Myogelosis of the cervical spine and back

Pain is one of the symptoms of various diseases. It can be sharp and dull, strong and insignificant, pressing or stabbing (cutting), having a clear localization and reflected, when the patient cannot determine the specific source of pain. If you choose from this list the most painful moments and those that are considered problematic in diagnostic terms, the thought comes to mind to suspect a pathology that, when diagnosed, will sound like myogelosis. Especially if the pain is concentrated in the back of the head 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 technologies, changing the way of life of a person towards hypodynamic, the disease is becoming more and more common among younger people. Working on a computer and playing computer games contribute to the fact that the pathology is beginning to cover wide layers of the planet's young population. Both women and men suffer equally.

Children are usually protected from the disease only by high mobility and the inability to hold a static position for a long time. However, doctors sometimes diagnose myogelosis even in infants. The cause of this may be injuries and hypothermia.

Causes myogelosis

Generally speaking, myogelosis is an unbearably painful compaction in the muscles. They torment the patient even in a calm state, but when palpated, they become even more intense, causing a grimace of pain on the person's face.

Such nodules or compactions of muscle tissue are often easy to feel with your fingers, despite the fact that the pain from them can radiate to various parts of the body, but determining the exact cause of myogelosis can be much more difficult.

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

• Staying in an uncomfortable static position for a long time (most often when working on a computer), which causes severe muscle tension.
• Overcooling of muscles or exposure to a draft (in this case, the likelihood of developing myogelosis increases if the body was damp or sweaty at that moment).
• Stress that causes prolonged muscle spasm.

Incorrect posture can also contribute to the development of muscle disease, causing complications in the form of myogelosis.

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Risk factors

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

Sometimes, a traumatic factor comes to the forefront in the development of pathology, for example, a muscle strain or rupture, which is often associated with excessive physical exertion or sudden movements. Long-term loads on certain muscle groups (usually the muscles of the lower extremities and shoulder girdle) can cause myogelosis in people who are professional athletes.

But let's get back to the fact that it is very, very difficult to determine exactly what caused such changes in muscle tissue. In addition, there is always a possibility that several factors were simultaneously influencing.

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Pathogenesis

Muscles are a complex organ in the human body, consisting of many structural units (myofibrils). They act as a pump, constantly contracting and ensuring the functionality of the entire organ. Myofibrils are part of muscle fibers. They are the ones that provide the contractile function of muscles. Thanks to them, muscles have the ability to contract and relax.

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

Blood vessels also run along the muscles, providing them with nutrition and oxygenation of the tissues. Nerve fibers and vessels penetrate the muscle through the so-called muscle gates.

The pathogenesis of myogelosis is as follows. If, due to the above reasons, the muscle is in constant tension for a long time and compresses the vessels and nerves, blood circulation and nutrition of the muscle tissue are disrupted, the passage of nerve impulses to the muscles worsens, which results in some limitation of movement, an inflammatory process begins, as a result of which the muscle protein takes the form of a gel. Then there is a compaction of muscle tissue, which compresses the nerve fibers. Severe pain appears, limiting movement. And the areas of compacted muscle tissue themselves are palpated as nodules of various sizes and densities.

Symptoms myogelosis

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 seals (nodules), the size of which can fluctuate, but rarely exceeds the size of a bean or hazelnuts (hazelnuts).

Such nodules are often called trigger zones. They can be active, with characteristic spontaneous sharp pains radiating to neighboring areas of the body, or latent, which are determined and cause pain only when pressing on them.

The main and constant symptom of myogelosis is pain. Where it is felt depends on the location of the muscle nodules and their type. If the seals are localized in the neck and shoulder girdle (upper edge of the trapezius muscle (trapecius)), the pain can radiate to the back of the head and even to the crown. If the nodules are located along the back muscle (pectoralis), the pain is often felt in the back and lumbar region.

Muscle compactions can also be found in the area of the calf muscles, as well as the pectoralis major and minor muscles (erector trunci).

