Myalgia
{{Short description|Painful sensations in muscle tissue}}
{{Redirect|Body ache|the song by Britney Spears|Britney Jean}}
{{More citations needed|date=March 2023}}
{{Infobox medical condition
|name = Myalgia
|synonym = Muscle pain, muscle ache
|image = Symptoms-muscle-pain.jpg
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|caption =One of the myalgic symptoms
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|specialty = Rheumatology
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Myalgia or muscle pain is a painful sensation evolving from muscle tissue. It is a symptom of many diseases. The most common cause of acute myalgia is the overuse of a muscle or group of muscles; another likely cause is viral infection, especially when there has been no injury.
Long-lasting myalgia can be caused by metabolic myopathy, some nutritional deficiencies, ME/CFS, fibromyalgia, and amplified musculoskeletal pain syndrome.
Causes
The most common causes of myalgia are overuse, injury, and strain. Myalgia might also be caused by allergies, diseases, medications, or as a response to a vaccination. Dehydration at times results in muscle pain as well, especially for people involved in extensive physical activities such as workout.
Muscle pain is also a common symptom in a variety of diseases, including infectious diseases, such as influenza, muscle abscesses, Lyme disease, malaria, trichinosis or poliomyelitis;{{Cite web |title=Dolores musculares: MedlinePlus enciclopedia médica |url=https://medlineplus.gov/spanish/ency/article/003178.htm |access-date=2022-10-28 |website=medlineplus.gov |language=es}} autoimmune diseases, such as celiac disease, systemic lupus erythematosus, Sjögren's syndrome or polymyositis;{{Cite journal |last1=Vitali |first1=Claudio |last2=Del Papa |first2=Nicoletta |date=February 2015 |title=Pain in primary Sjögren's syndrome |url=https://pubmed.ncbi.nlm.nih.gov/26267000/ |journal=Best Practice & Research. Clinical Rheumatology |volume=29 |issue=1 |pages=63–70 |doi=10.1016/j.berh.2015.05.002 |issn=1532-1770 |pmid=26267000}} gastrointestinal diseases, such as non-celiac gluten sensitivity (which can also occur without digestive symptoms) and inflammatory bowel disease (including Crohn's disease and ulcerative colitis).{{Cite journal |last=Tovoli |first=Francesco |date=2015 |title=Clinical and diagnostic aspects of gluten related disorders |journal=World Journal of Clinical Cases |language=en |volume=3 |issue=3 |pages=275–284 |doi=10.12998/wjcc.v3.i3.275 |pmid=25789300 |pmc=4360499 |issn=2307-8960 |doi-access=free }}
The most common causes are:{{citation needed|date=August 2021}}{{cite web |title=Muscle Pain - Causes |url=https://www.mayoclinic.org/symptoms/muscle-pain/basics/causes/sym-20050866 |website=Mayo Clinic |access-date=April 23, 2024}}{{cite web |title=Muscle aches |url=https://medlineplus.gov/ency/article/003178.htm |website=MedlinePlus |access-date=10 April 2024}}{{cite web | url=https://posm.org/understanding-myalgia-causes-treatments-and-prevention/ | title=Understanding Myalgia: Causes, Treatments, and Prevention | date=8 September 2023 }}
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- Injury or trauma, including sprains, hematoma
- Overuse: using a muscle too much, too often, including protecting a separate injury
- Chronic tension
Muscle pain occurs with:
- Rhabdomyolysis, associated with:
- Viral
- Compression injury leading to crush syndrome
- Drug-related
- Commonly fibrates and statins
- Occasionally ACE inhibitors, cocaine, and some retro-viral drugs
- Severe potassium deficiency
- Fibromyalgia
- Ehlers-Danlos syndrome
- Auto-immune disorders, including:
