Chronic pain felt deep within the muscles could be a sign of something serious. For example, it could be a symptom of myositis, a rare group of inflammatory myopathies that have the potential to become life-threatening. The key to treating these conditions is early diagnosis and intervention.


My goal for this post is to introduce you to myositis and its implications. Please bear in mind that, as a private rheumatologist, I specialise in chronic pain and inflammatory conditions. Do not hesitate to visit my office if you are suffering from chronic muscle pain. It’s best that we do a thorough examination to determine what’s going on.


Myopathies Are Muscle Conditions


Myositis is not a single disease. Rather, it is classified as a myopathy in as much as it targets muscles and muscle tissue. All myopathies share that characteristic. That being said, there are multiple types of myositis. The four that we deal with most frequently are:


  • Dermatomyositis
  • Inclusion body myositis (IBM)
  • Juvenile dermatomyositis
  • Polymyositis


The common thread here is an immune system that attacks muscle tissue. As you may know, the immune system normally protects the body against viruses, bacteria, and other pathogens. A strong immune system keeps a person healthy. For reasons we do not always fully understand, autoimmune diseases resulting in myositis cause a person’s immune system to attack healthy tissue.


Primary Symptoms of Myositis


Though a number of tests are needed to conclusively diagnose myositis, there are some tell-tale symptoms to point doctors in that direction. The first is the previously mentioned chronic pain deep within the muscles. It may be preceded by a noticeable rash on the face, back, or chest. Patients may also exhibit:


  • general muscle weakness
  • chronic tiredness
  • difficulty sitting up or standing from a prone position
  • difficulty swallowing or holding the head up
  • general feelings of unhappiness or depression.


It is common for myositis patients to have difficulty doing things they used to take for granted. Climbing stairs, standing up from a chair, and lifting heavy objects may all be too hard. Some people have trouble doing things like picking up a cup or brushing their teeth.


Myositis Is Progressive


The most challenging thing about myositis is that it tends to be progressive. This is one of the reasons we say early diagnosis and treatment are so important. With the right treatment administered by an experienced physician, progression can often be slowed. It is possible to continue living a fairly normal and productive life if the illness is caught early enough.


Diagnosis is generally made through a combination of tests. If a doctor is concerned about myositis after a complete physical, a blood test is the first step toward confirming the diagnosis. The doctor may request a tissue biopsy, an MRI, and an EMG as well.


If myositis is confirmed, a treatment plan will be developed. Exercise and physiotherapy tend to be at the top of the list. In fact, exercise is a key component in treating all types of myositis. Regular exercise works to restore muscle mass, increase strength, reduce swelling, and restore energy levels.


Myositis is a rare condition that could be potentially life-threatening. However, early diagnosis and treatment makes it very manageable. I would be happy to see you in my London rheumatology clinic if you believe you are showing symptoms of myositis. Please do not delay in making an appointment. We want to get to the root of your chronic muscle pain as soon as we can.