provide attachment points for muscles which cause motion at/around the joints. This synergy enables the muscles to create movement. The big question when evaluating injury is to determine which the primary cause of pain is and then deal with any other additional issues as well.
When the normal joint mechanics become altered, as with the joint and muscle injuries above, the function of all the components of the joint complex are altered as well. Musculo- skeletal injuries, whether with a joint sprain or with a muscle strain, will lead to detrimental effects in the other parts of the joint complex. It is also important to note that even though the pain from a muscle or joint injury has “gone away”; it does not mean that normal function has been restored. Many times we suffer the effects of injuries many weeks, months or years after the initial event. Another important com- ponent of the injury process that most people miss is the rehabilitation phase. For all signifi- cant injuries it is necessary to re-strengthen the injured area to prevent the injury from reoc- curring.
Treatment Protocols
For all acute injuries, I recommend to act immediately and aggressively. Treating the injury immediately can greatly reduce the recovery time. It is best to always remember this acronym: P.R.I.C.E.S.; Protection, Rest, Ice, Compression, Elevation & Support. Immedi- ately ice the injured area to reduce swelling and any bleeding. Use a compressive bandage to wrap the area thus reducing more swelling, giving the area support and protecting it from re-injury. Rest the area and avoid activity that will put stress on the injury site. Then elevate the area, above the level of the heart, to assist in the reduction of inflammation. Another question that is frequently asked is about the use of ice or heat. For all acute injuries use ice for the first 48-72 hours. For muscular injuries I recommend implementing heat after about 72 hours. For joint injuries, continue to use ice until the swelling resolves (like in the case of ankle sprains). And lastly, if a mild injury does not improve within a few days, worsens or the injury appears severe enough to seek care, don’t hesitate to get treatment.
Dr. Jim Hendricks is a doctor of chiropractic at Freeport Integrated Health Center in Freeport and has been in practice for 15 years. His undergraduate education is in Sports Biology and he is Certified Strength and Conditioning Specialist. His main focus of care is musculo- skeletal injuries and pain with a special interest in sports injuries. For more information go to
www.freeporthealth.com. See ad on page 11.
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