Myositis Ossificans: Causes & Treatment

In this video, Maryke discusses what causes myositis ossificans, a condition where you form bone in your muscle after you sustain an injury. She also explains how you can test for it and what treatments you may find useful.
🌟Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: www.sports-injury-physio.com/
Chapters:
00:00:00 Introduction
00:00:37 What is myositis ossificans?
00:01:16 What causes myositis ossificans?
00:03:06 How to diagnose myositis ossificans
00:06:03 Treatment of myositis ossificans
00:09:33 How we can help
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[@ObjectivePersonality]

This is SO HELPFUL! Thank you!

[@indeelift7495]

Great info! We're proud to be a support for myositis.

[@davidcat436]

Very helpful information. Well presented. Thanks.

[@beachbumdennis]

wow, i have had the dip in my quad and the hard rock for over 20 years now. I have seen PT and specialist on and off and no one has even come close to figure this out. They all say i need to stretch and start riding a bike to cure it. The 2 things that hurt the most. Then i watched 2 of your videos and you describe exactly what I am feeling. This explains why my patela tendon is so tight all the time and my knee dose not bend too far.

[@danielchernov4449]

Hi, I'm a collegiate track and rugby athlete and this video explained a lot. This previous fall I took a very vicious and direct blow to my quad during one of our games and limped the rest of that rugby match. The next few days I decided to push through the swelling and soreness of the leg and keep applying heavy loads on it during our lifts and practices. In a matter of a few weeks, that area of the quadricep became very hard and I lost range of motion past a slight knee bend. Anything after that would cause an incredible amount of pain and this lasted for another few weeks. After it seemingly resolved, I resumed training and all seemed well for a couple of months. Recently, it began bothering me again to a certain degree and now it seems as if it is resurging to a more mild degree but where it still presents discomfort at the full stretch of the left quadricep. An MRI also showed a huge hematoma and evidence of internal bleeding in my left leg. Does the bone ever get completely broken down or is it likely to always be an issue after such physical trauma?

[@Yakstayplottin]

Hi good day, how long was 'few weeks'?

[@ismailhadaoui4589]

Hey man , has it solved on its own?

[@youngtetsuo8271]

You just explained this injury to me better than my doctor. Thanks for giving me peace of mind

[@SportsInjuryPhysio]

You're welcome!

[@safdardahriwal7503]

Great knowledge and great way of explanation love you dear really love you

[@user-tl1li4zj1k]

Brilliant explanation, thank you! I only discovered this injury through studying, i understand it so much now!

[@SportsInjuryPhysio]

You're welcome!

[@lucymoore7129]

Student physio here , loving your explanation!

[@SportsInjuryPhysio]

Thanks Lucy!

[@gulawolf]

Yoooo, thank you! This video was super helpful

[@SportsInjuryPhysio]

Glad it helped!

[@calsmoore147]

Helpful knowledge, had mine for quite a while now but doctors have always referred me to physio who have heavily massaged it, still have it to this day and causes me a lot of stress

[@calsmoore147]

Was done by tearing left quadricep muscle

[@haley9524]

Hi Cals Moore I'm not sure how I got this because I have had alot of surgeries but, I was diagnosed after having a spinal cord stimulator implant put in my lower back and started having problems using my hands/wrists my orthopedic surgeon took some xrays and diagnosed me with Heterotopic-ossification. The pain was getting soo bad and immobilized me from using my hand/wrist that they had to remove the extra bone growth;-( I believe that I also have a bone growth in my elbow because I can barely extend or use my arm due to being immobilized! I wish that there was more information about this disease or support group because the pain is excruciating and wish that I had someone else who could relate to this. Sending Prayers and if you have any questions or useful information please feel free to message me.

[@aggierowe9574]

If you have had it for years, and it is painless and/or doesn’t interfere with range of motion, non-surgery is best. I had 2 dif. MRIs done and because my upper right quad injury had been years ago, it is a bit unsightly (a slight bump on my right side, upper thigh)but painless. I think the mistake may have been that I had a contusion and I worked out before the injury properly healed.

