Myositis Ossificans (Heterotopic Bone Formation)

Myositis ossificans is a painful calcification or bone growth resulting from a severe or poorly treated contusion.

Symptoms of Myositis Ossificans

  • Restricted range of movement.
  • Pain in the muscle when you use it.
  • A hard lump in the muscle.
  • An X-ray can show bone growth.

What is Myositis Ossificans?

If you have a bad muscle strain or contusion (dead leg) and it is neglected then you could be unlucky enough to get Myositis Ossificans. It is usually as a result of impact which causes damage to the sheath that surrounds a bone (periostium) as well as to the muscle.

Bone will grow within the muscle (called calcification) which is painful. The bone will grow 2 to 4 weeks after the injury and be mature bone within 3 to 6 months.

Common causes include:

  • Not applying cold therapy and compression immediately after the injury.
  • Having intensive physiotherapy or massage too soon after the injury. Use someone who is properly qualified and insured.  
  • Returning too soon to training after exercise.

Treatment 

See a sports injury specialist or doctor as soon as possible who will:

  • Advise you to rest or immobilize the limb for 3 to 4 weeks.
  • X-ray the muscle to see when it is safe to start rehabilitation.
  • Operate in worst cases to remove the bone.