MUSCLE STRAIN

• Sudden onset of pain
• Soreness
• Limited range of movement
• Bruising or discoloration
• Swelling
• Feeling of stiffness
• Muscle spasms
• weakness

Treatment of Acute Strain : 

Follow PEACE PROTOCOL : 

P= Protect

• Unload or restrict movement for 1 - 3 days
• Minimise rest because Prolonged rest compromises tissue strength and quality.
• Let pain guide the removal of protection and gradual reloading

E= Elevate

• Elevate the injured limb higher than the heart as this promotes interstitial fluid flow out of the injured tissue.

A= Avoid Non-Inflammatory Modalities and avoid icing

• Making use of Non-Inflammatory medications to inhibit the inflammatory process could impair the healing process.
• Ice may disrupt inflammation, angiogenesis, and revascularization.
• Ice may potentially delay neutrophil and macrophage infiltration
• Ice may increase immature myofibers, which can result in impaired tissue regeneration and redundant collagen synthesis.

C= Compress

• External mechanical compressions, such as taping or bandages, may limit edema and tissue hemorrhage, but they should still allow the full range of movement at the joint.

E= Educate

• Patients need better education on their condition. It is critical for doctors to educate their patients and set realistic expectations about recovery times and optimal loading.
• Load management will avoid over-treatment of an injury.

Follow LOVE protocol for the Sub-Acute stage a few initial days have passed.

L= Load

• Patients with musculoskeletal disorders benefit from an active approach to movement and exercise.
• Optimal loading without increasing pain promotes repair and remodeling, as well as building tissue tolerance and capacity of tendons, muscles, and ligaments.

O= Optimism

• Stay realistic, but encourage optimism to improve the chances of an optimal recovery.
• Positive thoughts in patient highly influence their recovery and prognosis so try to stay positive and realistic.

Barriers to recovery include psychological factors such as:

• Catastrophising
• Depression
• Fear

V= Vascularisation

• Musculoskeletal injury management needs to include cardiovascular physical activity, but more research is needed on the specific dosage. Pain-free cardiovascular activity is a motivation booster and increases blood flow to injured structures.
• Early mobilization and aerobic exercise have the benefits of improving function, reducing dependency on pain medication, and facilitating recovery quickly.

E= Exercise

Benefits of exercise:

• Restores mobility
• Restores strength
• Restores proprioception early after an injury

Why Spine Mantra is best for you?

Our main objective is :

1. Empower the patient to decrease one’s dependency on clinicians and medications. 

2. Correct Guidance

3. Prevention of future Relapses

Before starting the treatment, A thorough medical assessment is done to understand the present condition. The clinician takes a detailed history of the present condition, aggravating and relieving factors, rules out red flags, posture and movement assessment regarding the symptoms, and Neuro assessment. The clinician makes the patient do specific repeated or sustained movements to see their effect on the symptoms or baselines that the clinician recorded during the assessment.

Classification is based on assessing the symptomatic response during repeated or sustained movement testing . Most patients' symptoms are classified into derangement syndrome, dysfunction syndrome, postural syndrome, or other conditions.

The choice of exercises in MDT is based on the direction that causes the symptoms to decrease or abolish.

Based on the above assessment, Treatment sessions are prescribed.

Our team employs a thorough diagnostic process, including:

Detailed Patient History: Gathering comprehensive information about your medical history and lifestyle to understand your unique situation and to rule out underlying severe medical conditions (if any).

Physical Examination: A thorough physical examination, such as assessing posture, range of motion, and neuro examination, is done to identify areas that need attention.

Imaging Tests: Utilizing X-rays or MRIs to gain a deeper understanding of the physical condition of your spine.