Myogelosis of the cervical spine and back

Pain is one of the symptoms of various diseases. It can be acute and dull, strong and minor, pressing or piercing (cutting), having a clear localization and reflected when the patient can not determine specifically the source of pain. If you choose from this list the most painful moments and those that are considered problematic in the diagnostic plan, the idea comes to mind that you suspect a pathology that when diagnosed will sound like myogelosis. Especially if the pains are concentrated in the nape of the neck and shoulder girdle, in the muscles of the lower limbs, which happens in athletes, and along the spine.

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Epidemiology

Statistics show that with the development of information technology, changing the way of life of a person towards hypodynamic, the disease is increasingly younger. Work at the computer and computer games contribute to the fact that the pathology begins to cover the broad layers of the young people of the planet. At the same time, both women and men suffer equally.

Children from the disease are most often protected only by great mobility and the inability to maintain a static position for a long time. Nevertheless, doctors sometimes diagnose myoglosis even in infants. The cause of this can be trauma and hypothermia.

Causes of the myogeosis

By and large, myoglosis is the unbearably painful compaction in the muscles. They torture the patient and in a calm state, but on palpation they become even stronger, causing a grimace of pain on the person's face.

Such nodules or muscular tissue seals are often easily fingered, despite the fact that pain from them can be transmitted to different parts of the body, but to determine the exact cause of myoglosis is much more difficult.

The most studied causes of severe pressing pain in the muscles of the shoulder girdle, neck and spine are:

• Long-term presence in an uncomfortable static posture (most often when working on a computer), which causes a strong muscle tension.
• Undercooling of muscles or staying in a draft (the likelihood of developing myoglosis increases if the body at this point was wet or sweaty).
• Stress, which causes a prolonged spasm of muscle musculature.

His contribution to the development of muscle disease can make and incorrect posture, causing complications in the form of myoglosis.

[2], [3], [4], [5]

Risk factors

Some pathologies can be considered risk factors for myogelosis. For example, cervical osteochondrosis and cervical migraine (shoulder and neck), spondylosis and herniation of the intervertebral discs (spine muscles), myositis, which is a generalized name for pathologies of inflammatory muscles, and even hypertension. All these diseases can cause strong tension and prolonged muscle spasm, which manifests itself in the form of severe pain.

Sometimes in the development of pathology, the traumatic factor comes to the fore, for example, the stretching or rupture of muscles, which is often associated with exorbitant physical loads or abrupt movements. Long-term loads on certain muscle groups (more often the muscles of the lower extremities and the shoulder girdle) can cause myoglosis in people professionally involved in sports.

But let us return to the fact that it is very, very difficult to pinpoint exactly what causes such changes in muscle tissue. In addition, there is always the possibility that several factors act simultaneously.

[6], [7], [8], [9],

Pathogenesis

Muscles - this is a complex organ in the human body, consisting of many structural units (myofibril). They act like a pump, constantly shrinking and providing the functionality of the entire body. Myofibrils enter with the composition of muscle fibers. They provide the contractile function of the muscles. Thanks to them, the muscles have the ability to contract and relax.

Each muscle in a living organism is connected to the central nervous system by means of certain nerves (afferent and efferent), which ensure the excitability of muscles and their motor activity. In addition, the muscles are sympathetic nerves responsible for muscle tone (a constant low voltage).

Blood vessels also pass along the muscles, providing their nutrition and saturation of tissues with oxygen. Nerve fibers and blood vessels penetrate the muscle through the so-called muscle gates.

The pathogenesis of myoglosis is as follows. If, for the above reasons, the muscle is in constant tension for a long time and compresses blood vessels and nerves, blood circulation and nutrition of muscle tissue are impaired, the passage of nerve impulses to muscles worsens, resulting in some limited movement, the inflammatory process begins, as a result of which the muscle protein acquires the form gel. Then there is a consolidation of the muscle tissue, which compresses the nerve fibers. There is a lot of pain limiting movement. And the areas of the tightened muscle tissue are palpated when palpated in the form of nodules of various sizes and densities.

