29.01.2021
Myositis is inflammation of the muscles, accompanied by local pain during movement or palpation. Trying to protect the affected area on its own, the body increases muscle tension, which limits joint mobility, and subsequently weakness and atrophy of the damaged muscle may develop.
Muscle inflammation does not stop at one location or cause. Myositis often occurs as a consequence of infectious and autoimmune diseases. The course of the disease can be either acute or chronic, with skin rashes. With local infection, there is a high probability of development of purulent processes in the muscles.
Every person suffers from myositis at least once in their life. But in most cases, the disease remains undiagnosed, because the patients themselves define the pain as an exacerbation of osteochondrosis of the cervical or thoracic regions. Severe forms of myositis require long-term treatment and hospitalization, so you should not turn to self-diagnosis and self-medication for myositis.
Causes
Viral infectious diseases are a common cause of muscle inflammation. For example, influenza or ARVI. Myositis can occur against the background of a bacterial or fungal infection. In this case, the inflammatory process begins to develop as a result of the activity of microorganisms and their metabolic products.
More rare causes of myositis include:
- autoimmune diseases: accompanied by myositis of the most severe form;
- systemic diseases: accompanied by myositis of moderate severity;
- parasitic infections;
- exposure to toxic substances (alcohol, cocaine);
- taking medications: the lesion is not always accompanied by inflammation and can be attributed to both myositis and myopathy;
- hypothermia;
- injury;
- excessive loads during sports with poorly trained muscles;
- uncomfortable body position and prolonged stress on the same muscle group due to professional activities (pianist, violinist, PC operator, driver, etc.);
- open injury;
- chronic infection or infection as a result of violation of sanitary standards when administering an intramuscular injection.
Why is it necessary to treat hand myositis?
Myositis of the shoulder or forearm that has just begun can be cured quite quickly with the help of manual techniques and physical therapy. A different picture is observed in advanced cases: treatment will be long and will not be possible without medications.
In addition, by ignoring myositis of the hand, you can get its chronic form - frequent attacks at the slightest provocation.
And the most unpleasant thing: the muscles of the hand, subject to frequent inflammation, noticeably weaken, and their gradual atrophy cannot be ruled out.
That’s why you need to treat hand myositis from an experienced specialist, and once cured, don’t forget about prevention!
Classification
Myositis has several forms:
- infectious non-purulent myositis: causes general weakness and severe muscle pain. The prerequisites are infectious diseases such as syphilis, tuberculosis, brucellosis, influenza and enteroviral diseases;
- acute purulent myositis: the affected area has swelling and severe pain, necrosis develops in the muscle tissue and pus accumulates. The prerequisites are a chronic purulent process, for which myositis is a manifestation of a complication. High body temperature, leukocytosis and chills may occur;
- myositis due to parasitic infections: the muscles are tense and react painfully, the affected area is swollen. This form of myositis is a consequence of toxic-allergic reactions with characteristic symptoms: malaise, fever, leukocytosis;
- myositis ossificans: affected areas - shoulders, hips, buttocks. It occurs as a congenital pathology and as a result of trauma. A feature of the form is the accumulation of calcium salts in muscle tissue, which causes the formation of calcifications and compactions. The development of such myositis is fraught with muscle atrophy;
- polymyositis: one of the severe forms in which a group of muscles is simultaneously affected. The cause of the development of pathology is autoimmune diseases. Polymyositis is especially dangerous for children, as blood vessels, heart, lungs, and skin can be affected. For men over 40 years of age, polymyositis can cause the development of tumors of internal organs;
- Dermatomyositis (Wagner's disease): The disease affects both skeletal and smooth muscles, including the skin and internal organs.
Myositis has a large number of varieties and an equally diverse list of causes.
Possible consequences and complications
In the absence of therapy, patients often develop negative reactions. If the pain is caused by a slight bruise or sprain, complications are rare, but in the presence of a serious illness they develop in most cases.
The most common disorders:
- Worsening of the symptoms of the underlying disease.
- Spread of pathology to healthy tissue.
- Displacement of bone fragments during a fracture.
Pain in the forearm of the right hand - The inability to restore damaged tissue if left untreated for a long period of time.
- Impaired mobility of the articular joint.
- Loss of limb mobility.
- Tissue atrophy in the affected area.
To prevent the development of complications, it is better to visit a doctor immediately after the appearance of acute symptoms.
Forearm pain can be the result of various predisposing factors associated with pathological conditions. The symptom is localized in the area of the right arm more often, but can also affect the left limb. The causes of the disorder are identified during a diagnostic examination, which makes it possible to prescribe the most effective treatment on an individual basis.
Symptoms
Despite the variety of forms and causes of myositis, there are symptoms that clearly indicate the development of the disease. The presence of myositis can be judged if:
- aching pain is felt in the muscles, which intensifies with palpation and movement;
- in some cases, swelling and redness appear in the affected area;
- elevated body temperature, which lasts for a long time and is accompanied by chills, headache and an increased number of leukocytes in clinical analysis (this indicates inflammatory processes);
- in some cases, compactions form that can be easily felt.
