Symptoms and treatment of myositis of the back muscles

Myositis of the back muscles is a violation of their contractility, which develops due to deterioration of blood circulation and inflammatory processes. Dorsal myositis occurs in two forms - acute and chronic.

In the phase of remission, a person practically does not feel any unpleasant symptoms, but under the influence of any provoking factor, myositis starts to show up again with pain and a significant limitation of mobility of the lumbar region, problems with movements are observed in the lower extremities.

What causes the disease

When examining the patients,that myositis most often develops under the influence of following causes of :

• Infectious or parasitizedtary diseases. In acute infections of any organs, there is a disruption in the work of immunity and toxins accumulate in large numbers, they begin to unfavorably affect the structure of muscles. Infection with helminths not only poisons the body, also the eggs of some of them are deposited precisely in the muscle fibers.
• Physical overvoltage. Inflammation of the back muscles often develops after intense or improperly selected workouts.
• Long stay for most of the day in an uncomfortable position. Being in a forced position the person, unwillingly, overstrains muscles and changes their normal physiological position. Injuries or hypothermia. Especially often, myositis occurs if both the back and the strong load and cold.
• The general metabolic disorder , which occurs due to diseases of internal organs, spine, bones. With disturbed metabolism, some of the vitamins and microelements necessary for feeding muscle fibers are not fully absorbed and the muscles can no longer work in the right amount.
• Muscular spasms , developing due to prolonged overstrain of the spinal cord, for example, when swimming.

In patients with myositis, close examination often reveals the simultaneous exposure of several adverse factors, which only increases the symptoms of the disease. There is also a certain category of people who have predisposing diseases to spinal myositis and professional factors.

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The risk group includes :

1. Patients with osteochondrosis, radiculitis, intervertebral disc hernias, scoliosis.
2. Specialties - driver, professional sportsman, computer operators. The ailment often develops in those people who in the cold period of the year are forced to engage in manual labor in the cold.
3. Patients with neuroses.

The provoking factor of myositis can be attributed to the general decrease in the body's defenses.

Classification of forms of the disease

Myositis is divided into acute and chronic form , the course of the disease is determined and the root cause of the pathological process.

1. Acute phase of disease begins with the emergence of intense pain in a particular muscle group. As a rule, patients indicate a specific localization of the inflammatory process. Acute myositis can pass quite quickly, but this does not indicate that the ailment has completely passed.
2. Chronic myositis develops after an acute phase. Most patients and do not suspect that the pains that have disturbed them have not passed, until the myositis again becomes acute. With each exacerbation, myositis spreads to a number of disposed muscles, which leads to prolonged course of the untreated chronic form to polymyositis.

Origins and course of the disease:

• Acute purulent myositis occurs with the most severe symptoms with an increase in body temperature, with severe pain and symptoms of intoxication. Purulent dorsal myositis develops, if an infectious agent has entered the existing wound on the back, often this type of disease occurs after surgical interventions.
• Chronic myositis develops after any underlying cause in the absence of the necessary therapy in the acute phase. Chronic form of the disease can bother people for several years and leads to the development of polymyositis, sometimes to a more serious disease - dermatomyositis.
• Infectious myositis in most cases occurs after a badly transmitted flu, ARVI, rheumatism, lupus erythematosus. Symptoms of the disease are only if completely eliminated the main cause of the disease with antibacterial agents. The characteristic soreness in infectious myositis is combined with an increase in temperature.
• Myositis in combination with autoimmune diseases of , such as lupus erythematosus, rheumatoid arthritis, is particularly difficult. The resulting autoimmune complexes affect not only the organs, but also the skin, skeletal muscles. The treatment regimen for the disease should include the use of drugs aimed at suppressing the activity of the immune system, which does not distinguish necessary and foreign proteins.
• Polymyositis in most patients occurs in the chronic course of the disease. If polymyositis develops rarely, then it is possible to suspect malignant neoplasms of internal organs. The main symptom is muscle weakness.
• Toxic myositis occurs as a result of acute or chronic intoxication with various chemicals, drugs, drugs, alcohol.
• Parasitic myositis develops because of the vital activity of helminths in the human body. It is often combined with allergic rashes on the skin.
• Ossifying myositis - the formation of areas of ossification, that is, accumulation of calcium, in muscle fibers. This form can be both chronic and acquired, it often occurs after injuries and metabolic disorders.
• Dermatomyositis - is one of the most serious complications of myositis. The disease can occur both alone in the acute phase of inflammation, and in a few years with a chronic course of the disease. When dermatomyositis affects the skin, often the patient experiences pharyngitis, conjunctivitis, stomatitis.

Symptomatic of

Disease The main symptoms of myositis of the back muscles are their tenderness and limitation of movements. The pain in a certain place of the back develops over several hours and days, the soreness is so intense that it makes the sick person look for a comfortable pose.

At the same time, the movements are limited, since holding them causes pain. Soreness increases with the palpation of the muscles, with palpation in the area of ​​tension, you can identify and muscle strands.

Purulent myositis of the back muscles is accompanied by all symptoms of intoxication - fever, weakness, headaches. The rise in temperature is often determined with postinfection myositis.

In chronic course of any form of myositis, muscle atrophy develops, as a result of which the muscular back skeleton relaxes.

Diagnostic Aids

Diagnosis of myositis is not difficult to expose, the doctor already in the clinical picture assumes the presence of problems with muscles. To confirm his conclusions, should be performed:

• Blood tests - general and biochemical. Laboratory tests help identify signs of inflammatory reaction and metabolic disorders.
• Assays for antibodies. The determination of antibodies is necessary for the detection of autoimmune diseases as one of the causes of myositis.
• MRI - tomography is performed to accurately determine the localization of a group of affected muscles.
• Electromyography. The technique is based on revealing the functionality of skeletal muscles with the help of impulses of electricity.
• Biopsies of the back muscles are performed rarely, since it involves the sampling of a portion of the muscle fiber for accurate examination.

Treatment scheme for

The treatment of myositis of the back muscles is made up of the use of medications, physiotherapy procedures, and manual therapy techniques. Only combined treatment of suggests complete cure of the patient and prevents the transition of the acute phase of the disease into a chronic form.

1. Mode. With myositis of the back muscles during the phase of the most acute symptoms, complete rest should be observed, which can provide bed rest.
2. Medical treatment - use of anti-inflammatory drugs in the form of injections and tablets. In the phase of pain, strong analgesics are used. With spinal myositis, it is important to apply warming ointments.
3. Massage allows you to strengthen blood circulation in the affected muscles, effectively relieves pain, strengthens the nutrition of tissues. Professionally and accurately massage can be done only by a specialist.
4. Treatment of myositis with folk remedies implies the use of warm compresses and dry heat. High efficiency differs honey compresses, grinding with a sponge. It is necessary to establish a metabolism and strengthen the defenses of the body, this is achieved through diet, the use of herbal decoctions.
5. Physiotherapeutic procedures - warming up, electrophoresis, electrostimulation of muscles is used.
6. In the case of myositis, should be carried out by special exercises , which can be advised by the attending physician.
7. Well restores muscle mobility manual therapy - acupuncture, reflexology.

Preventive measures for the prevention of

disease It is possible to prevent the development of myositis in the timely treatment of infections. Prevents the defeat of the muscles lack of intense physical activity, hypothermia. For a long time in one position, you need to change the position of the body from time to time and use gymnastics that strengthens the muscular frame.

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