Symptoms of the myogeosis

Myogelosis is a pathology that is often simply impossible to notice with the naked eye, but in most cases it is perfectly palpable with the fingers. A tactile symptom of the disease of spasmodic muscles is the presence of muscle compressions (nodules), the size of which can fluctuate, but rarely exceeds the size of a bean or hazel fruit (hazelnut).

Such nodules are often called trigger zones. They can be active, with characteristic spontaneous acute pains that give off to adjacent areas of the body, or latent, which are determined and cause pain only when pressed on them.

The main and invariable symptom of myoglosis is pain. Where it is felt depends on the localization of the muscular nodules and their appearance. If the seals are localized in the region of the neck and shoulder girdle (the upper edge of the trapezius muscle (trapecius)), pain can be given to the occipital part of the head and even to the vertex. If the nodules are located along the back muscle (pectoralis), the pain is often felt in the back and lumbar region.

Muscle seals can also be found in the calf muscles, as well as in the large and small pectoral muscle (erector trunci).

In addition, patients complain of tight muscles in the neck (with myoglosis of the cervical spine), a feeling of pressure or tightening in this area, the inability to relax the muscle in tension, difficulty with turning the head. Sometimes there is also a noise in the ears and frequent dizziness if the neck muscles are affected.

Sometimes a doctor may notice small areas of hyperemic skin above the trigger zones (dots). In many cases, there is an increase in the sensitivity of the skin in the occiput, including pain from touching the occipital part of the head.

Still, the first and most reliable signs of myoglosis development are: the appearance of small joints in the muscles and the associated pains of different localization and intensity (usually strong and very strong, up to disability and loss of consciousness).

Forms

The most common type of muscle disease is myoglosis of the cervical spine, characterized by a feeling of pressure in the nape, strong occipital and headaches. The cause of cervical myoglosis can equally be both a prolonged sitting at the computer in a static tense posture, and hypothermia.

However, the nodules of compacted muscles, as already mentioned, may appear in other parts of the body. For example, in the shoulder area or in various places of the long muscle running along the spine. The latter case is in some way a professional disease of movers, who have to constantly strain the muscles of the shoulders and back when carrying weights.

If very painful seals appeared on the legs in the region of the shin, it also refers to myogelosis. That's only the most common cause of this pathology are sports, more precisely, long-term enhanced training.

The intensity of the symptoms of any type of myoglosis depends on the stage of development of the process. In most cases, everything starts with inflammation of the muscle (myositis), when there is a constant tension of a certain muscle, accompanied by pain and limited movements. With myoglosis, the pain becomes unbearable, sometimes leading to a loss of consciousness.

Complications and consequences

Myogelosis is a pathology, which you can not tell, that the disease itself is not as terrible as its consequences. Indeed, in this situation, the presence of painful trigger points in itself is so detrimental to the patient's quality of life that it does not even come up with the idea that it can be even worse.

Sharp periodic pains in the muscles of the neck, shoulders, back, shins, limiting the ability to move freely, headaches and dizziness with cervical myogelosis disturb the patient not only during rest, not allowing to relax, but also during working hours. The pain and the difficulties arising at turns of a head, inclinations and other movements, should affect a patient's ability to work. And this is another reason not to allow complications.

Complication of myoglosis is considered the transition of the disease to the next, more severe stage - myofibrosis. If with myogelosis only the reversible compaction of muscles occurs, which is amenable to kneading, and with the correct approach to treatment gradually comes to normal, then myofibrosis is already characterized by irreversible changes in muscle microfibrils. The tendons and ligaments are gradually involved in the process. The disease in most cases is recurrent and is complicated by tearing or tearing of muscle tissue due to a significant decrease in its elasticity.

Diagnostics of the myogeosis

If a patient comes to the doctor with complaints about piercing unbearable pain in the neck, shoulder, back or shin, indicating the pathological processes in the muscles or joints, the doctor's task is primarily to determine the cause, or rather the source of pain.

