any physical activity within 14 days of distraction is the best way to get hurt!
If you think that there are amateurs who competed with a distraction muscle in progress, you can understand how distractions muscle can last for months and result in permanent damage.
Typically, when the pain is replaced by a painful swelling of the extension, stage left again is a good point, but obviously has not healed!
Complications-If this sensation persists, probably the distraction has evolved into fibrosis that need to be treated as soon as possible, to note that the processes and fibrotic scars are visible on the ultrasound as hyperechoic areas, uneven, irregular contours. Fibrosis is certainly the most common complication (cysts, calcifications and myositis events are rare and usually due to a mistreatment) and the most severe cases are caused by:
failure to sleep in the first two weeks of the accident
not minimal blood transfer (you can see ultrasonography immediately after the accident)
therapies attack ineligible (eg massage in the early days).
Care
Period stop - can last from 2 to 4 weeks until it passes the test of the stairs (up and down the stairs without any discomfort).
The immediate response is the compression with ice and, in severe cases, limb elevation for the lowest possible blood transfer (which is equivalent to less inflammation and less fibrotic evolution). Then you have to apply the method Stop & Go: absolute rest possibly with a few days of NSAIDs if the path and normal activities are permitted in the absence of pain, you should avoid any form of physical activity maintenance (without the guidance of a trained therapist are the risk of damage than the possible benefits of a solicitation of regenerative phenomena). After the first week you can use forms of endogenous thermotherapy, the Tecartherapy is indicated, but it does not work miracles; ultrasounds are often overstated. After 7-10 days. you can use a very controlled stretching, massage and fibrolisi are not recommended.
Phase physiotherapy - Depending on the severity of distraction, from the third week you can enter exercises for regaining strength, contractility, and proprioceptive sensitivity. In the absence of pain you can not traumatic alternative to a sport (cycling, swimming).
Massages are indicated, but should only be performed by qualified personnel, in the absence of which you should not use them. In any case, should not cause pain.
Goal of therapy is to restore the muscle to its original condition and prevent relapse and fibrotic formations, the latter must be treated immediately, if possible, with fibrolisi. The fibrolisi should be made only after the structures are in place, only after the ultrasound control has verified the presence of a fibrotic scar.
Many studies (for example, the implantation of myoblasts transfected with recombinant adenovirus with the LacZ gene, by direct injection of adenovirus with the B-galactosidase gene) are underway to find a therapeutic solution in terms of time much more acceptable than those of currently available therapies (ranging from 30 days to less serious distractions to four months in cases of misappropriation of third degree), but currently an intelligent management of distraction is the only way to minimize its impact.
