The most common pains in certain muscle groups after unusual physical activity, trauma or as a result of widespread osteochondrosis of the spine. What is a myofascial syndrome.
How does myofascial syndrome arise?
Myofascial syndrome develops in people who are engaged in sports or heavy physical labor.
Regular minor injuries lead to damage to individual muscle bundles, as a result, inflammation develops in them, resulting in the formation of a section of scar tissue. If the scar is located near the nerve fibers, the pain may be very intense.
In practice, the physician-rheumatologist often has to deal with various pain syndromes. The most common pains in certain muscle groups after unusual physical activity, trauma or as a result of widespread osteochondrosis of the spine.
An example of a myofascial syndrome
At the reception came a middle-aged patient with complaints of aching pain in the area of the upper third of the shoulder. At a detailed questioning, it turned out that she was riding standing, bent on three deaths in a pack of full bus, holding on to the vertical pipe in the center of the car. With sharp braking, the main load fell on the left arm, which she kept. As a result, within two weeks, the pain is not released. Particularly sharp pains are noted at certain movements of the hand, and at rest, pain or passes at all, or insignificant, aching.
Diagnosis - myofascial syndrome.
In this case, the search for any systemic pathology is unsuccessful. The pain has a local origin. It is caused by the local process - muscle spasm, and in the case of chronic myofascial syndrome, the site of the connective tissue in the area of the damaged muscle or its membrane - fascia.
Why is myofascial syndrome?
Myofascial syndrome - this is the fate of people engaged in sports or heavy physical labor. Regular minor injuries lead to damage to individual muscle bundles, as a result, inflammation develops in them, resulting in the formation of a section of scar tissue. If the scar is located near the nerve fibers, the pain may be very intense.
- Another group is the elderly. As with any tissue of the body, over time, muscle tissue aging, in it increases the number of inferior muscle fibers, sites of fibrosis. Muscles lose their elasticity and can be damaged even at daily stress. In order not to happen, people in older age groups must necessarily perform a charge. In order not to harm your body, the elements of therapeutic physical training should be worked out with the instructor of exercise therapy, and in the future to engage in their own.
- Sharp slimming As a result, unbalanced diets, illness, stress, people lose weight due to the loss of not only fatty tissue, but also muscle mass. As a result, the skin and muscles become flabby, losing a tone. Any injury or inadequate loading in this case has a harmful effect, the result is a myofascial syndrome.
- Prolonged stay in an awkward position (at a computer, a desk), immobilization after a break.
- Congenital anomaly of the skeleton. Violations of posture (scoliosis, kyphosis), different length of the legs increase the tension of some muscle groups in the pathological relaxation of others.
- Overcooling Many patients report that the pain arose after "flood". That is, the role of trigger factor can play not only injury and load, but also overcooling.
Symptoms of myofascial syndrome
Myofascial pain syndrome is manifested by painful seizures in the area of skeletal muscle. It may be:
- Back area (often collar zone),
- Shoulder (in the area of the biceps or triceps)
Any skeletal muscle can be spasmodic.
Diagnosis of myofascial syndrome
With active oversaturation (palpation) the doctor finds the most painful point (one or several) - trigger points. The pressure on the trigger point can be so painful that the patient cries out or drops sharply away from the doctor.
Local administration of the drug into a trigger point deprives the patient of suffering. Most pathological situations are solved for one visit to the doctor. If rheumatologist or trauma (these experts have much information about the disease) there is doubt about the diagnosis, assigned additional ultrasound of the affected area.
Ultrasound allows you to clearly visualize the muscular structures and detect spasmodic or inflamed areas.
Treatment of myofascial syndrome
Treatment of myofascial syndrome involves effective anesthesia and miorelaksation. Upon cancellation of drug therapy pain gradually docked in the absence of treatment, but in the longer term. In rare cases, myofascial syndrome becomes chronic course requiring prolonged treatment (developed tunnel syndrome), in this case, the ihloreflesoterapiya, massage, chiropractic techniques.