In the process of diagnosis, the doctor not only examines the existing symptoms from the patient's words, but also interrogates him about past injuries, palpates the sore spot.

Indicative in this regard are the methods of manual diagnosis of myoglosis, based on the search for trigger zones, the size of a pea to a large cherry, in the place of pain localization indicated by the patient.

For example, if the patient complains of headaches, pain in the back of the neck, neck, collar area or in the hand, the myelogenous nodule is most likely to be found in the angle of the scapula at the top of the trapezius muscle.

With the localization of pain in the region of the sacrum or waist, the sacral-spinous muscle becomes the location of the diseased nodule.

If the pain is felt in the lower part of the thoracic region, the angle of the lower rib and the lumbar spine are considered to be the area where the myoglosses are located.

Having determined the search area, the doctor probes it and, upon detection of the nodule, presses it sensitively on it. If the pain in the manipulation is markedly increased, this confirms the assumption of myogelosis as a source of considerable discomfort for the patient.

Analyzes (the general analysis of blood and urine) in this case are conducted mainly with the purpose of safe prescription of myogelosis treatment. Although they can also help to determine the cause of the pathology, showing whether the body has an inflammatory process or the disease is associated with another cause.

Some nodules located deep inside the muscle do not show much activity in terms of pain, and unpleasant sensations appear only when the doctor finds and presses on them.

Instrumental diagnostics in myoglosis does not play a decisive role. Nevertheless, X-ray examination helps to identify foci of inflammation and joint pathology, which are also accompanied by pain syndrome. And arteriography (radiography with the use of contrast agents) makes it possible to assess the state of the vessels inside the stressed muscle, which is especially important in the early stages of pathology (myositis).

The condition of the muscular apparatus can be determined by means of such methods of research as myotonometry and electromyography.

Differential diagnosis

A large role in the diagnosis of the doctors assigned to differential diagnosis of the disease. Especially when it comes to occipital pain, which patients most often complain about.

But the pain in the nape of myoglosis is not a specific symptom. We hear about it in connection with other pathologies. Headaches and occipital pains are observed:

• With arterial hypertension. Increased pressure is often accompanied by rather strong throbbing pains.
• In diseases involving the upper (cervical) spine, such as spondylosis, osteochondrosis, etc.
• With neuralgia of the occipital nerve. This pathology is characterized by bouts of pain in the neck, back and lower jaw. By the way, it is possible to exclude this pathology by anesthetizing the cervical nerve: in miogelosis, pain in the trigger zones and muscular denseness remain.
• With cervical migraine. Pain can spread to the eyes, temples, neck, accompanied by dizziness, visual and hearing impairment.

Nuchal pain can occur under stress or muscle strain, while the entire muscle or its site is hypertensive, and not individual small nodules that are clearly visible against the background of unchanged muscle tissue. Back pain may indicate rheumatism or osteochondrosis of the spine, but in the shoulders and neck, for example, of the neuritis of the brachial nerve, which may have nothing to do with myoglosis.

Treatment of the myogeosis

The doctor's task in diagnosing myoglosis is not only to identify the trigger zones themselves with the subsequent diagnosis, but also to determine the cause that caused changes in muscle tissue. This is necessary for the appointment of therapy corresponding to the current state of affairs.

If the inflammatory process is observed inside the muscle, then it is an occasion to select effective anti-inflammatory drugs and prevent further pathological changes in muscle tissue. If the overstrain of the muscle is caused by the stress of a stressful situation, the appointment of antidepressants will be helpful.

But the first and main task of a doctor is to alleviate the condition of the patient by removing pain, which affects all aspects of the patient's life. To begin with, you can try various non-pharmacological methods. For example, to allow the patient to relax in a room isolated from the noise and fuss, relaxing the muscles of the back and neck, or putting a warm compress on his neck. Relieving massage of the affected area also contributes to the removal of pain.

If such treatment does not work, they resort to drugs that relieve inflammation and pain: Ibuprofen, Nimesin, Bischofite solution and ointments with it, Diclofenac in the form of tablets and ointments, Naproxen, Meloksikam , "Indomethacin" and other drugs with the same effect.

