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Muscle Tear Therapy Education Part 5/5

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Muscle Tear Therapy Education Part 5/5

If you have not seen Part 4 Click HERE

Muscle tear therapy

Muscle tear therapy and treatment – Huntington Beach Orange County

Hi I’m Dr. Sebastian Gonzales and thanks for watching Part 5 of 5 for how to rehab or manage a Grade 1 muscle tear or minor grade 2 muscle tear… or as most athletes will call them … “a strain.”  Without going into everything we did the last few times I’ll just summarize… if you want the full videos be sure to subscribe to our feed there and there (point).

In summary… if you have experienced a muscle tear you probably think… rest rest rest, but as we talked about in the past 4 videos, up to around the first 5-7 days it is better to use rest, ice, heat, compression and staying off it but beyond that from days 7 -21 most strains respond better to ACTIVE STRETCHING such as Reciprocal Inhibition, as well as Light Massage and Passive Modalities.  Around weeks 6 – 10 a slow return to normal Strength and Conditioning should be considered in addition to continuing with “Isolated” exercises and activities for that focused spot of concern.

Typically when someone begins to reuse the muscle or tendon after a muscle tear they have TONS of hesitation.  Having someone design a program and to motivate is SO important.  If I were to estimate what percentage of injured weekend warriors drop from rehab due to fear of re-injury or lack of education about the plan it would be close to 50% or more.

Lack of education and understanding leads to fear and avoidance.  It’s a huge problem! In 2009 a study, which I can provide the reference in the text around this video, showed education in combination with exercise significantly decreased disability of patients whom had undergone a single-level lumbar microdiskectomy.  When education was not used with exercises (the same exercises) the patient’s success significantly decreased.

Now we are into what we call the “Late Strength Period,” which is about 10 week to a year after the muscle tear.  Last video we went over the “Mid Strength Period,” which consisted of slowly loading the damaged muscle/ tendon with eccentrics, isometrics, and concetrics, as well as adding some deep tissue work.  If you do not understand these terms please watch that video.

During the “Late Strength Period” or about 10 weeks to a year after the injury most people should be well on their way to building a Strength and Conditioning program that looks half way normal…if you saw this person at the gym they may be taking more breaks, using less weight yet testing the water with good form.  If they were playing a sport they could be running cones drills or even jogging and rowing.  The point is things should be getting normal.

You might thinking in your head after watching all of these videos that you are not close to the same recovery time I’ve be talking about… well there are a few possible issues at hand.

1.    Do you have the right diagnosis?  If you don’t you could have the wrong plan of attack altogether.  You could have a ligamentous injury or even a cartilage injury (like a meniscus of the knee or a labrum of the hip or shoulder) that dramatically changes the plan of attack from that of a muscle tear.

2.    Did you take excessive rest from the muscle tear?  If so the time frame changes but also if you have been resting for 3 months you missed a bunch of critical time for healing by not doing everything in the first few videos on muscle tear.

3.    Quality of care… do you have a good person you work with for the muscle tear?  Just being real… in every profession there is someone who barely passed… and they are out there somewhere with the same title as everyone else but you may never know until your condition is not improving.  In this case I always suggest a second or third opinion or even an image to support the treatment plan.  MRI or MSK Ultrasounds are often good enough for me usually to make a judgment call on a muscle tear.

Now going back to the actual “Late Strength Period” you may be wondering if I’m going to give a plan to you for a muscle tear… sadly the answer is no.  Every injury and person should have a plan specific to his or her condition and capacities.  I can promise you if you take one off Youtube there is another one better that could be created within an hour or less by someone who has worked with someone like you.

Also just so you know we do offer help over the phone, which can be set up through our website P2SportsCare.com for a small fee.  I love giving out this free general information but the real help comes when a program is developed around your specific type of injury.

Let’s recap.

1.    10 weeks after the muscle tear there should be a strong push to resume normal lifting with good form and increasing loads.

2.    Deep tissue work should still be used roughly 1-2 times a week for a muscle tear.

3.    Most people, whether they want to admit or not, will have doubts, fear or lack of understanding of the plan and will increase the probability of not recovering… and this is the pure intention of these videos… to educate you… know what works according to studies… if you don’t know how a muscle or joint works go figure it out.  There is no excuse for not knowing basics of anatomy.

Remember to hook up to our emails… tons of good info written by my staff and me… there’s articles, podcasts and some strength programs not offered on Youtube.

I’m here to help and will do as much as I can… get connected to the Performance Place and you will not be disappointed and thank God for this series of 5 to finally being done… sorry for the long suspenseful wait!

See you soon!

 

 

The post Muscle Tear Therapy Education Part 5/5 appeared first on Huntington Beach Sports Chiropractor - Huntington Beach, Orange County, CA.


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