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February 21, 2025 7 min read

A muscle injury involves damage to the tendon or muscle itself. It is common among athletes and nonathletes alike. 

Any muscle can become injured. However, themost commonmuscle groups injured include the quadriceps, hamstring, and medial head of the calf muscle. Muscle injuries may consist of strains, tears, and contusions.

  • Strain: A muscle strain (pulled muscle) occurs when a muscle stretches beyond its standard capacity. It may cause a partial tear in the muscle fibers.

  • Tear:A muscle tear is a soft tissue injury that develops similarly to a strain when the muscle stretches too far. However, a muscle tear indicates a more serious strain, causing more damage to the muscle fibers.

  • Contusions:A muscle contusion can occur due to blunt force applied to the muscle. It causes an injury without breaking the skin. For example, falling can cause a direct blow to a muscle, leading to a contusion. 

There are many causes of muscle injuries, including: 

  • Overuse

  • Sudden trauma

  • Poor lifting techniques

  • Lack of flexibility

  • Improper warm-up

A proper muscle recovery program is vital to decreasing recovery time, preventing re-injury, and maintaining functioning. Skipping or rushing through a recovery phase may impede healing and increase the risk of further injury.

A collage of athletes recovering from injuries

II. The Acute Phase: Immediate Care P.R.I.C.E. Method

The quickest way to heal a pulled muscle or strain is to decrease initial swelling and pain. This is the acute phase, which occurs immediately after the injury.

The acute phase of muscle injury recovery involves preventing the injury from worsening, decreasing symptoms, and reducing pain. Experts often recommend using thePRICEmethod, which includes: 

Protection

Protection helps prevent further injury. Once you injure a muscle, it may be susceptible to further injury. Protection includes reducing activities that may cause pain, bracing, splinting, and using crutches as needed. 

Rest

Rest doesnot mean complete mobility. Instead, physicians use the term relative rest. This means avoiding activities that aggravate the injury. Complete immobility may slow healing.

Pain-free range-of-motion exercises are helpful to stimulate blood flow to the area and may promote healing.

Ice

Applying ice can decrease inflammation and numb the area, reducing pain. Different methods of cold therapy are available, such as using an ice pack or a cold compress. To reduce the risk of skin injury, limit ice exposure to about 15 minutes. Complete cycles of 15 minutes every few hours several times a day.

Compression

Compression may speed muscle recovery time by decreasing swelling. A bandage creates an external force on the injured tissue, which may reduce swelling and provide light support. A common bandaging technique is to place the bandage a few inches below the injury. Then, wrap it in a figure-eight spiral a few inches above the injured muscle.

Elevation

Elevation may promote fluid drainage away from the injury. It also reduces blood flow, which helps with swelling. Position the injured area above the heart level as much as possible. 

Pain Management

Pain management can take different forms, such as over-the-counter pain relievers, including non-steroidal anti-inflammatory medications. Cold therapy beyond ice may include an ice bath. If these methods aren't enough, you must speak to your healthcare provider to identify other options.

A collage of people using active approaches for injury recovery

III. The Recovery Phase: Active Approaches 

Muscle injury recovery time may vary depending on the severity of the injury. A person's health and medical conditions can affect how quickly they recover. Conditions like smoking or diabetes can slow healing.

After initial pain and swelling have decreased, an active approach is the next step in the recovery phase. An active approach to recovery includes implementing strategies that help promote healing. It typically consists of the following: 

Early Movement

Early movement may include dynamic stretching to help maintain range of motion and decrease stiffness. Active and passive range of motion exercises help during the healing process. Active range of motion exercises use muscles to move body parts independently. An example of an active range of motion may include hip adduction or abduction. 

Passive range of motion involves another person moving your body part while you are relaxed. This may help reduce muscle stiffness. For example, someone assisting you in bringing your knee to your chest is an example of a passive range of motion. 

Always adhere to pain-free movement guidelines. This includes performing controlled movements in a comfortable range of motion. Warm up and stop immediately if you feel pain in the injured area. 

Nutrition and Hydration

Proper nutrition and hydration can also play a role in recovery from an injury and include:

Macronutrients

Eating foods containing healthy carbohydrates, fats, and lean protein is vital to speeding muscle repair. Protein supplies the amino acids needed to repair muscle tissue. Healthy lean protein sources include fish and turkey.

Healthy fats, such as olive oil and avocado, play a role in cell membrane health and muscle recovery. Carbohydrates, including complex carbohydrates such as oatmeal, quinoa, and baked potatoes, provide the energy your body needs for recovery.

Micronutrients

Micronutrients include essential minerals and vitamins such as vitamin C and zinc. Vitamin C helps promote collagen synthesis, which is needed to repair damaged muscle tissue and fibers. Zinc is necessary for protein synthesis, which is essential to repair wounds and injured muscle fibers.

Hydration

Proper hydration facilitates the delivery of oxygen and nutrients, which are crucial to repairing damaged muscle tissue. Good hydration also removes waste and maintains adequate electrolyte balance, which helps speed healing. 

