MSS- management approaches to muscle health and injury

Question 1

what are the basic principles of person centred care for soft tissue impairment

Answer 1

subjective assessment
objective assessment
classification dependent on anatomical site of muscle injury
classification and severity of impairment

Question 2

what is included in a subjective assessment

Answer 2

mechanism
symptoms
PMH
risk factors

Question 3

what is included in an objective assessment

Answer 3

clinical assessment and findings

investigations (diagnostic imaging)

Question 4

how is muscle injury classified on anatomical site of muscle injury

Answer 4

myofascial
musculotendinous
intratendinous

tendinous areas have less blood supply so take longer to heal

Question 5

how is classification and severity of impairment graded

Answer 5

0 - focal/ generalised muscle pain - NAD (imaging no abnormality detected)

1- small myofascial teat
2- moderat3e myofascial/ muscle tendon junction tear
3- extensive myofascial / muscle tendon junction tear
4- full thickness tear muscle / tendon

Question 6

what needs to be considered when dealing with muscle injury

Answer 6

stage of muscle healing

individual hopes, fears and support

Question 7

outline the approaches to muscle injury - medical

Answer 7

analgesia - paracetamol / NSAIDS
step 1 - non-opioid analgesic +/- adjuvant
step 2- weak opioid +/- non-opioid +/- adjuvant
step 3 - strong opioid +/- non-opioid +/- adjuvant

Question 8

outline the approaches to muscle injury - surgical

Answer 8

grade 3/4 might need surgery - repair rotator cuff, TA repair
try and avoid surgical management (long term challenges / infection risk)

Question 9

outline the approaches to muscle injury - conservative

Answer 9

PEACE & LOVE

Protection
Elevation
Avoid anti inflammatory
Compression
Education

Load
Optimism
Vascularisation
Excercise

too much rest = atrophy

Question 10

outline the approaches to muscle injury - complimentary

Answer 10

physiotherapy 
promote function and independence
exercises
education
electrotherapy
model of health 
hope and fears

Question 11

outline some complimentary therapies individuals might seek to assist in their management of musculoskeletal problems

Answer 11

patient choice - don’t dismiss- work with

acupuncture, cupping, massage, yoga

acupuncture - unblock obstruction to allow blood to nourish the tissue

cupping - aims for remove blood that is harmful to the body - myofascial decompression (lifts skin and promotes blood flow and tissue healing and pain relief)