Strains
A muscle strain is the stretching or tearing of muscle fibers. A muscle strain can be caused by sports, exercise, a sudden movement, or trying to lift something that is too heavy. Symptoms of a muscle strain include pain, tightness, swelling, tenderness, and the inability to move the muscle very well.
Also known as: Pulled muscle
- Excessive physical activity or effort
- Improperly warming up before a physical activity
- Poor flexibility
- Pain and difficulty moving the injured muscle
- Discolored and bruised skin
- Swelling
- Apply ice immediately to reduce swelling. Wrap the ice in cloth -- avoid using ice directly on the skin. Apply ice for 10 to 15 minutes every 1 hour for the first day. Then, every 3 to 4 hours.
- Use ice for the first 3 days. After that, either heat or ice may be helpful.
- Rest the pulled muscle for at least a day. If possible, keep the pulled muscle elevated above the level of the heart.
- Avoid using a strained muscle while it is still painful. When the pain subsides, start activity slowly and in moderation.
- You are unable to move the muscle.
- The injury is bleeding.
- Warm-up properly before exercise and sports.
- Keep your muscles strong and flexible.
Definition
A strain is when a muscle becomes overstretched and tears. This painful injury, also called a "pulled muscle," can be caused by an accident, improper use of a muscle, or overuse of a muscle.
Causes
Symptoms
First Aid
Call immediately for emergency medical assistance if
Call your doctor if the pain does not go away after several weeks.
Prevention
References
Mercier LR. Sports medicine. In: Mercier LR, ed. Practical Orthopedics. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 15.
Cohen I, Jouve C. Trapezius strain. In: Frontera, WR, Silver JK, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 8.
Geiderman JM. General principles of orthopedic injuries. In: Marx J, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 6th ed. St Philadelphia, Pa: Mosby Elsevier; 2006:chap 46.
- Review date:
- May 2, 2009
- Reviewed by:
- Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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