In addition, patients complain of tense muscles in the occipital region (in case of myogelosis of the cervical spine), a feeling of pressure or compression in this region, the inability to relax the muscle that is under tension, difficulties in turning the head. Sometimes, tinnitus and frequent dizziness are also noted if the neck muscles are affected by the disease.

Sometimes the doctor may notice small areas of hyperemic skin over the trigger zones (points). In many cases, there is increased sensitivity of the skin in the occipital region, including pain from touching the occipital part of the head.

And yet, the first and most reliable signs of the development of myogelosis are considered to be: the appearance of small compactions in the muscles and associated pain of varying localization and intensity (usually strong and very strong, up to and including impaired performance and loss of consciousness).

Forms

The most common type of muscle disease is myogelosis of the cervical spine, characterized by a feeling of pressure in the back of the head, severe occipital and headaches. The cause of cervical myogelosis can equally be both prolonged sitting at the computer in a static tense position, and hypothermia.

However, as already mentioned, nodules of compacted muscles can also 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 somewhat of an occupational disease of loaders who have to constantly strain their shoulder and back muscles when carrying heavy objects.

If very painful seals appear on the legs in the shin area, we are also talking about myogelosis. However, the most common cause of this pathology is sports, or rather, prolonged intensive training.

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

Complications and consequences

Myogelosis is a pathology about which you cannot say that the disease itself is not as terrible as its consequences. After all, in this situation, the presence of painful trigger points in itself worsens the patient's quality of life so much that the thought does not even occur that it could be even worse.

Acute periodic pain in the muscles of the neck, shoulders, back, shins, limiting the ability to move freely, headaches and dizziness with cervical myogelosis bother the patient not only during rest, preventing relaxation, but also during working hours. Pain and difficulties that arise when turning the head, bending and other movements cannot but affect the patient's ability to work. And this is another reason to avoid complications.

A complication of myogelosis is considered to be the transition of the disease to the next, more severe stage – myofibrosis. If myogelosis only involves reversible muscle compaction, which can be kneaded and gradually returns to normal with the right approach to treatment, then myofibrosis is already characterized by irreversible changes in muscle microfibrils. Tendons and ligaments are gradually involved in the process. In most cases, the disease is recurrent and is complicated by ruptures or tears of muscle tissue due to a significant decrease in its elasticity.

Diagnostics myogelosis

If a patient comes to a doctor complaining of piercing, unbearable pain in the neck, shoulders, back or shins, indicating pathological processes in the muscles or joints, the doctor’s task is primarily to determine the cause, or rather the source of the pain.

During the diagnostic process, the doctor not only studies the existing symptoms from the patient’s words, but also asks him about past injuries and palpates the sore spot.

Indicative in this regard are methods of manual diagnostics of myogelosis, based on the search for trigger zones, ranging in size from a pea to a large cherry, at the location of pain indicated by the patient.

For example, if a patient complains of headaches, pain in the back of the head, neck, collar area or arm, a myogelosis nodule can most likely be found in the angle of the scapula in the upper part of the trapezius muscle.

When pain is localized in the sacrum or lumbar region, the location of the painful nodule becomes the sacrospinal muscle.

If the pain is felt in the lower thoracic region, the area of myogelosis nodes is considered to be the angle formed by the lower rib and the lumbar spine.

Having defined the search area, the doctor palpates it and, if a nodule is found, presses it sensitively. If the pain during manipulation increases significantly, this confirms the assumption of myogelosis as a source of significant discomfort for the patient.

In this case, tests (general blood and urine tests) are carried out mainly for the purpose of safely prescribing treatment for myogelosis. Although they can also help determine the cause of the pathology, showing whether there is an inflammatory process in the body 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 discomfort appears only when the doctor finds and presses on them.

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

The condition of the muscular system can be determined using such research methods as myotonometry and electromyography.

