Conservative Treatment

  • Luis Til
  • Paulo Barreira
  • João Pedro Araújo
  • Nuno Loureiro
  • Stefano Della Villa
Chapter

Abstract

When a typical history of muscle contusion or muscle strain is followed by local pain, swelling and/or distal ecchymosis, the diagnosis of a muscle injury may be apparent. Herein, we discuss the management and decision-making on muscle injuries of footballers.

Keywords

Muscle injuries Management Conservative treatment 

References

  1. 1.
    Boutin RD, Fritz RC, Steinbach LS. Imaging of sports-related muscle injuries. Radiol Clin N Am. 2002;40:333–62.CrossRefPubMedGoogle Scholar
  2. 2.
    Reurink G, Brilman EG, de Vos RJ, Maas M, Moen MH, Weir A, Goudswaard GJ, Tol JL. Magnetic resonance imaging in acute hamstring injury: can we provide a return to play prognosis? Sports Med. 2015;45:133–46.CrossRefPubMedGoogle Scholar
  3. 3.
    Orchard J, Best TM. The management of muscle strain injuries: an early return versus the risk of recurrence. Clin J Sport Med. 2002;12:3–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Orchard J, Best TM, Verrall GM. Return to play following muscle strains. Clin J Sport Med. 2005;15:436–41.CrossRefPubMedGoogle Scholar
  5. 5.
    Kwak H-S, Lee K-B, Han Y-M. Ruptures of the medial head of the gastrocnemius (“tennis leg”): clinical outcome and compression effect. Clin Imaging. 2006;30:48–53.CrossRefPubMedGoogle Scholar
  6. 6.
    Hunter AM, Galloway SD, Smith IJ, Tallent J, Ditroilo M, Fairweather MM, Howatson G. Assessment of eccentric exercise-induced muscle damage of the elbow flexors by tensiomyography. J Electromyogr Kinesiol. 2012;22:334–41.CrossRefPubMedGoogle Scholar
  7. 7.
    Järvinen TA, Järvinen TL, Kääriäinen M, Kalimo H, Järvinen M. Muscle injuries biology and treatment. Am J Sports Med. 2005;33:745–64.CrossRefPubMedGoogle Scholar
  8. 8.
    Silder A, Thelen DG, Heiderscheit BC. Effects of prior hamstring strain injury on strength, flexibility, and running mechanics. Clin Biomech. 2010;25:681–6.CrossRefGoogle Scholar
  9. 9.
    Järvinen TA, Järvinen TL, Kääriäinen M, Äärimaa V, Vaittinen S, Kalimo H, Järvinen M. Muscle injuries: optimising recovery. Best Pract Res Clin Rheumatol. 2007;21:317–31.CrossRefPubMedGoogle Scholar
  10. 10.
    Silder A, Heiderscheit BC, Thelen DG, Enright T, Tuite MJ. MR observations of long-term musculotendon remodeling following a hamstring strain injury. Skeletal Radiol. 2008;37:1101–9.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Robinson M, Hamilton B. Medical interventions in the management of hamstring muscle injury. Eur J Sport Sci. 2014;14(7):743–51.CrossRefPubMedGoogle Scholar
  12. 12.
    Bleakley C, Glasgow P, Webb M. Cooling an acute muscle injury: can basic scientific theory translate into the clinical setting? Br J Sports Med. 2012;46:296–8.CrossRefPubMedGoogle Scholar
  13. 13.
    Andia I, Sánchez M, Maffulli N. Platelet rich plasma therapies for sports muscle injuries: any evidence behind clinical practice? Expert Opin Biol Ther. 2011;11:509–18.CrossRefPubMedGoogle Scholar
  14. 14.
    Malliaropoulos N, Papalexandris S, Papalada A, Papacostas E. The role of stretching in rehabilitation of hamstring injuries: 80 athletes follow-up. Med Sci Sports Exerc. 2004;36:756–9.CrossRefPubMedGoogle Scholar
  15. 15.
    Kraemer R, Knobloch K. A soccer-specific balance training program for hamstring muscle and patellar and achilles tendon injuries an intervention study in premier league female soccer. Am J Sports Med. 2009;37:1384–93.CrossRefPubMedGoogle Scholar
  16. 16.
    Schmitt B, Tim T, McHugh M. Hamstring injury rehabilitation and prevention of reinjury using lengthened state eccentric training: a new concept. Int J Sports Phys Ther. 2012;7:333–41.PubMedPubMedCentralGoogle Scholar
  17. 17.
    Askling CM, Tengvar M, Thorstensson A. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols. Br J Sports Med. 2013;47(15):953–9.CrossRefPubMedGoogle Scholar
  18. 18.
    Sherry MA, Best TM. A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. J Orthop Sports Phys Ther. 2004;34:116–25.CrossRefPubMedGoogle Scholar
  19. 19.
