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خرید پکیج

تعداد آیتم قابل مشاهده باقیمانده : 3 مورد

Acute management of soft tissue musculoskeletal injuries^*

Acute management of soft tissue musculoskeletal injuries^*

Intervention	Application and guidance
Protection and rest	Unload and avoid movements in plane of injury. Avoid painful movements. Degree of protection (eg, wrap versus brace or crutches) and duration of rest depend on severity of injury.^¶
Ice application	Reduces pain and swelling. Apply for approximately 15 minutes, then remove for 45 minutes. May be applied hourly while awake. For significant injury, can apply for 48 to 72 hours. Use barrier (eg, thin, slightly damp towel) to avoid frostbite. Avoid in: True cold allergy Digits affected by Raynaud syndrome Tissues affected by severe peripheral vascular disease Open wounds Areas with local infection
Compression	Helps to reduce swelling, unload movements, and protect affected joints. Compression bandages and braces should not cause pain or impair blood flow.
Elevation	Reduces swelling and pain. Raise injured tissue (usually the affected limb) above the level of the heart for upper extremity injury and above the pelvis for lower extremity injury. Generally maintained for 48 to 72 hours after any injury likely to cause significant swelling.

* Applies to injuries affecting muscles, tendons, ligaments, and some related tissues (eg, meniscus).

¶ Refer to UpToDate topics discussing specific injuries for guidance about appropriate protection.

Reference:

Bleakley CM, Glasgow PD, Philips P, et al. Management of acute soft tissue injury using Protection Rest Ice Compression and Elevation: Recommendations from the Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSM). 2011. Available at: https://www.physiosinsport.org/media/wysiwyg/ACPSM_Physio_Price_A4.pdf (Accessed on October 25, 2023).

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