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For patients selecting non-surgical treatment, physical therapy may reduce symptoms of pain and swelling. This type of rehabilitation focuses on maintenance of full range of motion and functional progression without aggravating symptoms. [28] Physical therapists can employ electric stimulation, cold therapy, and ultrasonography.
Cold compression therapy, also known as hilotherapy, combines two of the principles of rest, ice, compression, elevation to reduce pain and swelling from a sports or activity injury to soft tissues and is recommended by orthopedic surgeons following surgery. The therapy is especially useful for sprains, strains, pulled muscles and pulled ligaments.
The RICE method is an effective procedure used in the initial treatment of a soft tissue injury. [6] Rest It is suggested that the patient take a break from the activity that caused the injury in order to give the injury time to heal. Ice The injury should be iced on and off in 20 minute intervals, avoiding direct contact of the ice with the skin.
Cryotherapy is often used in an effort to prevent or relieve muscle pain, sprains and swelling after soft tissue damage or surgery. When a musculoskeletal injury occurs, the body sends signals to the inflammatory cells, macrophages, which release IGF-1. IGF-1 is a hormone-insulin-like growth factor which initiates the termination of damaged tissue.
In a recent study, athletes were told to exercise so intensely that they developed severe muscle damage that caused extensive muscle soreness. Although cooling delayed swelling, it did not hasten recovery from this muscle damage. Rest may play a role immediately after an injury, but the evidence supports early mobilization to promote healing. [9]
Physical medicine and rehabilitation encompasses a variety of clinical settings and patient populations. [citation needed] In hospital settings, physiatrists commonly treat patients who have had an amputation, spinal cord injury, stroke, traumatic brain injury, and other debilitating injuries or conditions. In treating these patients ...
Reduced range of motion of the knee and tenderness along the joint line are also common signs of an acute ACL injury. The pain and swelling may resolve on its own; however, the knee will remain unstable and returning to sport without treatment may result in further damage to the knee. [1]
However, some still have problems with pain and instability after one year (5–30%). Re-injury is also very common. [36] The risk of recurrence can reach one-third of cases. [37] There are currently no published evidence-based criteria to inform RTS (return to sport) decisions for patients with a lateral ankle sprain injury. Return to sport ...