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Acute Injury Care

Acute Injuries occur sud­denly dur­ing activ­i­ties. Exam­ples of Acute Injuries include sprained ankle, strained back, or frac­tured hand. When you have an acute injury there are things you can do to min­i­mize tis­sue dam­age, pro­tect from fur­ther injury and pro­mote faster recov­ery. At Sher­wood Park Sports Phys­io­ther­apy, we will help you to man­age and recover from your injury.

What you do in the first 5 days after injury is the most important.

Days 1–2

Seek med­ical help -> early inter­ven­tion is a key to diag­no­sis and recovery.

Pro­tect the joint –  the area may need to be taped or braced.

Fol­low the RICE for­mula — rest, ice, com­pres­sion, elevation.

Do not use ASA type med­ica­tions.  ie. Advil, Motrin, Ibupro­fen unless advised by a physician.

Days 2–5

Begin gen­tle range of motion as advised by your Sher­wood Park Sport Phys­io­ther­apy ther­a­pist. A Cryoki­net­ics Pro­gram (Ice and Pro­gres­sive Exer­cises) can be ini­ti­ated for most acute injuries at 24–48 hours post injury. This early reha­bil­i­ta­tion pro­gram is very effec­tive in pro­mot­ing heal­ing and pre­vent­ing dis­use atro­phy and a loss of con­di­tion­ing. See our ther­a­pists for an injury spe­cific pro­gram designed for your acute injury.

BRACES

For acute injury, com­mon braces include:

  • Wrist Splint
  • Ankle Brace or Tape
  • Knee Brace
  • Finger/Toe Splints
  • Casts (Hard and Removable)

DIET

The body’s injury recov­ery process is fueled by car­bo­hy­drates but we also need pro­tein — the build­ing blocks for build­ing new tissue.

HEAT vs COLD

Can heat be used instead of cold for an acute inury?

No – Some peo­ple believe that heat is just as good as cold for the treat­ment of inflam­ma­tion, but this is not the case for acute injuries. Apply­ing heat to an acute injury may feel good but will bring more blood to the area and cause greater “flood­ing” due to weak­ened and injured blood ves­sels around the injury site. After an injury, you want to stop bleed­ing, not encour­age it. Remem­ber, the less fluid that comes, the shorter the inflam­ma­tion process is and the sooner heal­ing can begin.

It is true that heat can reduce pain and stiff­ness, much the same that cold can, but it is because cold restricts the blood flow to the injured area and low­ers the local metab­o­lism, that it is used instead of heat to treat acute injuries.

Ice Treat­ment

As a gen­eral rule smaller body parts (i.e. fin­ger and more super­fi­cial injuries) require a shorter time for ice treat­ment. For exam­ple, the rec­om­mended ice time for a sprained fin­ger may be 10 min­utes but an injury to your upper thigh could be 20 min­utes. If the skin area you are icing becomes too pink the ice may have been on too long.

Aggres­sive Ice Treatment

The first 24 hours after an injury can reduce your recov­ery time sig­nif­i­cantly by min­i­miz­ing swelling. Pro­fes­sional ath­letes will often ice all through the first night with hourly 15–20 minute icings. If appro­pri­ate, you may want to aggres­sively ice your injury as well. Con­tact your SPSP ther­a­pist for proper care of your acute injury.

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