Soft tissues injuries are most common in sport. Said tissues supports and surrounds parts of the body including; muscles, tendon, ligaments fascia, nerves, fibrous tissue, fat, blood vessels and synovial membranes. Soft tissue injuries normally involve sprains, strains or direct blows. (Soft tissue injuries n.d., Sports Medicine Australia, Australia). These types of injuries cause bleeding and swelling to injured areas such as the ankles, thumbs, feet, knee and wrist. The specific injury of soft tissue is generally diagnosed into the following grades:
• Grade 1: Usually mild, and involves up to 10 percent of the muscle or ligament.
• Grade 2: Tears are moderate tears, involving 10‐90 ...view middle of the document...
The ligaments act like rubber bands and keep the knee stable. (Cluett, J 2014 ACL ears, Orthopaedics about), when the Anterior Cruciate Ligament is torn or sprained you lose range of movement in the knee, very tender when walking or participating in activity and swelling around the knee will occur. The Anterior Cruciate Ligament can be torn or sprained by changing direction quickly, landing incorrectly and direct contact. (Soft tissue injuries, Wakefield sports clinic, 2013)
The grading system helps to diagnose the injury to determine what has happened and to see what is needed to be done to fix the damaged ligament. Depending on severity of the injury this will determine if surgery is required to repair the ligaments. (OrthoInfo, 2009 ACL injury, American Academy of Orthopaedic Surgeons, America, accessed 6 May 2014). The Achilles tendon is one of the longest tendons in the human body because it starts at the bottom of your heal and finishes at the calf muscle. The Achilles tendon feels like a rubber band as you can feel it at the back of your foot. (Achilles tendonitis, 2011 Better Health Channel, accessed 6 May 2014) Rupture of the Achilles tendon is most common in middle aged athletes. The reason why it mainly occurs in middle aged athletes because of overuse, not stretching enough and just basic running can cause the tendon to rupture or tear. (Soft tissue injuries, 2013, Wakefield sports clinic, accessed 28 March 2014). Symptoms of a ruptured or torn Achilles tendon are swelling, having difficulty with moving foot and pointing toes. If an athlete has torn there Achilles tendon it can take from 10 weeks to 6 months to recover, surgery is required to repair the tendon and remove excess tissue. (Ebraheim, N 2010 Achilles tendon rupture, tear, tendonitis, , 9 September, 2014).
The most common soft tissue injury in the general population is a sprained ankle. The ankle injuries are mainly graded between grade 1 and grade 2 because most damage is usually ligament on the lateral (outer) side of the ankle. R.I.C.E.R. is the recommended therapy to treat soft tissue injuries as it assists in rehabilitation and limits the tissue damage while also increasing the healing process. The acronym stands for:
R: Rest = sitting and not moving the injured body part
I: Ice= 20 minute interval, 20 minutes ice, 20 minutes no ice for first 48 hours
C: Compression= keeping the injured area compressed with a bandage or sleeve
E: Elevation= whilst resting elevate the foot on the 20 minute interval with no ice, elevate above the heart. Elevate while sleeping
R: Referral to a medic= talking to a doctor or physiotherapist
The protocol also comes with a series of rules including; in the first 24-72 hours you must avoid heat to the injured area, avoid all movement and massage. The reason why you need to stay away from these things is because they will all increase the amount of bleeding, swelling and pain, all...