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ManyniaMarso 7 (24495) 4 17 62 2 г
Многие жалуются на быструю утомляемость. Стоит пройти пешком до остановки или немного поработать на даче и всё начинает болеть. Попробуйте осмотреть и ощупать свои мышцы рук, ног, спины, везде, где сможете. Очень многие найдут в своих мышцах уплотнения в виде лепешечек или шишек, т.е. в местах уплотнений мышцы жесткие, а вокруг уплотнения заметно мягче. Так вот уплотнения это не признак здоровья. Эти мышечные уплотнения, многих не беспокоят, но это всё до поры, до времени.
В чем вред мышечных уплотнений? Несущиеся с кровью продукты метаболизма не могут пройти из-за закупорки капилляров и накапливаются. Нарушается кровяное обращение в этих местах и, как результат, появляются синие прожилки. Даже если сейчас мышечные уплотнения не беспокоят или кажется, что не беспокоят, они могут причинять не только боль, но могут и вызывать дисфункцию определенной мышцы. В результате чего мышца слабеет, плохо наращивается мышечная сила или теряется в мышце. Мышца быстро устает, как например, при отжимании белья быстро устают руки или в спорте при подъеме гантелей или штанги. Также мышечные уплотнения могут причинять головную боль, вызывать судороги из-за спазма мышц, онемения, ощущения покалывания, ползания мурашек в мышцах и прочие мышечные или миофасциальные боли. Боли могут быть тупые, распирающие, ноющие и острые.
Уплотнения в мышцах можно лечить с помощью массажа. При выполнении лечебного массажа мышцы пациента должны быть максимально расслаблены. Начинают массаж выше расположенного места. Сначала выполняют поглаживание, растирание, разминание, вибрацию, затем проводят щадящий массаж места повреждения, сочетая его с тепловыми процедурами. В последующие дни массажист использует те же приемы, но сама процедура массажа проводится более энергично, особое внимание уделяется болезненным точкам. Заканчивают процедуру плоскостными поглаживаниями и растиранием.
Подкожные уплотнения могут быть последствиями травм или проявлением более чем 350 заболеваний. Наиболее частыми причинами подкожных уплотнений являются увеличенные лимфоузлы, миогелозы и доброкачественные опухоли кожи или подкожной клетчатки (атеромы, липомы и др.). Все подкожные шишки нуждаются во врачебном осмотре, поскольку могут быть проявлением серьезных расстройств здоровья.
Не занимайтесь самолечением, обратитесь к врачу
Увеличенные лимфоузлы
Увеличенные лимфоузлы, могут прощупываться, как подкожные шишки, в местах скопления лимфоидной ткани – паховых и подмышечных областях. Кроме этого, при воспалении конечностей (флегмона, гнойная рана и др.) наблюдают болезненное подкожное уплотнение по ходу лимфатических сосудов от места инфекции до ближайшей группы лимфоузлов. Чаще всего лимфоузлы увеличиваются при:
Воспалительных заболеваниях (тогда пальпируемые лимфоузлы болезненные, могут быть спаяны с окружающими тканями). Иногда лимфоузлы воспаляются (лимфаденит) с образованием флегмоны (гнойного расплавления), которая требует хирургического лечения.
Злокачественных опухолях (лимфоузлы безболезненные, как правило, подвижные). Лимфоузлы – излюбленное место метастазирования опухолей.
Миогелозы
Особой формой миалгий (мышечных болей) являются миогелозы, представляющие собой болезненные подкожные шишки в мышечной ткани. Они возникают, когда мышца подвергается чрезмерным нагрузкам или вследствие прямой травмы. Клинически прощупываются подвижные подкожные уплотнения размером с лесной орех, резко ограничивающие функцию конечности из-за боли.
Механизм образования миогелозов – это локальное сокращение, повышение тонуса мышечных волокон, вызванное нарушением нервно-мышечной передачи сигналов. В лечении миогелозов применяют глубокий массаж. Это практически единственный случай, когда манипуляции массажиста будут болезненны, но принесут терапевтический эффект. Кроме этого, применяют местные блокады анестетиками и физиотерапию.
Подкожные жировики и атеромы
Когда происходит закупорка протока сальной железы, формируется атерома. Излюбленным местом их локализации, являются места интенсивного роста волос. Клинически они пальпируются, как безболезненные подкожные шишки (горошины или фасоли). Образование склонно к медленному росту и нагноению. Удаляют атеромы в холодном периоде, полностью иссекая образование.
