CARE PLAN 4: ACUTE LIFTING INJURY WITH STRAINED CONTRACTILE TISSUE
 
   

Care Plan 4: Acute Lifting Injury
With Strained Contractile Tissue

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:
   Frankp@chiro.org
 
   

ETIOLOGY:   Muscle strain is common from lifting and loading.   This is usually painful throughout active ROM.   May be associated with joint dysfunction and/or sprained ligamentous structures.   This is easily relieved by reducing muscle spasm and freeing the associated joint restrictions.

APPROPRIATE CARE:   Myofascial work, adjusting and gentle active exercise.    Healing should occur quickly, without residuals.

EXPECTED FREQUENCY AND DURATION OF CARE:   Three sessions per week for 2 weeks, reducing to 2 sessions per week for another 2 weeks.   Follow-up over next 4-6 weeks at 1/2 sessions per week.

TOTAL:    12-14 visits over 8-10 weeks.

WEEK

CARE

PROGRESS

M

T

W

T

F

S

1-2

Pain control

Gentle SMT

Gentle myofascial work

50% subjective pain reduction

25% improved ROM

3 /week

X

 

X

 

X

 

3-4

Adjusting

Myofascial work

Home exercise

75% subjective pain relief

75% imp. ROM

2 /week

 

X

 

 

 

X

 

5-10

Myofascial work PRN

Adjusting PRN

Home exercise

Discharge

2-4 / month

 

 

 

X

 

 



ATTENUATING FACTORS: The degree of initial injury and the conditioning of the patient prior to injury as well as compliance with home care all contribute to recovery.

SMT = spinal manipulative therapy (adjusting)

PRN = per required need (patient requests)

ROM = range of motion


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