Tibialis muscle pain

With such a diagnosis, it is important to regularly attend therapy sessions, undergo comprehensive treatment in a specialized center, and then maintain your own health with a prevention program.

Muscular pain

The treatment and prevention of chronic muscle pain is a difficult and complex issue. Pain syndromes of the musculoskeletal system often lead to long-term disabilities, even in young people. Under normal conditions, one muscle must contract during work and the other muscle (the antagonist) must relax and recover at the same time.

Chronic myofascial pain syndrome is a reduction in muscle fiber function as a result of prolonged static load of low intensity, which is accompanied by an increase in metabolic processes and an increase in the contractility of these muscle fibers, resulting in local muscle spasm with compression of neurovascular formations and impaired blood circulation leads.

Trigger mechanism of myalgic syndrome.

The triggering mechanism of myofascial pain syndrome involves deformation of the working muscle when the thicker and stronger part of the muscle stretches the thinner and weaker part. The thicker and stronger part of the muscle cramps and its metabolism and blood supply are compromised, while the other part is overstretched and has adequate blood flow but is 'tired'. This situation can occur not only in one muscle, but also in antagonistic muscles.

When the reserve capacity is exhausted, the muscle fibers gradually form tense bundles with increased irritability - myofascial trigger points (points, zones), which, when squeezed, are felt as a painful, dense weight.

What is myofascial pain?

As the term suggests, myofascial pain (MSA) is damage to the skeletal muscles, which, together with the skeleton, form the musculoskeletal system and enable the movement of the body and its parts. The lesions occur primarily on the spine (lumbar, sacral and cervical spine) and on the extremities (shins and shoulders).

The changes in skeletal muscles manifest themselves in different ways. However, the most common symptoms are acute or chronic pain and impaired motor function. They are often accompanied by the following symptoms:

The pain may be felt only in the affected part of the body (e.g. in myositis, an inflammation of muscle tissue) or may affect several areas at once, which is characteristic of fibromyalgia, a chronic pain syndrome that is still poorly understood. The pain can be acute and intense, which is usually the case with an initial symptom that usually responds well to treatment. But they can also be distressing and have a long, chronic course that exhausts the patient. Depending on the cause, the pain may worsen with movement or be constant and remain unchanged in intensity. The cause also determines the tactics and success of the treatment. Therefore, identifying the underlying cause in each individual case becomes the main task in the fight against the disease.

Work activity, physical exertion and injuries

Myofascial pain is caused by inflammation of muscle tissue, muscle overload and spasms, which can be triggered by various factors. Occupational activity is considered one of the most important of these factors, and SMB is the most common form of occupational disease. Recent studies show that any type of activity, under certain conditions, can have a negative impact on muscles and joints and can cause, promote or worsen muscle pain. These adverse conditions include:

• Significant physical stress (lifting and carrying weights, professional sports).
• Prolonged static muscle tension (office work).
• Repetitive movements (assembly line, assembly line work, agricultural work).
• Vibrations.
• Cold air at work.

Unfavorable working conditions damage the musculoskeletal system and contribute to muscle pain the longer the worker performs certain tasks or stays in a cold room. Working for more than four hours without a break in such conditions is a risk factor. Musculoskeletal pain can also be caused by injuries: bruises, sprains, dislocations, fractures, etc.

Symptoms of pectoralis minor muscle syndrome

The symptoms of pectoralis minor syndrome are due to two things: pain in the muscle itself and compression of the nerves and blood vessels beneath the muscle. Let's consider each of these points individually.

Symptoms of pectoralis minor syndrome, which is caused by compression of nerves and blood vessels, include numbness in the hand, a feeling of 'pins' and 'goosebumps' in the hand, pale and swollen fingers, and a decreased pulse on the hand Radial artery.