The course of myositis can develop in both acute and chronic forms. Moreover, in the absence or incorrect treatment, it can easily change one for another.
Acute myositis develops when:
- hypothermia;
- muscle overstrain;
- injury.
Infectious and toxic myositis does not manifest itself with clear symptoms at the beginning and proceeds in a chronic form until favorable circumstances.
Chronic myositis develops along a curve, periodically subsiding and resuming. The appearance of pain is influenced by weather, low temperatures, and prolonged stress in a sedentary position.
Treatment methods
Pain in the forearm of the right hand (the causes of the disorder can be provoked by neurological disorders) is considered a reason to contact a specialist if it repeats for several days and is accompanied by other symptoms of local, systemic origin.
After a diagnostic examination, the doctor determines the best method to eliminate discomfort and prevent the development of complications. For diagnosis, standard methods are used, involving examination and blood testing. Additional methods are determined depending on the cause of the violation. In most cases, X-ray examination, MRI, and ultrasound diagnostics are necessary.
Medicines
Depending on the identified cause of the disorder, patients are prescribed appropriate medications. There is no standard treatment regimen for all patients, since drugs are selected individually depending on the symptoms.
The most commonly used medications are:
- Ibuprofen has anti-inflammatory, antipyretic and pronounced analgesic properties. The drug is indicated when pain is caused by inflammatory pathologies of joints, muscles, external tissues, and bruises. Tablets are taken in short courses of 3-5 days, a single dosage is 1-2 tablets. The dose may be repeated no more than 3 times per day.
- Amoxicillin is prescribed for diagnosing acute forms of arthritis and bursitis. The drug has antibacterial properties and helps relieve signs of inflammation. Take 1 tablet 2 times a day, the duration of therapy with the drug is 10-14 days. The medicine is considered effective and, in combination with other drugs, reduces the likelihood of complications.
- Nise gel is used externally for bruises and sprains of varying severity. The drug relieves inflammation, eliminates pain and reduces the likelihood of symptoms spreading to healthy tissue. Apply the gel 2-3 times a day to the affected area and rub in gently. The duration of therapeutic use is 7 days.
- Capsicam is an ointment with warming properties, which additionally eliminates pain and signs of inflammation if the patient’s discomfort is associated with closed forearm injuries. Apply the ointment to the affected areas 2 times a day in a small amount, repeat the manipulations for 5-7 days in a row.
- Dicloberl has anti-inflammatory and analgesic properties, helps eliminate pain if it is caused by bruises, sprains, burns and neuralgia. The drug is administered intramuscularly at a dose of 3 ml per day, the duration of therapeutic use is 5 days.
- Milgamma in the form of a solution is often used as part of a complex treatment of pathologies of neurological origin that provoke pain. The solution is administered intramuscularly at 2 ml per day. The standard duration of treatment is 10 days. The drug stimulates the restoration of nerve tissue, as well as the transmission of nerve impulses, which has a beneficial effect on the patient’s condition and reduces the likelihood of complications.
- Azitral is a potent antibacterial medication, therefore it is used when the patient develops severe inflammatory diseases of the joints, muscles, ligaments, and skin. The drug is taken orally, 1 tablet per day for 3-6 days. The medicine is used in combination with other drugs to increase the effectiveness of therapy.
- Meloxicam relieves inflammation and has pronounced analgesic properties. With its use, the symptoms disappear quite quickly. The daily dosage of the drug is 15 mg, which can be divided into 2 times during the day. The duration of drug therapy does not exceed 7 days.
- Doxycycline has pronounced properties in diagnosing osteomyelitis. The tablets are taken for 1-2 weeks, depending on the severity of the condition. The daily dosage is 2-4 tablets, determined individually after a preliminary examination.
- Chondroitin sulfate is administered intramuscularly for 35 days, 1 dose. The drug is available in powder form in ampoules. Before administration, add 5 ml of sodium chloride to the ampoule, then draw it into a syringe and inject it. For 1 time you need 1 ampoule of medicine. The drug has chondroprotective properties, helps restore the cartilage tissue of the joint joint, and prevents their further destruction. The drug is used when pain is caused by damage to the articular joint.
- Alflutop belongs to the group of chondroprotectors, but is of natural origin. The solution is administered intravenously, 1 ml intramuscularly. The duration of the course is 25-35 days, depending on the manifestations of the disease. The medication is considered effective, especially when combined with other drugs. It is prescribed for damage to the articular joint and pain in the forearm.
- Dexalgin has pronounced analgesic properties and is prescribed when pain is caused by a fracture. The solution is administered intramuscularly at a dose of 2 ml per day, usually therapy is continued for no longer than 3 days. In most cases, this is enough to obtain a therapeutic effect.
If the patient has other diseases, the course of therapy includes drugs to relieve the symptoms of this disorder. The dosage and duration of treatment differs depending on the severity of the manifestations and the characteristics of the individual patient’s body.
