Treatment of myositis at home
Myositis is an inflammation of the skeletal muscle or a group of muscle fibers. The causes of this disease can be hypothermia, infectious, toxic or traumatic injury. It is manifested by pain and limitation of the amplitude of muscle movement, a decrease or increase in sensitivity in the affected area, a feeling of tension and tension.
Content:
- Drugs for the treatment of myositis
- Treatment of myositis with ointments
- What home remedies can be used to relieve pain?
- Prevention of myositis
Drugs for the treatment of myositis
To eliminate the symptoms of the disease, drugs of various pharmaceutical groups are used: analgesics, NSAIDs (non-steroidal anti-inflammatory drugs), corticosteroids and antibacterial agents. They are available in various dosage forms, for all drugs the frequency of use is calculated for a day.
Oral non-steroidal anti-inflammatory drugs:
- Ibuprofen - 0.4-0.6 g 2-3 times;
- Nimesulide - 0.1 g 2 times after meals, maximum - 0.4 g;
- Ketanov - 1 tablet at intervals of 5 hours, for patients with renal failure and the elderly, a reduced dose of the drug is required;
- Movalis - 7.5-15 mg each, there are restrictions - the drug is not used in patients under 15 years of age;
- Indomethacin - start with 1 tablet (25 mg) 2 times, if necessary, the dose is increased to 4-6 pieces when taken three times. The tablets are washed down with milk or plenty of water. In the chronic course of the disease, the tablets are replaced by injections (i / m 60 mg 1-2 times).
- Celecoxib - 0.2 g once, it is possible to divide this amount into 2 doses, not used to treat children and adolescents;
- Peroxicam - single dose 0.01-0.03 g, in the acute period possible injections of this drug (i / m 0.02-0.04 g);
- Etoricoxib - single dose 0.06-0.12 g.
NSAIDs for injection:
- Diclofenac - in the initial disease i / m 0.075 g 2 times, apply within 4-5 days;
- Ketorolac - in / m with a frequency of 5 hours at 0.01-0.03 g. The maximum dose is 0.09 g / day, for elderly patients it is reduced to 0.06 g.
- Meloxicam - intravenously 0.015 g, after 5 days the injection is replaced by taking the tablets;
- Mydocalm - i / m 0.01 g 2 times.
Analgesics:
- Paracetamol - the dosage of tablets for adults is from 0.5 to 1 g 3 times, the children's dose is 0.06 g for each kg of the child's weight, divided into 3 doses;
- Antipyrine - 3 times 0.25-0.5 g;
- Phenacetin - 3 times 0.25-0.5 g, the maximum allowable is 1.5 g / day;
- Analgin - dosage of tablets for adults - 1-2 tablets 3 times, for children - from 0.05 to 0.1 g for each kg of the child's weight 4 times. Injections for adults - 2 ml of 50% solution, for children - 0.2-0.4 ml of 25% solution for every 10 kg of the child's weight;
- Mialgin - 1-2 capsules 3 times.
One cannot ignore the serious side effect that analgesics and nonsteroidal anti-inflammatory drugs cause. This is ulcerative lesion of the gastric mucosa, the formation of erosions, dyspepsia with prolonged use of drugs in this group. Therefore, taking NSAIDs and painkillers is limited to 7-10 days.
Treatment of myositis with ointments
The positive quality of this dosage form is the selective effect on a specific site. In addition, when using ointments with NSAIDs and analgesics, there is no side effect on the digestive organs, which cannot be avoided with the oral route of administration. The negative effect of this method of treatment is that the active substance of ointments and gels is absorbed into the skin and muscles with varying degrees of penetration. An additional disadvantage is that the drug remains on clothes and dressings.
The practice of using ointments and gels speaks in favor of the latter, since the gels are better absorbed and more effective.
Ointments and gels:
- Traumeel S - acts as an anti-inflammatory, analgesic, immunostimulating agent in a small area. Apply 3-5 times with prolonged 2-4 weeks of therapy, the drug is allowed to be used in combination with physiotherapeutic treatment: electro- and phonophoresis.
- Espol - the main active ingredient is capsan (capsicum) extract. The ointment, subject to its regular use (at least 3 times), acts as an analgesic, warming and anti-inflammatory agent. The healing effect occurs after 4-6 minutes, lasts for 2 hours.
- Turpentine ointment is a rubbing agent with an anti-inflammatory effect.
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Diclofenac sodium gel 1% is an anti-inflammatory and anesthetic agent of Russian production, offered by the manufacturer at a reasonable price. Approved for use in children from 6 years of age. The treatment can last 5 days.