Muscle pain symptoms in pectoralis minor syndrome, most commonly caused by pectoral myofascial syndrome. Myofascial syndrome is a pathology in which small changed areas - trigger points - appear in the muscles. Trigger points in the small pectoral muscles can exist latently – in a resting state – for a long time. However, when they are activated, pain occurs immediately. Physical strain, sudden movement, awkward posture, hypothermia and stress can activate trigger points.

Pectoralis muscle syndrome is characterized by pain in the chest, shoulder joint, and back of the hand - sometimes from the shoulder to the fingers. These painful symptoms of pectoralis muscle syndrome are often confused with intercostal neuralgia, mammary gland disease, and myocardial infarction. Myocardial infarction can be distinguished from myalgia by the use of nitroglycerin. This relieves the heart attack, but not the muscle pain. The Wright test is a very reliable method for diagnosing Wright-Mendlovic syndrome. The hand is placed on the back of the head and the elbow is stretched to the side as far as possible. The test is considered positive if the pain and other symptoms worsen after half a minute to a minute. However, remember that any self-diagnosis and self-treatment is unreliable. Therefore, it is better to trust the specialists.

Treatment of pectoralis minor syndrome

Treatment of pectoralis minor syndrome is divided into primary and secondary treatment. The most important of these is gentle manual therapy. It differs from conventional manual therapy not only in its safety and effectiveness. Its main advantage is that it is an excellent remedy for treating muscle tension. Using special musculo-fascial techniques, gentle manual therapy loosens tense muscles and eliminates not only the symptoms but also the root cause of pectoralis minor syndrome.

Pectoralis minor syndrome is treated by a chiropractor. Ideally, this should be a neurological chiropractor. He or she can examine, diagnose and treat your problem in better and more detail. In neglected and chronic cases, additional prescription of medication, physiotherapy or physical therapy may also be required. In general, treatment tactics and recovery time largely depend on whether it is a 'fresh' or chronic case of pectoralis minor syndrome. It's important to remember this, keep it under control and take care of yourself.

Which joint diseases can cause pain?

Any damage to a joint, be it cartilage damage, infection of the joint capsule or osteoarthritis, leads to unbearable pain and limited mobility. The disease is not always limited to the knee: general joint diseases affect the entire body. The knees, on the other hand, deteriorate more quickly due to the intense stress they are exposed to.

• arthritis – is an inflammation of a joint that can develop after an injury, infection or metabolic problem;
• bursitis - Inflammation of the joint capsule, causing severe discomfort when trying to move the joint;
• W periarthritis The tendons, muscles, and ligaments surrounding the knee joint become inflamed. The pain occurs when you put more strain on the bent leg, for example when climbing stairs;
• Chondropathy – The gradual destruction of the cartilage that surrounds the joint and cushions friction and shock;
• New growths They compress the vessels and can deform the joint capsule, causing pain and limiting mobility;
• If osteoporosis In osteoporosis, calcium is gradually washed out of the bones and joints and the tissue becomes weak and brittle. The disease is accompanied by excruciating pain and an increased risk of injury;
• osteomyelitis – Inflammation of bone tissue. The affected area swells, becomes feverish and the patient experiences severe acute pain;
• Diseases Diseases of other types, such as influenza and tuberculosis, can cause complications due to infection that has penetrated the joint capsule. In these cases, fever, weakness and pain occur in several joints at the same time.

To diagnose these diseases, X-rays, MRIs and CTs are used, which show all affected parts of the joint. If inflammation is suspected, the doctor will recommend blood tests, biochemical tests and a puncture of the synovial fluid. To rule out infectious diseases, you may be referred for further tests and x-rays.

Knee joint pain due to nerve damage

Knee pain is much less likely to be caused by nerve damage. They are accompanied by a stabbing, shooting pain and can be accompanied by numbness and tingling in the leg.

• neuritis – Inflammation of a nerve in one or more locations. Causes throbbing pain and loss of sensation, limited mobility and involuntary leg cramps in the knee area;
• Pinched nerve – A common sequela of inflammation, tumors and trauma. Physical pressure on the nerve roots in the knee causes burning pain, numbness and limited movement or even paralysis.

