Patient Success Spotlight
Sprains are an injury to a ligament that is overstretched or torn because of anabruptpullorexcessivemovement to the joint. Sprainsaremoreprone tohappennear the joints like theankle,knee,wrist,andelbows.Strains,by contrast,occurwhenamuscle istornoroverstretchedresulting inatearing ofthetendonormuscle. Strainsare likelytohappen in largemusclegroups (neck, back, quads, hamstrings, and shoulder). FAST FACTS ON SPRAINS AND STRAINS Grade1 “mild”sprainorstrainwithafewmuscleor ligament/tendonfibers stretchedortorn. The injuredareawillbetenderandpainfulwithpossible mild muscle spasms and inflammation and usually heals quickly with prompt intervention and therapeutic exercise. Grade II sprain or strain will have more moderate (partial) tearing of the muscle or ligament/tendon fibers, but fibers remain intact. The area will be very tender and painful with swelling, bruising,and muscle spasms Therewillbe lossofstrengthanddifficultymoving. Inaddition toprompt intervention, immobilization may be necessary to accelerate healing. Grade III and worst grade consists of complete tearing of the muscle, tendon, or ligament resulting in a loss of function in the injured limb and joint instability. It is very painful and the injured person will be unable to perform normal tasks. Prompt assessment and diagnosis is essential to determine the best course of treatment, which may include surgery. Sprains and strains are categorized according to severity:
“I not only finished the Marathon pain free, my time was 20 minutes faster than my goal.” “I was training for the Boston Marathon and developed hip pain as my mileage increased. I took advantage of CPTE’s free injury assessment and discovered that my gait was wrong and it added stress to my hip joint. With 8 weeks to go, I started physical therapy with Dave. He did a great job in calming my hip pain and modifying my gait so I was running more efficiently. I not only finished the Marathon pain free, my time was 20 minutes faster than my goal. Dave and his staff were professional, friendly, and encouraging. I enjoyed the experience and looked forward to each therapy session. It was clear that every other patient in the clinic felt the same way I did. I recommend CPTE to everyone!”
Initial Care for a Sprain or Strain
The earlier a thorough assessment is performed and appropriate care initiated, the quicker the recovery will be. A Simple guideline for self management until assessment can be conducted is PRICE.
- J. Desmond
P= Protection from further injury. Brace, splints, crutches
ARUGULA, GRAPE, AND SUNFLOWER SEED SALAD
R= Rest
I= Ice shouldbeappliedassoonaspossibleafter injuryfor10-20minutes (over 20-30 minutes can cause skin damage.) every 2 to 3 hours. C=Compression upto24hours–pressureshouldbemildandcomfortable NOTTIGHT. Remove at night E= Elevation - raise the body part above your heart. Avoid HARM– Heat, Alcohol, Running, Deep Massage for 72 hours. Rule: If you can’t walk more than 3 steps, can’t move the joint, or have numbness in any part of the injury area you should seek immediate medical care. To receive prompt care of a possible Sprain or Strain, call CPTE for a Free InjuryScreeningtodeterminethe levelofthesprainorstrainandappropriate follow-up care. (603-880-0448).
• 7 c loosely packed baby arugula • 2 c red grapes, halved • 2 tbsps toasted sunflower seed • 1tsp chopped fresh thyme • 1/4tsp salt • 1/4tsp ground black pepper
INGREDIENTS • 3 tbsps red wine vinegar • 1tsp honey • 1tsp maple syrup • 1/2tsp stone-ground mustard • 2 tsp grapeseed oil
DIRECTIONS Combine vinegar, honey, syrup, and mustard in a small bowl. Gradually addoil,stirringwithawhisk.Combinearugula,grapes,seeds,and thyme in a large bowl. Drizzle vinegar mixture over arugula; sprinkle with salt and pepper. Toss gently to coat.
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