Myalgia |
Classification and external resources |
Myalgia of the right biceps brachii. |
ICD-10 |
M79.1 |
ICD-9 |
729.1 |
DiseasesDB |
22895 |
MedlinePlus |
003178 |
Myalgia, or muscle pain, is a symptom of many diseases and disorders. The most common causes are the overuse or over-stretching of a muscle or group of muscles. Myalgia without a traumatic history is often due to viral infections. Longer-term myalgias may be indicative of a metabolic myopathy, some nutritional deficiencies or chronic fatigue syndrome.
Contents
- 1 Causes
- 1.1 Overuse
- 1.2 Injury
- 1.3 Autoimmune
- 1.4 Metabolic defect
- 1.5 Other
- 1.6 Withdrawal syndrome from certain drugs
- 2 See also
- 3 References
- 4 External links
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Causes [edit]
The most common causes of myalgia are overuse, injury or strain. However, myalgia can also be caused by diseases, disorders, medications, or as a response to a vaccination. It is also a sign of acute rejection after heart transplant surgery.
The most common causes are:
- 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
- Drug-related, esp fibrates and statins, occ ACE inhibitors, cocaine, some retro-viral drugs
- Severe potassium deficiency
- Fibromyalgia
- Infections, including:
- Influenza (the flu)
- Lyme disease
- Malaria
- Toxoplasmosis
- Dengue Fever
- Hemorrhagic fever
- Muscle abscess
- Polio
- Rocky Mountain spotted fever
- Trichinosis (roundworm)
- Auto-immune disorders, including:
- Systemic lupus erythematosus
- Polymyalgia rheumatica
- Polymyositis
- Dermatomyositis
- Multiple Sclerosis (this is neurologic pain localised to myotome)
- Reaction to Statin drugs
Overuse [edit]
Overuse of a muscle is using it too much, too soon and/or too often.[1] Examples are:
- Repetitive strain injury.
Injury [edit]
The most common causes of myalgia by injury are: sprains and strain (injury).[1]
Autoimmune [edit]
Multiple sclerosis (neurologic pain interpreted as muscular), Myalgic Encephalomyelitis, Myositis, Lupus erythematosus, Familial Mediterranean fever, Polyarteritis nodosa, Devic's disease, Morphea, Sarcoidosis
Metabolic defect [edit]
Carnitine palmitoyltransferase II deficiency, Conn's syndrome, Adrenal insufficiency, Hyperthyroidism, Hypothyroidism
Other [edit]
Chronic fatigue syndrome aka Myalgic Encephalomyelitis, Ehlers Danlos Syndrome, Hypokalemia, Exercise intolerance, Mastocytosis, Peripheral neuropathy, Eosinophilia myalgia syndrome, Fibromyalgia, Barcoo Fever, Herpes, Hemochromatosis aka Iron Overload Disorder, Delayed onset muscle soreness, AIDS, HIV, Tumor-induced osteomalacia, Postorgasmic illness syndrome
Withdrawal syndrome from certain drugs [edit]
Sudden cessation of high-dose corticosteroids, opioids, barbiturates, benzodiazepines, caffeine or alcohol can induce myalgia in many respects.
See also [edit]
- Delayed onset muscle soreness
- Myopathy
- Myelitis
References [edit]
External links [edit]
- NEUROMUSCULAR DISEASE CENTER Washington University a more comprehensive list
Pain and nociception
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By region/system |
HEENT
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Headache · Neck · Odynophagia (swallowing) · Otalgia (ear) · Toothache
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Chest pain
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Cardiovascular system
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Angina pectoris
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Respiratory system
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Sore throat · Pleurodynia
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Breast
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Mastodynia (Breast)
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Musculoskeletal
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Arthralgia (joint) · Bone pain · Myalgia (muscle) · Muscle soreness: Acute / Delayed onset
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Neurologic
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Congenital insensitivity to pain · HSAN (Type I, II congenital sensory neuropathy, III familial dysautonomia, IV congenital insensitivity to pain with anhidrosis, V congenital insensitivity to pain with partial anhidrosis) · Neuralgia · Pain asymbolia · Pain disorder · Paroxysmal extreme pain disorder · Allodynia · Chronic pain · Hyperalgesia · Hypoalgesia · Hyperpathia · Phantom pain · Referred pain
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Abdominal pain
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Urogenital
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Dysuria · Pelvic pain · Dyspareunia · Testicular pain
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Gastrointestinal
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Proctalgia
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Back
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Upper · Lower
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Tests |
Cold pressor test · Dolorimeter · Hot plate test · Tail flick test
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Related concepts |
Anterolateral system · Pain management (Anesthesia, Cordotomy) · Pain scale · Pain threshold · Pain tolerance · Posteromarginal nucleus · Substance P · Suffering · OPQRST · Philosophy of pain · Cancer pain
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anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
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noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
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proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
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anat (h/r/t/c/b/l/s/a)/phys (r)/devp/prot/nttr/nttm/ntrp
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noco/auto/cong/tumr, sysi/epon, injr
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Myopathy (M60–M63, 728.0–3,8)
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Pain |
Myalgia (Fibromyalgia)
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Inflammation |
Myositis (Pyomyositis)
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Lytic |
Muscle weakness · Rhabdomyolysis · Muscle atrophy/Amyotrophy
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Other |
Myositis ossificans (Fibrodysplasia ossificans progressiva) · Compartment syndrome (Anterior) · Diastasis of muscle (Diastasis recti) · Muscle spasm
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anat (h/n, u, t/d, a/p, l)/phys/devp/hist
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noco (m, s, c)/cong (d)/tumr, sysi/epon, injr
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Common cold
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Viruses |
- Rhinovirus
- Coronavirus
- Orthomyxoviruses
- Influenza A virus
- Influenza B virus
- Influenza C virus
- Human parainfluenza viruses
- Human respiratory syncytial virus
- Adenovirus
- Enterovirus
- Metapneumovirus
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Symptoms |
- Sore throat
- Rhinorrhea
- Nasal congestion
- Sneezing
- Cough
- Muscle aches
- Fatigue
- Malaise
- Headache
- Weakness
- Loss of appetite
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Complications |
- Acute bronchitis
- Bronchiolitis
- Croup
- Pharyngitis
- Pneumonia
- Sinusitis
- Otitis media
- Strep throat
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Antiviral drugs |
- Pleconaril (experimental)
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anat (n, x, l, c)/phys/devp
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noco (c, p)/cong/tumr, sysi/epon, injr
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proc, drug (R1/2/3/5/6/7)
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