The area should not be massaged or heat treated in the early stages. Heparinoid and hyaluronidase containing topical applications may help to disperse the congealed blood and oedema, and so reduce swelling. Repeated overuse of muscles and tendons produce pain, fatigue and reduced efficiency of that limb. Sufferers should stop doing what causes the pain. Treatment includes rest of the limb, massage and analgesics, both systemic and topical.
Alternative treatment includes acupuncture and osteopathy.
All patients should be referred. They are characterised by localised swelling, erythema and pain. Treatment consists of rest, analgesics and anti-inflammatory agents. In extreme cases, corticosteroids, both by local injection and systemically, aspiration and surgery may be required. Such patients should be referred.