- Apizartron is an ointment based on bee venom. Use is not limited in time, the agent is rubbed into the affected muscle 3 times until the symptoms of the disease are completely eliminated. The effectiveness is increased if the place of application of the ointment is wrapped warmly.
- Gavkamen is an ointment with an analgesic and local irritant effect, used until the final recovery.
- Fastum gel - based on ketoprofen. The gel is applied in a thin layer to the affected surface and rubbed gently. It can be used in combination with physiotherapy procedures.
- Gel Dip-Relief 5% is a drug based on a combination of ilevomenthol and ibuprofen. It is applied to the affected area no more often than 5-6 times, the course of treatment is designed for 10 days.
- Dolaren-gel is a drug based on a combination of methyl salicylate and sodium diclofenac. The gel has excellent penetrating power, it is used 4 times. The course of treatment is 10 days.
- Viprosal is an ointment based on snake venom, rubbed 2 times. Treatment can be quite long - from 1 to 4 weeks.
- Mefenat is an ointment from the NSAID group with a long-term therapeutic effect (up to 20 hours). Apply 3 times, can be used under a bandage.
- Rostiran is an ointment based on the essential oils of eucalyptus, menthol, nutmeg, and fir. This composition allows the drug to be used to treat children from 2 years of age. It is applied 4 times over 5 days.
- Diclac-gel - the main active ingredient - diclofenac, is used to eliminate puffiness, inflammation and pain. The optimal dose is a strip of gel 5 to 8 cm long, applied 3 times to the projection of the damaged muscle on the skin. Use for 1-2 weeks.
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Gel Indovazin - contains troxevasin and indomethacin, combines the effectiveness of both drugs.
- Vipratox - liniment, contains snake venom. The permissible dose for application is 5-10 ml 1-2 times.
What home remedies can be used to relieve pain?
To relieve a painful spasm in an inflamed muscle at home, you need to ensure its rest and restore blood circulation. To do this, massage the affected area, apply a dry compress in the form of a woolen scarf or cloth, wrap it up, rub it with lavender, rose, cinnamon essential oil, rub it with an ointment with a warming effect.
To relieve the spasm in a short time, to expand the blood vessels, to warm the affected area will help a compress made from hot boiled potatoes, pre-cooked with the peel and mashed. This mass is applied to the fabric and placed on the painful area, wrapped in a dry terry towel. After cooling, the potatoes are removed, the skin is wiped with cologne or alcohol and the muscle is again insulated. You can neutralize lactic acid, which is formed in large quantities in the muscle affected by myositis, with a compress from laundry soap.
To effectively relieve inflammation, a compress from a decoction of spruce or pine needles is used.
The compress is prepared as follows:
- Chop the branches together with needles and young cones, pour half a liter of water, boil for an hour over low heat.
- The resulting broth is insisted for 10 hours, filtered.
- The liquid is mixed with bran or oatmeal, and left for another 10 minutes.
- A compress is applied to the focus of inflammation, covered with oilcloth, the affected area is wrapped warmly.
A laurel oil compress will help relieve pain in cervical myositis. To prepare it, it is enough to stir 10-12 drops of essential oil in warm boiled water, soak a towel with this liquid. The resulting compress is applied below the back of the head for half an hour, wrapped in heat on top.
Infusion of adonis will be an excellent remedy for the treatment of pain in myositis, if consumed in 1 tbsp. l. three times a day. This folk remedy has an analogue - the pharmaceutical drug Adonizid, which is not recommended to be taken without consulting a doctor. Physalis decoction has a similar effect. To prepare it, you need to take 20 fresh fruits or 20 g of dry raw materials and 0.5 liters of distilled water. Physalis is boiled for a quarter of an hour over low heat, filtered. Chilled broth is taken before each meal for a quarter of a glass. The course of treatment takes about a month. After a 10-day break between courses, you can repeat it.
Prevention of myositis
To exclude the occurrence of myositis, you need to actively engage in its prevention.
To do this, you should adhere to simple rules:
- Get hardened, engage in accessible sports (gymnastics, swimming, cycling);
- Do not overstrain the muscles during prolonged physical activity;
- Monitor your posture;
- With prolonged sedentary work, periodically perform unloading exercise complexes for the muscles of the shoulder girdle, back and arms;
- Conduct preventive massage courses;
- Timely treat diseases, the complication of which can be myositis;
- Avoid hypothermia, stay in drafts.
Treatment of myositis should be comprehensive, including treatment with anti-inflammatory and analgesic drugs, a rational regimen and nutrition, and prevention of complications.
Author of the article: Alekseeva Maria Yurievna | Therapist
Education: From 2010 to 2016 Practitioner of the therapeutic hospital of the central medical-sanitary unit No. 21, city of elektrostal. Since 2016 she has been working in the diagnostic center No. 3.