Differential diagnosis

Doctors give a big role to differential diagnostics of the disease when making a diagnosis. Especially when it comes to occipital pain, which is what patients most often complain about.

But pain in the back of the head with myogelosis 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 quite strong pulsating pain.
• For diseases affecting the upper (cervical) spine, such as spondylosis, osteochondrosis, etc.
• With neuralgia of the occipital nerve. This pathology is characterized by attacks of pain in the neck, back and lower jaw. By the way, this pathology can be excluded by anesthetizing the cervical nerve: with myogelosis, pain in the trigger zones and muscle compaction remain.
• With cervical migraine. Pain can spread to the eye area, temples, back of the head, accompanied by dizziness, visual and hearing impairment.

Occipital pain may occur under the influence of a stressful situation or muscle strain, and hypertonicity of the entire muscle or its part is felt, and not separate small nodules, clearly distinguishable against the background of unchanged muscle tissue. Pain in the lower back may indicate rheumatism or osteochondrosis of the spine, and in the shoulders and neck, for example, neuritis of the brachial nerve, which may have nothing to do with myogelosis.

Treatment myogelosis

The doctor's task in diagnosing myogelosis is not only to identify the trigger zones themselves and then make a diagnosis, but also to determine the cause that caused the changes in muscle tissue. This is necessary to prescribe therapy that corresponds to the current state of affairs.

If there is an inflammatory process inside the muscle, then this is a reason to select effective anti-inflammatory drugs and prevent further pathological changes in muscle tissue. If muscle strain is caused by the impact of a stressful situation, it will be useful to prescribe antidepressants.

But the first and main task of the doctor is to ease the patient's condition by relieving pain, which affects all aspects of the patient's life. To begin with, you can try various non-drug methods. For example, allow the patient to rest in a room isolated from noise and bustle, relaxing the muscles of the back and neck, or apply a warm compress to the neck. A relaxing massage of the affected area also helps relieve pain.

If such treatment does not produce results, they resort to the help of drugs that relieve inflammation and pain: Ibuprofen, Nimesin, Bishofit solution and ointments with it, Diclofenac in the form of tablets and ointments, Naproxen, Meloxicam, Indomethacin and other drugs with the same effect.

In case of severe pain and inflammation, injection treatment with corticosteroids is performed (most often "Prednisolone" and "Hydrocortisone" together with anesthetics). Attacks of pain in the neck area can be relieved by performing a short-term blockade of the corresponding area of the cervical spine using anesthetics ("Lidocaine", "Dicaine", "Mesocaine", "Xilonest", "Xefocam", etc.).

Anticonvulsants can also be used to relieve painful spasms caused by a pinched nerve inside a muscle. But here the choice of drug is entirely within the competence of the doctor, who also decides on the appropriateness of prescribing this group of drugs.

To improve blood circulation in the affected area and relieve spastic pain, muscle relaxants are used (usually "Mydocalm" or "Sirdalud"). They have a relaxing effect on all muscle groups, improve nutrition and supply of oxygen to muscle tissue.

As for vitamins, vitamins B2 and B6 help relieve muscle spasms and pain. And vitamins A, D, E and again group B will help normalize muscle contractility.

Popular drugs for myogelosis

Removal of inflammation and pain syndrome is one of the main tasks solved by means of drug therapy for myogelosis. Non-steroidal anti-inflammatory drugs (NSAIDs) will help solve this problem in the best possible way with a minimum number of prescribed drugs.

"Naproxen" is a drug from the NSAID group, the main active ingredient of which is the substance of the same name with analgesic and anti-inflammatory action. In myagelosis, the drug can be used both in the form of tablets and suspension for oral administration, and in the form of a gel/ointment or rectal suppositories (which is important for inflammatory and erosive-ulcerative lesions of the gastrointestinal tract).

Method of administration and dosage. Naproxen tablets can be taken both during meals and at other times. They are swallowed without crushing and washed down with water. It is recommended to take the drug twice a day (preferably in the morning and in the evening).

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

The 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 child's weight.

