed - sweating and nausea, turning into vomiting. Significant disturbances are observed in the functioning of the kidneys and are expressed in a decrease in the volume of urine excreted, the presence of red blood cells, protein and leukocytes in it.

The Nanoplast patch is unique means having a magnetic field effect. In combination with infrared rays, it helps improve blood circulation, eliminates congestion in muscles, relieves pain

Diagnostics

You can seek help for back pain from a therapist who will conduct an initial examination and interview the patient. If the test results indicate the autoimmune nature of the disease, then further diagnosis and treatment is carried out by a rheumatologist.

A biochemical blood test may also be prescribed. Damage to muscle tissue will be indicated by an increase in the enzyme keratin phosphokinase and C-reactive protein. If myoglobin is detected in a urine test, then nutritional myositis can be assumed. acute form.

Serological analysis blood for specific markers is necessary when autoimmune diseases– lupus erythematosus and scleroderma.

Treatment

Treatment of back muscle myositis begins with the elimination of pain and inflammation. For this purpose, drugs of several groups are used:

non-steroidal anti-inflammatory drugs - Diclofenac, Ketonal, Nurofen, Paracetamol, Nurofen, Ibuprofen, Meloxicam, Ketoprofen;
muscle relaxants – Muscoflex, Mydocalm;
vasodilators - Cavinton, Cinnarizine, Mexidol;
vitamin complexes in injections - Milgamma, Demoton.

Back muscle myositis caused by infection must be treated with antibiotics. Depending on the pathogen, these may be penicillin (Amoxiclav) or macrolide (Erythromycin, Azithromycin) drugs, cephalosporins (Cefotaxime).

Capsicam ointment contains a synthetic extract of hot pepper, under the influence of which blood vessels dilate and blood flow increases.

Treatment of myositis of an autoimmune nature is complex and includes taking medications such as Methotrexate, Folic acid, Azathioprine, Prednisolone and Methylprednisolone.

Used at home various means local action– ointments, plasters, compresses and rubbing. Warming and analgesic ointments - Finalgon, Capsicam, Dolobene, etc. - will help relieve pain and inflammation.

Modern pharmacology produces several types of patches, which differ in their mechanism of action and method of use:

pepper - most popular due to its low cost and high efficiency. The patch is attached to the skin and has a pronounced warming effect. You must remember that you cannot walk with it for a long time, as it can cause burns. Do not use pepper plaster on injuries skin– cuts and rashes;
reflective - works due to heat own body. The patch is attached to inside clothes;
anti-inflammatory – contains the non-steroidal anti-inflammatory drug Diclofenac or Ketoprofen. Trade names– Voltaren and Ketotop;
painkiller - it contains Novocaine or Lidocaine, as well as substances for speedy pain relief. Applies only when severe pain;
magnetic – consists of a polymer base on which magnetic powder is applied. This patch can eliminate inflammation and pain and accelerate healing in the muscles.

Folk recipes

Our grandmothers knew how to treat myositis. Products for compresses and rubbing are likely to be found in every home and will help cope with inflammation in the as soon as possible. One of the most famous recipes is a cabbage compress. Fresh cabbage leaf rub with soda and laundry soap, then applied to the back and wrapped in a warm cloth.

Burdock leaves contain 70% daily norm B vitamins and microelements - manganese, zinc, iron and selenium

Another popular recipe is a rub made from badyagi and butter. A quarter teaspoon of badyagi is mixed with ½ tbsp. l. melted butter and rub the mixture into the sore spot overnight, wrapping it with a warm scarf on top. Rubbing can be done only once a week to avoid skin irritation.

A compress from boiled potatoes is made like this: after boiling the potatoes “in their jackets,” mash them with a fork and place them on cheesecloth. Then apply it to your back and hold it until it cools completely.

Application with burdock helps with all types of myositis and requires minimal costs. A few burdock leaves just need to be scalded with boiling water, folded into a pile and placed on the affected area. Secure the top with flannel or cotton cloth.

From egg yolk, turpentine and apple cider vinegar You can prepare a healing ointment. For it you will need 1 egg and a teaspoon each of vinegar and turpentine. All ingredients are mixed and a gel-like solution is obtained. The ointment is applied to the body before going to bed, then the back should be wrapped to retain heat.

Lotions and rubs based on turpentine have an analgesic and anti-inflammatory effect

To avoid muscle inflammation and the development of myositis, you need to follow some rules. This is, first of all, balanced diet and correct water regime. The diet must contain foods containing salicylates - carrots, beets and potatoes. You need to drink at least two liters of fluid per day.

To strengthen muscles, regular but not excessive physical activity, hardening and walking are recommended. fresh air. Prolonged loads on one muscle group, drafts and hypothermia have a particularly negative impact on the body’s condition.

It should also be remembered that self-medication can provide the desired effect only if light form myositis. If you have severe or prolonged pain, you should definitely seek medical attention. medical care. Your doctor will help you find out the cause of the disease and select medications that will help you. Be healthy!