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.
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.
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).
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.
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.