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Soft Tissue Injury Management Tips

Physiotherapy And Soft Tissue Injuries

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
Physiotherapy And Soft Tissue Injuries

A soft tissue injury occurs due to overuse of ligaments, muscles or tendons. Most cases of soft tissue injuries occur due to uncontrolled or unexpected movement. A Certain example of the same includes awkward stepping of foot and getting the ankles rolled. Soft tissue injury can also happen from overuse of muscles, tendons, and ligaments. The example of the same includes using the same hand for heavy lifting day after day. Certain soft structures of the body that are prone to injuries are Achilles tendons and calf muscle.

Difference Between a Sprain and a Strain:

A strain is defined as a trauma that occurs to the tendons or muscles because of overstretching. Tendons are soft in nature and are responsible tying the muscle and the bone together. Sprain, on the other hand, are trauma caused due to overstretching of the ligaments. There exist 3 severity levels: grade 1 is mild tenderness and minimal stretching of the soft tissue, grade 2 is a tear of fiber resulting in swelling and moderate pain, grade 3 is a rupture of the soft tissue resulting in sharp pain, deep swelling and immobility of the affected area.

Pre-medical Care:

Immediately after the injury, certain things such as total rest and immobility should be ensured, an ice pack should be applied to the structure, compression, and elevation should be ensured in order to avoid any major damage to the soft tissue. Certain things that hamper the healing process immediately after the injury include applying heat to the injured area, consumption of liquor, exercising or running with an injured condition and massaging the injured area.

Physiotherapy For Soft Tissue Injury:

  1. Pain Relief: The first task for a physician is to ensure that the level of pain comes down. Although this is the primary task of a medical practitioner, physiotherapists ensure that the pain does not aggravate to an unbearable level. They recommend certain movements and advice against some movements which could do harm to the injured structure.

  2. Full Structure Movement: The immediate goal of a physiotherapist is to ensure that the full movement of the injured structure is regained at the earliest. This includes identifying abnormalities, verifying the range of motion and suggests corrective exercises ensure that the full movement of the soft tissue can be regained without having to go through the hassle of a surgery.

  3. Muscle Strengthening: While the injured structure is in the process of healing, physiotherapists ensure that the surrounding muscles support the tendon and the ligament by binding well. This is done by suggesting very individualistic exercise for the muscle to hold up. It also negates the possibility of a recurring injury at the same place.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6260 people found this helpful

Physiotherapy and Soft Tissue Injuries - What Should You Know

Dr. Aneeta Verma 84% (10 ratings)
Wellness Diploma, MBA (Healthcare), BPTh/BPT, Post Graduate Specialization In Preventive Health Care
Physiotherapist, Noida
Physiotherapy and Soft Tissue Injuries - What Should You Know

Soft Tissue Injuries occur when soft body tissues of the likes of muscular tissue, ligaments or tendons receive a dose of stress or strain caused by sudden impact, which is far greater than the load the soft tissues are able to withstand. The occurrences of soft tissue injuries are far greater than the probabilities of suffering a fracture, as the soft tissues absorb the majority of the impact, before passing it onto the bones. Swelling, edema, tendon or ligament break, etc. are some of the immediate effects observed following a soft tissue injury in the majority of victims.

If the whole process of tissue damage to regeneration new tissue is observed, this is how the process would appear to us:

  1. Damage to the tissue would almost immediately be followed by bleeding internally, and inflammation, which would be highly painful if touched. The damaged tissue would then be gradually removed and replaced with a live, healthy tissue by the body, without any external intervention.
  2. Based on the severity and extent of damage, the process of removal and repair can take a few weeks to a couple of months. This transition is highly painful and tends to affect the normal functioning of the whole surrounding region, irrespective of how minuscule the damage may seem.
  3. The duration when remodeling of the tissue occurs, is most susceptible to fresh damage, as the live cells are not yet ready to develop the full potential of stress-bearing capability. The remodeling phase generally does not require any external aid in the form of supportive drug therapy or physical therapy.
  4. Though the application of physiotherapy in soft tissue injuries are sometimes contested, physical therapy may come in handy for patients who put up a delayed response in regeneration than usual. Physiotherapy takes care of the little details such as an inability to resume normal body functions, as well as stiffness of the affected area. Physical therapy ensures normal blood flow has been restored, a stiffness of the surrounding soft tissues is addressed, and normal functioning of the area begins to restore.
  5. Generally, patients who experience a disrupted mechanism of removal and repair of soft tissues require any sort of medical help in the form of drugs and/or physical therapy. While drugs reduce the turnaround time in terms of boosting the chemical balance, physiotherapy addresses the trauma experienced by the patients. In addition, physiotherapy may indirectly boost the activity of chemical mediators which further speeds up the recovery process as a whole.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4312 people found this helpful

Soft Tissue Injuries - Know The Common Types!