- Mixed connective tissue disease
- Systemic lupus erythematosus
- Polymyalgia rheumatica
- Polymyositis
- Dermatomyositis
- Multiple sclerosis (this is neurologic pain localised to myotome)
- Infections, including:
- Influenza
- Lyme disease
- Babesiosis
- Malaria
- Toxoplasmosis
- Dengue fever
- Hemorrhagic fever
- Muscular abscess
- Compartment syndrome
- Polio
- Rocky Mountain spotted fever
- Trichinosis (roundworm)
- Ebola
- COVID-19
- Other
- Postorgasmic illness syndrome (POIS){{cite book | title=Handbook of Sexual Dysfunction | publisher=Taylor & Francis | veditors=Balon R, Segraves RT | year=2005 | isbn=9780824758264}}{{cite book | url=https://books.google.com/books?id=oH64CAAAQBAJ&q=Post-orgasmic+illness+syndrome&pg=PA75 | title=ABC of Sexual Health | publisher=John Wiley & Sons | year=2015 | pages=75 | isbn=9781118665565 | editor=Wylie KR}}{{cite encyclopedia | title=Postorgasmic illness syndrome | encyclopedia=Genetic and Rare Diseases Information Center (GARD) | publisher=National Institutes of Health | access-date=30 July 2015 | year=2015 | url=https://rarediseases.info.nih.gov/gard/10809/postorgasmic-illness-syndrome/resources/1 | archive-date=5 March 2016 | archive-url=https://web.archive.org/web/20160305193016/https://rarediseases.info.nih.gov/gard/10809/postorgasmic-illness-syndrome/resources/1 | url-status=dead }}
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=Overuse=
Overuse of a muscle is using it too much, too soon or too often.[https://www.nlm.nih.gov/medlineplus/ency/article/003178.htm MedlinePlus] One example is repetitive strain injury. See also:
==Injury==
=Autoimmune=
- Multiple sclerosis (neurologic pain interpreted as muscular)
- Myositis
- Mixed connective tissue disease
- Lupus erythematosus
- Fibromyalgia syndrome
- Familial Mediterranean fever
- Polyarteritis nodosa
- Devic's disease
- Morphea
- Sarcoidosis
=Metabolic defect=
=Other=
- Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)
- Channelopathy
- Ehlers Danlos Syndrome
- Stickler Syndrome
- Hypokalemia
- Hypotonia
- Exercise intolerance
- Mastocytosis
- Peripheral neuropathy
- Eosinophilia myalgia syndrome
- Barcoo Fever
- Herpes
- Hemochromatosis
- Delayed onset muscle soreness
- HIV/AIDS
- Generalized anxiety disorder
- Tumor-induced osteomalacia
- Hypovitaminosis D
- Infarction{{cite journal|last1=Glueck|first1=CharlesJ|last2=Conrad|first2=Brandon|title=Severe vitamin D deficiency, myopathy, and rhabdomyolysis|journal=North American Journal of Medical Sciences|volume=5|issue=8|year=2013|pages=494–495|issn=1947-2714|doi=10.4103/1947-2714.117325|pmid=24083227|pmc=3784929 |doi-access=free }}
=Withdrawal syndrome from certain drugs=
Sudden cessation of high-dose corticosteroids, opioids, barbiturates, benzodiazepines, caffeine, or alcohol can induce myalgia.{{citation needed|date=August 2021}}
Treatment
When the cause of myalgia is unknown, it should be treated symptomatically. Common treatments include heat, rest, paracetamol, NSAIDs, massage, cryotherapy and muscle relaxants.{{Cite web|url=https://www.uptodate.com/contents/approach-to-the-patient-with-myalgia|title=Approach to the patient with myalgia|last=Shmerling|first=Robert H|date=February 27, 2024|website=UpToDate|url-access=subscription }}
See also
References
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External links
{{Medical resources
| ICD10 = {{ICD10|M79.1}}
| ICD9 = {{ICD9|729.1}}
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| DiseasesDB = 22895
| MedlinePlus = 003178
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{{Pain}}
{{Myopathy}}
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Category:Symptoms and signs: Nervous and musculoskeletal systems