Torn Muscle Fiber - Pulled Muscle

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Torn Muscle Fiber - Pulled Muscle
Torn Muscle Fiber - Pulled Muscle
Video: Torn Muscle Fiber - Pulled Muscle
Video: 10 Signs You Have Torn A Muscle- How to Treat At Home 2023, February

Muscle strain, torn muscle fiber, torn muscle

Together with bruises, muscle strains are the most common sports injuries. They are caused by excessive movement (eg stretching) of the muscle and can be very painful. In the case of particularly strong, sudden overstretching, the muscle fibers or entire muscle strands can also tear - one then speaks of a muscle fiber or muscle tear. In any case, these injuries force the athlete to take a break from sport.


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  • What is a muscle strain?
  • What is a torn muscle fiber or a muscle tear?
  • ">What are the causes of a muscle strain or a muscle tear?
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  • What are the symptoms?
  • How is the diagnosis made?
  • How is the treatment carried out?
  • How can you prevent?
  • Whom can I ask?
  • How are the costs going to be covered?

What is a muscle strain?

A strain is caused by excessive non-physiological movement, such as overstretching or twisting. The medical term is distension. A strain can affect ligaments, tendons, or muscles. The injury usually develops gradually.

What is a torn muscle fiber or a muscle tear?

The skeletal muscles are each made up of a large number of individual muscle bundles, which in turn are composed of individual muscle fibers. With a sudden increase in the load or overstretching of a muscle, individual muscle fibers or even an entire muscle bundle can tear (muscle rupture).

What are the causes of a muscle strain or a muscle tear?

Muscle strains and muscle fiber or muscle tears can result from direct or indirect violence. A typical course of injury is, for example, a quick sprint or sudden change between accelerating and braking (e.g. in tennis). Fatigued or insufficiently heated muscles are a risk factor, as well as impaired coordination of movements, insufficient training condition, poor fitness, unfamiliar ground conditions or the wrong footwear. More on the topic: healthy exercise

A lack of fluids and electrolytes, an unbalanced or "wrong" diet (eg preparations for rapid muscle building, so-called anabolic steroids) etc. can also lead to muscle injuries.

What are the symptoms?

A pulled muscle manifests itself as pulling pain in the affected muscle, which increases slowly and continuously. The muscle is also hardened and tender on pressure. Usually a relieving posture is adopted. However, the affected muscle is not restricted in its function.

A muscle fiber or muscle tear manifests itself as sudden stabbing pain. They are often described as needle-like or knife-prick and can typically be pinpointed. The affected muscle is clearly restricted in its function.

How is the diagnosis made?

During the clinical examination, the affected muscle is palpated (swelling? Tenderness?) And its function is checked (can the muscle be stressed? Is active movement possible? Is passive mobility maintained?). For further clarification, an ultrasound examination or an MRI is carried out:

  • When the muscle fiber ruptures, there is usually a bleeding (bruise). This is often not visible from the outside at the beginning, but can be detected with an ultrasound examination if the size is appropriate.
  • In the case of a muscle bundle or muscle tear, a "dent" in the musculature can often be felt immediately after it has developed. A short time later there is a bruise that "fills" this gap, and as a result a painful swelling. Here, too, an ultrasound examination can confirm the diagnosis.

Note The muscle strain cannot be shown in diagnostic imaging (ultrasound examination, MRT). It usually does not develop acutely, and there is also no bleeding. However, if left untreated, a torn muscle fiber can occur as a complication.

How is the treatment carried out?

The first treatment is carried out after the PECH scheme (P casing, E is, C ompression, H ochlagerung). More on the topic: sports injuries.

It is imperative that you do not warm up the affected muscles and massage immediately after the injury, as they can provoke further bleeding. If the pain is severe, the doctor may prescribe oral, non-steroidal anti-inflammatory drugs such as ibuprofen or diclofenac. In more severe cases, injection treatment may be useful. If necessary, a bruise can be punctured or surgically removed.

In the case of pulled muscles and smaller tears in the muscle fibers, complete immobilization is only necessary in the first few days after the injury. Then, depending on the pain, light movement exercises can be started. A dosed physical therapy, including lymph drainage, cold therapy and physiotherapy, can reduce the increased muscle tension and promote the regeneration process. The affected muscle should not be fully strained for about six weeks. Repeated medical examinations are important during therapy.

Large muscle tears with significant functional impairment may have to be treated surgically. Depending on the findings, the affected muscle is reconstructed. Rehabilitation after a muscle tear can take up to twelve weeks, depending on the extent of the injury.

How can you prevent?

Prevention can include careful warming up of the muscles before exercise (at least 15 minutes preparation time), suitable equipment and a slow build-up of the training intensity. More on the topic: Training and training principles

Whom can I ask?

A doctor (e.g. general practitioner, specialist in trauma surgery, sports medicine specialist) should be consulted to differentiate between muscle strain and muscle fiber tears or muscle tears and to administer the appropriate therapy.

How are the costs going to be covered?

The e-card is your personal key to the benefits of the statutory health insurance. All necessary and appropriate diagnostic and therapeutic measures are taken over by your responsible social insurance agency. A deductible or contribution to costs may apply for certain services. You can obtain detailed information from your social security agency. Further information can also be found at:

  • Right to treatment
  • Visit to the doctor: costs and deductibles
  • What does the hospital stay cost?
  • Prescription fee: This is how drug costs are covered
  • Health Professions AZ

and via the online guide to reimbursement of social insurance costs.

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