Muscle Strains & Soft Tissue Injuries
Muscles are strained or torn when some or all of the fibers fail to cope with the demand placed upon them. They are most likely to occur in sudden acceleration, deceleration or change of direction. The most commonly affected muscles are hamstrings, gastrocnemius, quadriceps and hip adductors.
There are classifications grades of muscle strains:
Tear in a small number of muscle fibers and local pain with no loss of strength.
Tear in a significant number of muscle fibers with associated pain and swelling. Pain reproduced on muscle contraction
Complete tear of muscle. Usually occurs at musculotendinous junction.
Hamstring Muscle Sprains
Hamstrings strains usually occur during sprinting and kicking. It occurs when the hamstrings is at maximal activation and almost at the point of peak length. Generally the tears occur in the biceps femoris muscle.
- Lumbo-pelvic stability
- Previous injury
- Fitness level
Treatment of soft tissue strains and sprains must address issues in the acute phase straight after injury as well as the rehabilitation that follows.
- Soft tissue release (48 hours following injury)
- Dry needling
- Pain free range of motion exercises
rehabilitation after injury must take into account all the factors involved in getting the person back to full safe activity or sport.
Soft Tissue Release
- Dry needling
- Myofascial release
Eccentric Muscle Training
Working the muscle in the lengthening phase to promote muscular control.
Concentric Muscle Training
Training the muscle in the shortening phase.
- Light jogging, running or sprinting
- Small kicks, standing full kick or running kicks
- Running, acceleration/deceleration drills
- Agility training
Pelvic floor and transverse abdominis retraining