There are several stages of muscle damage (contracture, elongation, tearing or cracking, rupture or disinsertion). These differences between lesions are related to their depth. “In the event of a tear, fibers are damaged and broken, which causes a brutal pain, a muscle bloating or on the contrary a strong contraction and one hematoma, specifies Dr Bacquaert, sports doctor and chief medical officer of the IRBMS,. Muscle tear can go as far as rupture. The pain is then searing and can even cause discomfort. There is muscle retraction because the muscle is no longer attached. ”
Thigh muscle tear: which muscles are affected?
The muscle tear in the thigh touch either hamstrings, muscles located behind the thigh, and which go from the hips to the back of the tibia and fibula, or the quadriceps, the largest muscle in the human body, and located on the anterior side of the thigh.
“Muscle tears in the hamstrings are seen mainly in the sprinters, to soccer, to rugby, to handball or in people who doAthletics, specifies the sports doctor. As for the tear in the quadriceps, it often occurs during a football or rugby shoot. “
How to treat a thigh strain on the instant?
The immediate support is important. “It can be summed up in 4 steps, details sports doctor: ice pose on the affected muscle, the compression, the’elevation and theimmobility, according to the ‘RICE’ protocol. ”
Good to know: whatever the muscle pain, you should not never massage in first intention. Nor apply heat. “These actions worsen the lesion and cause the muscle fibers to bleed,” warns the doctor.
The clinical examination is based on the palpation of the affected muscle with a comparative examination in order to check whether there is a retraction, the presence of a hematoma, a functional impotence.
“The complementary reference examination for muscle tears is ultrasound,” explains Dr. Bacquaert. And if there is any doubt about a possible tendon or bone tear, an MRI is then prescribed. “
How long to rest?
” A muscle tear is treated with rest and cold, never in the heat, specifies Dr Bacquaert. The put to rest is from 15 to 30 days and can go up to two months in case of rupture. ”
Initially, the use of massages is not advised. “They can be recommended after at least 15 days of healing, and after control ultrasound, when there are residual fibrous scars, blistered, details the specialist. We therefore recommend deep transverse massages that stimulate fibers and help them recover. ”
Muscle tear: should you have a bandage?
” We avoid the retention 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 an emergency, a strapping, or even a restraint, is carried out in order to avoid the spread of a hematoma, it is necessary avoid the sticker bandage on the skin and apply over cold pockets every 2 hours for 15 minutes, then see a doctor.
Muscle tear: what complications?
During a muscle tear, there may be constitution of a hematoma. The latter does not always appear immediately. It can occur several days after the muscle accident (sometimes 5 to 6 days later).
“For better muscle recovery, we can puncture the hematoma under ultrasound, suggests Dr Bacquaert. Otherwise the latter can become encysted and calcified. The puncture then allows better recovery. ”
Muscle tear with rupture: what to do?
There are two possibilities. “The first is to let nature recover alone, which takes time, says Dr Bacquaert. The second to surgically repair. But be careful, a muscle tear with rupture can occur after the initial sports accident if you do not respect the rest.
In addition, in the event of a rupture, it is important that your doctor can confirm that the tendon is not also ruptured.