Подкожные жировики (липомы) происходят из липоцитов – клеток подкожной жировой клетчатки и теоретически могут малигнизироваться (озлокачествляться). Они мягкой консистенции, подвижны и безболезненны, преимущественных мест локализации не имеют. Как правило, пациенты замечают подкожные жировики на туловище, когда они достигают 1 см в диаметре. Липомы больших размеров сдавливают ткани, вызывая болевой синдром. Быстро растущие подкожные жировики подлежат немедленному удалению.
Лечение подкожных уплотнений
Лечение подкожных уплотнений в сети клиник «Столица» проводят комплексно, в соответствии с результатами обследования. Хирургические вмешательства выполняют преимущественно наиболее щадящим методом, с хорошим обезболиванием. Консервативные методики включают физиотерапию, массаж, блокады, медикаментозное лечение и другие методы.
Если Вы обнаружили у себя какие-то уплотнения, узелки или образования в мягких тканях, обратитесь к врачам сети клиник «Столица». Вам поставят точный диагноз и проведут необходимое лечение, избавив и от некрасивой или болезненной «шишки», и от возможных осложнений.
Лечение в нашей клинике:
- Бесплатная консультация врача
- Быстрое устранение болевого синдрома;
- Наша цель: полное восстановление и улучшение нарушенных функций;
- Видимые улучшения после 1-2 сеанса; Безопасные безоперационные методы.
Уплотнение в мышце может являться триггерной точкой, которая вызывает боль при миофасциальном синдроме. Эти места трудно поддаются расслаблению и могут доставлять огромные страдания человеку. Болезненные уплотнения в мышцах могут быть результатом неправильно поставленной инъекции, введения раздражающего вещества, образования внутренней гематомы, несогласованной работы миоцитов.
При появлении боли и уплотнений в мышцах необходимо как можно быстрее обратиться к врачу. При длительном нарушении иннервации и микроциркуляции лимфатической жидкости и крови могут наблюдаться различные нарушения, в том числе и трофические. Последствия могут быть очень тяжелыми. Напрмиер, если уплотнение возникло после тяжёлой физической нагрузки, то не исключено травматическое нарушение целостности мышечных волокон в толще мускула. Это состояние чревато образованием гематомы. Скопление капиллярной крови спровоцирует воспалительную реакцию и оседание большого количества фибрина. Этот белок является природным клеем – он восстанавливает целостность ткани. Но при его оседании образуется грубая келоидная ткань в виде рубцов. Именно такой келоидный рубец в толще мышцы может быть уплотнений.
При его появлении нарушается функция мышцы: любые сократительные движения приводят к возникновению выраженного болевого синдрома. По мере нарастания физической нагрузки место, деформированное рубцом, может подвергаться дальнейшим разрывам. В результате этого патологического процесса может произойти полный разрыв мышцы.
Правильно проводимая реабилитация после травмы может предупредить риск подобного патологического изменения мышечной ткани. Поэтому важно при наличии любого уплотнения в мышцах своевременно обращаться за медицинской помощью. В нашей клинике мануальной терапии для каждого пациента предлагается первичная бесплатная консультация. В ходе приема доктор проведет осмотр и установит причину образования болезненного уплотнения в толще мышцы. Затем будет разработан курс лечения, который позволит воздействовать на заболевание, а не на его симптомы.
Причины уплотнений в мышцах
Основные причины уплотнений в мышцах связаны с нарушением целостности тканей. Любая мышца состоит из миоцитов. Эти клетки богато иннервированы сенсорными и моторными типами аксонов. С помощью этого нервного волокна проводится импульс. Сенсорные волокна собирают информацию о воздействии на мышцы и передают её в структуры головного мозга. После анализа и обработки двигательный церебральный центр передает по моторным типам аксонов сигнал в миоциты о том, какое движение необходимо осуществить. Так осуществляют все движения человеческого тела.
Кровоснабжение миоцитов осуществляется с помощью разветвленной капиллярной сети. К каждому миоциту подходит отдельный капилляр. Также миоциты обладают уникальной способностью – они накапливают гликоген и таким образом участвуют в углеводном обмене человеческого организма. В случае выраженной физической нагрузки гликоген высвобождается из клеток мышц и расходуется как дополнительный источник энергии. При недостаточно высоком уровне сахара крови гликоген высвобождается и поступает в кровь, выравнивая гликемический баланс.
