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(Pulled Muscle; Strain, Muscle)
|Muscles of the Back|
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- Muscle may not be ready for sudden stress
- Tension may be too much for the muscle to bear, such as lifting a weight that is too heavy for you
- Muscle is used too much on a certain day
- Athletic activities, especially those with running, lifting, and jumping
- Tight muscles
- Cold weather
Strain While Performing an Athletic or Physical Activity
Strain from an Accumulation of Stress
- Tenderness directly over the muscle
- Pain when contracting the muscle, particularly against resistance
- Pain when stretching the affected muscle
- Do not do activities that cause pain.
- If normal walking hurts, shorten your stride.
- Do not play sports until your doctor has said it is safe to do so.
- Over-the-counter medication, such as aspirin, ibuprofen, or acetaminophen
- Topical pain medication—creams or patches that are applied to the skin
- Prescription pain relievers
- Keep your muscles strong so they can absorb the energy of sudden stressful activities.
- After a short warm-up period, stretch out tight muscles, especially previously injured ones.
- Learn the proper technique for athletic activities to decrease muscle stress.
- Stop when you are tired. Tired muscles do not function well. They do not react properly to sudden stress.
American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
OrthoInfo.org - American Academy of Orthopaedic Surgeons http://orthoinfo.org
Health Canada http://www.hc-sc.gc.ca
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Counsel P, Breidahl W. Muscle injuries of the lower leg. Semin Musculoskelet Radiol. 2010 Jun;14(2):162-175.
Muscle strain. Johns Hopkins Medicine website. Available at: http://www.hopkinsortho.org/muscle%5Fstrain.html. Accessed May 13, 2014.
Orchard J, Best TM, et al. Return to play following muscle strains. Clinical Journal of Sport Medicine. 2005 Nov;15(6):436-41.
Sprains, strains, and other soft-tissue injuries. American Academy of Orthopaedics website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00304. Updated July 2007. Accessed May 13, 2014.
Zeni A, Morfe EG. Frontera: Essentials of Physical Medicine and Rehabilitation. 1st ed. Philadelphia, PA: Hanley and Belfus; 2002; chap 62.
1/4/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
- Reviewer: Teresa Briedwell, DPT, OCS
- Review Date: 05/2014
- Update Date: 00/51/2014