- What is sprain : stretching or tearing of ligaments
- Cause : Injury or overuse
- Test : Valgus, varus test
- Treatment by Staging of Injury
- Acute stage(0-3 days)
- RICE
- MLD : to decrease edema, proximal to injured site
- GTO : reduce muscle spasm
- Swedish relaxation massage
- Pain free active ROM, pain free PR
- Early subacute(3-12 days)
- Contrast hydrotherapy(introduced warm then cool)
- MLD, GTO, swedish, trigger point + remedial exercise(pain free PR)
- Late subacute(13-21 days)
- Heat and cold
- MLD, GTO, swedish, trigger point + friction ,remedial ex(pain free PR, joint play)
- Chronic(after 21 days)
- Moist heat hydrotherapy
- All massage technique can be applied
- Acute stage(0-3 days)
- Remedial exercise
- Stretching
- strength exercise
Radial collateral ligament sprain/ Ulnar collateral ligament sprain
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