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brie k
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 Posted: 06/27/06 - 17:59 Post subject: ? re torn v. pulled hamstring
You can move this, but I wasn't sure where it would fit in, and I wanted input from the gang (because you are the wisest of the wise in this area).
JM did something to his hamstring yesterday during a tug-of-war with his campers v. the fire department. He slipped, did the splits, and while in that position, someone fell or stepped or something onto his hammy. He was sore immediately, and was mildly sore today, then was screwing around with campers again today and did something to it again, worsened it somehow.
If it were torn, would he be somewhat debilitated by this?
He has a high threshold for pain, but he is thinking about actually taking a prescription pain pill for this, so I am wondering if it is something more than a pull.
Thanks for your input!
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karlene
Canadian Bacon
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Posted: 06/27/06 - 18:00 Post subject:
i don't have any advice...
But Yowza, it sounds painful!! 
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Floridaboiler
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Posted: 06/27/06 - 18:36 Post subject:
I am guessing it is just a pulled/strained hamstring. I think if it was ripped he wouldn't be walking.
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JACKED UP
PRESIDENT
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Posted: 06/27/06 - 19:06 Post subject:
| Floridaboiler wrote: | | I am guessing it is just a pulled/strained hamstring. I think if it was ripped he wouldn't be walking. |
Yup.
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gretriever
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Posted: 06/27/06 - 19:38 Post subject: Re: ? re torn v. pulled hamstring
| brie k wrote: | | . He was sore immediately, and was mildly sore today, then was screwing around with campers again today and did something to it again, worsened it somehow. |
How open-minded of you! 
Seriously though - if he's thinking of getting a prescription for a pain-killer, why isn't he going to a doctor? (high-threshhold thing aside)
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Phar lap
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Posted: 06/27/06 - 19:48 Post subject:
RICE, RICE, RICE.
1. REST.
2. ICE. 20 minutes on 20 minutes off. REPEAT, REPEAT, REPEAT.
3. COMPRESSION. Apply a firm bandage to the area.
4. ELEVATION.
Of course it could be torn. If, as you say he has a high pain threshold and he is seeking pain pills, chances are it is more than just a strain.
First things first - RICE. RICE. RICE.
Pills relieve the immediate pain but they do NOTHING to fix the cause.
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brie k
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Posted: 06/27/06 - 21:55 Post subject:
Thanks, everyone.
He is icing it, but not as much as he needs to. Unfortunately, being camp director leaves him little down-time. Camp ends on Saturday though, and he will have a couple weeks of not having to do much. I hope he will be able to relax and not work it too much. He's not even really limping, so I do think it is just a sprain, irritated slightly by the playing today.
Thanks again!
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Lez Bez
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Posted: 06/28/06 - 18:52 Post subject:
| Phar lap wrote: | RICE, RICE, RICE.
1. REST.
2. ICE. 20 minutes on 20 minutes off. REPEAT, REPEAT, REPEAT.
3. COMPRESSION. Apply a firm bandage to the area.
4. ELEVATION.
Of course it could be torn. If, as you say he has a high pain threshold and he is seeking pain pills, chances are it is more than just a strain.
First things first - RICE. RICE. RICE.
Pills relieve the immediate pain but they do NOTHING to fix the cause. |
To be pedantic it's:
1. PROTECTION - Injured person to refrain from painful activities/positions - Injured part to be immobilised.
2. REST - First 48 hours post injury, after this move to active movements as soon as possible that do not produce pain.
3. ICE. 15 - 20 minutes every 2 'waking hours'. If you are going to ice 20 mins on 20 mins off, then it's vital that you do a capilary refil test (squeeze the large toe nail, should go white and blood should return quickly). Ensure that you don't get an ice burn, so use a medium such as massage oil, sports gel (I've used Dave's Organic Sports Gel 'albmaleaf' and it has some excellent healing properties in the ingredients - and can be bought online).
It's vital that the person doesn't have any contraindications to ice.
4. COMPRESSION. Apply a firm bandage to the area. - again ensuring circulation is good. (as mentioned for ice)
5. ELEVATION - Limb elevated above heart level -assists with the return of blood and fluid to the heart from the injury site.
Depending on how bad the strain and/or tear is massage can begin 72+ hours after the injury, when a hamstring injury repairs (same with other muscles) 'kinks and curls' will form, and basically this needs to be 're-aligned'.
A lot of people make the mistake in thinking that when the muscles have 'remoulded' so to speak (approx 21 days) that everything is sorted.
The pain may not be there after 21 days BUT the 'kinks and curls' are actual scar tissue, and need to be re-aligned, so that the hamstring muscle(s) can work as normal again.
So depending on the severity massage and linear strokes and some light frictioning can be done by a sports therapist after 3 days.
A good sports therapist will advise which muscle(s) is effected. The 3 hamstring muscles are biceps femoris, semitendinosus and semimembranosus.