Dr. Amit Shridhar 87% (23 ratings)
MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Soft Tissue Injuries - Know The Common Types!

There are two main categories into which soft tissue injuries fall into first is overuse and the second is acute.

  • Acute injuries: These are brought on by unexpected trauma such as a twist, fall or a heavy blow. Strains, contusions and sprains are examples of acute injury.
  • Overuse injuries: They happen gradually with time. Athletics experience this as they use specific areas of their bodies repeatedly, without giving them time to heal. Examples of soft tissue injuries due to overuse are bursitis and tendinitis.

Types of Overuse injuries

  1. Tendinitis: It is an irritation or inflammation of the tendon coverings (also known as a sheath). Repeated small stresses that agitate the tendon may cause it. Pain and swelling are typical symptoms that may worsen with overuse. Professional swimmers, baseball players, golfers and tennis players are more prone to their arms and shoulders being affected by tendinitis. Stress elimination, steroid injections, anti-inflammatory drugs and splinting can all be used in the treatment of tendinitis. The tendons might get significantly damaged due to persisting inflammation and corrective surgery may be required.
  2. Bursitis: Small sacs resembling jelly which are spread throughout the whole body are called bursa. These areas include the knees, the hip, heels, the elbow and the areas adjacent to the shoulders. They are located between soft tissues and bones and have small amounts of fluid to assist in reducing friction. An inflammation of the bursa is called bursitis. Tendinitis and bursitis are many –a- times experienced together.

Types of Acute injuries 

  1. Contusion: Multiple blows or a direct one can cause a contusion. It is a bruise in which the underlying connective tissues and muscle fibres get crushed without a break in the skin. It may result from the body hitting a tough surface or from falling. The pooling of blood around the site of injury can cause a discoloration in the skin.
  2. Strain: An injury to the muscles or tendons leads to strain. Fibrous tissues that hold the bone and muscles together are called the tendons. They generally happen in the back, the feet or legs. It may be just a stretch in the tendons and muscles, or it might be a complete or partial tear in the tendon and muscle junction. Pain, muscle weakness, muscle spasm, cramping, inflammation and swelling are typical strain symptoms.
  3. Sprain: A tear or stretch in the ligament is called a sprain. Ligaments join the ends of bones together. They support and stabilize the joints of the body. For example, the knee ligaments connect the shinbone to the thighbone and this in turn facilitates running in athletes. The knees, wrists and ankles are the most susceptible to sprains.
3450 people found this helpful

How To Manage Injury?

Dr. Punnam Gupta 88% (174 ratings)
BPTh/BPT; certificate in sports medicine, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
How To Manage Injury?

Always make use of the cold therapy within the first 24-48 hours of the acute stage of an injury, to prevent tissue damage, or after the first 48 hours if inflammation persists.

1 person found this helpful

Injuries

Dr. Syed Sabeeh Karhani 86% (18 ratings)
BPT
Physiotherapist, Delhi
Injuries

Whiplash injuries caused by a sudden jerking of the head forwards and then backward which lead to the stretching of the soft tissues of the neck beyond the limits can cause severe neck pain.

5 Ways To Manage Burn Injuries!

Dr. Poonam Patel Vasani 90% (903 ratings)
MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
5 Ways To Manage Burn Injuries!

While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

  1. Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
  2. Loose gauze or antibiotic ointment must be used to protect the influenced area.
  3. Soak the burnt area wound in cold water for about five minutes or more.
  4. If the burn escalates or affects a widespread area, seek medical attention immediately.

Pain management factors for burn injuries:

  1. Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
  2. Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The ‘what ifs’ or wishing that the burn didn’t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor’s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
  3. Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
  4. Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
  5. Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don’t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don’t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
4016 people found this helpful

Dislocated Shoulder Injury - Can There Be Ways To Manage It?

