Myositis is an autoimmune muscle disease, where the immune system attacks its own tissue, causing muscle inflammation. This weakens the muscle over time and can cause pain.


There can be multiple causes of myositis –

  • Bacteria – staphylococcus, streptococcus etc.
  • Viruses – influenza A and B, hepatitis B etc.
  • Parasites
  • Drugs – statins, rifampicin, sulphonamide, cyclosporine
  • UV radiation
  • Exposure to dust, gas or fumes
  • Alcohol

Types of Myositis

  • Polymyositis (PM) – muscle weakness occurs in the proximal muscles that includes the muscles of neck, hips, back and shoulders. Muscle weakness can appear in matter of days, weeks or months. Symptoms may include –

* dysphagia (difficulty in swallowing)

* difficulty in speaking

* shortness of breath

* fatigue

* heart arrhythmia

  • Dermatomyositis (DM) – like polymyositis, it also affects proximal muscles but along with symptoms like –

* red papules on outside of hands and fingers

* swelling around the eyes

* skin rashes over the elbows and knees and    across the shoulders and upper back

* redness around the nail bed

* weight loss

  •  Immune – mediating necrotizing myositis (IMNM) – also called necrotizing autoimmune  myopathy is a rare autoimmune disease with
    • symptoms similar to polymyositis but progresses far more quickly.
    • Inclusion body myositis (IBM) – unlike others it does not affect both sides of the body at the same time. IBM takes longer to progress but symptoms are worse than the other myositis.

                  Other symptoms of IBM includes –

                * gradually losing the ability to walk

                * weakening of hand and wrist muscles

                * dysphagia

                * nerve damage

    5) Infectious myositis – along with muscle     inflammation and weakness, symptoms may include –

    * coughing

    * runny nose

    * fever

6) Juvenile Myositis (JM) – juvenile myositis including juvenile dermatomyositis (JDM) and juvenile polymyositis (JPM) are rare autoimmune conditions that cause inflammation. The inflammation of JPM primarily occurs in the muscles while in JDM blood vessels that lie under the skin and in the muscle tissue gets inflamed.


  • Alanine aminotransferase / serum glutamate pyruvate transaminase ( ALT / SGPT )
  • Aspartate aminotransferase / serum glutamic oxaloacetic transaminase ( AST / SGOT )
  • Creatine Phosphokinase ( CPK )
  • Muscle biopsy

Diet and nutrition

  • Avoid processed and fast foods including those with preservatives.
  • Eat healthy food containing whole grains and reduce the foods made with wheat flour and sugar especially.
  • Include avocados and nuts, especially walnuts, cashews and almonds.
  • Decrease intake of saturated fat by eating less animal fats.
  • Include diet rich in protein, especially from beans and soy.
  • Avoid drinking coffee, soda and any other carbonated drinks.  

Ayurvedic Management

  • Abhyanga and Swedana, both are beneficial in myositis.
  • Herbs that are useful in management of myositis include –

* mahayograj guggulu

* shunthi

* ashwagandha

* pushkarmool

* sh. vatsnabh

* agnitundi vati

* mall – sindur

  • Herbal Capsules Neuron + (2)  Quantity – 30 (1-0-1)
  • Herbal capsules  Oorja Plus (2) Quantity – 30 (1-0-1)
  • Herbal tablets  Neuro Gold Quantity – 60 (1-0-1)