There are several stages of muscle damages: the contracture, the’elongation, the tear also called breakdown, rupture. These different lesions are linked to their depth. “In the event of a tear, the fibers are damaged and broken, which causes pain brutal one muscle bloating or, on the contrary, a strong contracture and the appearance of a hematoma, specifies Dr Bacquaert. The muscle tear can go as far as rupture with disinsertion. The pain is then searing and can even cause discomfort. There is muscle retraction because the muscle is no longer attached. ”
Torn back muscles: risky sports
The muscle tear in the back touches the muscles latissimus dorsi. It occurs more particularly during the practice of certain sports such as weightlifting, the shot put where the discus throw.
“Muscle tears can also occur during small gestures made during physical activity, by doing do-it-yourself, from gardening or one brutal wrong move, ”Specifies the sports doctor.
How to treat her?
“At the moment, we must set up the RICE protocol which is based on 4 principles, specifies the sports doctor: the ice pose on the affected muscle, the compression, the’elevation and theimmobility. On the other hand, whatever the muscle pain, one should not never massage in first intention nor apply heat. This gesture worsens the lesion and causes the muscle fibers to bleed. ”
How is the diagnosis made?
“In a muscle tear, the patient often presents with so-called analgesic position, that is to say by blocking his attitude so as not to suffer, explains Dr. Bacquaert. We must then make the difference between lumbago and a muscle tear. “
The clinical examination is based on muscle palpation reached with a comparative examination to check whether there is a retraction, the presence of a hematoma, a functional impotence.
“The gold standard for muscle tear is theultrasound, specifies Dr Bacquaert. And if there is any doubt about the origin of the pain a MRI or one to scan can help. ”
Muscle tear: rest above all
“A muscle tear is treated by rest and cold, never in the heat, specifies Dr Bacquaert. The put to rest is 15 to 30 days and can go up to two months in case of rupture. “
Initially, recourse to massages is not advised. “They can be recommended after at least 15 days of healing, and after control ultrasound, when there are residual fibrous, swollen scars, explains the specialist. We therefore recommend deep transverse massages that stimulate fibers and help them recover. ”
” Contention is avoided by circular strapping in order not to risk nerve or circulatory compression, advises the sports doctor. We prefer anatomical strapping which is the responsibility of the paramedical or medical field, but not of the private individual! ”
If in emergency you carry out a strapping or even a contention in order to avoid the diffusion of a hematoma avoid self-adhesive bandages on the skin and apply over cold pockets every 2 hours for 15 minutes then see a doctor.