Rectal suppositories are used at night in the amount of 1 suppository for a week. It is advisable to apply the gel and ointment to the skin in the affected area 3 to 4 times a day. The course of treatment is 2 weeks.

Contraindications to taking oral medications may include bleeding and erosive and ulcerative lesions of the gastrointestinal tract, hemorrhagic diathesis, pregnancy, severe liver and kidney damage, as well as "aspirin" asthma due to the risk of respiratory spasm, hypersensitivity to the drug.

The drug is not used externally in case of skin damage or allergic reactions to the components of the drug.

In pediatrics, NSAIDs are used to treat children over 1 year of age.

Side effects: when taken orally, pain in the epigastric region, heartburn and other dyspeptic symptoms may occur. There is a risk of developing ulcerative diseases of the gastrointestinal tract and gastric bleeding. Patients also noted the appearance of tinnitus, visual and hearing impairment, drowsiness, dizziness, difficulty breathing, itching and skin rashes. Some patients noted the development of anemia and kidney dysfunction.

These and other less common symptoms require discontinuation of the drug and revision of the doctor's prescription.

"Meloxicam" is one of the popular budget NSAIDs effective in myogelosis. It is available in the form of tablets, solution (for oral and external use), injection solution, and also in the form of rectal suppositories.

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

Externally, the solution is applied 2 times a day and rubbed in 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 quite a large number of contraindications for use. It is not used during pregnancy and breastfeeding, erosive-ulcerative and inflammatory lesions of the gastrointestinal tract, severe liver and kidney pathologies, allergic reactions to aspirin or other NSAIDs, high probability of bleeding, heart failure (in the decompensation stage), after aortocoronary bypass surgery.

The drug is not prescribed to children under 15 years of age, as well as to people with intolerance to the components of the drug.

Side effects are identical to those seen with Naproxen.

"Indomethacin" is another active and inexpensive non-steroidal drug indicated for muscle pain and prescribed for a long time in the form of suppositories, injection solution, tablets and ointment or gel.

Method of administration and dosage. It is recommended to take the tablets after meals with water. The dose is prescribed by the doctor individually from 50 to 150 mg per day. Frequency of administration - 2-3 times a day. With prolonged use, 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 (no more than 200 mg).

Locally, the drug in the form of an ointment or gel is applied twice a day.

Contraindications for use are the same as those described in the instructions for 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 prohibited to use NSAIDs in the 3rd trimester of pregnancy, as well as for the treatment of children under 14 years of age.

The use of the drug may be accompanied by headaches, appetite disturbances and other reactions typical of NSAIDs.

In case of unbearable painful spasms, a muscle block of the corresponding area is performed using anesthetics. One of the drugs often used for injection pain relief is "Pilocaine" (also known as "Xylonext" or "Citanest"). It is characterized by a rapid onset of the pain-relieving effect and an average duration of action.

For local anesthesia, a 2.3 or 4% solution is used, which is administered together with adrenaline or feliprissin.

The drug is not used in cases of hypersensitivity to amide anesthetics, as well as methemoglobinemia (both congenital and idiopathic). 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 special caution.

Muscle relaxants help relieve muscle tension during therapeutic measures aimed at treating myogelosis.

"Sirdalud" is one such effective remedy, the action of which will be useful in the treatment of nodular muscle compactions that cause muscle spasms and pain.

The selection 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 medicine is taken 3 times a day. In case of severe pain, a single dose can be doubled without reducing the frequency of administration. Additionally, you can take another tablet immediately before bedtime if muscle soreness does not allow the patient to rest.

The drug is discontinued by gradually reducing the dosage.

Contraindications for use. 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 for the treatment of patients with hypersensitivity to the drug.

It is prohibited to take the drug in combination with fluvoxamine and ciprofloxacin.

Very often, taking the drug is accompanied by the following side effects: dizziness and drowsiness, sleep disturbances, dry mouth and stomach upset, decreased blood pressure, muscle weakness and fatigue, changes in blood laboratory parameters.

