Injuries (Sprains, Strains and Tears) to Muscles, Joints and/or Ligaments

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Injuries to your muscles, joints and/or ligaments mainly occur in two ways:
  • Traumatic injuries – These are injuries that occur when you have an incident i.e you fall on the ground and break your wrist or hip, or you trip and sprain your ankle
  • Non-traumatic injuries – These don’t have an incident. They occur over time when you perform a repetitive movement that causes several micro traumas that can lead to muscle tear. This is common in pitchers with rotator cuff tears

What is a sprain, strain or tear?

Sprain: Ligaments attach one bone to another.  The job of your ligaments is to provide stability to your joints.

When a ligament is stretched beyond its limits the fibers of the ligament begin to tear and this is known as a sprain. We assign grades to sprained ligament (grades 1-3) based on how much damage the ligament suffered and how instable the joint has become

Strain: When a muscle is stretched beyond its limits the fibers of the muscle begin to tear and this is known as a strain.

We assign grades to muscle strains (grades 1-3) based on how much damage the muscle suffered and how much weakness and/or pain you have

Tear: When there is complete damage (complete tearing) to the ligament and or muscle we call this a full tear.

Here is a list of the most common injuries (by body part)

Knees

  • Muscle strain/tear (quadriceps, Hamstrings)
  • Tendinitis – (jumpers knee, Patella Femoral Pain Syndrome)
  • Ligament strain/tear (ACL, MCL, LCL, PCL)
  • Meniscus injury
  • Fractured patella

Hips/Pelvis

  • Muscle strain/tear (Psoas, Rectus femoris, glutes, etc)
  • Priformis syndrome
  • Tight IT Band
  • Fractured Pelvis/Saccrum

Neck

  • Neck stain
  • Neck tension
  • Whiplash

Wrist/Hand

  • Wrist sprain
  • Wrist strain
  • Wrist fracture

Shoulder

  • Rotator cuff injury (tear, strain)
  • AC joint sprain
  • Shoulder fracture
  • Shoulder dislocation

Back

  • Lumbar Sprain
  • Muscle Strain
  • Disc Herniation
  • Spinal stenosis
  • Compression Fractures

Ankle/foot

  • Sprained ankle
  • Muscle strain (Gastrocs, Tibialis Anterior/posterior)
  • Broken Ankle

Elbow

  • Tennis Elbow
  • Golfers Elbow
  • Sprained elbow (MCL.LCL)

How are injuries diagnosed?

Physiotherapists have several clinic tests and tools to assess whether or not there is an injury that has occurred and to what degree. If more information is needed an x-ray, CT scan or MRI may need to be performed.

Physiotherapists will assess the stability of a joint, the strength and flexibility of the muscles to determine the severity of your injury

How are injuries treated?

Typically in the first 24-48 hours after an injury we want to follow the PRICE principle

  • Protect the injured area
  • Rest
  • Ice
  • Compress the area with a bandage
  • Elevate the injured area to help reduce swelling

After 48 hours the goal is to do whatever we can to restore joint mobility, stability, strength and flexibility.

How can a physiotherapist help?

Evaluation

The first step is to assess the injured body part in order to determine

  • Which structures are damaged
  • How badly are they damaged
  • What will be the treatment plan
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Do an evaluation

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Treatment

  • Once we know exactly what is injured we can devise a plan to help you recover
  • In some cases such as in fractures and/or severe ligament injuries the injured joint will be immobilized for a period of time in a cast or splint to allow the damaged tissues to heal. In extreme cases surgery may be needed
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Discuss Your Treatment Options

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  • Do we have the necessary equipment like a table, TENS machine, etc.?

    YES WE DO. We bring all the required tools with us.

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  • Do our therapists have physiotherapy licenses?

    YES, THEY DO. All our therapists are licenced with the OPPQ and keep up to date with continuing education courses.

  • Are our services affordable?

    YES, THEY ARE. We have reasonable fees to make it possible for more people to have access to our services.

  • How many sessions will I need?

    DEPENDS ON YOUR EVALUATION. Once your evaluation is completed we will create a treatment plan that is unique to your situation.