The RICE-principle (rest,
ice, compression and elevation) is generally considered as being the
best method to minimize swelling and relief pain within the first 24
to 48 hours. After first aid, therapy must be tailor made according
to the severity and extent of the injury. A short period
of immobilization after
the trauma prevents excessive formation of scar tissue (which will
have a deleterious effect on mobility and strength of the healed
muscle) and prevents rerupture by allowing the scar tissue to gain
sufficient strength to bear contraction forces. Immobilization should
not be continued after the acute phase (first few days) to avoid the
negative effects such as muscle atrophy, retarded strength recovery
and excessive formation of connective tissue within the muscle.
Early mobilization already
starts after a few days, if the acute phase has passed without
further complications and recovery seems to be progressing. In
comparison to immobilization, mobilization induces significant
histological changes such as increased vascularisation of the injured
area, better regeneration of muscle fibers and more parallel
orientation. It has the additional advantage that the muscle will
sooner gain its original strength.Increase vascularisation,pain
management ,tender points treatment is done by electrotherapy i.e.
hot therapy,interferential therapy,TENS,LASER.
The
active treatment needs to be built up gradually from isometric
exercises to isotonic exercises. Only if those exercises can be
performed without pain, isokinetic training should be started. To
know more about muscle injury and its cure feel free to contact
Medharbour Family Clinic in Gurgaon for best physiotherapy treatment
and best ortho doctors in Delhi/NCR (Gurgaon).