But such reactions from the body are not life-threatening for the patient and do not require discontinuation of the drug.

Folk remedies

It is impossible to cure myogelosis with folk methods: natural ointments and herbs, as we imagine them, without the use of massage procedures and manual therapy methods, which is also considered an element of alternative medicine. However, folk treatment can relieve muscle spasms and associated pain.

For example, you can lubricate the skin in the affected area with freshly squeezed lemon juice before going to bed for 14 days, and after it dries, cover it with clothing.

Or here is a recipe for an ointment that relieves muscle spasms. It consists of a chicken egg yolk, 1 tablespoon of natural apple cider vinegar and 1 teaspoon of turpentine.

For spasms and pain, it is also recommended to use laurel oil. It is easy to prepare by taking 50 g of crushed laurel leaf and 200 mg of homemade vegetable oil. After two weeks of infusion, the medicine can be used to treat muscles.

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

Herbal treatments such as motherwort, chamomile, borage, adonis, burdock (leaves and roots), poppy (flowers) are also considered effective in this regard. Various decoctions and infusions are prepared from them, which are used internally or externally.

Horseradish, willow and birch buds, potatoes and even pork fat are also used to prepare medicinal potions.

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Homeopathy

Homeopathic remedies for myogelosis in most cases are no less effective than their synthetic counterparts. Moreover, the preparations used in homeopathy can be used both orally and in the form of therapeutic and pain-relieving injections.

We are talking about the homeopathic drug "Traumeel S". It is administered simultaneously with an anesthetic into the area of muscle compaction. Injections are given every other day in a course of 5-10 sessions. During one session, 2 to 8 painful points (an even number) are injected.

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

Do not use the drug in case of hypersensitivity to its components, pregnancy and alcoholism. Increased sensitivity to sunlight and allergic reactions are possible.

For muscle pain, such preparations as Aconite, Rhus toxicodendron, Arnica, used in 6 dilutions as prescribed by a homeopathic doctor, as well as Bellis perennis (a preparation of the plant thale cress) in potency D2, will also be useful.

Herbal preparations such as “Reanimator Thermo-Gel” and “Maclura”, in the form of a gel-balm or tincture, will also be useful.

The gel "Reanimator" is applied to the affected area 2 or 3 times a day in a thin layer. It is not used in case of hypersensitivity to one of the components of this multicomponent product, which includes vegetable oils, herbal extracts, turpentine, camphor, methyl salicylate. Do not use in the area of open wounds.

Maclura ointment based on Adam's apple is used 1 or 2 times a day for a month. It is applied in a thin layer to the sore spot, without rubbing or massaging the body.

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

Tincture of Maclura is used both internally (3 drops, the frequency of administration corresponds to the week number: 1 week - 1 time, 2nd - 2 times, etc. up to 10 times a day) and externally (at night).

Physiotherapy treatment

Since the main goals in the treatment of myogelosis are to reduce the symptoms of inflammation, restore impaired blood circulation in the area of the affected muscle and the elasticity of muscle tissue, and eliminate compacted areas, physiotherapeutic methods are selected based on the existing problem.

If there is an inflammatory process that has caused severe pain, hirudotherapy will be effective, because the healing properties of blood-sucking river dwellers leeches have been known in medicine for a long time. By sucking blood from the area affected by the disease, leeches thereby activate the blood flow and reduce the swelling observed during the inflammatory process. In addition, they, like many bloodsuckers, inject a special "analgesic" into the wound, which is produced in their body, which anesthetizes both the bite site itself and the surrounding area of the body. The same substance is capable of stimulating metabolic processes in the affected tissues.

To reduce the inflammatory reaction and activate metabolism in muscle fibers, electro-, magnetic- and laser therapy are also used, since their effect also covers the deep layers of muscle tissue, where nodules that are inactive in terms of pain sensations can also be hidden.

