Treatment FAQ

what is the initial treatment for general musculoskeletal injuries

by Prof. Darion Johnson Published 2 years ago Updated 2 years ago
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method—Rest, Ice, Compression, Elevation—is a simple way to do this on your own at home. You may want to include an ice pack and an ACE bandage in your first-aid kit in case you need it at some point. If you are still experiencing pain and swelling after 48 hours of R.I.C.E., contact your healthcare provider.Feb 10, 2022

How you can help prevent and treat musculoskeletal injuries?

To help yourself cope with musculoskeletal pain:

  • Avoid smoking, which increases inflammation.
  • Eat a healthy, non-inflammatory diet.
  • Rest the injured muscle, joint or bone.
  • Stretch daily or as often as your healthcare provider advises.
  • Take pain medications as prescribed.
  • Use ice and heat to decrease swelling and inflammation.

How to heal musculoskeletal injuries?

  • Hemostasis: bleeding begins immediately, generally resolves in 6-8 hours, but highly vascular tissues can bleed 1-2 days
  • Inflammatory: begins within hours of injury – lasts several days
  • Proliferation: begins within 24-48 hours after injury, reaches peak at 2-3 weeks, continues for several months

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Can PRP help treating musculoskeletal injuries?

PRP injections are derived from the growth factors found in platelets. By delivering a high concentration of growth factors to an area of injury, PRP can stimulate healing. PRP can help promote healing in patients with a variety of musculoskeletal conditions.

What causes TMJ injury?

What causes TMJ syndrome?

  • misalignment (malocclusion) of or trauma to the teeth or jaw,
  • teeth grinding ( bruxism ),
  • poor posture,
  • stress or anxiety,
  • arthritis and other inflammatory musculoskeletal disorders,
  • orthodontic braces, and
  • excessive gum chewing.

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What is the first aid for musculoskeletal injuries?

Rest the casualty, raise the injured part, apply a compression bandage to the injured joint and then apply an ice pack to the area. Ice should be applied for 20 minutes (in 2 x 10 minute intervals) every 2 hours. The casualty should then seek medical advice.

What are the four general care steps for musculoskeletal injuries?

The physical examination in the emergency department for these injuries is based on simple four steps:Inspection (discoloration, swelling, or deformity).Palpation (looking for tenderness and deformity).Assess range of motion (both active and passive) with consideration to the joint above and below the injured part.More items...

What are the interventions for musculoskeletal injuries?

There are a variety of workplace interventions that have been used to reduce or eliminate work-related musculoskeletal disorders, including: engineering redesign, changes in work methods, administrative controls, training, organized exercise and work "hardening," protective equipment, and medical management to reduce ...

How do you perform a musculoskeletal assessment?

To assess the musculoskeletal system, you carefully inspect your patient, examining the symmetry of the joints, muscles, and bones and checking for swelling, redness, and ease of movement. Then you palpate over the joints, noting any areas of warmth or tenderness.

What is the first aid treatment for a fracture?

AdvertisementStop any bleeding. Apply pressure to the wound with a sterile bandage, a clean cloth or a clean piece of clothing.Immobilize the injured area. Don't try to realign the bone or push a bone that's sticking out back in. ... Apply ice packs to limit swelling and help relieve pain. ... Treat for shock.

What does a musculoskeletal specialist do?

A musculoskeletal physician is a doctor who manages patients with bone, joint and muscle disorders that DO NOT require surgery as part of their management.

How can nurses prevent musculoskeletal injuries?

Several additional approaches that might help to prevent musculoskeletal injuries among nurses were identified, including a culture of safety, manual handling training in clinical contexts, changes in workflow, ergonomic footwear, the provision of electric beds, needs analysis and the sharing of stories (Table ​3).

What are the musculoskeletal injuries?

Any injury that affects the bones, muscles, ligaments, nerves, or tendons resulting in pain are considered musculoskeletal injuries. While pain may be widespread and affect the entire body, it is often localized in the hands and wrists due to their high use and exposure.

What Is Musculoskeletal Pain?

Musculoskeletal pain affects the bones, muscles, ligaments, tendons, and nerves. It can be acute (having a rapid onset with severe symptoms) or chr...

What Are The Different Types of Musculoskeletal Pain?

Musculoskeletal pain has varying symptoms and causes. Some of the more common types of pain include: 1. Bone pain: This is usually deep, penetratin...

What Are The Causes of Musculoskeletal Pain?

Anyone can experience musculoskeletal pain. It is most often caused by an injury to the bones, joints, muscles, tendons, ligaments, or nerves. This...

What Are The Symptoms of Musculoskeletal Pain?

Symptoms of musculoskeletal pain depend on whether the pain is caused by an injury or overuse and whether it is chronic or acute. The symptoms can...

What is the musculoskeletal system?

