Myositis: Inflammatory Muscle Conditions and Their Impact on Mobility

Myositis is a condition where your immune system sends cells to attack muscle cells, even though there is no injury or need for such a reaction. This continues to happen for a long time, which is why it is a chronic condition. You may have to deal with swelling that comes and goes, severe muscle pain and other symptoms. Myositis is a type of myopathy which can lead to chronic muscle weakness. This condition normally affects muscles that you use often- like the arms, shoulders, hip, legs, diaphragm, food pipe etc. If you notice these symptoms and more, call a rheumatologist at KIMS Sunshine Hospital, without any delay- as we are the best hospital for myositis treatment.
Causes and Types of Myositis
Myositis is an autoimmune disorder and hence, it may occur when you have had a viral infection or suffer from other autoimmune conditions like lupus, scleroderma etc.
There are 3 different types of myositis-
- Polymyositis– Muscles in the trunk or centre of the body get affected, with multiple groups not working normally.
- Dermatomyositis– your skin and muscles get affected together. It progresses much faster than other kinds and if found in children- it is called juvenile dermatomyositis. In severe cases, it can be fatal or put you at higher risk of suffering from certain skin cancers.
- Inclusion body myositis– A degenerative disease that normally affects older individuals. It affects muscles in the throat, legs, and extremities like the hands too.
Symptoms of Myositis
You may have the following symptoms-
- Severe muscle weakness which may be episodic in nature.
- Joint and muscle pain is common.
- You may feel very tired.
- You may notice swelling.
- You may have trouble with fine motor skills like holding a pen, buttoning clothes, picking stuff up etc.
- You may not be able to breathe or swallow.
- You may not be able to reach over your head.
- You may have arrhythmias, if myositis affects the cardiac muscles.
Diagnosis of Myositis
These are the tests used to diagnose this condition-
- Blood tests to check for infections.
- MRI- to check for any issues with muscles, joints and other soft tissue.
- EMG- electromyography checks muscle cell activity- by seeing how it contracts and relaxes in response to a stimulus. Muscle cells at rest have no electrical activity.
- Muscle biopsy- Local anaesthesia is given and a small piece of muscle tissue is removed from the arm, thigh or elsewhere. It is then checked under a microscope for signs of inflammation or to differentiate it from other conditions.
These are some methods to get a positive muscle inflammation diagnosis.
Myositis Treatment Options
Myositis is a chronic condition that has no cure. But its symptoms can be managed very well, with medication and physiotherapy.
- Corticosteroids are helpful if you have almost no inflammation.
- Immunosuppressive therapy myositis is also given when your symptoms are minor.
- IV immunoglobulins can be given to modulate immune response too, in certain cases.
- Physiotherapy for myositis involves the use of specific stretches and exercises designed to strengthen your joints and muscles- so that you have less stiffness and can go about your life without much pain.
- Other treatments are being rolled out, which involve the use of biologics, autologous stem cell transplantation, refractory and supportive care respectively.
Conclusion
Chronic muscle disease management needs to be managed properly with the use of medications and other exercises, as prescribed by an experienced rheumatologist. If you notice any symptoms like the ones mentioned in this blog, please call us at KIMS Sunshine Hospital, without any delay. Schedule an appointment today!