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Muscle atrophy
     
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Muscle atrophy

Muscle wasting; Wasting; Atrophy of the muscles

 

Muscle atrophy is the wasting or loss of muscle tissue.

Causes

 

There are three types of muscle atrophy: physiologic, pathologic, and neurogenic.

Physiologic atrophy is caused by not using the muscles enough. This type of atrophy can often be reversed with exercise and better nutrition. People who are most affected are those who:

  • Have seated jobs, health problems that limit movement, or decreased activity levels
  • Are bedridden
  • Cannot move their limbs because of stroke or other brain disease
  • Are in a place that lacks gravity, such as during space flights

Pathologic atrophy is seen with aging, starvation, and diseases such as Cushing disease (because of taking too much medicines called corticosteroids).

Neurogenic atrophy is the most severe type of muscle atrophy. It can be from an injury to, or disease of a nerve that connects to the muscle. This type of muscle atrophy tends to occur more suddenly than physiologic atrophy.

Examples of diseases affecting the nerves that control muscles:

  • Amyotrophic lateral sclerosis (ALS, or Lou Gehrig disease)
  • Damage to a single nerve, such as carpal tunnel syndrome
  • Guillain-Barre syndrome
  • Nerve damage caused by injury, diabetes, toxins, or alcohol
  • Polio (poliomyelitis)
  • Spinal cord injury

Although people can adapt to muscle atrophy, even minor muscle atrophy causes some loss of movement or strength.

Other causes of muscle atrophy may include:

  • Burns
  • Long-term corticosteroid therapy
  • Malnutrition
  • Muscular dystrophy and other diseases of the muscle
  • Osteoarthritis
  • Rheumatoid arthritis

 

Home Care

 

An exercise program may help treat muscle atrophy. Exercises may include ones done in a swimming pool to reduce the muscle workload, and other types of rehabilitation. Your health care provider can tell you more about this.

People who cannot actively move one or more joints can do exercises using braces or splints.

 

When to Contact a Medical Professional

 

Call your provider for an appointment if you have unexplained or long-term muscle loss. You can often see this when you compare one hand, arm, or leg to the other.

 

What to Expect at Your Office Visit

 

The provider will perform a physical examination and ask about your medical history and symptoms, including:

  • When did the muscle atrophy begin?
  • Is it getting worse?
  • What other symptoms do you have?

The provider will look at your arms and legs and measure muscle size. This may help determine which nerves are affected.

Tests that may be performed include:

  • Blood tests
  • CT scans
  • Electromyography (EMG)
  • MRI scans
  • Muscle or nerve biopsy
  • Nerve conduction studies
  • X-rays

Treatment may include physical therapy, ultrasound therapy and, in some cases, surgery to correct a contracture.

 

 

References

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Musculoskeletal system. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel's Guide to Physical Examination. 9th ed. St Louis, MO: Elsevier; 2019:chap 22.

Selcen D. Muscle diseases. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 421.

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  • Active vs. inactive muscle

    Active vs. inactive muscle

    illustration

  • Muscular atrophy

    Muscular atrophy

    illustration

    • Active vs. inactive muscle

      Active vs. inactive muscle

      illustration

    • Muscular atrophy

      Muscular atrophy

      illustration