The musculoskeletal system consists of bones, muscles, tendons, ligaments, and intervertebral discs, as well as their associated nerves and blood vessels [ 1 ], and is powered by the complex interrelationship between these separate structures, each of which depends on the other to function properly.

Why do you need surgery for a dislocated shoulder?

Surgery may also be necessary for those who often dislocate the same joints, such as recurrent shoulder dislocations. 5. Complications of musculoskeletal injury.

What happens when muscle damage occurs?

When major muscle damage occurs, large amounts of myoglobin (a hemeprotein) are released into the bloodstream. When the myoglobin reaches the kidneys, it breaks down into harmful substances that can damage kidney cells, leading to precipitation in the renal tubules and acute kidney injury (AKI).

Which muscle is visible under a microscope?

Skeletal and cardiac muscles have striations that are visible under a microscope due to the components within their cells. Only skeletal and smooth muscles are part of the musculoskeletal system and only the skeletal muscles can move the body skeleton.

Can you use field dressings on a wound?

The management is usually so minimal requiring cleansing of the wound; small bandages may be applied but tactical situations will usually preclude applying field dressings that are needed for more serious injuries. A large amount of dirt may be ground into the wound; therefore, secondary treatment measures should focus on preventing or stopping infections.

Can musculoskeletal trauma cause internal torso injuries?

Major musculoskeletal trauma can also result in internal torso injuries; in some cases, the pooling of fluids can form into an intact musculofascial layer with swelling in the space. This can cause complications such as acute compartment syndrome, which can lead to dire consequences if misdiagnosed.

What are the most common musculoskeletal injuries?

Common injuries include hip fractures in elderly adults, wrist fractures from a fall on an outstretched hand , and ankle fractures. The complaint is often localized to one limb or joint. A more focused history may be pursued after quickly determining that there are no other injuries. Similar questions may be tailored to the individual’s injury. Determining the mechanism and what currently hurts is the first step. The patient can be asked demonstrate the mechanism with the contralateral extremity if he or she is able to do so. The clinician can ask the following questions: When did the pain begin? Was there associated swelling or numbness? Does either of the adjacent joints hurt? Did you feel a “pop” or a joint dislocate? Has there already been a manipulation or reduction to a dislocated joint? Elderly patients often present from a skilled nursing facility, and dementia may limit the history the clinician is able to obtain from the patient. A quick phone call to a caretaker at the facility may yield information important to the injury.

What is an orthopedic injury?

Orthopedic injuries are common presentations to the emergency department. Most injuries are traumatic in nature, resulting in pain and deformity. Emergency medicine physicians need to be able to recognize the gravity of the injury and resources needed to take care of the patient. The assessment begins with a thorough history and proceeds with a tailored examination to create a differential diagnosis and generate a treatment plan.

What is an orthopedic physical exam?

The orthopedic physical examination of a patient includes assessment of the axial and appendicular skeleton and the pelvis. The extent of the examination depends in part on the awareness of the patient and his or her ability to interact with the clinician. Early examination of a patient involved in trauma is critical to assess the body before soft tissues become distorted from swelling. Evaluation should proceed in a systematic way to minimize chances of missed injuries and maximize efficiency and reproducible results. The trauma bay is a very active place with many different personnel partaking in the care of the patient. This activity may make the physician’s job more difficult, but doing things systematically ensures completeness.

What conditions can benefit from musculoskeletal rehab?

Some of the conditions that may benefit from musculoskeletal rehab may include the following:

What are the types of injuries that can be caused by trauma?

Trauma injuries, such as sprains, strains, joint dislocations, and fractures

How to improve ambulation?

To help reach these goals, programs may include the following: 1 Fitting and care for casts, braces, and splints (orthoses), or artificial limbs (prostheses) 2 Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance 3 Gait (walking) retraining and methods of safe ambulation (including the use of a walker, cane, or crutch) 4 Help with obtaining assistive devices that promote independence 5 Patient and family education and counseling 6 Pain management 7 Stress management and emotional support 8 Nutritional counseling 9 Ergonomic assessments and work-related injury prevention 10 Vocational counseling

What is the goal of rehab?

The goal of rehab is to help the persib return to the highest level of function and independence possible, while improving the overall quality of life — physically, emotionally, and socially. To help reach these goals, programs may include the following: Fitting and care for casts, braces, and splints (orthoses), or artificial limbs (prostheses) ...

What is the purpose of a cast, brace, orthose, or prosthesis?

Fitting and care for casts, braces, and splints (orthoses), or artificial limbs (prostheses) Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance.

Is musculoskeletal rehab inpatient or outpatient?

Musculoskeletal rehab programs can be done on an inpatient or outpatient basis. Many skilled professionals are part of the rehab team, including the following:

Who treats MSK pain?

