Myositis of the back muscles - the causes of the onset, diagnosis and treatment!

Myositis is an inflammation that affects the muscle fibers. Primarily, the muscles of the chest, neck, shoulder girdle and back are involved in the pathological process. Today we will talk about the latter case.

Why does myositis occur?

Many different causes can contribute to the development of the inflammatory process. For example, pathology can appear against the background of external diseases as a result of the defeat of parasites, toxins, various infectious diseases, as well as the result of injuries and illnesses of the professional group.

The most common cause is infections. In this case, myositis does not necessarily develop against the backdrop of any severe ailments - in many cases, it is quite common for every modern person to have the flu / ARVI.

Myositis of parasitic and toxic nature is detected much less often.

Information on occupational diseases is simple and standard - here, as with most joint / muscle diseases, the main culprit is the long and regular stay of a person in an incorrect / uncomfortable position. In view of this, musicians, drivers, office workers, etc., are more likely to develop myositis.

The risk of inflammation is not ruled out and against a background of various external causes, for example, injuries and frequent hypothermia.

The most severe with regard to the course and treatment is myositis purulent nature. To the emergence of this leads to infection of a deep wound, occurring in conditions of non-compliance with personal hygiene rules or in violation of the technique of providing medical assistance to the victim.

Spinal myositis forms

Myositis of the dorsal muscles, as well as any others, are classified into acute and chronic forms. Characteristic signs of the first are acute and very severe pain. In a chronic form, myositis passes, first of all, with insufficiently qualitative and complete treatment of the acute period of the disease.

During the chronic stage, myositis may not disturb the patient in almost any way. Minor and rare pains citizens often write off as banal overwork, because of what they do not hurry to see a doctor. The peculiarity of pain in myositis is the fact that they become more pronounced under the influence of various unfavorable external factors such as hypothermia, changes in weather, etc.

Possible variants of the underlying disease

Among the common varieties of myositis, one should separately consider, firstly, polymyositis, and secondly, dermatomyositis.

Polymyositis

The muscles of several groups are involved in the process. Pain is characterized by low severity. The main sign of the ailment is muscle weakness, which persists for a long time. First, the patient may not report the presence of a disease in him, noting only the growing weakness. As the pathology progresses, it becomes difficult to perform the usual daily tasks.

Affected muscles gradually atrophy. The danger here is that this process is not accompanied by any concomitant signs. That is why the patient must closely monitor his condition in order to consult a doctor in a timely manner.launched myositis, which has led to severe muscle atrophy, can give a number of concomitant complications, first of all, on the joints.

Dermatomyositis

Strikes predominantly female patients. Reliable causes of pathology are not established. In accordance with the most popular hypothesis, dermatomyositis develops against a background of genetic predisposition or viral diseases.

The ailment is aggravated after hypothermia, colds and stress. In some patients, signs of dermatomyositis are noted even after being on the beach or elsewhere in the open sunlight.

The main sign of dermatomyositis is a rash of reddish or purple. There may be swelling of the eyelids, general weakness. Often, patients rapidly lose weight. Along with this, the ailment can be characterized by a gradual prolonged progression.

Untreated timely dermatomyositis gives a number of rather serious complications, for example, in the form of flabbiness of muscles, salt deposits, serious painful sensations and more serious inflammatory processes.

How does the pathology manifest itself?

Myositis of the back muscles is characterized by aching soreness, localized at the sites of progression of the pathology. Gradually the pain intensifies, becoming especially tangible in the performance of various movements. In the affected area, seals can be palpated, very painful on palpation. It is not excluded puffiness, swelling and other such moments.

The nature of the manifestation of purulent myositis is different. It is characterized by increased temperature, very severe pain in affected areas, chills, general weakness. Affected muscle fibers become densified and tight.

The order of manifestation of the symptoms of an ailment will vary depending on the form of that. So, with acute myositis, the pathological symptoms show themselves quickly and, in most cases, unexpectedly. As a rule, this happens in acute infectious diseases, after very heavy loads, various injuries. In the case of chronic myositis, the symptoms act as a logical continuation of the incompletely / untimely / incorrectly cured acute myositis or infectious disease that caused complications.

Diagnostic procedure

Diagnosis of myositis causes certain difficulties, primarily due to the fact that the symptoms of the disease are clearly visible only at the stages of exacerbation of the pathology. The patient's task is reduced to a timely response with a subsequent call to the doctor for the occurrence of even unimportant uncomfortable, unpleasant and uncharacteristic changes in his condition. Tighten - the disease progresses into a chronic form - it will be harder to cure it and longer. It's unlikely that you will like this scenario.

Information on examinations and related diagnostic activities is given in the table.

Table. Surveys with myositis

List of diagnostic measures	Explanations
Assays	The patient gives blood for general analysis and biochemistry. Based on the results of such a determination of the presence of inflammation. Additionally, an analysis of the antibody content can be made. By the results of this, the presence of pathologies of the autoimmune group is excluded / confirmed.
MRI	Magnetic resonance imaging reveals foci of the inflammatory process.
Electromyography	The results of this survey describe the state of the muscles.
Biopsy	To conduct this survey resorted to in exceptional situations. The essence is reduced to the fence of a part of the muscle tissue for its subsequent investigation. The method is complex, but the most informative and reliable.

Basic information on the treatment of myositis

Treatment is developed individually. The program, as a rule, is complex. The main task of treatment is, first of all, to eliminate the causes of myositis. That is, actions are taken to destroy infections / parasites / viruses, organize proper working conditions and physical activity, etc.

Otherwise, the therapy is classified into pathogenetic and symptomatic groups. The first is prescribed strictly after a reliable determination of the factors that triggered the pathology. For example, patients with parasitic myositis will be treated with anthelmintic drugs, with infectious - antibacterial agents, autoimmune - glucocorticoids, etc.

Patients should be prescribed non-steroidal anti-inflammatory drugs, as well as analgesics. For local effects, warming ointments can be used to reduce pain and muscle tension.

For medical purposes, therapeutic massage can be practiced. In particular, it becomes useful in complex conducting with various physiotherapeutic procedures. Patients with chronic myositis are strongly recommended to sanatorium treatment.

During periods of exacerbation, it is recommended to observe bed rest with minimization of physical exertion. At an elevated temperature, antipyretic agents may be prescribed.

When detecting a purulent form of myositis, treatment is usually surgical. The doctor opens the hearth, removes pus, adjusts the draining bandage. Antibacterial therapy is also used.

Prophylactic recommendations

It is unfortunately impossible to completely eliminate the risk of myositis. But such a probability can be successfully minimized.

First, avoid excessive physical exertion.

Secondly, do not overcool.

Thirdly, treat all diseases in a timely manner, especially infectious diseases.

Fourth, be a physically active person. If possible, do sports or at least home gym. If you are forced to stay in the same position for a long time, at least every 1.5-2 hours take breaks and warm up. Efforts are the most elementary - up to a short walk and bends and turns.

Stay healthy!

Video - Myositis of the back muscles