Muscular Strains-Grades,
Symptoms and Treatment
In Dr. Koshes’ online CEU massage therapist
course, “Clinical Neurology and Orthopedics for the Massage Therapist,”
he reviews commonly diagnosed musculoskeletal conditions with
protocols for treatment. He teaches Florida LMT’s that muscular
strains can be divided into three grades. With a Grade I strain,
the injury does not stop the person’s activity and the muscle
fibers are left intact. The patient will experience mild pain
with slight swelling or muscle tightness. In a Grade II strain,
the injury does stop the patient’s activity. There is an incomplete
tearing of the muscle fibers which will produce a partial loss
of muscle strength. The patient will experience moderate pain
with swelling and a partial disability of function. In a Grade
III strain, there is a complete tearing of the muscle fibers causing
a complete loss of muscle strength. The patient will experience
severe pain with swelling and/or discoloration with a total disability
of function.
This LMT CEU class also covers treatment, which
initially should include “PRICES” which stands for; protection
of the injury, rest of the injury, ice, compression, elevation
and support for the injury. Treatment of this type of injury could
take 4-6 weeks for Grades I and II with surgery generally recommended
for a Grade III strain. In-office care protocol could include
massage treatment, acupuncture, physical therapy, chiropractic,
mild support bracing and/or exercise therapy.
Dr. Koshes' online CEU massage therapy
training is accredited by the Florida State Massage Therapy Association.
For more information on commonly diagnosed musculoskeletal injuries
and continuing education units for massage therapists contact
Dr. Koshes on his website, www.koshes.com.
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