If it's a sprain, you won't be able to put weight on the joint, you'll see a lot of swelling, and the pain will be intense. If you think you have a third degree sprain or strain, definitely see a doctor. You may need imaging tests such as an MRI or X-ray to make sure you don't have any broken bones. And, even if you didn't damage your bones, you might end up with crutches and a cast to help keep things stable as they heal.
Once healed, you'll probably need some form of physical therapy to get back to your normal activities. Regardless of the severity of your muscle damage, if you develop a fever or your swelling isn't going away, see a doctor ASAP.
You might actually be dealing with an infection or a broken bone. And, of course, if something feels inexplicably off after an injury, it's a good idea to check in with your doctor anyways not just the internet even if you only have a minor strain. The sooner you figure out what's up, the sooner you can get back to the treadmill — but enjoy a little downtime first.
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A Very Serious From July 21—31, T. During the physical exam, your doctor will check for swelling and points of tenderness. The location and intensity of your pain can help determine the extent and nature of the damage. In more severe injuries, where the muscle or tendon has been completely ruptured, your doctor may be able to see or feel a defect in the area of injury. Ultrasound often can help distinguish among several different types of soft tissue injuries. For immediate self-care of a muscle strain, try the R.
Some doctors recommend avoiding over-the-counter pain medications that can increase your risk of bleeding — such as aspirin, ibuprofen Advil, Motrin IB, others and naproxen sodium Aleve — during the first 48 hours after a muscle strain.
Acetaminophen Tylenol, others can be helpful for pain relief during this time period. In the case of a severe pulled muscle, you may find yourself unable to move your limb. You can reduce your risk of muscle strains by taking time to warm up and stretch your muscles before any type of physical activity, including walking. Muscle strains occur more often in cold, inflexible muscles. Request an appointment: phone Andrew John Cosgarea, M. Rajwinder Singh Deu, M. Geoffrey Martin Dreher, D.
An MRI can sometimes be helpful to determine where the injury has occurred and whether there is complete rupture or not. MRIs can also show collections of blood, called a hematoma, that sometimes occur following severe injuries.
If there is a partial tear then the athlete can return when they are pain free and have normal strength and motion. This usually occurs following anywhere from a few weeks to a few months of appropriate treatment and therapy.
When the muscle is completely ruptured, the athlete may benefit from surgical repair. The majority of acute muscle injuries are partial thickness tears. These can most often be treated successfully with:. These treatements will be done for the first week, followed by progressive functional physical therapy, as needed. Many athletes are able to return to their previous level of competition, but since scar tissue forms at the site of injury, they may susceptible to another injury at that location.
Complete muscle injuries can lead to significant functional impairment and lost playing time and may require surgical repair. This is especially the case for patients who need to be able to run or be sufficiently agile to participate in sport.
Platelet-rich plasma PRP injections may be able to help accelerate the regeneration of damaged muscle tissue. Return to full activity is usually allowed when the patient is pain free, has full range of motion, and full strength. If an athlete attempts to return to their sport before these criteria are met, there is a high chance of reinjuring the muscle and sustaining a setback. Mild, grade 1 injuries may require only two to three weeks before an athlete can return.
More severe injuries may require significantly more time. Such a long period of lost playing time is less than ideal for professional and elite athletes, and some have advocated more aggressive treatment in this group.
In a study that examined professional football players with severe hamstring tears with palpable defects, an intramuscular cortisone injection lead to a return to full activity time of 7. Intramuscular corticosteroid injection for hamstring injuries. A year experience in the National Football League. Am J Sports Med.
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