MUSCULAR SOFT TISSUE INJURY TREATMENT IN DUBAI
A soft tissue injury (STI) is the damage of the skeletal muscles, ligaments, tendons, and bursa throughout the body. Common soft tissue injuries usually occur from a sprain, strain, contusion, bursitis, and tendonitis that usually caused by sports, vigorous activities, exercises, and daily living activities with improper posture, position, and wrong body mechanics. The special test can be used to rule out such injury to know which structure is affected, for mild to moderate injury conservative management such as PHYSIOTHERAPY can be done, for a complete tear or severe injury, surgery for specific cases might be needed.
* Skeletal Muscle – a voluntary contractile soft tissue bound together by connective tissue. It is attached to the bones by the tendon to generates all the movement available to the specific joint.
is an injury to the muscle or tendon in which overuse, force, and overstretch to the muscle happened that leads to a partial or complete tear of the muscle or tendon. This is more common with sports such as football, soccer, boxing, long jumping, throwing, sprinting, gymnastics, and other contact sports or sports that can cause overstretched to the muscle.
is an injury to the soft tissue that usually caused by a fall, a direct blow, or blunt force that affects the underlying structures such as muscles without breaking the skin. Discoloration may be seen caused by hematoma (bleeding into the tissue).
* Tendon – a tough fibrous tissue that attaches the muscle to bone, it serves to transmit the mechanical force of a contracted muscle to pull the bone to do the movement.
is an inflammation of the tendon that usually due to repetitive motion and overuse, this most commonly secondary to sports activities such as swimming, tennis, badminton, golf, basketball, baseball, runners, and other sports that have repetitive joint movement, it can happen also when doing daily living activities in the wrong position when moving.
* Ligament – a tough fibrous connective tissue that connects two bones, stabilizes the joint and limits the bone to bone transitions.
is a partial or complete tear of a ligament, a tough band that connects two bones and stabilizes the joint, in which it is forced to its normal range of motion that causes the ligament to overstretch. The most common area that is prone to sprain is the wrist, knee, and ankle.
Sprains severity can be classified into three:
Grade 1 – overstretched or slight tearing of the ligament with mild swelling, tenderness, and stiffness, a person can be able to walk with minimal pain.
Grade 2 – moderate sprain, incomplete tear with noticeable bruises, swelling, and more pain, a slight movement of the joint with pain, less stable, and painful to walk.
Grade 3 – severe sprain or complete tear with severe bruises, swelling, more instability, cannot be able to use the injured joint, less pain, and walking is not possible.
* Bursa – a soft fluid-filled sac that gives cushion to help reduce frictions between bones, muscles, or tendons located where pressure is concentrated.
is an inflammation of the bursa in which direct trauma to the joint or overuse is the common cause of it and usually accompanied by tendinitis. Bursitis can be treated conservatively, but if infections persist, surgery might be needed.
Soft tissue injury first aide
When an injury happened, you should have a first aide to avoid too much fluid accumulation, to control the bleeding within the joint and to prevent further damage to the injured structure.
RICE management. This should be done immediately after the injury that will last for 24 to 48 hrs.
Rest – do not move or put pressure on the injured part
Ice – apply cold to the area for a couple of minutes, wrap it with a cloth to prevent damaging or burning the skin.
Compression – put a bandage with enough pressure that the blood still may flow.
Elevation – elevate the limb above the heart to decrease the swelling
No to HARM management for 24 to 48hrs
Heat – this may increase blood flow thus may increase swelling to the area
Alcohol – this will dilate blood vessel thus can increase swelling
Running – or any other activity that can aggravates the injury and can increase the damage
Massage – this can promote blood flow thus will increase swelling, and this can increase trauma to the injured structure.
* Treatment after 24 to 48 hrs will not be the same depending on the cause and severity, this RICE and no HARM should only be done for first aid purposes.
* Injury should be checked by the specialist and professionals to plan the proper treatment specific for the case. Conservative management such as physiotherapy can be done for mild and moderate injuries, treatment will include pain and inflammation management, joint mobility and mobilization techniques, set of exercises to restore strength and flexibility, stability, balance, and walking retraining. For severe injuries, non-conservative management such as surgery might be needed.
Contact Physioveda Medical Center
Villa 181 B, Al Wasl Road near Al Ghazal Mall. Dubai, UAE.