Monday, November 21, 2016

Even Physiotherapists Get Injured

Message from my colleague
Here's another patient case study, except it's not a patient in our clinic but one of my colleagues.

She came to work last Monday (14/11/16) complaining of extreme soreness and and pain in her right hamstring. She had played a soccer match on Sunday and she messaged me on Sunday night saying she can't straighten her knee and that her hamstrings feel super tight and painful.

Walking and most activities of daily living weren't a problem. Could still treat patients at work. Definitely too sore to run. Light cycling on stationary bike with light resistance made it more bearable.

Now my colleague is a 24 years young and active physio and a devastatingly effective striker in her junior college days. Her school beat my alma mater's team 10-1 in the semi finals of the tournament seven years ago and she bagged a hat trick in that match.

Earlier in the year when I introduced her to a physical education teacher from the beaten school, he instantly remembered the trashing and was in awe of her. Still famous seven years after that game.

Anyway, I treated my colleague last Monday (14/11/16), made sure her injury was only in her hamstrings and not referring from her lumbar spine. She was very sore in her right Adductor Magnus and Semitendinosus muscle.

We both agreed it was more a stretching type hamstring injury than a high speed type running injury to her hamstrings.

On Tuesday (15/11/16) she was only slightly better and I got another colleague to treat her as I was working that day at Physio Solutions.

Over the next couple of days we left it alone and this was what showed up in her hamstrings on Friday 18/11/16.
Check out the bleeding 
She had a minor hamstring tear! That's why she was feeling so sore and painful initially. Well, we all learn from our experiences. We would never have guessed it was a minor tear if this didn't show up.

Taped it to reduce the swelling and I also facilitated her Semitendinosus muscle with Kinesio Tape as I felt it would help her walk better. She said she had to remove the facilitated bit as it made her sore the next day. Yikes.

Wow, six days after the injury, it was still acute! And we thought that the inflammatory phase of an injury usually lasted only 48 hours. Certainly not in her case. That's the reason why I'm documenting her case, so I will always remember this.

Her leg after we removed the tape today (21/11/16).
Much improved
I inhibited Semitendiosus muscle instead today and she said that made it better.

Lesson learnt and note to self - acute inflammatory phase can last longer than 48 hours post injury.

Close up of her hamstrings today (21/11/16)

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