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© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376
Muscle injuries are among the most common types of injuries that both athletes (professionals and amateurs), and the general population, report throughout their lives. Different types of muscle injury classifications have been presented in the literature, however, in sports medicine, they can be broadly classified as lacerations (when an external sharp body cuts through the muscle, for example during traumatic accidents), contusions (when an external body impacts against the muscle itself, for example in contact sports), and strains (when the muscle fibres are extended over their capacity, for example during an explosive sports action that requires high levels of muscle activation and stretch). Muscle strains are among the most commonly reported injuries in sports with a wide range of clinical presentation and reported symptoms based on the severity of the injury itself. Several classifications have been developed over the years (Munich consensus, ISMuLT classification, British athletics system, etc.), however, generally speaking, a three-grade classification is typically presented to the patient. Grade I represent the mildest type of injury that can be reported, with a small amount of torn muscle fibres, localised pain, and slightly reduced muscular functioning. The second grade includes injuries that involve a significant amount of muscle fibres, but continuity in the muscle can still be seen. Patients typically report significant pain, swelling, bruise, reduced strength, and limited functioning that is present during the activities of daily living. The third grade, the most severe one, includes injuries where a complete tear or avulsion (detachment of the muscle from the bone) is reported. In these cases, patients typically report high levels of pain, swelling, bruises and significantly limited functioning.
In most cases, muscle injuries are typically treated non-surgically, however, in some isolated cases of muscle avulsion, surgical procedures can be considered. Muscle injuries are strongly irrorated by blood supplies and display an elevated healing potential. After an injury, the damaged structures go through a sequence of healing stages (degeneration, inflammation, regeneration and fibrosis) that, if correctly respected and optimised, lead to the complete repair of the damaged muscle. In case of muscle injuries, our strong recommendation is to seek medical attention from a specialised facility that can quickly provide you with a precise diagnosis and rehabilitation plan. Malpractices throughout the recovery process, such as incorrect diagnosis (e.g.: underestimation of the condition), aggressive or delayed rehabilitation (e.g.: exercises strategy implemented too early/late and not aligned with the muscle recovery stages), and a poor return to sport process, can significantly impact your short- and long-term recovery outcomes (e.g.: poor muscle quality repair, increased likelihood of relapses, decreased performance, etc.). In Isokinetic, after being visited by one of our specialised doctors who will provide immediate injury assessment through a thorough clinical, and instrumental (e.g.: ultrasound) examination, you will be prescribed a recovery plan tailored to your specific needs. Your rehabilitation journey will take place in up to four different environments depending on your condition: the pool, the gym, the movement analysis and retraining room, and our pitch. In the early stage, our primary focus will be to minimise the pain, swelling, and inflammation to facilitate the healing process. Gradually, progressing through the stages of biological muscle repair, your rehabilitation focus will shift from a “protection” to a “re-loading” phase, in which mobility and strength will progressively be restored. After this, the next stage will include movement quality retraining to optimise your movement technique and muscle balance, facilitating in this way a better distribution of the load among different body structures. Finally, your rehabilitation will conclude after completing our on-field rehabilitation service where you will restore your performance and minimise the risk of re-injury.
© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376