An MRI or CT scan is used to diagnose nerve problems, depending on what contraindications the patient has. If the pain is caused by a compressed nerve, a blood and synovial fluid analysis may be necessary to determine the cause of the joint deformity.

prevention of pain

Leg pain at night can have various causes. However, for people affected by this symptom, doctors give general preventive advice:

If symptoms occur, a medical center should be visited for diagnosis and treatment;

Physical activity should be corrected and interrupted with periods of rest;

A gymnastics program is developed and daily walking and cycling are used to improve the condition;

Changing your diet to improve your condition – switching to healthy foods for weight loss and giving up unhealthy habits.

How does the treatment work?

An initial consultation will take place by appointment.

Medical consultation: anamnesis, musculo-fascial diagnosis, functional diagnosis.

Collection of anamnesis - analysis of the condition, identification of limitations and contraindications, explanation of the principles of kinesiotherapy, information about the recovery time.

Musculofascial diagnosis is a chiropractic diagnostic method in which the doctor assesses the extent of movement of a joint and detects painful thickening, swelling, hypotonia or hypertonicity of the muscles, and other changes.

Functional diagnostics (takes place in the rehabilitation room) - the doctor explains how to perform certain exercises on equipment and observes how the patient performs them, what amplitude of movements he can perform, what movements cause pain, what weight the patient can work with and how Cardiovascular system reacts. Problem areas are identified. This information is then entered into a table. The pressure is determined.

Based on the initial examination and the functional diagnosis, a preliminary individual therapy program is developed.

• For spinal pain, an MRI or CT scan of the problem area is performed;
• if you have joint pain, an x-ray;
• If you have comorbidities, a medical history or health insurance card;
• Comfortable (sports) clothing and shoes.

At the beginning of the therapy cycle, the doctor creates a treatment plan together with the patient, which sets the date and time of the therapy sessions as well as check-ups with the doctor (usually 2-3 times a week).

The basis of the therapeutic process is therapy sessions in the rehabilitation room on simulators and sessions in the gym.

The rehabilitation devices allow precise dosage of the load on individual muscle groups and ensure an appropriate regime of physical interactions. The therapeutic program is developed by the doctor individually for each patient, taking into account the specific characteristics of the body. The implementation of the program is monitored by qualified trainers. At all stages of recovery, it is important to follow proper movement and breathing techniques, know your own weight limits when working on machines, adhere to the prescribed treatment program and follow the recommendations of specialists.

Causes of muscle pain in the hip area

pBefore knowing what causes muscle pain in the pelvic area, one must at least superficially understand what the combined muscle tissue, the spine, looks like biomechanically in this area.

CThe pelvis is the base, the basis for the spine, and the lower limbs are also attached to the pelvis, which in turn also influence the spine and pelvic bones through their movements. Such a complex structure cannot function without strong, flexible connections, i.e. muscles, fascia, tendons and ligaments. Therefore, it is believed that almost all pelvic pain is caused by musculoskeletal dysfunction and, less commonly, by vascular factors. The causes of pelvic muscle pain can be divided into three categories:

1. Spinal (vertebral) causes, sacroiliac joint dysfunction, inguinal ligament dysfunction and pubic symphysis.
2. Pain due to shortening, contraction of the oblique muscles or hypertension of the adductors of the thighs, myofascial syndromes, myofascial syndrome.
3. Vascular disorders, venous dysfunction, venous and lymphatic drainage disorders.

tThe causes of myogenic pelvic pain can also be differentiated by gender. The triggering factors for pelvic muscle pain in women are related to the specific anatomy and biomechanical function of the muscle tissue, the perineal fascia.

