Table 1

Management of acute muscle injuries: 195426

Stage one: haemorrhage control
 Compression (24 h)
 Water immersion or ice bags 30 to 60 min
 Re-evaluate at 24 h
Stage two: absorption of blood and exudate (following haemorrhage control)
 Local heat (whirlpool bath, shortwave diathermy)
 Massage (avoid stimulation of further bleeding)
 Avoiding damaged area in the first 48 h
 Never vigorous or painful, as this will prolong injury
Graduated exercises
 Reduce swelling
 Maintain tone and strength of the muscles
Maintenance of general fitness important