This situation, which is often seen in athletes, is a situation that we have seen quite commonly in recent years, except for athletes. In this short article, myorhexis in non-athletes will be discussed. It occurs very suddenly as a result of an unaccustomed, repetitive and forced muscle activity. Depending on the degree, there is usually little or severe bleeding in the muscle. Pain occurs as a result of working the torn muscle group and limits the function of the related joint(s). Pain and activity restriction lasts for months (average 3-4 months).
If there is no conscious behavior or delays in diagnosis, the event may be complicated and the healing process may exceed this long period. If ongoing pain becomes chronic, it can turn into neuropathic pain. The nervous system may deteriorate, and even fasciculations of nervous origin may occur.
If it occurs in one of the muscle groups in the leg or arm, it may be confused with the signs and symptoms of lumbar or neck hernia. Differential diagnosis should be made well, the patient’s history should be taken well and detailed examination should be done.
The treatment is simply and patiently restriction of pain-inducing movements. For this, pain bands applied to the painful area on the skin are beneficial. The band should be applied by slightly stretching. In the meantime, if the pain is unbearable, painkillers should not be taken, but muscle repair should be reinforced with anti-inflammatory drugs (anti-inflammatories). Since the thin nerve fibers that come and go to the muscle along with the muscle also suffer from the tear, if there is a deficiency of nerve vitamins (vitamin B, folate, etc.) Since the acute stage is usually missed and is not noticed in patients other than athletes, cold or other applications should be avoided in advanced stages and the repair of the muscle should be left to the natural process. It should be noted that this process can be quite long. In the meantime, further investigations (MRI, US, EMG, etc.) should be performed and other possible causes of pain should be ruled out.
When the torn muscle is repaired, the pain usually disappears as suddenly as the onset. In the meantime, in order to avoid “dullness” in the joint affected by the muscle group, joint movements should be started immediately after the muscle tear pain has passed, and if necessary, help from an FTR specialist should be sought.