[@jkdoodle4460]

@@aggierowe9574 what were the symptoms when u first had myositis ossificans? I’m not exactly sure if I have it, but I did have a dead leg injury.

[@aggierowe9574]

@@jkdoodle4460 it felt just like a dead leg injury (bruise from impact, soreness etc.) It hurt for about a week but I could still walk. I was in my late 20s and biked everyday to/from work. The pain eventually went away. i did not even noticed the muscle injury ie myositis at all, and that I beleive is what caused the ossification. I didnt take the time to properly heal the injury. In fact, I didnt notice the slight bump on my thigh until two years later. There is absolutely no pain and one of the drs ruled out a lipoma, said it was an injury that didnt heal right bc i was so active, and as long as I am mobile ill be fine.

[@pieter-steyndewet5347]

Hi Maryke, Can you please describe to me which exact patches, medicine/gel and dosages you used on your patient? (8:33)

[@jacquesmertens3369]

4:04 That seems to describe exactly what I'm going through, 3 weeks after falling from the stairs. A hard sausage inside me (pun intended). 2 weeks after the injury I've had an echo of the haematoma, but other than the cavity not much was visible (yet). Should I wait for another 5 weeks? Can shockwave therapy prevent further calcification? Should I avoid dairy products?

[@TaraVines]

I'm thinking about getting mine removed from my left calf muscle soon. It's about the size of a kiwi and it doesn't "hurt" but what I do feel is similar to a leg cramp before it takes full effect. While sitting at work, I can just sense its shape and obstruction in the muscle from that sensation alone. I remember the doctor telling me to massage it and after watching your video, I think I shouldn't have done that now. I wonder if I should have looked at getting it drained when the hematoma originally happened.

[@pankajmondal8451]

Myositis ossificans problem Radiotherapy is needed before surgery. Sir please reply

[@user-td3sl7wj9v]

Hi doc, what will happen if myositis ossificans that needs surgery is left untreated? Thank you

[@zohrebrown]

How many who present with these exact symptoms are only tested for arthritis? can this occur all over the body in all muscles?

[@user-td3sl7wj9v]

Hi doc, do musculoskeletal ultrasound show myositis ossificans? Thank you

[@SportsInjuryPhysio]

Yes, it does.

[@user-td3sl7wj9v]

Hi doc, do hot compress good for injury? Thank you

[@SportsInjuryPhysio]

Hi there, Here's our video about heat and ice for injuries: kzbin.info/www/bejne/i5CcmJ2cm5x8ebc Hope you find it helpful!

[@safdardahriwal7503]

Dr please make detail video on hip internal rotation

[@SportsInjuryPhysio]

Hi Safdar, what about internal rotation?

[@safdardahriwal7503]

Dr I mean to say what causes less internal rotation in hip, what are damages due to less internal rotation, what are treatment and many more detail

[@safdardahriwal7503]

Dr you got it what I want to say?

[@SportsInjuryPhysio]

Yes, I understand now. I'll see what I can find on this topic.

[@safdardahriwal7503]

Thank you soooo much love you

[@safdardahriwal7503]

Dr please next video should be on pelvic floor and core relation, how to active and strengthen these muscles please please please next video may be after 2 or 3 days please please love you soooooo much

[@SportsInjuryPhysio]

This video may be what you're looking for kzbin.info/www/bejne/gHTWcqeLoqtlo5o

[@safdardahriwal7503]

Dear Dr I already seen this video this is great but you have soooooo much knowledge please make one more advance detail video for me please please please in 2 or 3 days love you so much

[@safdardahriwal7503]

Maryke you will make video or not? Please reply dear thanks in advance and love you a lot

[@priyajeet235]

Can i do .workout ?? If yes then what kind of exercise i can do. For this ?

[@SportsInjuryPhysio]

Hi there, We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/

[@xx_armaan_xx7403]

hi i have recently sure i strained my thigh or tore but after resting for 2 months i didnt feel it went back into my sport (soccer) then it hurt again after a couple stronger kicks and i feel a little lump but im sure if this is what it is please help me i dont know how to go about this i feel i can bend it fully and i dont know if i have this.

