How can muscles (lumbar spine) and their disorders (myofascial syndrome, myositis, etc.) be examined?

How can muscles (lumbar spine) and their disorders (myofascial syndrome, myositis, etc.) be examined?

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answers (4)

Answer 1
June, 2021

MRI shows the muscles themselves and tendon fibers that connect the muscles to other anatomical structures. Layered photographs obtained during the study visualize the state of the following structures:

• striated and smooth muscles;

• fascia;

• tendons;

• adipose tissue and surrounding connective tissue;

• own nerve fibers, blood vessels, elements of the lymphatic system of muscles;

• synovium;

• intramuscular and perineural septa.

Tomograms reflect the negative changes inherent in a particular disease, allowing to differentiate pathological processes and determine their nature.

In case of muscle injuries, MRI of muscles helps to determine the nature of damage, its localization, the degree of involvement surrounding structures. The detailed images show ruptures of the connective tissue fibers and membranes, violation of the integrity of the vascular wall, hematomas. The method allows you to differentiate traumatic edema from myositis, helps to determine damage to the nerve trunks.

Neoplasms hidden in the thickness of the muscle tissue are difficult to detect during examination and palpation. MRI of soft tissues makes it possible to diagnose benign and malignant tumors of small size (2-3 mm), revealing the disease at an early stage.

The use of contrast during MRI of muscles provides a detailed visualization of the neoplasm, showing its size, structure, features blood supply. The tumor has its own vascular system, the pattern of which suggests the nature of the process. A malignant formation is characterized by a chaotic arrangement of capillaries with a large number of anastomoses.

In the case of inflammatory processes, tomography will show swelling of muscle tissue, the formation of an infiltrate, abscess, phlegmon. Magnetic resonance imaging reveals subfascial fluid accumulation in infectious-allergic myopathy, allowing to differentiate these diseases and determine the etiology of pathological phenomena.

In post-traumatic changes, the method shows the location and size of scars, foci of fibrous and fatty atrophy, helping to clarify the nature dysfunction of the muscles.

How to undergo MRI of muscles?

Magnetic resonance imaging of soft tissues and muscles does not require complex preparation, you can undergo an examination on the day of visiting the clinic. The method is safe for the patient's health, MRI is prescribed for pregnant women (from the second trimester) and children. The existing limitations to MRI scanning are related to the physical nature of the induction field and the peculiarities of the interaction of the magnet with metals.

Contraindications to MRI are:

• the presence of implanted pacemakers, insulin pumps and other devices in patients ;

• the presence on the body of tattoos made with ferromagnetic paints;

• the presence of metal prostheses, pins, crowns, needles, etc.

Magnetic resonance muscle tomography with contrastStrengthening is not carried out for pregnant women, people with renal and hepatic insufficiency (in the terminal stage of both pathologies), children under 12 years old (outside the pediatric clinic).

Before the procedure, the patient changes into comfortable clothes, devoid of metal elements and accessories , removes jewelry and accessories.

To scan the muscles, the patient lies face up on a mobile table, his body is fixed with special fasteners. During the examination, the medical staff is located in a separate room, communicating with the patient through an intercom.

The table is moved inside the tomograph tube, which makes a loud noise during scanning. To protect against the latter, the patient is offered to use headphones or earplugs. MRI of muscles takes up to 40 minutes, during this time the patient needs to maintain the original position of the body: random movements negatively affect the quality of layered images.

With contrast enhancement after a series of native images, the doctor pauses, the patient is injected intravenously with a solution of gadolinium , after which the scanning continues.

In the “Magnit” medical clinic, the obtained photos with decryption are recorded on a CD-disk, which is given to the patient with a doctor's conclusion. The waiting time for MRI results is about 20 minutes (from a quarter to a full hour).

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Answer 2
June, 2021

It depends on what you have and where. But in general, an X-ray is done and already based on this, doctors can tell you something. In any case, the main thing for you is to find competent specialists and they will definitely be able to help you in this matter. By the way, I really like the doctors in this one - I think you can freely contact them with this question.

Answer 3
June, 2021
  1. Myofascial syndrome is a response to disorders in the spine (joint diseases, intervertebral hernia, trauma, etc.). It is manifested by compaction, thickening of the muscle layer. When you press on this point, the phenomenon of reflected pain occurs.

  2. Myositis can also be triggered by diseases of the spine. It may be osteochondrosis. It manifests itself as local muscle pain, and its intensity increases with pressure on the sore muscle, walking.

That is, the easiest way is palpation, and to confirm the diagnosis, you should consult a doctor for laboratory and instrumental examination.

It is also worth noting that they are formed subsequently by diseases of the spine, and not as an independent disease. So with the treatment of these two, one must fight the cause, not the effect.

Answer 4
June, 2021

There is one old and proven way - dress, put on shoes and go on a journey for enlightenment to the nearest clinic, find a doctor there and tell him about your symptoms and problems

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