Muscle Strains
A strain is an acute or chronic soft tissue injury that occurs to a muscle, tendon, or both . The equivalent injury to a ligament is a sprain. A strain can occur as a result of improper body mechanics with any activity that can induce mechanical trauma or injury. The most common body location for strains to occur is in the foot, leg, or back.
• First degree – little tissue tearing; mild tenderness; pain with full range of motion.
• Second degree – torn muscle or tendon tissues; painful, limited motion; possibly some swelling or depression at the spot of the injury.
• Third degree – limited or no movement; pain will be severe at first, but may be painless after the initial injury. Although strains are not restricted to
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Immediate treatment is usually an adjunctive therapy of NSAID's and Cold compression therapy. Controlling the inflammation is critical to the healing process. Cold compression therapy acts to reduce swelling and pain by reducing leukocyte extravasation into the injured area. NSAID's such as Ibuprofen/paracetamol work to reduce the immediate inflammation by inhibiting Cox-1 & Cox-2 enzymes, which are the enzymes responsible for converting arachidonic acid into prostaglandin. However, NSAIDs, including aspirin and ibuprofen, affect platelet function and should not be taken during the period when tissue is bleeding because they will tend to increase blood flow, inhibit clotting, and thereby increase bleeding and swelling. After the bleeding has stopped, NSAIDs can be used with some effectiveness to reduce inflammation and pain. A new treatment for acute strains is the use of platelet rich plasma injections which have been shown to accelerate recovery from non surgical muscular injuries. It is recommended that the person injured should consult a medical provider if the injury is accompanied by severe pain, if the limb cannot be used, or if there is noticeable tenderness over an isolated spot. These can be signs of a broken or fractured bone, a sprain, or a complete muscle
Raney was experiencing any pain to the area and Mrs. Raney replied that the only pain is in the right shoulder. Mrs. Raney was able to supinate and pronate her right wrist 30-40 degrees. Her skin was dry. Dr. Mendelson replied that at this time Mrs. Raney no longer required to wear the wrist brace and she can use the extremity. Dr. Mendelson obtained x-rays of her right shoulder as Mrs. Rainey has limited range of motion. After reviewing this, Dr. Mendelson replied that Mrs. Rainey as tremendous arthritis in her shoulder. I inquired if it was traumatic arthritis and the result of the accident. Dr. Mendelson replied that it was not related directly to the accident necessarily but her shoulder was aggravated from the accident. Dr. Mendelson continued to state that symptomatically it will get better and at some point Mrs. Raney did have a glenoral crack. Dr. Mendelson inquired about how Mrs. Raney’s shoulder was prior to the accident and she stated that it was fine and she could raise her arm above her shoulder and head but now she can’t and has had limited movement since the accident. Dr. Mendelson assessed and evaluated her lower extremity and replied that Mrs. Raney’s left incision is now healed. Her right ankle is still healing, the wound is dry and her skin is consolidating over the area. Mrs. Raney has an avagus external rotation of her foot.
My initial treatment instructions for the athlete were to continue resting, icing, compressing and elevating the injury for the first 48 hours. I advised him that he should ice the affected area a minimum of 4 times per day throughout the first 2 days of rehabilitation. This should help reduce the pain, swelling and inflammation as a result of the injury. I also recommended he take an over the counter anti-inflammatory medication if he felt he needed to. Due to the valgus stress test being positive, I referred the pitcher to a doctor for an MRI. The MRI later revealed a grade 2 tear of the ulnar collateral ligament with impingement of the ulnar nerve causing the tingling sensation in the fourth and fifth fingers of the right hand.
My life was affected when I strained my hamstring at dance practice. Although unaware at the time of what had happened, knowing now it is a strained hamstring. A question you might be asking: where is my hamstring? The largest muscle positioned on the back of your thigh is your hamstrings.
Figure (14): Anteromedial view of the left knee, showing the injury grading scale established by the American Medical Association Standard Nomenclature of Athletic Injuries. Isolated grade-I injuries present with localized tenderness and no laxity. Isolated grade-II injuries present with a broader area of tenderness and partially torn medial collateral and posterior oblique fibers. Isolated grade-III injuries present with complete disruption, and there is laxity with an applied valgus stress. ( 70 )
DIAGNOSIS: Flexion contracture of the knee, quadriceps weakness, patellar tendonitis, contusion of knee, and knee pain
• Second-degree. A ligament is partially ruptured, and you may have some difficulty moving your hand normally.
She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent
A calf muscle strain can be treated different ways. One of the ways would be with self care at home. If you are stubborn and reluctant to go to a doctors, you should take an anti-inflammatory drug such as naproxen or ibuprofen to reduce pain, as well as applying ice packs and elevating the torn part of the muscle. In addition, one should protect the strained muscle from further injury, rest the strain, apply compression with an Ace or other elastic bandage to provide support and decrease swelling, and elevating the injured area. If the home remedies do not work, or the pain persists and is too unbearable, then one should seek medical assistance. When this is the case, the doctors will check your medical history and perform a physical exam. This is to establish whether or not the muscle is partially or completely torn. This is important to make sure the proper healing process and timeframe is recommended, that possible surgery is discussed, or that if needed, a more complicated recovery is discussed. While for more severe injuries, the medical treatment can be quite strenuous, for small injuries, the treatment by doctors is similar to the treatment at home. However, it is important to see a doctor so they can accurately diagnose the extent of the injury, and restrict your activity for a few days, as well as determine if an brace or crutches are
When the musculature is either stretched or contracted exceeding its normal capacity, muscle strain is the result. According to Porth (2011), strain is a stretching injury that occurs following a mechanical issue, for example, unusual contraction of the muscle or with extreme forcible stretch (Porth, 2011). Although some musculoskeletal injuries of the mid back are caused by direct trauma, more frequently the cause is indirect trauma. Indirect trauma often results in disruption of muscle fibers, the muscle-tendon junction, or the tendon itself (Eagles & Stevenson,
2nd Degree Sprain: A 2nd Degree sprain causes partial tearing of the ligament and is characterized by bruising, moderate pain,
the injury and like the short term effects are not the same for every injury
An injury to the ACL is classified as a sprain. A sprain is a joint injury that causes a stretch or a tear in a ligament. Sprains are graded I, II, or III depending on how severe the injury is. A grade I sprain will have pain with minimal damage to the ligaments. A grade II sprain is going to have more ligament damage and mild looseness of the joint. Finally, in a grade III sprain, the ligament is completely torn and the joint is very loose or unstable. A grade III sprain, simply called an ACL tear, is most often a sports-related injury. Still, The ACL can be torn in other instances such as during rough play, vehicular collisions, falls, and work –related injuries. According to a study performed by Jonathan Cluett, M.D., about 80% of sports-related ACL tears are “non-contact” injuries. This means that the injury does not result from any contact with another athlete. A rupture to the ACL is the result of the ligament within the knee being overstretched. This is usually caused by a “plant-pivot” mechanism (a stop and twist motion) of the knee, or a blunt force to the front of the knee. Other factors include quick changes of motion, twisting or torquing, or landing from a jump. Hyperextension is most
Differential Diagnosis: Could be an injury to the deltoid ligament, CF, or the ATF ligament.
A sprain is where there is a tear in the ligaments. For example if you roll your ankle while running this would cause a tear in your ligaments resulting in a sprained ankle.
There are twenty-three different sports injuries. the first one on the list would be an achilles tendon injury. The achilles is the biggest tendon in your body, it is very common for this tendon to get injured. The tendon gets injured in the following sports such as basketball, baseball, softball, football, soccer, tennis, volleyball, running, dancing, and gymnastics.