For severe pain and inflammation, injecting corticosteroids is administered (most often "Prednisolone" and "Hydrocortisone" together with anesthetics). To stop attacks of pain in the neck can be a short-term blockade of the appropriate area of the cervical department with the help of anesthetics (Lidocaine, Dicaine, Mesocaine, Xiloneast, Xsefokam, etc.).

To relieve painful spasms caused by a pinched nerve inside the muscle, you can also use anticonvulsants. But here the choice of the drug is completely within the competence of the doctor, he also decides the expediency of prescribing this group of drugs.

To improve blood circulation in the affected area and relieve spasm pain apply muscle relaxants (usually "Midokalm" or "Sirdalud"). They have a relaxing effect on all muscle groups, improve nutrition and supply muscle tissue with oxygen.

As for vitamins, to relieve muscle spasm and pain in them help vitamins B2 and B6. A normalize the contractile function of the muscles will help vitamins A, D, E and again the B group.

Popular drugs for myoglaze

The removal of inflammation and pain syndrome is one of the main tasks solved by means of medical therapy in myogelosis. To solve this task as best as possible with a minimal amount of prescribed drugs non-steroidal anti-inflammatory drugs (NVS) will help.

"Naproksen"  is a drug from the NVP group, the main active ingredient of which is a substance of the same name with an analgesic and anti-inflammatory effect. With miagelosis, the drug can be used in the form of tablets and suspensions for oral administration, and in the form of a gel / ointment or rectal suppositories (which is important in inflammatory and erosive-ulcerative gastrointestinal lesions).

Method of application and dosage. Tablets "Naproxen" can be taken as during meals, and at other times. They are swallowed, not crushed, and washed down with water. Take the drug is recommended twice a day (preferably in the morning and at night).

Usually the daily dosage of the drug at the acute stage of the disease is 500-750 ml, but not more than 1.75 g per day for intolerable pain.

A suspension with a rather pleasant taste and aroma is most often used to treat small patients. In this case, the dosage is determined by the pediatrician and depends on the weight of the child.

Rectal suppository is applied at night in the amount of 1 suppository for a week. Gel and ointment should be applied to the skin in the area of the affected area 3 to 4 times a day. The course of treatment is 2 weeks.

Contraindications to taking prerroral drugs may be bleeding and erosive and ulcerative lesions of the digestive tract, hemorrhagic diathesis, pregnancy, severe liver and kidney damage, as well as "aspirin" asthma due to the danger of spasm of the respiratory system, hypersensitivity to the drug

External preparation is not used for skin lesions, allergic reactions to the components of the drug.

In pediatrics, NSAIDs are used to treat children older than 1 year.

Side effects: with oral administration there may be pain in the epigastric region, heartburn and other dyspepsia. There is a risk of ulcerative gastrointestinal diseases and gastric bleeding. Also, patients noted the appearance of noise in the ears, visual and hearing impairments, drowsiness, dizziness, shortness of breath, scabies and skin rashes. Some patients noted the development of anemia and impaired renal function.

These and other less common symptoms require withdrawal of the drug and a review of the appointment of a doctor.

"Meloksikam"  is one of the popular low-cost NSAIDs effective in myoglaze. Produced in the form of tablets, solution (for oral and external use), injection solution, and also in the form of rectal suppositories.

Dosing and Administration: Tablets and oral solution are taken once a day. Tablets are consumed with food, washed down with a glass of water. The daily dosage is from 7.5 to 15 mg.

Outer solution is applied 2 times a day and rubbed for 3-4 minutes.

The injection solution is used for intramuscular injections in the same dosage.

Suppositories are used rectally 1 or 2 times a day, depending on the dosage.

The drug has a fairly large number of contraindications to use. It is not used in pregnancy and breastfeeding, erosive-ulcerative and inflammatory lesions of the gastrointestinal tract, severe hepatic and renal pathologies, allergic reactions to aspirin or other NSAIDs, high probability of bleeding, heart failure (in the decompensation stage), after aortocoronary shunting.

