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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 Benefits Apply for 10-20 mins, every 2 hours initially
Do not exceed mins continuously Apply for first hours 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!
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