Strains
Overview, Causes, & Risk Factors
A strain refers to the stretching or tearing of a muscle or tendon as a result of excessive pulling during physical activity. Tendons are bands of tissue that connect muscles to bones.
What are the causes and risks of the injury?
Most strains are caused by excessive physical activity. Some common causes of strains include the following:
falls
motor vehicle accidents
obesity or overweight
overstretching, such as during an exercise warm-up session
running on an uneven surface
sports injuries
work-related injuries, such as lifting injuries and repetitive stress injuries
Symptoms & Signs
What are the signs and symptoms of the injury?
Symptoms of a strain include:
change in color and bruising around the muscle or tendon
decreased range of motion in nearby joints
difficulty moving the injured area
joint pain
muscle spasm
muscle weakness
swelling around the muscle or tendon
Diagnosis & Tests
How is the injury recognized?
Diagnosis of a strain begins with a medical history and physical examination. Occasionally, X-rays may be ordered to rule out bone fractures.
Prevention & Expectations
What can be done to prevent the injury?
An individual can lower the risk of strain by:
avoiding alcohol or drugs when driving, operating machinery, exercising, or playing sports
building muscles through a regular conditioning program
doing daily stretching exercises
eating a healthy diet, following the food guide pyramid
establishing an ergonomic workstation and using good body mechanics
following sports safety guidelines for children, adolescents, and adults
maintaining a healthy weight
warming up before sports and planned exercise
wearing seat belts in all moving vehicles
wearing shoes or boots that fit well and are appropriate for the planned activity
Treatment & Monitoring
What are the treatments for the injury?
Apply the RICE technique: Rest, Ice, Compression and Immobilization, and Elevation.
Rest means to restrict movement and weight-bearing in the injured area. A splint can be used if necessary.
Ice refers to the application of an ice pack or cold compress to the affected area.
Compression involves placing a bandage lightly around the injured area to decrease swelling. Immobilization means to avoid unnecessary movement of the affected area, particularly weight-bearing activity.
Elevatation means to keep the injured area raised above the heart if possible.
Medicines that reduce pain and inflammation, such as aspirin or ibuprofen, may be taken. Aspirin should never be given to children 19 years of age or younger, since it is associated with a disorder known as Reye's syndrome.
What are the side effects of the treatments?
Pain medicines and anti-inflammatory medicines may cause stomach upset or allergic reaction.
What happens after treatment for the injury?
If a certain activity causes repeated muscle strains, a person should strengthen the muscles in a way that does not cause continual damage. A healthcare provider can recommend an exercise program or physical therapy. Any new or worsening symptoms should be reported to the healthcare provider.
Attribution
Author:James Broomfield, MD
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:04/30/01
Reviewer:Eileen McLaughlin, RN, BSN
Date Reviewed:08/09/01