Do not prescribe the drug and children under 15 years of age, as well as people with intolerance to the components of the medication.

Side effects are identical to those after taking Naproxen.

"Indomethacin"  is another active and inexpensive non-steroid drug, shown with muscle pains and prescribed long-term in the form of suppositories, injection solution, tablets and ointment or gel.

Method of application and dosage. Tablets should be taken after meals, washed down with water. The dose is prescribed by the doctor individually from 50 to 150 mg per day. Multiplicity of reception - 2-3 times a day. With prolonged admission, the dose is subsequently adjusted.

Intramuscularly, "Indomethacin" is administered 1 or 2 times a day for 1-2 weeks. A single dose is 60 mg.

Rectal suppositories are used 1 or 2 times a day in a dosage of 50 or 100 mg (not more than 200 mg).

Locally, the preparation in the form of an ointment or gel is used twice a day.

Contraindications for use are the same as described in the instructions to other NSAIDs. In addition, the drug is not used in severe forms of hypertension, exacerbations of pancreatitis, proctitis and bleeding from the anus.

It is forbidden to use NSAIDs in the 3rd semester of pregnancy, as well as for the treatment of children under 14 years of age.

The use of the drug may be accompanied by head pain, impaired appetite and other reactions characteristic of NSAIDs.

With intolerable painful spasms, blockade of the muscles of the corresponding area is carried out  with the use of anesthetics. One of the drugs frequently used for injectable anesthesia is Pilocaine (He is Xilonext or Cytanest). It is characterized by the rapid onset of the effect of anesthesia and the average duration of action.

For local anesthesia, 2,3 or 4% solution is used, which is administered together with epinephrine or feliprassin.

The drug is not used for hypersensitivity to anesthetic amide group, as well as methemoglobinemia (both congenital and ideopathic). The use of the drug for the treatment of children and the elderly, as well as in the treatment of pregnant women should be combined with extreme caution.

Relieve muscle tension during therapeutic measures aimed at treating myoglosis, help muscle relaxants.

"Sirdalud"  is one such effective remedy, the effect of which will prove useful in the treatment of nodular muscular densities, causing muscle spasms and their soreness.

The choice of an effective and safe dose of the drug should be carried out by the attending physician especially carefully taking into account the physiological characteristics of the patient's body. Usually the initial dose of the drug is 2 mg. In this dosage, the drug is taken 3 times a day. With severe pain, a single dose can be doubled, without decreasing the reception frequency. In addition, you can take another pill just before bed, if the soreness of the muscles does not allow the patient to rest.

The drug is withdrawn with a gradual decrease in dosage.

Contraindications. The drug can be used in patients with impaired renal function with appropriate dose adjustment, but in severe liver pathologies, "Sirdalud" is contraindicated.

It is not recommended to use the drug in pediatrics and to treat patients with hypersensitivity to the drug.

It is forbidden to take the drug in a simultaneous therapy with fluvoxamine and ciprofloxacin.

Very often, the drug is accompanied by the following side effects: dizziness and drowsiness, sleep disorders, dry mouth and gastric disorders, lowering blood pressure, muscle weakness and fatigue, changes in laboratory blood counts.

But such reactions on the part of the body are not dangerous to the life of the patient and do not require the withdrawal of the medicine.

Alternative treatment

To cure myogelosis by alternative methods: natural ointments and herbs, as we imagine them, is impossible without the use of massage procedures and manual therapy, which is also considered an element of alternative medicine. However, to relieve muscle spasms and associated painful sensations, alternative treatment is under force.

You can, for example, before sleeping for 14 days,  lubricate the skin in the affected area with freshly squeezed lemon juice, and after drying, cover with clothing.

Or here is a prescription for an ointment that relieves muscle spasms. It consists of egg yolk, 1 tbsp. Natural apple cider vinegar and 1 tsp. Turpentine.