    Silder A, Sherry M, Sanfilippo J, Tuite M, Hetzel S, Heiderscheit B. Clinical and morphological changes following 2 rehabilitation programs for acute hamstring strain injuries: a randomized clinical trial. J Orthop Sports Phys Ther. 2013;43(5):284–99.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Heiderscheit BC, Sherry MA, Silder A, Chumanov ES, Thelen DG. Hamstring strain injuries: recommendations for diagnosis, rehabilitation and injury prevention. J Orthop Sports Phys Ther. 2010;40:67.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Mendiguchia J, Brughelli M. A return-to-sport algorithm for acute hamstring injuries. Phys Ther Sport. 2011;12:2–14.CrossRefPubMedGoogle Scholar
  22. 22.
    Mendiguchia J, Alentorn-Geli E, Brughelli M. Hamstring strain injuries: are we heading in the right direction? Br J Sports Med. 2012;46:81–5.CrossRefPubMedGoogle Scholar
  23. 23.
    Frohm A, Heijne A, Kowalski J, Svensson P, Myklebust G. A nine-test screening battery for athletes: a reliability study. Scand J Med Sci Sports. 2012;22:306–15.CrossRefPubMedGoogle Scholar
  24. 24.
    Cameron ML, Adams RD, Maher CG, Misson D. Effect of the HamSprint Drills training program on lower limb neuromuscular control in Australian football players. J Sci Med Sport. 2009;12:24–30.CrossRefPubMedGoogle Scholar
  25. 25.
    Kubota J, Ono T, Araki M, Torii S, Okuwaki T, Fukubayashi T. Non-uniform changes in magnetic resonance measurements of the semitendinosus muscle following intensive eccentric exercise. Eur J Appl Physiol. 2007;101:713–20.CrossRefPubMedGoogle Scholar
  26. 26.
    Mendiguchia J, Garrues MA, Cronin JB, Contreras B, Los Arcos A, Malliaropoulos N, Maffulli N, Idoate F. Nonuniform changes in MRI measurements of the thigh muscles after two hamstring strengthening exercises. J Strength Cond Res. 2013;27:574–81.CrossRefPubMedGoogle Scholar
  27. 27.
    Guex K, Millet GP. Conceptual framework for strengthening exercises to prevent hamstring strains. Sports Med. 2013;43(12):1207–15. doi:10.1007/s40279-013-0097-y.
  28. 28.
    Malliaropoulos N, Mendiguchia J, Pehlivanidis H, Papadopoulou S, Valle X, Malliaras P, Maffulli N. Hamstring exercises for track and field athletes: injury and exercise biomechanics, and possible implications for exercise selection and primary prevention. Br J Sports Med. 2012;46:846–51.CrossRefPubMedGoogle Scholar
  29. 29.
    Guex K, Gojanovic B, Millet GP. Influence of hip-flexion angle on hamstrings isokinetic activity in sprinters. J Athl Train. 2012;47:390–5.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Guex K, Degache F, Gremion G, Millet GP. Effect of hip flexion angle on hamstring optimum length after a single set of concentric contractions. J Sport Sci. 2013;31:1545–52.Google Scholar
  31. 31.
    Blazevich AJ, Cannavan D, Coleman DR, Horne S. Influence of concentric and eccentric resistance training on architectural adaptation in human quadriceps muscles. J Appl Physiol. 2007;103:1565–75.CrossRefPubMedGoogle Scholar
  32. 32.
    Schache AG, Dorn TW, Blanch PD, Brown NA, Pandy MG. Mechanics of the human hamstring muscles during sprinting. Med Sci Sports Exerc. 2012;44:647–58.CrossRefPubMedGoogle Scholar
  33. 33.
    Chumanov ES, Heiderscheit BC, Thelen DG. The effect of speed and influence of individual muscles on hamstring mechanics during the swing phase of sprinting. J Biomech. 2007;40:3555–62.CrossRefPubMedGoogle Scholar
  34. 34.
    Ardern CL, Taylor NF, Feller JA, Webster KE. A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med. 2013;47:1120–6.CrossRefPubMedGoogle Scholar

Copyright information

© ISAKOS 2017

Authors and Affiliations

  • Luis Til
    • 1
  • Paulo Barreira
    • 2
  • João Pedro Araújo
    • 3
    • 4
  • Nuno Loureiro
    • 3
  • Stefano Della Villa
    • 5
  1. 1.Barcelona Medical Services, FIFA Medical Center of ExcellenceBarcelonaSpain
  2. 2.FootballMedicine®, Al Jazira SCAbu DhabiUAE
  3. 3.Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of ExcellencePortoPortugal
  4. 4.Medical DepartmentAl Jazira Football ClubDubaiUAE
  5. 5.Isokinetic Medical GroupBolognaItaly

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