Table of Contents

    Muscle Tear
    Diagnosis, Treatment and Prevention

    How is muscle tear diagnosed?

    Diagnosing a muscle tear typically involves a combination of clinical evaluation, medical history assessment, and diagnostic tests to confirm the extent and location of the injury. Here’s how they are commonly diagnosed:

     

    A muscle tear typically involves a combination of clinical evaluation | Avant Orthopaedics

    Medical History and Physical Examination:

    Your doctor will begin by asking questions regarding the injury. This may include how it happened, along with any other additional symptoms you have in addition to pain and discomfort. Furthermore, you may also be asked about your medical history, and if you have sustained a similar injury in the past.

    A physical examination will also be conducted to assess the injured area. The doctor will look for signs of swelling, bruising, tenderness, muscle weakness, and limitations to your range of movements.

    Imaging Tests:

    For severe muscle tears, imaging tests are often used to provide more details regarding your injury. The most commonly used tests for this purpose includes:

    Magnetic Resonance Imaging (MRI) 

    MRI provides detailed and high-resolution images of soft tissues like muscles. It is particularly useful for identifying the extent of muscle tears, the presence of associated injuries (such as tendon damage), and planning for surgical interventions if necessary.

    X-rays

    X-rays are typically not as effective in directly visualising muscle tissue, but they can help rule out fractures or other bone-related injuries that may occur in conjunction with muscle tears.

    Ultrasound (Sonography)

    Ultrasound uses high-frequency sound waves to create real-time images of the injured area. It can help visualise muscle tears, their location, size, and the extent of damage. It is often used for initial assessments of muscle injuries.

    Grading The Injury:

    As your medical examination comes to an end, your doctor will grade the extent of your injury on a scale based on the information gathered. This system will be based on the scale we have gone through which ranges from Grade 1 to 3.

    What are the treatments for muscle tears?

    What are the non-surgical treatments for muscle tears?

    RICE:

     It stands for Rest, Ice, Compression, Elevation. This treatment is a widely recognized and effective approach for managing various types of injuries, including muscle tears, sprains, and strains.

    The first step is to Rest, which involves minimising or completely avoiding the use of the injured area to prevent further damage. Then there’s Ice, the application of an ice pack to reduce swelling and provide pain relief. Moving on to Compression, this involves the application of gentle pressure to the injured area which aims to limit swelling, relieve pain, and limit its movements. Finally, Elevation stands for raising the injured area above the level of your heart to aid in draining excess fluids away from the injured area, as well as alleviate pain and discomfort. 

    Pain Medication:

    Over-the-counter pain relievers can be valuable tools in managing pain and inflammation and may often be prescribed along with other treatments. However, these medications should be taken as directed by a medical practitioner and with careful attention paid to recommended dosages.

    Physical Therapy:

     For moderate to severe muscle tears, you may be recommended to seek help from a physical therapist to aid in your journey to recovery. These professionals are skilled in designing individualised exercise programs that focus on enhancing strength, flexibility, and range of motion. Furthermore, this treatment can assist in rebuilding muscle function and preventing future injuries.

    Immobilisation:

     In specific cases, particularly with severe muscle tears, immobilisation with a splint or brace may be necessary. These devices play a crucial role in preventing further movement, which can be particularly beneficial during the early stages of recovery. They also provide essential support to the muscle as it heals.

    What are the surgical treatments for muscle tears?

    Arthroscopy

    Arthroscopic surgery is a minimally invasive procedure that is used to assess and treat muscle tears, especially when they occur in or near a joint. During arthroscopy, a camera called an arthroscope is used to visualise the tear and enable doctors to treat your injuries with minimal damage to surrounding tissues.

    Muscle Repair

    Muscle repair surgery is performed when there is a significant tear in the muscle tissue. This procedure involves reattaching the torn ends of the muscle to one another, often using sutures or other techniques. The goal is to ensure that the muscle heals correctly and regains its strength and function.

    Muscle Rupture Surgery

    Muscle rupture surgery is typically reserved for severe cases where a portion of the muscle has ruptured or detached completely. Depending on the specific location and severity of the injury, these procedures can include muscle repair, grafting, or other techniques to repair or reconstruct the damaged muscle.

    Tendon Transfer

    In the event where the muscle is irreparable due to a significant tear, a tendon transfer will be performed. This procedure involves the relocation of a healthy tendon from one area of the body to another, providing strength and stability to a weakened or damaged area.

    How long is the timeline of recovery?

    The timeline of recovery for a muscle tear will depend on several factors such as the severity of the injury, the specific muscle involved, along with age and health of the individual affected. For Grade 1 tears, individuals are expected to heal in 2 to 4 four weeks, with a full recovery in 2 months. However, those with Grade 3 tears will have varying timelines depending on the type of surgery they receive, often spanning from 6 to 9 months.

    Which parts of the body are more at risk of muscle tears?

    Shoulder

    The shoulder, specifically the rotator cuff muscles, is a common site for muscle tears. Activities that include repetitive overhead motions, such as baseball, tennis, and swimming can place significant stress on the affected muscles which can lead to muscle fatigue and a higher risk of tears.

    Hamstring

    Hamstring muscle tears are often attributed to athletes who participate in sports that require explosive movements, quick accelerations, and sprinting, such as track and field. However, this condition can affect anyone through everyday movements like ending down to pick something up or simply going for a jog as they can strain the hamstring muscles at the back of your thigh.

     Elbows

     Elbow muscle tears can occur due to repetitive actions, like typing on a keyboard for extended periods of time or frequent lifting. These everyday actions are performed by us on a routine basis, which can strain our elbows leading to discomfort or injury.

    :

    How can you prevent muscle tears?

    Participate in a variety of activities

    Different activities work various muscle groups, reducing the risk of overuse injuries. For instance, if you're an avid runner, consider incorporating swimming into your routine to give your leg muscles a break. Cross-training not only prevents strain but also keeps your workouts exciting and engaging.

    Use proper form and technique

    Regardless of the activity you are participating in, using the proper form and technique is essential to preventing injuries. Whether you are taking part in sports or lifting a load of laundry, using the incorrect form can place undue stress on your muscles.

    Pay attention to warning signs

    When your body begins to feel sore or shows signs of discomfort during any activity, you should stop and take a break. Ignoring these signs can lead to injuries as they can be early indicators of an impending muscle strain.

    Wear proper footwear

    Having a pair of shoes for all types of activities may be common, but it can be detrimental to the muscles in our lower body. For example, running shoes are designed for forward motion and may not provide adequate support for activities involving side-to-side movements. Different shoes protect different parts of your foot, whilst being designed for various activities. Therefore, using a one-size-fits-all pair will inevitably cause you pain in the long run.

     

    Are you or a loved one suffering from muscle tear?

    While mild muscle tears may be treated at home, we recommend visiting a doctor to determine the severity of your condition in addition to having the best suited muscle tear treatment recommended to you. Book an appointment with us at Avant Orthopaedics for a personalised consultation today and don’t let pain hold you back.