Muscle Strains/Sprains

Question 1

What are some patient factors in muscle strains/sprains that warrant referral to an MD?

Answer 1

Under 2 for OTC agent, under 12 for Rx
Pregnancy
CV disease or risk factors
GI disorders or risk factors
Renal impairment
Asthma
Bleeding disorder or on anti platelet or anticoagulant

Question 2

What are some red flags in muscle strains/sprains?

Answer 2

Visible joint changes, abnormal movement, mobility limitations
Pelvic or abdominal pain
Systemic symptoms
Pain present for 2 weeks (7 days with treatment)
Severe Pain
Increased intensity or change in character of pain
Significant trauma

Question 3

What are some characteristic symptoms associated with muscle strains/sprains?

Answer 3

Pain (mild to moderate)
Swelling (with or without bruising)
Are the above symptoms due to overexertion or muscle, or ligament injury

Question 4

What are some therapeutic options for muscle strains/sprains?

Answer 4

Non-pharmacological (Rest, Ice, Compression, and Elevation)

OTC analgesics x 7 days

Rx strength NSAIDs x 7 days