acute soft tissue injuries dr. neil a. singh. soft tissue injury a soft tissue injury (sti) is the...
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Acute Soft Tissue Injuries
Dr. Neil A. Singh
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Soft Tissue Injury
A soft tissue injury (STI) is the damage of muscles, ligaments and tendons throughout the body.
Common soft tissue injuries usually occur from a sprain, strain, a one off blow resulting in a contusion or overuse of a particular part of the body.
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Classic Pattern of STI
Swelling
Heat
Erythema
Pain
Loss of function
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Management
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PRICES
P= Protect
R= Rest
I= Ice
C= Compression
E= Elevation
S= Support
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Protect• Athlete
• Surrounding Structures
• Other Competitors
• Injured Parts
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Rest• Absolute Rest
• Relative Rest
• Active Rest
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Ice• Ice cubes
• Chemical Ice Packs
• Reusable Gel Cold Packs
• Coolant Sprays
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Ice
Application
Apply for 10-20 mins, every 2 hours initially
Do not exceed 20-30 mins continuously
Apply for first 48-72 hours
Benefits
Limits bleeding
Limits swelling
Limits further tissue damage
Assists with pain control
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Ice
Contraindications
• Broken or damaged skin
• Suspected nerve damage
• Suspected altered circulation
• When ice worsens pain
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Compression• Support injured area
• Decrease swelling
• Supportive Bandage or Strapping
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Elevation• Must be > 45°
angle
• Combine with support
• Maintain for at least 24 hours
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Support• Stabalize injured tissue
• Prevent further injury
• Allows early commencement of controlled and monitored activity
• Shortens rehab period
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THANK YOU!