Muscle Strains: Recovery Tips and When to Seek Help - Surgery

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Muscle strain


Hello, Doctor: I have sustained a muscle strain due to improper exercise while stretching my legs.
It has been over a week now, and by next Tuesday, it will be two weeks.
The strain occurred in the right lower abdomen below the navel, extending to the groin area and the junction of the groin and thigh.
Currently, when I shower, I feel a tingling sensation in the area where the groin meets the thigh (does this indicate that the tissue in that area is healing?).
However, I experience discomfort when walking, specifically in the area from the lower abdomen to just above the groin; sitting does not cause any discomfort.
Could you please advise if this means that the internal area has not fully healed? Additionally, if I need to go to the hospital for an examination, which department should I consult? Thank you!

QQ, 20~29 year old female. Ask Date: 2015/10/04

Dr. Ke Fangxu reply Surgery


If the strain was severe at the time, it is possible that the deep muscle groups have not fully recovered.
It is recommended to avoid intense exercise and apply heat therapy.
If symptoms persist, you may consult a rehabilitation specialist.
Larger hospitals may have a sports medicine department within their orthopedic division, and the physicians in these areas should be able to provide you with additional assistance.

Reply Date: 2015/10/04

More Info


Muscle strains are common injuries that can occur during physical activities, especially when the body is not properly warmed up or when excessive force is applied. Your experience of straining the muscles in your lower abdomen and groin area is not uncommon, and it’s important to understand the recovery process and when to seek medical help.


Understanding Muscle Strains
A muscle strain occurs when the muscle fibers are overstretched or torn. This can happen due to sudden movements, lifting heavy objects, or even repetitive motions. The symptoms typically include pain, swelling, bruising, and limited range of motion in the affected area. In your case, the discomfort in the lower abdomen and groin area suggests that the muscles in that region are still healing.


Recovery Tips
1. Rest and Avoid Aggravating Activities: It’s crucial to give your body time to heal. Avoid activities that cause pain or discomfort, especially those that involve heavy lifting or sudden movements.

2. Ice Therapy: Applying ice to the injured area can help reduce swelling and numb the pain. It’s recommended to ice the area for 15-20 minutes every hour as needed during the first 48 hours after the injury.

3. Compression and Elevation: Using a compression bandage can help minimize swelling. Elevating the injured area can also aid in reducing swelling.

4. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore flexibility and strength. However, these should be done cautiously and ideally under the guidance of a physical therapist.

5. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation. Always follow the recommended dosages and consult with a healthcare provider if you have any concerns.


Signs of Healing
The itching sensation you’re experiencing in the groin area could indicate that the healing process is underway, as it often occurs when tissues begin to repair. However, the discomfort while walking suggests that the muscle may still be recovering. It’s important to listen to your body; if the pain persists or worsens, it may be a sign that the muscle is not fully healed.


When to Seek Medical Help
If you experience any of the following, it’s advisable to seek medical attention:
- Severe pain that does not improve with rest and home care.

- Swelling that does not subside after a few days.

- Inability to use the affected muscle or joint.

- Signs of infection, such as increased redness, warmth, or fever.

- Persistent discomfort that interferes with daily activities.


Which Specialist to Consult
For your specific case, it would be best to consult a sports medicine physician or an orthopedic specialist. They can provide a thorough evaluation, possibly including imaging studies like an MRI or ultrasound, to assess the extent of the injury and recommend an appropriate treatment plan.


Conclusion
Muscle strains can take time to heal, and patience is key during the recovery process. By following proper recovery techniques and seeking medical advice when necessary, you can ensure a smoother healing journey. Remember, if you have any doubts about your recovery or if symptoms persist, don’t hesitate to reach out to a healthcare professional for guidance.

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