Dr. Suraj Prakash 89% (100 ratings)
M.Ch - Orthopaedics, Fellowship in Arthroscopy & Sports Medicine, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Dislocated Shoulder Injury - Can There Be Ways To Manage It?

When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged. 

If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts. 

What can lead to a dislocated shoulder injury? 

  • Sharp or a very fast twist of your arm. 
  • Falling down on a hard surface. 
  • A sudden hurt or hit. 
  • It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place. 

In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation. 

What is the treatment or therapy of a dislocated shoulder? 

The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury. 

After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan. 

The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months. In case you have a concern or query you can always consult an expert & get answers to your questions!

2572 people found this helpful

Sports Injuries & Pain Related To Them - How Can It Be Managed?

Dr. Sachin Mittal 90% (11 ratings)
FIPM, DA, MBBS Bachelor of Medicine and Bachelor of Surgery
Pain Management Specialist, Ghaziabad
Sports Injuries & Pain Related To Them - How Can It Be Managed?

How should you approach pain caused due to sports injuries?

Sports injuries can happen to any person who engages in sporting activities. These affect full-time athletes as well as those who partake in sports and exercising on an occasional basis. Most sports injuries are acute and affect the muscles and skeletal system. Usually, they are not chronic unless caused by a grave accident or left untreated.

The most common types of injuries caused due to sports are as follows:

Treatment of sports injuries depends on a number of factors such as the type of injury, part of the body affected, the intensity of the pain, and the patient's age and medical history.

 

 


Accordingly, the most common ways of approaching the pain caused by sports injuries are:

 

 

  1. Immediate remedies: Several quick aid, home remedies are used to treat pain that is caused by minor injuries to muscles, such as sprains and strains. It involves alleviation of pain through rest, using ice packs and hot water bags, wearing supports and elastic compression bandages.
  2. Medication: Many medicines such as painkillers and anti-inflammatory pills, creams and sprays effectively reduce pain caused by sports injuries. In extreme cases, morphine and codeine are also prescribed.
  3. Physical therapy: A number of injuries can be treated and cured through certain exercise and workout routines. These aim at stretching and strengthening the affected area to provide pain relief through increased flexibility and muscle activity.
  4. Injections: Various substances and chemical compounds can be injected into the injured area which works on the affected ligaments, tendons, and cartilage to reduce inflammation and relieve pain.
  5. Surgical procedures: This is generally resorted to in case of damage to the skeleton in the form of broken bones and cracked ribs.
  6. Interventional Pain relieving procedures: These include regenerative or stem cell therapy, and neuromodulation techniques using radio frequency current. They may result in best results without any tissue cutting or damage. A pain specialist may be able to help you best in that case.

Devising the exact treatment method requires a thorough examination of the injury. Diagnosis can only be provided after taking into consideration the many factors that affect treatment. The method of treatment varies from case to case and consequently, the recovery time also differs. In case you have a concern or query you can always consult an expert & get answers to your questions!

4366 people found this helpful

Burn Injuries - 5 Ways You Can Manage The Pain It Cause!

Dr. K J Choudhury 87% (193 ratings)
MBBS, MD, M.N.A.M.S(Anaesthesiology), FWACS
Pain Management Specialist, Delhi
Burn Injuries - 5 Ways You Can Manage The Pain It Cause!

While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

  1. Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
  2. Loose gauze or antibiotic ointment must be used to protect the influenced area.
  3. Soak the burnt area wound in cold water for about five minutes or more.
  4. If the burn escalates or affects a widespread area, seek medical attention immediately.

Pain management factors for burn injuries:

  1. Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
  2. Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The ‘what ifs’ or wishing that the burn didn’t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor’s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
  3. Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
  4. Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
  5. Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don’t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don’t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program. In case you have a concern or query you can always consult an expert & get answers to your questions!
4417 people found this helpful

5 Ways To Manage Pain Due To Burn Injuries!

Dr. Sidharth Verma 88% (36 ratings)
MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
5 Ways To Manage Pain Due To Burn Injuries!

While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

  1. Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
  2. Loose gauze or antibiotic ointment must be used to protect the influenced area.
  3. Soak the burnt area wound in cold water for about five minutes or more.
  4. If the burn escalates or affects a widespread area, seek medical attention immediately.

Pain management factors for burn injuries:

  1. Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
  2. Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The ‘what ifs’ or wishing that the burn didn’t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor’s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
  3. Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
  4. Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
  5. Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don’t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don’t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program.
5174 people found this helpful
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