Потенциальные причины уплотнений в мышцах могут негативно воздействовать не только на миоциты, капилляры и нервные окончания аксонов. Мышца покрыта соединительной тканью (фасцией, которая на концах переходит в сухожилие. Оно отвечает за крепление мышцы к костной ткани. Поражения могут возникать в фасции и сухожилии. Самостоятельно определить локализацию уплотнения достаточно трудно. Для этого нужно отлично знать анатомию опорно-двигательного аппарата человека.
Причины возникновения уплотнений и болезненности в мышцах могут включать в себя:
- нарушение иннервации – при неправильном проведении нервного импульса часть миоцитов не успевает вовремя отреагировать;
- нарушение кровоснабжения – на фоне ишемии возникает изолированный очаг асептического воспаления;
- скопление капиллярной крови или лимфатической жидкости в скрытой полости, образовавшейся на фоне ушиба, разрыва тканей;
- образование рубцовой ткани после травмы или воспалительного процесса;
- гельминтоз;
- инородное тело, попавшее в мягкие ткани во время ранения.
При некоторых заболеваниях уплотнения в мышцах могут быть признаками их повышенного напряжения. Так, остеохондроз позвоночника при обострении и ущемлении корешкового нерва всегда сопровождается синдромом натяжения мышечных волокон. Таким образом организм пытается компенсировать недостаточную амортизационную способность поврежденных межпозвоночных дисков.
Другими потенциальными причинами возникновения уплотнений в мышцах могут быть рубцовые деформации окружающих их соединительных тканей (фасции, сухожилия, связки и т.д.). Для диагностики применяются методы рентгенографического, ультразвукового и магнитно-резонансного топографического исследования.
Уплотнение на мышце шеи сзади
Уплотнение мышцы на шее может быть связано с её перенапряжением, травмой, развитием внутренней гематомы. Напряжение задних мышц шеи также характерно для некоторых форм энцефалита и других опасных инфекций, поражающих структуры головного мозга.
При диагностике следует исключать следующие опасные заболевания:
- лимфаденопатию, возникающую на фоне онкологических и инфекционных процессов в организме человека;
- краснуху и эпидемический паротит;
- опухоли мышечной ткани и расположенной рядом с ней соединительной;
- смещение тела позвонка с его разворотом (в этом случае в качестве уплотнения прощупывается расположенный не на своем месте остистый отросток;
- осткольчатый перелом дугообразного отростка позвонка;
- разрыв мышечной ткани с образованием полостной гематомы;
- расширение кровеносного сосуда в виде аневризмы
Болезненное уплотнение на мышце шеи сзади может быть клиническим признаком развития острого миозита. Это заболевание характеризуется кратковременной ишемией отдельных участков миоцитов. Нарушение кровоснабжения возникает в ответ на воздействие низких температур (переохлаждения). В участках ишемии запускается воспалительный процесс с целью устранения и замещения погибших миоцитов. Этот очаг может некоторое время ощущаться как болезненное уплотнение.
Уплотнения в мышцах руки
Внезапно появившееся уплотнение в мышцах руки может быть признаком сильного перенапряжения и растяжения отдельных волокон сухожильной, связочной или фасциальной ткани. При уплотнении расположенном в толще мышцы, как правило, возникает слабость, невозможность выполнения определённых действий. Требуется помощь врача.
Для диагностики заболевания, при котором возникает уплотнение в мышцах руки, применяются различные подходы. Рентгенографический снимок позволяет оценить состояние костной ткани, исключить оскольчатые переломы, трещины костей, деформирующий остеоартроз, которые не редко провоцирует избыточное напряжение расположенной рядом мускулатуры. Ультразвуковое исследование мягких тканей позволяет своевременно обнаружить опухолевые процесс, участки скопления лимфатической жидкости и капиллярной крови. Для оценки состояния кровеносных сосудов проводится ангиография и дуплексное сканирование. Работоспособность мышечного волокна определяется с помощью электромиографии.
