Occupational Diseases / / August 12, 2017
Myositis - the most common of the diseases associated with increased severity of labor;there is a very wide circle of professionals.The preferential localization - the upper limb of the small muscles of the hands to the shoulder muscles, depending on the nature of the work and the related stress on certain muscle groups.
In early disease (stage myalgia, or miopatoza) changes occur in the colloidal state of the protoplasm of muscle fibers in the future (myositis stage or miofastsita) develops aseptic inflammation with a tendency to the formation of connective tissue (fibromyositis or miofastsikulit).Thus, myalgia, myositis and fibromyositis be regarded as a single stage of the disease - myositis.
In stage I of myositis (myalgia) is not any distinct signs of changes in the muscles, but they are painful on palpation.Pain normally encountered during operation, quickly go alone.As the disease progresses, the pain intensified.Transition stage I in II is marked by changes in the consistency of muscles, which
a) whole muscle or muscle group is represented by palpation uniformly compacted compared with the corresponding muscle or group of muscles of the healthy side (research should be carried out at the maximum relaxation of the investigated limb);
b) instead of the observed normal muscle homogeneous consistency diseased muscle palpation seems coarse fiber (such consistency is sometimes observed in the elderly, but for young and middle-aged people - this is a sign of pathology);
in) in thickness of muscle palpated separate seals in the form of units or strands, especially painful on palpation.
There firming muscles, its mechanical excitability.
myositis most often develops in the extensor forearms, then - in the trapezius, biceps muscle of the shoulder and thigh, calf, and lumbar extensors of the foot.The defeat of several muscles (usually the shoulder girdle and arm) is called multiple myositis.
Rational myositis therapy should normalize the peripheral circulation and the contractile process in muscles, increase metabolism and promote reparative processes.
Showing ultrasound therapy, short-wave diathermy, diadynamic currents Bernard, gymnastics, massage, intramuscular ATP.Effective treatment is possible only if the temporary employment of the patient without significant muscle tension cases.
started untimely and inadequate treatment leads to relapse of myositis and its transition to a chronic form;there is an extremely resistant fibromyositis particularly often observed in the extensor-supinatornoy group of forearm muscles.This form is characterized by a pronounced seal ( "fibrous density") muscles.