Myositis Ossificans (मायोसाइटिस ऑसिफिकंस) एक rare condition है जिसमें skeletal muscles में abnormal bone formation होता है।
- आमतौर पर trauma या repeated injury के बाद muscle tissue में heterotopic ossification होती है।
- Most commonly quadriceps (thigh), biceps, और deltoid muscles में होता है।
- यह condition अक्सर self-limiting होती है लेकिन कभी-कभी pain, stiffness और restricted movement का कारण बन सकती है।
Myositis Ossificans क्या है (What is Myositis Ossificans)
- Muscle tissue में bone cells (osteoblasts) abnormal growth करने लगते हैं
- Usually follows trauma, muscle hematoma, or aggressive physiotherapy
- Bone formation धीरे-धीरे होने के कारण initial swelling और pain होता है
- Over time, affected muscle में hard, palpable mass बन जाता है
Myositis Ossificans कारण (Causes of Myositis Ossificans)
1. Traumatic Cause (Most Common)
- Direct blow to muscle
- Muscle strain or tear
- Intramuscular hematoma
2. Genetic / Rare Causes
- Fibrodysplasia Ossificans Progressiva (FOP) – congenital form
3. Other Risk Factors
- Aggressive massage or physiotherapy after injury
- Repeated microtrauma in athletes
- Post-surgical trauma
Trauma-associated type सबसे common है और adolescents और young adults में अधिक होता है।
Myositis Ossificans लक्षण (Symptoms of Myositis Ossificans)
- Pain and tenderness at injury site
- Swelling and warmth initially
- Gradual development of hard, firm mass within muscle
- Restricted range of motion
- Occasionally redness and mild fever (acute phase)
- Mass may become painless over time
Symptoms often appear 2–4 weeks after injury।
Myositis Ossificans कैसे पहचाने (Diagnosis of Myositis Ossificans)
- Physical Examination – palpable hard mass in affected muscle
- X-ray – shows calcification, usually 3–6 weeks post-injury
- Ultrasound / MRI – helps in early detection of soft tissue changes
- CT Scan – precise visualization of heterotopic bone
- Biopsy (rarely needed) – rule out sarcoma or other tumors
Early diagnosis prevents unnecessary aggressive treatment or surgery।
Myositis Ossificans इलाज (Treatment of Myositis Ossificans)
1. Conservative / Non-surgical
- Rest and activity modification
- NSAIDs (Ibuprofen) – pain and inflammation control
- Ice therapy in acute phase
- Gentle physiotherapy after pain subsides
2. Surgical Management
- Indicated if:
- Severe pain persists
- Restricted joint movement
- Mass interferes with daily activity
- Surgery usually delayed 6–12 months until bone matures to reduce recurrence risk
3. Medications / Supplements
- NSAIDs for inflammation
- Sometimes bisphosphonates in high-risk patients (prevent ossification)
4. Post-Surgical Care
- Physiotherapy to restore mobility
- Gradual strengthening exercises
- Avoid trauma to operated area
रोकथाम (Prevention)
- Proper management of muscle injuries
- Avoid aggressive massage or physiotherapy immediately after trauma
- Protective gear in sports
- Early treatment of hematomas or bruises
सावधानियाँ (Precautions)
- Avoid high-impact activities during acute phase
- Regular follow-up to monitor growth of ossified mass
- Do not attempt self-massage or aggressive stretching
- Consult orthopedic specialist before resuming intense exercise
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. Myositis Ossificans permanent है?
Mostly self-limiting होती है; mild cases में pain और stiffness improve हो जाती है।
Q2. Surgery हमेशा जरूरी है?
नहीं, सिर्फ severe pain या restricted movement में।
Q3. यह cancer है?
नहीं, यह benign heterotopic bone formation है, लेकिन biopsy कभी-कभी rule out करने के लिए किया जाता है।
Q4. Recovery में कितना समय लगता है?
Mild cases: 2–6 months; post-surgical: 6–12 months rehabilitation।
निष्कर्ष (Conclusion)
Myositis Ossificans (मायोसाइटिस ऑसिफिकंस) एक rare but manageable condition है।
Early diagnosis, conservative management, और proper rehabilitation से pain relief और range of motion restoration संभव है।
अगर किसी को muscle injury के बाद hard swelling, persistent pain या restricted movement दिखाई दे, तो तुरंत orthopedic consultation जरूरी है।