Causes of Pelvic Floor Muscle Pain in Women:

• Shortening of the abdominal oblique muscleswhich are connected to the vaginal ligament. The pain in the muscles radiates to the groin area near the pubic symphysis and increases when the body rotates.
• Excessive tension in the hamstring adductorsTension in the thigh adductors caused by the gait pattern (lateral swaying, rotating pelvic movement). Sprained trigger points cause pain in the groin, pubic bone, vagina, and rectum. The pain increases with prolonged walking, especially in high shoes, when the pelvis appears to rotate and the tension of the pelvic floor muscles changes. If a woman has a history of adhesions, there is a conditional fixation of the pelvic muscles and disruption of normal biomechanical processes.
• Disturbance of venous drainage Increases muscular pelvic pain when sitting. By alternating contraction and relaxation of the muscles (M. gluteus maximus and M. obturator internus), venous drainage can be improved and pain reduced, so that the symptom is spontaneously neutralized by movement and the static sitting posture changes.

Symptoms of myositis

Doctors often call this pathology an office disease. This is due to the fact that representatives of 'sedentary' professions are much more likely to develop this disease. For example, if an employee spends 6-8 hours at the computer without a break, the risk increases. Gradually, he or she may develop symptoms that make myositis easy to diagnose:

• limited mobility;
• changes in sensitivity;
• abnormal position of the limbs;
• reddening of the skin;
• Bruises.

In addition, myositis has symptoms characteristic of other diseases. For example, weakness, rapid fatigue or aching pain in the limbs. Sometimes those affected have a fever, but it is not very high. The greatest discomfort is caused by muscle pain. The disease causes limited mobility, which improves quickly when medication is administered and the myositis has not yet progressed.

If the disease is caused by viruses or bacteria, other symptoms appear:

• The patient has difficulty raising his arms above his head;
• The movements of the legs feel as if weights were attached to the legs;
• Getting out of bed or from a chair becomes increasingly difficult and the patient often no longer wants to move at all.

Different forms of myositis cause pain in the neck, head, and chest. When the muscles in the lumbar region are affected, the patient feels like he has sciatica. In addition, the symptoms are often worsened by palpation, sudden movements or a drop in temperature indoors or outdoors.

causes

Risk factors from the environment or your own body can cause sciatica. Exogenous causes include: B. Trauma, hypothermia, permanent muscle damage caused by heavy physical work. As a rule, endogenous, i.e. the body's own causes are taken into account:

Myositis and its symptoms are especially common in people whose treatment is related to connective tissue diseases. In such illnesses, the body perceives certain parts of itself as hostile and begins to attack itself. Infections cause purulent and non-purulent forms of pathology. In the first form, staphylococci and streptococci affect the muscles. The nonpurulent form is common in syphilis, typhoid, tuberculosis and even the common flu. As for parasites, the inflammatory process usually begins at the point where the microorganism has penetrated the tissue. Sometimes patients can find cysts and calcified areas where the parasite is active.

The symptoms of a disease such as myositis and the treatment of this problem are often accompanied by intoxication. Alcoholics, for example, have this problem. Sometimes an inflammatory process forms in the muscles after taking a number of medications or insect bites.

Additionally, hypothermia should be avoided as it is a common cause of the problem. The muscles of the neck, back and lower back are particularly commonly affected. The nerve inflammation is usually caused by drafts and swimming in cold water.

Causes of myalgia

The pain syndrome is acute and, as a rule, can indicate dysfunction of the internal organs. Other causes of myalgia include:

• Traumatic injuries such as broken bones;
• infectious diseases that are latent;
• inflammation;
• disorders of metabolism;
• tumors of the thyroid and adrenal glands;
• Autoimmune diseases that lead to inflammation of the musculoskeletal system;
• vascular anomalies;
• Rheumatoid diseases;
• Chronic allergic diseases that have become acute;
• overconditioning or overheating;
• Musculoskeletal disorders;
• Excessive muscle strain (especially in untrained people);
• Neurogenic myopathies;
• Adverse effects of medications, toxic substances;
• Infectious myositis;
• Electrolyte disorders, e.g. B. Calcium deficiency;
• diseases of the endocrine system;

Myofascial pain is often diagnosed in people with a sedentary lifestyle. The pain syndrome can occur after hard work or a nervous shock.

