Muscular weakness

Muscle weakness is a common problem that patients go to doctors of different specialties. in medicine  Muscle weakness is a common problem
 term muscle weakness implies a reduction in muscle strength, assessed objectively. The extent of this injury can be different. Paralysis is the complete lack of any movements in any muscle group. The weakening of these movements called paresis.

It causes muscle weakness

Muscle weakness may be accompanied by a completely different disease .  Typically, such a complaint voiced at a reception at the neurologist or general practitioner .  Patients often have in mind fatigue, decreased sensitivity, difficulty in movement and even decline in the overall vitality .  Adults are more concerned about muscle weakness in the legs .  It is known that heart disease manifests itself in the appearance of shortness of breath and decreased ability to perform physical work, even walking .  Some of the patients incorrectly interprets this state as muscle weakness .  Deforming osteoarthritis of large joints significantly reduces the range of motion in them, which also helps to reduce the load transported and can be perceived as a weakness in the muscles .  Even adults widespread metabolic disorders, including type 2 diabetes mellitus .  This disease is accompanied by diabetic polyneuropathy in which most often affects the peripheral neurons, and muscle weakness occurs in the legs .  All these causes muscle weakness, mostly appear after forty years .  The child has muscle weakness often speaks about the pathology of the nervous system .  Already in the first minutes of life the pediatrician evaluates the condition of the newborn, including muscle tone .  Reducing the tone associated with birth trauma and other causes .  Thus, diverse causes muscle weakness .  They can be diseases of the nervous tissue (central and peripheral nervous system), endocrine disorders (adrenal insufficiency, hyperthyroidism, hyperparathyroidism), other states (dermatomyositis or polymyositis, muscular dystrophy, mitochondrial myopathy, hysteria, botulism, different poisoning, anemia) .

Diagnosis of the disease

To determine the cause of muscle weakness conducted a full examination of the patient .  The doctor talks to a patient: figuring out when they first experience symptoms of muscle weakness that affects the manifestation of the disease in which muscle groups localized damage .  Furthermore, for the diagnosis of relevant previously borne diseases, heredity for neurological diseases and associated symptoms .  Then conducted a general physical examination of the patient and the study of muscles .  At the stage of evaluation of the muscles determine the amount of muscle tissue, the symmetry of its location, tissue turgor .  Obligatory is the assessment of tendon reflexes .  Intensity reflex scored on a scale that has six grades (absence of reflexes, decreased reflexes, rate, increase, transient clonus, sustained clonus) .  It must be remembered that in a healthy person superficial reflexes (such as abdominal) may be missing, and Babinski reflex is normal in newborns .  Muscle strength is measured by a special scale .  Lack of muscle contractions  The doctor chooses the treatment of muscle weakness, according to the current guidelines
 corresponds in its zero and full muscle strength - five scores .  Scores from one to four different degree of reduction is estimated muscle strength .  If it affects the central nervous system is manifested in the weakness of the limbs, the other lesions in the brain .  So, if a stroke occurred in the left hemisphere, paresis and paralysis develop in the right extremities .  In the hands of the extensors suffer more than flexor muscles .  The lower limbs are usually the other way around .  With the defeat of the center of the nervous system (brain and spinal cord), weakness accompanied by an increase in muscle tone, brisk deep tendon reflexes, the appearance of pathological reflexes (Goffman, Babinski) .  If it affects the peripheral nervous system is limited by the weakness of the affected area of ​​a particular nerve innervation; Always low muscle tone; deep reflexes are weakened or absent .  Sometimes there may be fast twitch muscle bundles (fastsilyatsii) .  To clarify the diagnosis can be made, some functional tests: the patient is asked to make a particular movement .

Treatment of muscle weakness

After the diagnosis, the doctor chooses the treatment of muscle weakness according to current guidelines. If the cause of muscle weakness was the pathology of the nervous system, therapy holds a neurologist. Can be used physiotherapy, massage, physiotherapy, symptomatic therapy, thrombolysis, neuroprotective agents, vitamins and other drugs. The child has muscle weakness identify and treat child neurologist and a pediatrician.





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