Folk remedies
Pain in the forearm of the right hand (the causes of the disorder may be associated with minor or severe injuries) can be relieved with the help of folk remedies in cases where it is not provoked by serious illnesses and injuries. For example, for bruises and sprains, homemade external medicines based on natural ingredients can be used.
Calendula tincture relieves inflammation and prevents it from spreading to soft tissues. It can be used to rub the skin in the affected area 2 times a day. You can prepare the medicine using 20 g of dry raw materials and 100 ml of alcohol or vodka. The product must be infused for 2 weeks, filtered and used for rubbing for 5-10 days in a row.
A compress with plantain leaves is considered effective for mild pain due to bruises and sprains. At night, the patient needs to apply several clean leaves to the affected area and secure them with a bandage. It is recommended to repeat the manipulation for at least 5 days in a row, but the course can be extended if necessary. Home remedies should only be used after consulting a doctor. Any prescription can cause complications.
Surgery
In some cases, pain is a sign of a serious illness requiring surgery. The operation is indicated for displaced fractures, open fractures, severe bursitis and lymphadenitis.
Depending on the pathology, the method of performing the operation is determined. It may require general or local anesthesia, as well as placing the patient in a hospital for the entire rehabilitation period. The essence of fracture surgery is to restore the affected tissue and prevent further damage.
In severe cases of bursitis, the joint capsule is cleaned of purulent contents, followed by the installation of special drainages and regular dressings. If the condition is caused by ruptures of muscle fibers or ligaments, surgery is performed to restore them. After the operation, the patient undergoes a rehabilitation period, which includes taking medications and using physiotherapeutic methods.
Physiotherapy
Pain in the forearm of the right hand, the causes of which can be different, quickly disappears when drug treatment is combined with physiotherapeutic methods. They help speed up the process of tissue repair and reduce the likelihood of complications.
Magnetic therapy is considered one of the most common techniques, as it has pronounced properties. The essence of the method is to expose tissue to a magnetic field of a certain frequency, which stimulates tissue restoration. The procedure is carried out once every 2-3 days for 20 minutes. The course consists of 10-15 sessions.
Paraffin therapy can also be used to improve tissue nutrition and restore normal blood circulation. The skin is exposed to warm paraffin, which has a beneficial effect on the tissue. Manipulations are carried out 2-3 times a week for 1 month, their duration is 15-20 minutes.
Physiotherapeutic methods are used only in the absence of acute symptoms of the disorder. In the presence of an acute inflammatory process, use is not allowed. The technique is determined by the doctor depending on the disease.
Types of pain
Next, we propose to consider the nature of the pain syndrome.
Acute pain
This pain often radiates to the arm and becomes stronger when the person turns his head. Also, such sensations intensify at night and are sometimes unbearable. In the most severe cases, the person is unable to raise his arm.
Chronic pain
Chronic pain syndrome is characterized by constant discomfort, sometimes turning into aching sensations. In this case, the pain may become stronger when a person begins to feel the muscles. There are also often complaints of a feeling of “ache” in the shoulder joint.
Aching sensations
Aching pain is characterized by constant and often unbearable sensations in the shoulder and forearm. Sometimes the pain is described as burning or shooting. In the most difficult situations, hand dysfunction may be present.
Discomfort when moving
In this case, the pain is characterized by suddenness. Unpleasant sensations have a pronounced color, are distinguished by intensity and constancy.
Symptoms
The vulnerability of the shoulder joint is due to its excessive mobility and functionality. As a result, uncharacteristic or excessive physical activity can lead to inflammatory and destructive processes in the joint.
A large number of people, of any age category, complain of painful sensations. You can often hear about this symptom from older people, however, young people who lead a sedentary lifestyle also suffer from shoulders. As a rule, shoulder pain occurs due to damage to the shoulder joint.
It is easy to determine what a person is dealing with when experiencing pain: pathology of the shoulder joint or something else, by performing the following manipulations:
If, when moving the shoulder, pain occurs precisely there, in this case it can be said with a high probability that there is a pathology of the shoulder.
If, when turning the neck in different directions, the shoulder reacts to such actions, most likely, we are not talking about damage to the shoulder joint.
Prevention of shoulder and forearm pain
If a person has pain in his shoulders and forearms, sooner or later he begins to think about what to do. However, it is much easier to prevent certain diseases than to treat them later. Thus, the prevention of pain in the shoulder and forearm is constant movement in everyday life. However, even here it is worth considering the nuances. In particular, you should avoid harming the shoulder joint with unilateral movements, excessive physical exertion, and raising your arms above your head.
With the help of special physical training, you can easily strengthen the shoulder joint and also make it mobile. It is worth paying attention to exercises that are aimed at stretching the shoulder and pectoral muscles. Those who want to do strength training should contact a professional trainer who will supervise the exercises.
People who have to work in an office, spending a lot of time at a desk, should take breaks from time to time to move around and do a few muscle stretching exercises. It is also always worth making sure that your shoulders are relaxed and your posture remains straight.