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 Acute Muscle Injury

Call Your Doctor!

First of all, as with any injury, consulting a physician is very important. A slight injury could mask a deeper condition. There are some steps though, that you can take to decrease the pain and insure the fastest possible recovery. Remembering the acronym R.I.C.E. will help you with these first crucial steps. They stand for:

  • R - REST
  • I - ICE
  • C - COMPRESSION
  • E - ELEVATION

REST:
Your body's energy is like currency in a bank. You spend it daily on movement, activities, play and hundreds of physiological responses such as metabolism, respiration, and even microscopic cellular division. When there is an injury you need energy to help with the healing process. Some of that energy currency is needed which is usually spent on normal daily activities. Neglect rest, and you are not optimizing your chances of healing quickly and effortlessly. This doesn't mean staying in bed for a week, rather, taking some time to relax for brief periods during the day. You also want to rest the injured or affected area, immobilizing it from activity as best you can for about 24 to 36 hours. If the injury can be taped, such as around the ankle, knee, hand or wrist, this is even better. Taping stabilizes the joint and protects it from further injury when engaging in normal activities. There are many excellent taping and bandage products in your local pharmacy. The bandage should fit firmly, but also provide adequate circulation.

 

ICE:
Putting ice on an injury does several important things. First and foremost, it increases circulation, bringing blood and oxygen, to the injury site. It decreases heat, swelling and the production of excess fluids (edema). It also helps to eliminate puffiness by improving cellular metabolism. Inflammation has gotten a bad rap through the years. In the initial stages of healing, inflammation is crucial to the healing process. The chemical mediators of inflammation are your friends. These are the heavy hitters which rush to the area to wall it off, destroy toxins and bring in carloads of collagen to repair damaged tissue (to name a few). The problem is, these mediator chemicals want to hang around for awhile, long after they've done their job. Applying ice to an injury helps shut off the inflammation process before it causes more problems, which it does if left unchecked.

 

COMPRESSION:
The compression we are talking about here is when there is bleeding from an open wound. Applying continuous, even compression will stop the bleeding. There is also a form of compression that you can use to stop a spasm, a cramping muscle, or a continuous muscular pain that won't diminish within a reasonable amount of time (72 hours). If you read the section on massage in this site, it explains how compression works to stop the pain/spasm cycle. However, let's say that your massage/acupuncture appointment is five days away and you are in pain now! This is what you can do to help stop spasm and lower the pain. Take a tennis ball and put it between yourself and a wall. I like to put the tennis ball in a knee sock and throw it over my shoulder. I have more control that way. Now press/roll the tennis ball along either side of your spine (not on the spine!) until you find the tender areas. On a scale of 1-10 (10 is very painful) push against the ball with a pressure of about an 8. The pressure hurts, but it's a good hurt. This is the important part. You have to hold the pressure for at lease a minute and a half. For injuries on other parts of the body, you'll need to get creative. As long as you are applying direct pressure for a short period of time and do this consistently several times over the next few days, you can stop the spasm and greatly reduce the pain.

My specialty in massage therapy is the Paul St. John NeuromuscularTherapy. It is based on the trigger point therapy work pioneered by Dr. Janet Travell. Depending on the condition treated, I also use a combination of other techniques such as deep tissue massage, myofacial release and cranio-sacral therapy.

 

ELEVATION
Elevation is used for increasing blood flow to the heart and to the affected area. It is also used to encourage lymph flow to the tissues.


Recommendations:

  • Taking additional Vitamin C has been shown to help decrease inflammation and helps strengthen and repair connective tissue. Suggested dosage: 3,000 to 5,000 mg. daily (can cause soft stools if taken in excess) .
  • Proteolytic enzymes (3 tablets between meals). Destroys free radicals that are released from an injury.
  • The herb turmeric is a strong inhibitor of inflammation. Make a paste with water and apply to the injured area with gauze dressing.
  • After 24 to 36 hours it is crucial to lower the inflammation. If all else fails, take an anti-inflammatory such as Ibuprofen or Aleve for a few days. Follow the recommended dosage.
  • After applying ice the first day, you can switch to a vascular flush: apply ice and heat intermittently, the application is ten minutes for each. Begin and end the regimen with cold.
  • Drink plenty of water to flush toxins and hydrate tissues.

These are just a few guidelines to follow. Remember to consult a physician. You may need x-rays and other allopathic interventions. Scheduling an appointment for acupuncture and massage therapy ensures correct injury rehabilitation. Soon you will be up and about, ready to resume your normal activities, pain free!

 

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Seattle Health Therapies
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1411 Fourth Avenue, Suite #1322
Seattle, Washington, 98101
USA Tel: (206) 623-1630