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Muscle Tears Recovery

Article written by: ANDREI BOGDAN, MD, Orthopedics-traumatology doctor


Physical therapy after muscle ruptures

Muscle injuries are the result of macrotrauma produced of a sudden contraction of a muscle, under certain conditions favoring. Stretching is an injury to the muscles or tendons. Depending on the severity of the injury, we may have a simple overload of the muscle or tendon (in the tongue stretching current) or a partial or total rupture of these structures. Some athletes, especially amateurs, neglect minor injuries, and thus delay healing and sometimes the lesions even become chronic. Muscle ruptures occur spontaneously due to a strong contraction or activity normal, performed on an exhausted muscle; can be caused by direct hit, especially when the direction of action is tangential to the muscle. Other factors that may favor the production of muscle injuries are sudden efforts and violent without preheating, in the conditions of a climate cold and humid.
Paraclinical investigations

In general, the diagnosis is made following a detailed history and based on local clinical examination. Ultrasound is also useful muscular especially in the case of performance athletes. Ultrasound is performed to detect the severity of the injury (determination degree of extent) depending on which conduct is established secondary therapy. Centroknetic has one of those best performing imaging departments in Bucharest, finding equipped with ultrasound and high-performance MRI, dedicated to diseases osteoarticular. You can learn more about the ultrasound here!
Classification:
  • Grade 1: minor injury that affects a small number of fibers muscle (less than 5%). It is a fibrillar lesion (affects several muscle fibers), practically a muscular stretch. Clinical: pain localized, without functional impotence, stiffness and cramps at 2-5 days after trauma.
  • Grade 2: Medium lesion affecting an extensive number of muscle fibers but the muscle is not completely broken. The injury is fascicular type (several fascicles of muscle). Clinical: intense pain, swelling, moderate bruising (subcutaneous hematoma), stiffness and cramps lasting one week.
  • Grade 3: severe injury with complete muscle rupture. Clinical: sudden, intense pain, inability to contract the muscle, bruises and significant swelling, on inspection the muscle itself observe prominently.


Treatment of muscle tears

In the first phase, the goal of treatment is to reduce the swelling and the pain. It is recommended to apply the formula "RICE", but only in the first 24-48 hours. In addition, use a non - steroidal anti - inflammatory ointment (Fastum Gel, Diclofenac, Diclac, Voltaren, Keto-spray) or tablets (Aspirin, Diclofenac, Arcoxia), may be useful for reduction pain and inflammation, lifting of the affected limb, ice local, elastic phase. Rest is mandatory, especially in the case of athletes, because the continuation of training determines aggravation of the lesion.
We remind you what the RICE formula is:
  • R (rest) = rest, ie reduction or even stopping sports activity and more demanding domestic activities. A crutch can be used if it is an injury to lower limb level. In some cases it is even recommended total bed rest. The duration of rest from exertion is established by a doctor.
  • I (ice) = ice, ie its application on the areas traumatized for 20 minutes 4-8 times a day. Not applicable directly on the skin, but wrapped in a towel.
  • C (compression) = compression, ie maintaining a pressure constant using the elastic phase on the ankle, knee, elbow or the affected shoulder.
  • E (elevation) = lifting the affected limb from the plane horizontally. Basically, in a sloping position (lying down) the limb rises traumatized on a pillow, above the plane of the heart.
Centrokinetic, through the medical team, recommends starting an immediate recovery after performing paraclinical investigations and medical evaluation. Physical therapy consists of a first phase in stretching exercises to stretch the fibrous scar tissue, followed by exercises to progressive increase in muscle strength - initially exercises passive, passive-active and active; gradually move on to exercises assets with progressive loading. The next step is to start specific training also graded in intensity and loading, ideally under medical supervision.

The second phase of treatment aims to restore muscular function. Most patients reach this stage directly, precisely because they completely neglected the first phase, which is not the case desired.
 
Another goal of physical recovery is to increase strength and flexibility. The ultimate goal is to resume all activities daily, including sports. It is necessary for the patient to consult with the therapist before resuming to make certain specific types of effort. In some cases, the injured person is tempted to completely resume physical activity, even before the pain is completely gone, the range of motion is not complete, as well as strength and flexibility, which can lead towards chronicity.
Generally the healing period for muscle stretches is 2 to 3 weeks, for partial muscle rupture it is 3 to 6 weeks and in case of muscle rupture total of about 3 months.

About Centrokinetic

Centrokinetic clinic offers all services necessary for a complete rehabilitation process, from the first consultation to the medical specialist to establish the correct diagnosis, to treatment and recovery.

Centrokinetic is the place where you will find clear answers and solutions for your motricity problems. The clinic is dedicated to osteoarticular conditions and is divided into the following departments:

  • Orthopedics, a department composed of an extremely experienced team of orthopedic doctors, led by Dr. Andrei Ioan Bogdan, primary care physician in orthopedics-traumatology, with surgical activity at Medlife Orthopedic Hospital, specialized in sports traumatology and ankle and foot surgery.
  • Pediatric orthopedics, where children's sports conditions are treated (ligament and meniscus injuries), spinal deformities (scoliosis, kyphosis, hyperlordosis) and those of the feet (hallux valgus, hallux rigidus, equine larynx, flat valgus, hollow foot).
  • Neurology, which has an ultra-performing department, where consultations, electroencephalograms (EEG) and electromyography (EMG) are performed. 
  • Medical recovery  for adults and  children, department specialized in the recovery of performance athletes, in spinal disorders, in the recovery of children with neurological and traumatic diseases. Our experience is extremely rich, treating over 5000 performance athletes.
  • Medical imaging, the clinic being equipped with ultrasound and MRI, high-performance devices dedicated to musculoskeletal disorders, and complemented by an experienced team of radiologists: Dr. Sorin Ghiea and Dr. Cosmin Pantu, specialized in musculoskeletal imaging.

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