Musculoskeletal pain is mainly treated by general or family practitioners, physiatrists, or orthopedic specialists, but clinicians in all fields may treat patients who present with some form of musculoskeletal pain. Comprehensive care of MSK pain occurs through a thorough initial evaluation, including assessment of both the medical and the probable bio-psychosocial factors contributing to a painful condition in order to develop a treatment plan. Therefore, a multidisciplinary and holistic approach to manage MSK pain by utilizing more than one treatment modality is appropriate, and can result in improved outcomes [6].

How common is musculoskeletal pain?

The prevalence of certain types of musculoskeletal pain showed wide variations; for example, low back pain (LBP) is extremely common, affecting 30–40% of adults , while other rheumatologic problems with musculoskeletal pain components like fibromyalgia and rheumatoid arthritis are fairly low, affecting only 2% [9]. The prevalence of neck and shoulder pain ranges from 15 to 20%, and 10 to 15% for knee pain [10].

What is multimodal analgesia?

Multimodal analgesia and multidisciplinary approaches are fundamental elements of effective management of musculoskeletal pain. Both pharmacological, non-pharmacological, as well as interventional pain therapy are important to enhance patient’s recovery, well-being, and improve quality of life.

Is smoking a risk factor for musculoskeletal pain?

Smoking has been identified as a risk factor for musculoskeletal pain. Other risk factors include: lower educational status, sedentary lifestyle, poor or limited social interactions, low income, insomnia or sleep disorders, anxiety, depression, and manual labor [3]. Fewer expected risk factors have been identified as: recent immigration, being non-Caucasian, and being separated, widowed, or divorced [12]. The racial distinctions may not be universal or reproducible across multiple studies; for example, 78% of Americans with osteoarthritis are non-Hispanic Caucasians even though risk factors for musculoskeletal pain suggest non-Caucasians are at higher risk [11].

Is musculoskeletal pain more common in older people?

Older people are more likely than younger people to have chronic musculoskeletal pain, although the subject of chronic musculoskeletal pain in the pediatric population has not been well studied. Age is an important risk factor to consider; osteoarthritis (the most common form of arthritis) afflicts 43% of people ≥ 65 years of age [11]. With old age, joints deteriorate, muscles weaken, and lifestyles tend to become more sedentary, all of which may contribute to musculoskeletal pain. However, it is important for clinicians to bear in mind that musculoskeletal pain can occur in patients at any age, including small children and adolescents.

Can musculoskeletal pain be caused by old age?

With old age, joints deteriorate , muscles weaken, and lifestyles tend to become more sedentary, all of which may contribute to musculoskeletal pain. However, it is important for clinicians to bear in mind that musculoskeletal pain can occur in patients at any age, including small children and adolescents.

Is musculoskeletal pain a chronic pain?

Musculoskeletal pain is prevalent and can develop into chronic pain syndromes that can be challenging to manage.

What Causes Musculoskeletal Pain?

Muscle tissue can be damaged with the wear and tear of daily activities. Trauma to an area (jerking movements, auto accidents, falls, fractures, sprains, dislocations, and direct blows to the muscle) also can cause musculoskeletal pain. Other causes of pain include postural strain, repetitive movements, overuse, and prolonged immobilization. Changes in posture or poor body mechanics may bring about spinal alignment problems and muscle shortening, therefore causing other muscles to be misused and become painful.

What is the best treatment for spinal alignment?

Different types of manual therapy, or mobilization, can be used to treat people with spinal alignment problems. For some acute musculoskeletal pain, these techniques have been shown to speed recovery. Medications such as nonsteroidal anti-inflammatories ( NSAIDs) may be used to treat inflammation or pain.

What is the term for pain that affects the muscles, ligaments and tendons, and bones?

Musculoskeletal pain is pain that affects the muscles, ligaments and tendons, and bones.

What is the medication for fibromyalgia?

In patients with musculoskeletal disorders such as fibromyalgia, medications to increase the body's level of serotonin and norepinephrine (neurotransmitters that modulate sleep, pain, and immune system function) may be prescribed in low doses. Some of the medicines used to aid sleepinclude zolpidem (Ambien), eszopiclone(Lunesta), and ramelteon(Rozerem).

What is osteopathic manipulation?

Osteopathic manipulation (a whole system of evaluation and treatment designed to achieve and maintain health by restoring normal function to the body)

How to treat a swollen thigh?

Other treatments may include: 1 Injections with anesthetic or anti-inflammatory medications in or around the painful sites 2 Exercise that includes muscle strengthening and stretching 3 Physical or occupational therapy 4 Acupuncture or acupressure 5 Relaxation/biofeedback techniques 6 Osteopathic manipulation (a whole system of evaluation and treatment designed to achieve and maintain health by restoring normal function to the body) 7 Chiropractic care 8 Therapeutic massage

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