From spasms and pain it is also recommended to use  laurel oil. It is easy to prepare, taking 50 g of crushed laurel leaves and 200 mg of homemade lean oil. After a two-week infusion, the drug can be used to treat muscles.

With pain and inflammation with myogelosis, ordinary flower honey will help  . It is necessary to lubricate it with sore spots several times during the day, leaving honey on the skin for 15 minutes or more. The course of treatment is 7 days.

Effective in this regard is considered and  treatment with herbs, such as motherwort, chamomile, cucumber grass, adonis, burdock (leaves and roots), poppies (flowers). From them prepare various broths and infusions which use inside or outside.

To prepare medicinal potions, horseradish, willow buds and birch, potatoes and even lard are also used.

[10], [11], [12], [13], [14], [15], [16], [17], [18]

Homeopathy

Homeopathic remedies for myogelosis in most cases are no less effective than their synthetic relatives. And the drugs used in homeopathy can be used as a peroral, and in the form of therapeutic and analgesic injections.

It is a question of the homeopathic preparation  "Traumeel C". It is injected simultaneously with an anesthetic into the area of muscular densification. Injections are done every other day through a course of 5-10 sessions. In one session, 2 to 8 painful points (even number) are cut off.

As an anti-inflammatory and analgesic internal remedy, the drug "Homvio-Revman" is used from 5 to 15 drops 1-3 times a day. For severe pain, the drug in the same dosage can be given every 2 hours.

Do not use the drug with hypersensitivity to its components, pregnancy and alcoholism. Possible increase in sensitivity to sunlight and allergic reactions.

With muscle pain, such drugs as Aconite, Rus toxicodendron, Arnica, used in 6 dilutions according to the prescription of a homeopathic physician, as well as  Bellis perennis  (a drug of a rhesus plant) in the potency of D2, will also be useful  .

Such phytopreparations as "Reanimator thermo-gel" and "Maklura", in the form of gel-balm or tincture, will also prove useful.

Gel  "Reanimator"  is applied to the affected area 2 or 3 times a day with a thin layer. It is not used when hypersensitivity to one of the components of this multi-component agent, including vegetable oils, herbal extracts, turpentine, camphor, methyl salicylate. Do not use in the area of open wounds.

Ointment  "Maklura"  on the basis of Adam's apple is applied 1 or 2 times a day by a month course. It is applied a thin layer on the sore spot, without rubbing or massaging the body.

Contraindications to the use of ointment are diabetes, pregnancy and breastfeeding.

The tincture of the pasture is applied as inside (3 drops each, the frequency of reception corresponds to the week number: 1 week - 1 time, 2 - 2 times, etc., up to 10 times a day), and externally (at night).

Physiotherapy

Since the main tasks in the therapy of myoglosis are the reduction of the symptoms of inflammation, the restoration of the disturbed blood circulation in the area of the affected muscle and the elasticity of the muscle tissue, the elimination of the compacted areas, the physiotherapeutic methods are selected based on the existing problem.

If there is an inflammatory process that has caused strong pain, effective will be hirudotherapy, because the healing properties of bloodsucking river inhabitants of leeches are known in medicine for a long time. Aspirating blood on the affected area, leeches thus activate blood flow and reduce puffiness observed in the inflammatory process. In addition, they, like many bloodsuckers, inject into the wound a special "analgesic", which is produced in their body, which anaesthesizes both the site of the bite and the surrounding area of the body. This same substance is able to stimulate metabolic processes in the affected tissues.

To reduce the inflammatory response and increase metabolism in muscle fibers, electro-, magneto- and laser therapy are also used  , since their action also covers deep layers of muscle tissue, where also nodules that are less active in terms of pain can hide.

To improve blood circulation and to remove symptoms of inflammation, mud therapy is also  used. Healing mud optimizes the lymph flow, metabolic processes in the tissues of the body, and successfully fight inflammation.

Eliminate seals in the muscles can be using  shock wave therapy. The effect is produced by the waves of the acoustic spectrum. They also improve blood circulation, remove seals in the muscle, stimulate regenerative processes in the tissues.

