Acute Soft Tissue Injuries Dr. Neil A. Singh

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.

Classic Pattern of STI Swelling Heat Erythema Pain Loss of function

Management

PRICES P= Protect R= Rest I= Ice C= Compression E= Elevation S= Support

Protect Athlete Surrounding Structures Other Competitors Injured Parts

Rest Absolute Rest Relative Rest Active Rest

Ice Ice cubes Chemical Ice Packs Reusable Gel Cold Packs Coolant Sprays

Ice Application Benefits Apply for 10-20 mins, every 2 hours initially Do not exceed 20-30 mins continuously Apply for first 48-72 hours Limits bleeding Limits swelling Limits further tissue damage Assists with pain control

Ice Contraindications Broken or damaged skin Suspected nerve damage Suspected altered circulation When ice worsens pain

Compression Support injured area Decrease swelling Supportive Bandage or Strapping

Elevation Must be > 45° angle Combine with support Maintain for at least 24 hours

Support Stabalize injured tissue Prevent further injury Allows early commencement of controlled and monitored activity Shortens rehab period

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