Sleep

Good quality sleep is vital for muscle regeneration and proper hormone regulation. During deep sleep, you produce high levels of human growth hormone, stimulating muscle growth and repair. To get quality sleep, develop a daily wake-sleep time, limit caffeine, and unwind before bedtime.

Mind-Body Techniques

Stress may affect healing since it activates inflammatory pathways. Developing healthy stress management techniques can help with the recovery process and with coping with an injury. Helpful mind-body methods to manage stress and assist with pain management include meditation and deep breathing exercises.

Mindfulness may also be helpful for pain management. It involves being present in the moment and paying attention to your body's sensations, thoughts, and feelings without judgment. Although mindfulness doesn't entirely remove pain, it may improve coping skills.

A collage of athletes recovering from injury

IV. The Rehabilitation Phase: Building Strength and Function 

The rehabilitation phase of muscle injury recovery includes building strength and function and decreasing further injury risk. It typically consists of the following: 

Gradual Return to Activity

Individuals should focus on a gradual return to activity, including a progressive exercise plan incorporating strength, cardiovascular exercise, and functional exercises. After a muscle injury, working with a healthcare professional to determine the most appropriate exercises is optimal.

Strength training

Strength training should include progressive exercises using light weights, resistance bands, and body weight exercises. Starting slowly and gradually progressing is vital to prevent re-injury.

It is also important to focus on functional exercises, including core strengthening and balance exercises. These may include planks, sit-to-stand, and rows.  

Cardiovascular Activity

Cardiovascular fitness is also an essential component of a rehabilitation program. If you are sedentary during your acute injury phase, cardiovascular fitness can decline. Be sure to start slowly and gradually increase the intensity and duration.

To regain fitness, consider starting with low-impact options, such as cycling or swimming. Progress to additional cardiovascular activities as tolerated. 

Flexibility and Mobility

Maintaining flexibility and mobility is crucial after a muscle injury. Foam rolling can help reduce muscle tightness and improve range of motion. Light stretching exercises are also helpful in maintaining flexibility in the surrounding muscles. Maintaining flexibility and mobility in the muscles near the surrounding muscles helps reduce the risk of further injury.

Manual Therapy

Manual therapy may help decrease muscle stiffness, imbalances, and pain and may include: 

Massage therapy

Different types of massage therapy, including deep tissue and sports massage, can help promote recovery. Massage therapy can decrease pain by reducing inflammation and relaxing muscles. It also increases blood flow to the area, which helps facilitate the delivery of nutrients and oxygen to injured muscles.

Chiropractic care

Chiropractic care involves spinal adjustment and can also help with muscle recovery. For example, a spinal adjustment may decrease pressure on the recovering muscle, allowing it to heal correctly. It can also help reduce inflammation and pain.

Physical Therapy

Physical therapy may be an essential step depending on the severity of a muscle injury. Physical therapists can customize exercise programs based on a specific injury. Therapists also use various modalities that may reduce inflammation and pain, such as:

  • Electrical muscle stimulation

  • Heat and cold therapy

  • And ultrasound.

A collage of a man stretching, a woman lifting weights, and a woman stretching

V. Preventing Re-injury

After recovering from a muscle injury, preventing re-injury is often a goal. There are things you can do to reduce your risk of future muscle injury, including: 

Proper Warm-up and Cool-down

A proper warm-up and cool-down is essential to avoid overstretching a muscle. A proper warm-up includes light activity and dynamic stretching, such as knee raises, butt kicks, and windmills. Static stretching after an activity also helps reduce tension in the muscles. This may include hamstring stretches, quad stretches, and child's pose. 

Maintaining Good Posture

Poor posture, such as slouching, can place additional stress and strain on a muscle, increasing the risk of injury. Practice good posture, such as: 

  • Engaging your core when you're standing and walking

  • Keeping your shoulders back

  • Maintaining your head in a neutral position

  • Keeping your feet about shoulder width apart when standing

Strength Training for Muscle Balance

Strength training is a vital step in reducing future muscle injuries. Improving muscle strength helps decrease stress on the ligaments, tendons, and muscles, making them better able to absorb impact. The stronger your muscles are, the greater their stability against stress, overuse, and impact. 

Listening to Your Body

Listening to your body is also essential. Recognize signs of fatigue and don't ignore pain. If an activity leads to muscle pain, stop what you are doing to prevent further injury.

VI. Conclusion 

Muscle recovery occurs in different stages, including the acute phase, where the PRICE method helps. A multifaceted approach that includes proper rest, nutrition, and movement is also essential.

Muscle injuries can vary in severity. Sometimes, home remedies and self-care may be enough to treat the injury. If a muscle injury does not improve with home treatment or is very serious, getting help from a professional is good. 

Seeking consultation with healthcare professionals allows for personalized plans and a treatment approach that meets your needs.

VII. Resources

Resources for further information on recovery from muscle injury are listed below.

Articles

Books

Organizations 

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