Ligament Inflammation: Recovery Time and Swimming Safety - Orthopedics

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Ligament inflammation


Hello Doctor, I participated in a swimming competition a month ago.
A few days after the competition, I unfortunately strained my right arm during practice.
After a week, thinking it had improved, I went back to practice, but the pain worsened.
An orthopedic doctor diagnosed me with ligament inflammation.
It has now been over a month, and despite daily rehabilitation (15 minutes of electrical therapy, 15 minutes of heat therapy, and 8 minutes of ultrasound), along with spa therapy (15 minutes on a water bed), I still cannot move my right arm or perform large movements (for example, reaching my right arm to the left).
I would like to ask if this recovery speed is normal, and whether it is safe for me to swim (slow breaststroke) in my current condition.
Am I at risk of re-injury?

Jasen, 10~19 year old female. Ask Date: 2016/06/30

Dr. Shi Guozheng reply Orthopedics


A ligament injury requires at least six weeks of rest, and sometimes it may take eight to twelve weeks to gradually heal.
Therefore, if there is still pain and weakness, it is advisable to refrain from exercising for the time being.

Reply Date: 2016/06/30

More Info


Ligament inflammation, often referred to as ligamentitis, can be a frustrating and painful condition, particularly for athletes and active individuals. It typically arises from overuse, acute injury, or repetitive strain, and can significantly impact your range of motion and overall functionality. Given your situation, where you experienced a ligament injury during a swimming competition and have been undergoing rehabilitation for over a month, it's understandable to have concerns about your recovery timeline and whether it's safe to resume swimming.


Recovery Time for Ligament Inflammation
The recovery time for ligament inflammation can vary widely depending on several factors, including the severity of the injury, the specific ligament involved, your overall health, and how diligently you follow your rehabilitation program. Generally, mild to moderate ligament inflammation may take anywhere from a few weeks to several months to heal completely. In your case, since you have been experiencing persistent pain and limited mobility for over a month despite undergoing physical therapy, it may indicate that your injury is more significant than initially thought, or that your rehabilitation program may need to be adjusted.


Rehabilitation and Treatment
Your current rehabilitation regimen, which includes electrical therapy, heat application, ultrasound, and spa treatments, is beneficial for reducing inflammation and promoting healing. However, if you are not seeing improvement, it may be worthwhile to consult with your orthopedic specialist or physical therapist to reassess your treatment plan. They might suggest modifications, such as:
1. Adjusting the Intensity and Frequency of Therapy: Sometimes, more frequent or varied therapy modalities can yield better results.

2. Incorporating Strengthening Exercises: Once the acute inflammation decreases, strengthening exercises can help stabilize the joint and prevent future injuries.

3. Gradual Return to Activity: It's crucial to gradually reintroduce activities to avoid re-injury.


Swimming Safety
Regarding your question about swimming, particularly the breaststroke, it is essential to consider the current state of your injury. Swimming can be a low-impact activity that may help maintain your fitness level while allowing for gentle movement. However, if you are experiencing significant pain and limited range of motion, it may not be advisable to swim at this time. Here are a few considerations:
1. Pain Level: If swimming causes pain, it is a sign that your body is not ready for that level of activity. Pain is a signal that should not be ignored.

2. Range of Motion: If you cannot perform movements without discomfort, it is likely that swimming could exacerbate your condition.

3. Technique: The breaststroke requires a specific arm movement that may put strain on your injured ligament. If you cannot perform this motion comfortably, it’s best to avoid it until you have fully recovered.


Conclusion
In summary, while swimming can be a beneficial activity for rehabilitation, it is crucial to listen to your body. If you are still experiencing significant pain and limitations in movement, it may be best to refrain from swimming until you have made more substantial progress in your recovery. Consulting with your healthcare provider for a tailored rehabilitation plan and guidance on when to safely return to swimming is highly recommended. Remember, patience is key in the recovery process, and rushing back into activity can lead to setbacks. Focus on your rehabilitation, and prioritize your long-term health and functionality.

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