• [18]Hematoma is still localized. Symptoms: Here are the symptoms.
• Pain is more severe. • Tenderness is severe. • [19]Severe muscle spasm. • The patient is unable to move the [20]limb. Third Degree Strain Cause: Undoubtedly, these injuries are due to trauma of a greater magnitude. Pathology: Larger area and greater number of muscle fibers are involved. More than one muscle group may be involved. The [21]fascia is partially torn. Bleeding is widespread and more. There could be both [22]intramuscular and inter muscular bleeding. The patient experiences severe pain and loss of function. Symptoms: Here all the above symptoms are of greater intensity. Treatment in Grade II and III Strains
• For first 24 hours • Immediate application of ice. • Compression bandage. • Limb elevation. • [23]Limb immobilized in splints. • Isometrics to the muscles, which are immobilized. • Active exercises to the unaffected [24]joints. • Pulsed electromagnetic field [25]therapy (PEMF) is known to help. • No active movements to the affected muscles. During the Next 24 to 48 Hours
• The pressure bandage is removed and active [26]muscle exercises are begun. • Stretching within the limits of pain is commenced. • Thermotherapy: Ultrasound, short wave diathermy and TENS help to relieve pain. 117