Symptoms of myalgia

Myalgia is pain in the muscles, tendons and fascia. They can be stabbing, pressing, pulling or stabbing and can affect a single point or a large area of the body.

There are restrictions on movement. The skin in the affected area thickens and swells. Headaches may occur. Myalgia often involves compression of nerves or blood vessels, resulting in numbness.

The symptoms of myalgia depend on the type of myalgia:

1. Fibromyalgia is diffuse, symmetrical chronic pain of musculoskeletal origin. The pathology affects different muscle groups. The affected person feels muscle pain for no apparent cause. The pain is stiff, aching or aching and radiates throughout the body, as if the patient is undergoing severe physical exertion. Mobility is also limited. There is stiffness of movement upon waking. If the pain is severe, the patient has difficulty sleeping.
2. Myositis is an inflammation of skeletal muscles and causes stiffness and pain. It is a pronounced dull or stabbing pain that limits freedom of movement. The skin over the affected area turns pink in a flash and there is an elevated local fever. Sometimes swelling occurs, causing asymmetry of body parts.
3. Polymyositis is a systemic inflammation of muscle tissue that is accompanied by pain. The pathology is characterized by weakness and atrophy of the affected muscles. Symptoms of polymyositis include headaches, nausea, tinnitus or ringing in the ears without external auditory stimuli. The pain occurs both at rest and during physical activity. They gradually spread throughout the body.
4. Epidemic myalgia is an acute infectious disease caused by enteroviruses. It causes spastic and severe pain in the muscles of the legs, arms, diaphragm, chest and abdominal wall. The pain worsens with changes in posture or breathing. To relieve it, the affected person begins to breathe shallowly and frequently. After a seizure, body temperature rises.
5. Intercostal myalgia is severe muscle pain that occurs in the chest area. The pain increases when swallowing, walking quickly or coughing.

Self-diagnosis:

1. If you feel pain in the shoulder area, stand in front of a mirror, close your eyes and stretch your arms (up to 90 degrees), open your eyes and see if the position of the shoulder itself has changed. When the shoulder goes up with the arm, the trapezius muscle is also involved in the movement.

2 Take a deep breath. When your shoulders move up sharply when you breathe deeply, the trapezius muscle compensates for the dysfunction of the thoracic diaphragm.

II Antagonistic muscle spasm

The cause of this type of contraction is the muscular principle - ALL OR NOTHING - each muscle contracts with enormous force, which can damage joints, bones and tendons. This is prevented by the presence of an antagonist muscle

An antagonistic muscle is a muscle that can injure joints, bones, and tendons. An antagonist muscle is a muscle that opposes the muscle performing the movement. Let's take the muscles of the arm as an example. (Fig. 2) When the arm is flexed at the elbow, the biceps brachii muscle tenses concentrically (i.e. its attachment points come closer to each other) and the opposing part - the triceps brachii muscle – tenses eccentrically (ie its attachment points move away when it is stretched). attachment points from each other).

Imagine two people of equal strength pulling on a rope. But as soon as one of the two shows weakness, the rope turns to the side of the stronger one, even though the force remains the same. If the weakness is severe, the person on the opposite side may even fall and injure themselves, even though they are not at fault and their performance has not changed. What happens then? Does the stronger person suffer?

The same pattern can be observed in muscle work. When the triceps brachii is functionally weak and cannot adequately resist the contraction of the biceps, the biceps brachii contracts excessively, causing cramps and pain.

Finally, I would like to add. We are often like the Communist Party – we fight with strength, not weakness. If we eliminate the cause of functional muscle weakness (innervation disorders, disorders of internal organ connections, infectious diseases, etc.), compensatory muscle tone should be restored and muscles relieved of excessive load….

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