[@SportsInjuryPhysio]

When you tear your muscle, the muscle loses some strength. Resting helps to get the pain to settle but it doesn't strengthen the muscles. So, if you go back to sport without doing your rehab strength training and rebuilding the muscle's strength, then you can easily tear it again. So, go and see a physio and get some rehab exercises so you can get it strong enough to play soccer again. If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/services

[@dianeloais7448]

my son had a moitorcycle accident a year and 4 months ago; he has a large amount of bone growing out of his hip, he is in extreme pain and cannot rehab or even get into wheel chair; we are seeking a surgeon who does the surgery; the last person/surgeon he spoke with told him to just wait. He has no quality of life, is completely bedridden............he cannot wait he needs to rehab ugh It has been hell finding anyone with knowledge and experience in this field. any contacts or ideas would be greatly appreciated

[@SportsInjuryPhysio]

It does sound as if he can benefit from a second opinion but I don't have any recommendations for anyone to see. Something else to consider is hydrotherapy - gentle exercise in warm water can often be a good starting point when you're in so much pain.

[@vandpgaming2103]

I had an injury in basketball back in mid October 2020 (I was kneed very hard in the outer right quad) that swelled up to a massive hematoma and I did happen to massage it quite hard. It is now May 2021 and I have a massive lump in the same area and the thigh looks very different compared to my other and hurts and feels very hard. Thoughts?

[@aggierowe9574]

I had a similar injury due to a bad contusion from a bike riding injury (I think I banged into a fence)years ago, I suspect 10 or so years ago (2009)I remember it was a bad bruise…I thought it healed and because it was in my upper right thigh about 5 inches below the hip, I didn’t notice the calcification until 2011,but it’s been painless. I have had an MRI twice by different doctors to rule out my fear that it was a bad tumor. It’s a sports injury that doesn’t interfere with range of motion. I am still able to run and exercise. I was told that the only reason for surgery is if it affects movement, and it may also go away on its own. If you have pain I’d take an NSAID and see a Dr.

[@GuillermoGonzalez-vf7wq]

@@aggierowe9574 hi! Do you still have the lump after 12 years? Or did it subside? Thanks

[@aggierowe9574]

@@GuillermoGonzalez-vf7wq it’s still there, like a “Charley horse” injury.

[@GuillermoGonzalez-vf7wq]

@@aggierowe9574 is it getting smaller at least? Do you think it'll go away eventually?

[@satyajitnayak5970]

​@@aggierowe9574 Is your range motion affected ?

[@sarbeswarnayak9152]

Hi Doc my brother is suffering from myositis ossificans so want discuss can I get your mail id I want to share the reports and need some suggestions

[@srossmitchell]

Hi, thanks for your video. Can you provide any reference to your statement that these can resolve on their own? My doctor found heterotopic ossification around my ankle after surgery and indicated surgery (again) is the only option. In my little bit of web search I don't see anything about them going away on their own and the body absorbing the calcium.

[@SportsInjuryPhysio]

Myositis ossificans is when you have a big bleed inside your muscle and that then turns into calcium in your muscle tissue. This is very different from what you have so you can NOT apply this advice to your case. It is not the same thing.

[@lilaccilla]

Try Castor oil packs . It will break it down

[@SportsInjuryPhysio]

There is absolute no evidence that castor oil is useful for this.

[@lilaccilla]

Also there is another thing that looks promising Red Light Therapy . I bet if you combined those two , it would dissolve it

[@SportsInjuryPhysio]

Again, please share research to show that Red Light Therapy breaks calcium deposits up - as far as I know this is not something it has been shown to work for.

[@maxyfresh199]

Does mysitis cause fasiculation

[@SportsInjuryPhysio]

It can do but it can also just be caused by irritation from the general injury or have other causes.

[@stefanpapdi5151]

ofc i stretched and hard massaged my thigh the next day after contusion, and it was hell on the second and third day, (could bend to like 65 degrees) since day 5 i have full range of motion but its been 2 weeks and nothing changed from day 5, fuck