By the way, the same goals are pursued by  manual therapy, as well as massage, which can effectively combat myoglestic knots, improving the elasticity of muscles. These same procedures activate blood circulation in the affected area, help restore normal functioning of the muscles, providing sufficient mobility of the neck, extremities, back, waist.

Since the manipulation of manual therapy and massage are carried out with the help of hands and require certain knowledge and skills, they must be carried out by a specialist in their field. Otherwise, there is a risk not so much not to get the desired relief, how many to earn new health problems.

For the removal of the pain syndrome, the most effective methods are  electrophoresis, in which anesthetics (preferably of natural origin) and anti-inflammatory drugs are injected with a small electric current that allows the drug to be delivered directly to the diseased area at different depths, without damaging the skin and not creating additional discomfort , as with the injection.

With miogelosis also apply quantum and vacuum gradient therapy, which, without pain and damage to the skin, improve the elastic properties of the damaged muscle, fight stagnant phenomena in it, improve blood microcirculation.

Surgery

Treatment of myoglosis does not necessarily have to end with a surgical operation, because irreversible pathological changes in muscles, vessels and nerves do not yet occur, as in the next stage of myofibrosis pathology. Nevertheless, in some cases neither traditional nor alternative treatment does not bring the expected result, or it proves not persistent, with constant relapses of the disease.

In this case, doctors resort to surgical treatment of myoglosis with microvascular decompression. The essence of the operation is to release the nerve, which has been trapped by an inflamed muscle or a nearby vessel. It is the compression of the nerve root that leads to the appearance of severe pains at the site of the appearance of a small compaction and in the region to which the branches of the compressed nerve descend.

After the surgery, the patient has to spend a couple of days in the hospital, after which he goes home for aftercare under the supervision of a doctor. Usually after a week the patient's condition stabilizes, the pain goes away. If this does not happen, you need to continue to continue treatment with pain medication. The same thing will have to do with relapse of the disease.

During treatment and rehabilitation, the patient is preferably in a relaxed relaxed state in a separate room, protected from noise and excess traffic.

Prevention

In principle, the prevention of myoglosis is not something out of the ordinary. These usual precautions will help to prevent many other pathologies, and not only related to the muscular system:

• Since hypothermia and drafts are capable of provoking the inflammatory process in the muscles and the formation of painful nodules in it, it is necessary, of course, to avoid them. Especially when it comes to finding a draft at a time when the body is hot or sweaty.
• The requirement to monitor your posture is relevant not only in childhood. It will also help adults prevent many pathologies of the musculoskeletal and muscular apparatus.
• Those with sedentary work, as well as lovers of computer games of different ages, doctors advise every 45-60 minutes to do a 15-minute break, during which to perform an active warm-up, preventing stagnant processes throughout the body.
• A full night rest with health benefits can be obtained only on the right bed, which should be even, stiff enough and with a low but dense pillow.
• Regular exercise of gymnastics and special physical exercises, like practicing active sports, certainly can strengthen a person's health and protect him from many pathologies, including myoglosis. However, there is no need to overdo it, because intensified training can lead to overstrain of the muscles, leading to the development of the same myoglosis.
• Large physical exertion is undesirable both in sports and at home, especially if they work in a cold room with drafts, which can not but lead to unpleasant consequences.
• Increased stress resistance, as well as avoiding situations accompanied by a strong nervous strain, are the key to a happy and healthy life, it's not for nothing that they say that all diseases are from the nerves.

Forecast

The prognosis of myoglosis, of course, depends on the severity of the process of pathological changes in the muscles. If you contact the doctor at the first signs of the disease, when acute pains appeared or the patient himself discovered the nodules of the muscle tissue, and fulfill all the prescriptions and requirements of the doctor, you can get rid of unpleasant sensations quite quickly.

But if we limit ourselves to anesthetics, expecting that everything will pass by itself, there is every chance to start the disease to the state of myofibrosis, which requires more serious, more often surgical treatment, while uninhibited myogelosis requires surgical intervention only in rare cases.