PROM within the limits of pain. Intermittent muscle setting with the injured muscle in the shortened position. Very gently at first to keep scar tissue from adhering to the surrounding tissues e. Gentle massage to increase circulation and disperse edema. New tissue is fragile and easily reinjured. Muscle weakness is usually present secondary to joint immobilization or restricted motion during the acute stage.
Pain occurs as the end of the available range is approached.
Goals of treatment a. Control pain and swelling . Strengthen surrounding musculature. Treatment Specific to Tissue Type a. Joints and ligamentous structures 1. If no joint effusion - joint play mobilizations. Intensify TFM to ligaments and surrounding tissue structures.