Mud therapy is also used to improve blood circulation and relieve inflammation symptoms. Therapeutic muds optimize lymph flow, metabolic processes occurring in the body tissues, and successfully combat inflammation.

You can eliminate muscle compactions using shock wave therapy. The impact is produced by acoustic spectrum waves. They also improve blood circulation, remove muscle compactions, and stimulate regenerative processes in tissues.

By the way, manual therapy and massage pursue the same goals, which can effectively combat myogelosis nodules, improving muscle elasticity. These same procedures activate blood circulation in the affected area, help restore normal muscle function, providing sufficient mobility of the neck, limbs, back, and lower back.

Since manual therapy and massage manipulations are performed using hands and require certain knowledge and skills, they must be performed by a specialist in their field. Otherwise, there is a risk of not only not getting the desired relief, but also of earning new health problems.

The most effective method for relieving pain is electrophoresis, in which anesthetics (preferably of natural origin) and anti-inflammatory drugs are administered using a low-power electric current, which allows the drug to be delivered directly to the affected area at different depths without damaging the skin or creating additional discomfort, as with injection.

In case of myogelosis, quantum and vacuum gradient therapy are also used, which, without pain or damage to the skin, improve the elastic properties of the damaged muscle, combat congestion in it, and improve blood microcirculation.

Surgical treatment

Treatment of myogelosis does not necessarily have to end with surgery, because irreversible pathological changes in muscles, vessels and nerves do not yet occur, as in the next stage of pathology - myofibrosis. However, in some cases, neither traditional nor folk treatment brings the expected result, or it turns out to be unstable, with constant relapses of the disease.

In such cases, doctors resort to surgical treatment of myogelosis using microvascular decompression. The essence of the operation is to release the nerve that is pinched by the inflamed muscle or a nearby vessel. It is the compression of the nerve root that leads to severe pain in the area where the small seal appears and in the area where the branches of the compressed nerve branch off.

After the surgery, the patient will have to spend a couple more days in the hospital, after which he will go home for further treatment under the supervision of a doctor. Usually, after a week, the patient's condition will stabilize, the pain will go away. If this does not happen, it is necessary to continue treatment with painkillers again. The same will have to be done if the disease recurs.

During treatment and rehabilitation, it is advisable for the patient to be in a calm, relaxed state in a separate room, protected from noise and unnecessary movement.

Prevention

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

• Since hypothermia and drafts can themselves provoke an inflammatory process in the muscles and the formation of painful nodules in them, it is necessary, of course, to avoid them. Especially when it comes to being in 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 systems.
• For those who have sedentary work, as well as computer game lovers of different ages, doctors advise taking a 15-minute break every 45-60 minutes, during which they should do an active warm-up, preventing stagnation in the entire body.
• A good night's rest with health benefits can only be achieved on the right bed, which should be flat, fairly hard and with a low but firm pillow.
• Regular exercise and special physical exercises, as well as active sports, can certainly strengthen a person's health and protect him from many pathologies, including myogelosis. However, you should not overdo it, since intensive training can lead to muscle strain, leading to the development of the same myogelosis.
• Heavy physical exertion is undesirable both in sports and at home, especially if the work is carried out in a cold room with drafts, which cannot but lead to unpleasant consequences.
• Increasing stress resistance, as well as avoiding situations accompanied by strong nervous tension, are the key to a happy and healthy life, because it is not for nothing that they say that all diseases come from nerves.

Forecast

The prognosis of myogelosis, of course, depends on the severity of the process of pathological changes in the muscles. If you consult a doctor at the first signs of the disease, when acute pain appears or the patient himself discovers muscle tissue nodules, and follow all the doctor's instructions and requirements, you can get rid of the unpleasant sensations quite quickly.

But if you limit yourself to painkillers only, expecting that everything will go away on its own, there is every chance of letting the disease progress to the state of myofibrosis, which requires more serious, most often surgical treatment, while untreated myogelosis requires surgical intervention only in rare cases.