09/15/2023
A “Strain” is any pathology of muscle tissue. Let’s break it down ⬇️⬇️⬇️
You may have heard a medical provider say you have a complete tear of your supraspinatus. But what does that mean and more importantly what can you do about it other than showing someone a copy of your MRI report?
On imaging strains can be graded on a scale from 0-3.
Grade 0: No muscle tissue damage but there is evidence of healing from surrounding fluid.
Grade 1: Muscle tissue damage is observed but no connective tissue damage.
Grade 2: Muscle and connective tissue damage but length of muscle is in tact.
Grade 3: Muscle and connective tissue damage with retraction of muscle length.
In regards to Grade 2 and 3, Partial tears often refer to the width of a tear being less than 50% of the muscle. Complete tears are more than 50% of the muscle.
Is this helpful or does your shoulder still hurt? EXACTLY…
With a physical exam (no waiting around for an MRI) strains can be categorized regarding severity.
Mild Strains often have delayed pain onset and full strength and range of motion.
Moderate Strains present with more immediate pain, some swelling, and decreased strength.
Severe Strains are painful, swollen, bruised, and complete loss of function.
So what do we do for Physical Therapy? We help to reduce your pain with various modalities, assist the body in reducing swelling, and improve your range of motion, strength, and function. Think PEACE & LOVE!
Next time you have any pain, ask yourself: Do I want a piece of paper telling me I have a Grade 2 strain or Do I want a Doctor of Physical Therapy to confirm I have a moderate strain, provide pain relief techniques during my visit, and develop a workout routine to fit my needs in the gym?
