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Muscular lesion

In the treatment of this type of lesion it is fundamental the anamnesis not only to frame the injury but also to see if there were other episodes in addition to the first (relapses) or if there were already established relapses. The exact diagnosis after ultrasonography (contracture, stretching, tearing the 1st, 2nd or 3rd grade) will guide the prognosis and the therapeutic procedure.

It will also be important to evaluate predisposing factors (ipoextention at the level of other muscle groups, imbalance, vertebral blocks, functional overload), positivity to malocclusal kinesiological test for diseases.

In this occasion we will speak of the treatment of the tear of the biceps femoris, fairly frequent occurrence in athletes. During the acute phase, in the first moments after the traumatic event it is necessary to stop the bleeding through compression bandages and ice; then after the ultrasound examination and diagnosis you can begin rehabilitation treatment by controlling the pain with physical therapies such as laser, tens endorphin and then ultrasound, and recover the articularity (negative stretching) through stretching and relaxation exercises. It is useful to start from the beginning with aerobic activities permitted, without pain and gradually increase the intensity and variety of the stimulus. When stretching is negative and there is tenderness to palpation you can start muscle recovery of the district concerned first in concentric but basically eccentrically to elasticise the scar and improve muscle extensibility; at the same time we will work to eliminate any compensation through a work of global muscular strengthening of the core muscles, quadriceps, gluteal and calf.

Ended this phase you must necessarily conclude the rehabilitation program in the field to return to running and test complex movements such as changes of direction, shots and braking: it is fundamental for the prevention of recurrence to have a home exercise program to maintain functionality and extensibility of the muscle.

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