Уплотнение в мышцах верхней конечности может быть спровоцировано поражениями нервного волокна:
- шейный остеохондроз с корешковым синдромом может провоцировать болезненность в любой части руки;
- плечевой плексит характеризуется поражением одной из ветвей иннервации;
- кубитальный туннельный синдром поражает локтевой нерв;
- туннельный синдром запястного канала или карпального клапана обуславливает болезненность и нарушение подвижности в кисти и пальцах руки.
Для постановки правильного диагноза необходимо обратиться за медицинской помощью. В Москве вы можете записаться на бесплатный прием ортопеда и невролога в нашей клинике мануальной терапии. Здесь вам будет предложено первичное обследование, постановка точного диагноза и предоставление исчерпывающей информации о возможностях и перспективах лечения.
Уплотнения в мышцах ноги
Уплотнения в мышцах ноги практически всегда говорят о том, что у человека имеются проблемы с пояснично-крестцовым отделом позвоночника. Болезненный точки возникают на фоне нарушения процесса иннервации. Поражение корешковых нервов на начальных стадиях провоцирует развитие клонических и тонических судорог. После них остаются характерные уплотнения в икроножной мышце – это так называемые триггерные точки. Если они не проходят самостоятельно в течение нескольких дней, то пациенту ставится диагноз миофасциального болевого синдрома. Для лечения этого заболевания применяются методы мануальной терапии. Эффективных фармакологических препаратов не существует.
В ряде случаев уплотнение в мышце бедра может быть связано с сосудистой патологией:
- варикозное расширение вен нижних конечностей часто провоцирует образование тромбов и формирование клинической картины тромбофлебита, а при поражении глубоких вен возникает зона быстро увеличивающегося в размерах уплотнения в мышцах бедра;
- атеросклероз при быстром росте холестериновой бляшки может полностью перекрывать просвет кровеносного сосуда и приводит к развитию некроза мышечной ткани;
- облитерирующий эндартериит провоцирует появление многочисленных очагов трофических нарушений в тканях мускулатуры;
- сердечно-сосудистая недостаточность провоцирует застой жидкости, образование отеков и формирования уплотнений.
Сформировавшееся уплотнение в мышце после ушиба – это тревожный признак нарушения целостности кровеносных сосудов. Внутренняя гематома может рассасываться достаточно долго. Её опасность заключается в том, что образовавшаяся полость будет заполнена не новыми миоцитами, а грубой рубцовой тканью. Фиброзное перерождение мышечной ткани приводит к частичной утрате её функциональности. Повышается риск развития повторной травмы с еще большей площадью поражения.
Травматическое уплотнение внутри мышцы требует проведения полноценного лечения и комплексной реабилитации с применением массажа, физиотерапии, остеопатии, лечебной гимнастики и других методик, которые позволяют быстро восстановить функцию поврежденной мышцы.
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В официальной медицине для купирования подобного напряжения мышц на фоне остеохондроза используются специальные фармакологические препараты – миорелаксанты. Они действительно эффективно расслабляют мышечную ткань. Но при этом возникает повторное травмирование нервного волокна.
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Начинать лечение уплотнений в мышцах необходимо с проведения качественной дифференциальной диагностики. Если уплотнение – это растущая опухоль, то обязательно нужна консультация онколога. Только с помощью гистологии можно определить доброкачественное или злокачественное это новообразование. Затем исключается вероятность воспаления лимфатических узлов и расширение сосудов.
При истинном поражении мышечной, сухожильной, связочной и фасциальной ткани лечение может проводиться с помощью методов мануальной терапии и физиотерапии. При заболеваниях, которые сопровождаются синдромом натяжения мышечных волокон лечение в первую очередь направляется на устранение причин, вызвавших данные болезни.
В нашей клинике мануальной терапии мы используем следующие методы воздействия:
- лазерное лечение направлено на устранение застоя лимфатической жидкости и крови;
- остеопатия и массаж – ускоряющие процессы микроциркуляции в очаге поражения;
- рефлексотерапия – воздействие на биологически активные точки на теле человека;
- лечебная гимнастика и кинезиотерапия;
- тракционное вытяжение позвоночного столба;
- физиотерапия и т.д.
Вы можете записаться на первичный бесплатный прием в нашу клинику мануальной терапии. В ходе консультации доктор выяснит, почему возникло уплотнение в мышцах. Даст рекомендации по лечению основного заболевания.
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