Myofascialitis
Introduction
Introduction to myofasciitis Myofasciitis, also known as "back muscle injury", "lumbar back fibrosis", "lumbar fascia pain syndrome", etc., refers to the aseptic inflammation of muscles and fascia, when the body is affected by wind and cold, fatigue, Acute injury to muscle fasciitis can be induced by external factors such as trauma or improper sleeping position. The acute or chronic injury or strain of the muscles, ligaments and joint capsules of the shoulder and neck is the basic cause of the disease. Chronic muscle pain, soreness and weakness can be repeated due to repeated stress or cold and other unpleasant stimuli due to repeated treatment in the acute phase. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: lumbar disc herniation
Cause
Cause of myofasciitis
Chronic strain is one of the most common causes. Fibrosis changes occur in muscles and fascia, causing soft tissue to be in a state of high tension, resulting in minor tearing damage. Finally, fibrous tissue is enlarged, contracted, and squeezed. Pain in the local capillaries and distal nerves. The humid and cold climate is another important pathogenic factor. Wet cold can cause muscle vasoconstriction, ischemia, edema cause local fiber slurry to exude, and finally form fibrositis. Chronic infections, mental depression, sleep disorders, hypothyroidism, and hyperuricemia are also often complicated by myofasciitis.
The following predisposing factors are common:
1. Some patients have varying degrees of traumatic history. After the muscles and fascia are damaged, they are not treated or treated incompletely, leaving hidden dangers and prolonged and causing illness.
2, although many patients have no obvious history of acute trauma, but because of long hours of less activity, or because of poor working posture, long-term in a single specific posture; or due to work stress, sustained weight bearing, overwork, etc., prolonged Cause the disease.
3, feel the wind and cold dampness, meridian block, poor blood flow, affect the nutrition and metabolism of muscle fascia, prolonged and caused disease.
4, the patient is weak, immune function is not strong; or lumbosacral congenital variation (abnormality); or spinal degenerative disease (osteogenesis) induced.
Prevention
Myofasciitis prevention
1. Prevent moisture, cold and cold. Do not sleep in a damp place at will. According to the change of climate, add clothes at any time, after sweating and raining, you should change the wet clothes or dry your body in time. Use electric blankets or sleep hot steamed buns when it's cold.
2, acute lumbar sprain should be actively treated, rest assured to prevent chronic changes.
3. When preparing for sports or strenuous activities, be prepared for activities.
Complication
Myofasciitis complications Complications Lumbar disc herniation
Lumbar disc exit, spinal canal stenosis.
Symptom
Myofascial inflammation symptoms common symptoms muscle pain waist and knees
1. A bundle of muscle fibers surrounded by a sterilized sarcolemma in a muscle is hard.
2, there are lesions of the cutaneous nerve.
3, hyperplastic inflammation of the fat connective tissue, and the deep fascia is closely connected.
4. The part of the motor nerve that enters the muscle. Painful nodules occur in the superior ligament, intervertebral ligament, posterior lamina, transverse process muscle, transverse process muscle, occipital fascia, scapula, trapezius, rhomboid, waist Muscle, sacral spine, and so on.
Examine
Examination of myofasciitis
X-ray lipiodol angiography, bone palpation.
Diagnosis
Diagnosis and differentiation of myofasciitis
Disease diagnosis
1. There are fixed pain areas and tender points on the attachment points of the tendons or on the muscle abdomen. Pressing the pain point can cause regional distraction pain that does not distribute according to the sensory roots.
2. The pain is aggravated when the temperature is lowered or fatigued.
3, increased muscle blood flow treatment can reduce pain.
4. Eliminate local occupying or destructive lesions.
At present, the study believes that the actual lesion of myofascial pain is not in the myofascial, but in the motor endplate of skeletal muscle. Long-term myofascial pain leads to the change of spinal cord level, and acute pain changes into chronic pain. .
Differential diagnosis
In the differential diagnosis, the focus of this disease is to identify and diagnose the primary cause of pain:
1, acute sprain: more obvious history of sprain injury, immediately after the injury, pain, limited mobility, obvious tenderness points, position can not be freely converted, pain is spastic pain, X-ray film no abnormalities.
2, disc herniation: more history of injury, accompanied by limb radiation pain, mild and heavy symptoms, limited mobility, cough, sneezing, turning, bending over can aggravate symptoms, pain relief after rest. There is obvious tenderness between the spinous processes or the spine, the straight leg raising test is positive, and there is a corresponding nerve root innervation area sensation and movement disorder. X-ray or CT can help confirm the diagnosis.
3, lumbar spinal stenosis: recurrent episodes of low back pain, lower limbs numb walking weak, intermittent claudication, X-ray film or lumbar vertebrae CT visible narrow intervertebral space, narrow inner diameter of the spinal canal.
4, the third lumbar vertebrae transverse process syndrome: a history of sprain or strain, the third lumbar vertebrae transverse pressure is obvious tenderness and radiation to the lower back and hips, the waist three transverse processes can touch the cord or nodular.
5, tumor metastasis pain: advanced age, recent weight loss is obvious, especially the presence of nocturnal pain, to check the exclusion of tumors.