After 3 days/ on 3 days depending on how the massage and frictioning went, passive stretching can be carried out, and after that PNF can be achieved, as long as the injury is healing nicely.
I personally think PNF is brilliant because it really helps gain flexibility again. With the Hamstrings you would start off by holding the achilles tendon with finger and thumb, and carefully raise the leg until you feel a point of where the hamstring feels tight.
This is the good bit .....! Keep the Knee slightly flexed, so as not to over do things, and the therapist would probably use place the clients ankle on the shoulder, and when the stretch starts to release, then the client can push against the therapists shoulder, and then slowly when the stretch eases again the therapist will ask the client to take a deep breath and pull the leg back, which allows a further stretch of the hamstrings. This is then repeated...client pushes against shoulder, deep breath, pull back again, as long as the stretch goes off, and this is known as PNF (Proproprioceptive neuromuscular facilitation).
PNF should never be done in the acute stage which is common sense.
After PNF, ice can be placed on the 'hammys' and this will certainly help retain the stretch.
Heat can also be applied after the acute stage - so at least 72 hours after injury again depending on the severity - to help increase circulation, hence getting blood to the injury and promoting healing.
Hope this helps you as well, Lez.
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Lez Bez
Newbie
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Joined: 28 Jun 2006
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Posted: 07/06/06 - 16:51 Post subject:
| Lez Bez wrote: | | Phar lap wrote: | RICE, RICE, RICE.
1. REST.
2. ICE. 20 minutes on 20 minutes off. REPEAT, REPEAT, REPEAT.
3. COMPRESSION. Apply a firm bandage to the area.
4. ELEVATION.
Of course it could be torn. If, as you say he has a high pain threshold and he is seeking pain pills, chances are it is more than just a strain.
First things first - RICE. RICE. RICE.
Pills relieve the immediate pain but they do NOTHING to fix the cause. |
To be pedantic it's:
1. PROTECTION - Injured person to refrain from painful activities/positions - Injured part to be immobilised.
2. REST - First 48 hours post injury, after this move to active movements as soon as possible that do not produce pain.
3. ICE. 15 - 20 minutes every 2 'waking hours'. If you are going to ice 20 mins on 20 mins off, then it's vital that you do a capilary refil test (squeeze the large toe nail, should go white and blood should return quickly). Ensure that you don't get an ice burn, so use a medium such as massage oil, sports gel (I've used Dave's Organic Sports Gel 'albmaleaf' and it has some excellent healing properties in the ingredients - and can be bought online).
It's vital that the person doesn't have any contraindications to ice.
4. COMPRESSION. Apply a firm bandage to the area. - again ensuring circulation is good. (as mentioned for ice)
5. ELEVATION - Limb elevated above heart level -assists with the return of blood and fluid to the heart from the injury site.
Depending on how bad the strain and/or tear is massage can begin 72+ hours after the injury, when a hamstring injury repairs (same with other muscles) 'kinks and curls' will form, and basically this needs to be 're-aligned'.
A lot of people make the mistake in thinking that when the muscles have 'remoulded' so to speak (approx 21 days) that everything is sorted.
The pain may not be there after 21 days BUT the 'kinks and curls' are actual scar tissue, and need to be re-aligned, so that the hamstring muscle(s) can work as normal again.
So depending on the severity massage and linear strokes and some light frictioning can be done by a sports therapist after 3 days.
A good sports therapist will advise which muscle(s) is effected. The 3 hamstring muscles are biceps femoris, semitendinosus and semimembranosus.
After 3 days/ on 3 days depending on how the massage and frictioning went, passive stretching can be carried out, and after that PNF can be achieved, as long as the injury is healing nicely.
I personally think PNF is brilliant because it really helps gain flexibility again. With the Hamstrings you would start off by holding the achilles tendon with finger and thumb, and carefully raise the leg until you feel a point of where the hamstring feels tight.
This is the good bit .....! Keep the Knee slightly flexed, so as not to over do things, and the therapist would probably use place the clients ankle on the shoulder, and when the stretch starts to release, then the client can push against the therapists shoulder, and then slowly when the stretch eases again the therapist will ask the client to take a deep breath and pull the leg back, which allows a further stretch of the hamstrings. This is then repeated...client pushes against shoulder, deep breath, pull back again, as long as the stretch goes off, and this is known as PNF (Proproprioceptive neuromuscular facilitation).
PNF should never be done in the acute stage which is common sense.
After PNF, ice can be placed on the 'hammys' and this will certainly help retain the stretch.
Heat can also be applied after the acute stage - so at least 72 hours after injury again depending on the severity - to help increase circulation, hence getting blood to the injury and promoting healing.
I had a minor tear of my hamstring and used Albmaleaf sports and muscle massage gel, www.albmaleaf.co.uk and it helped me a lot.
Hope this helps you as well, Lez. |
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Lez Bez
Newbie
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Joined: 28 Jun 2006
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Posted: 07/06/06 - 16:57 Post subject:
bump
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