Herbal & homeopathic remedies for sprains & strains

Sprains and Strains
HEALTH HERBS & NUTRITION - REMEDIES - SPRAINS AND STRAINS

· General Description

· Sprains

· Strains

· Herbal & Homeopathic Remedies

· Helpful Dietary Habits

· Dos and Don'ts

Natural herbal & homeopathic products for sprains & strains

General description & overview of sprains & strains
 

Sprains and strains are types of minor injuries to the soft tissues and connective tissues of the musculoskeletal system, that often result from sports or exercise, but can easily result from any physical activity.

Difference between a Sprain and a Strain

A sprain is a stretch and/or tear of a ligament (a band of fibrous tissue that connects two or more bones at a joint), most often in the ankle, knee, elbow, or wrist. One or more ligaments can be injured at the same time. The severity of the injury will depend on the extent of injury (whether a tear is partial or complete) and the number of ligaments involved. Although, sprains usually refer to injuries to ligaments, they also sometimes refer to other connective tissues, such as tendons and the capsules surrounding joints.

A strain is an injury to either a muscle or a tendon (fibrous cords of tissue that connect muscle to bone), commonly occurring in the muscles that support the calf, thigh, groin, and shoulder. Basically, strains usually refer to injuries to muscles or to the areas where muscles become tendons. Depending on the severity of the injury, a strain may be a simple overstretch of the muscle or tendon, or it can result from a partial or complete tear.

Sprains and strains may occur together, and occasionally are quite severe, requiring immobilization of the body part in a rigid cast for weeks, and leading to weeks of rehabilitation, and sometimes even surgery.

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About sprains - symptoms & causes
 

Usual sites of Sprains

Although sprains can occur in both the upper and lower parts of the body, the most common site is the ankle. More than 25,000 individuals sprain an ankle each day in the United States.

The ankle joint is supported by several lateral (outside) ligaments and medial (inside) ligaments. Most ankle sprains happen when the foot turns inward as a person runs, turns, falls, or lands on the ankle after a jump. This type of sprain is called an inversion injury. The knee is another common site for a sprain. A blow to the knee or a fall is often the cause; sudden twisting can also result in a sprain.

Sprains frequently occur at the wrist, typically when people fall and land on an outstretched hand. A sprain to the thumb is common in skiing and other sports. This injury often occurs when a ligament near the base of the thumb (the ulnar collateral ligament of the metacarpo-phalangeal joint) is torn.

Symptoms & Diagnosis of Sprains

The usual signs and symptoms include:

  • Pain at the time of injury

  • Swelling

  • Bruising

  • Instability

  • Loss of the ability to move and use the joint (called functional ability).

Mild or minimal sprains with no tear of the ligament usually produce mild tenderness and some swelling. In general, a grade I or mild sprain is caused by overstretching or slight tearing of the ligaments with no joint instability. A person with a mild sprain usually experiences minimal pain, swelling, and little or no loss of functional ability. Bruising is absent or slight, and the person is usually able to put weight on the affected joint.

Moderate sprains, in which the ligament has been partially ruptured, produce obvious swelling, bruising, significant tenderness (moderate pain), and difficulty walking. A grade II or moderate sprain is caused by further, but still incomplete, tearing of the ligament. A person with a moderate sprain usually has more difficulty putting weight on the affected joint and experiences some loss of function. An x ray may be needed to help the health care provider determine if a fracture is causing the pain and swelling. Magnetic resonance imaging is occasionally used to help differentiate between a significant partial injury and a complete tear in a ligament, or can be recommended to rule out other injuries.

Severe sprains, as when the ligament is completely torn from the bone (called avulsion), make walking impossible and produce marked swelling, internal bleeding and joint instability. People who sustain a grade III or severe sprain are unable to put weight on the joint. An x ray is usually taken to rule out a broken bone.

When to See a Doctor for a Sprain

  • You have severe pain and cannot put any weight on the injured joint.

  • The injured area looks crooked or has lumps and bumps (other than swelling) that you do not see on the uninjured joint.

  • You have pain, swelling, or redness over a bony part of your foot.

  • You see redness or red streaks spreading out from the injury.

  • You cannot move the injured joint.

  • Your limb buckles or gives way when you try to use the joint.

  • You cannot walk more than four steps without significant pain.

  • You have numbness in any part of the injured area.

  • You injure an area that has been injured several times before.

  • You are in doubt about the seriousness of the injury or how to care for it.

Doctors closely observe an injured site and ask questions to obtain information to diagnose the severity of a sprain.




Causes of Sprains

Sprains generally result from a twisting force applied to a joint while it is bearing weight, which causes the ligament to stretch beyond its natural limit. A sprain can result from sudden, unexpected movements like a fall, a sudden twist, or a blow to the body that forces a joint out of its normal position and stretches or tears the ligament supporting that joint. Typically, sprains occur when people fall and land on an outstretched arm, slide into a baseball base, land on the side of their foot, or twist a knee with the foot planted firmly on the ground.

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About Strains - Symptoms & Causes
 

Usual sites of Strains

There are three common sites for a strain:

  • One of them is the back and the hamstring muscle (located in the back of the thigh) - Contact sports such as soccer, football, hockey, boxing, and wrestling put people at risk for these strains

  • Gymnastics, tennis, rowing, golf, and other sports that require extensive gripping can increase the risk of hand and forearm strains

  • Elbow strains sometimes occur in people who participate in racquet sports, throwing, and contact sports.

Symptoms & Diagnosis of Strains

Typically, people with a strain experience:

  • Pain

  • Limited motion

  • Muscle spasms

  • Possible muscle weakness

  • Muscle stiffness, tenderness, or soreness

  • Possible localized swelling, cramping, or inflammation

  • Warmth over the involved muscle

  • Some loss of muscle function (usually with a minor or moderate strain)

Patients typically have pain in the injured area and general weakness of the muscle when they attempt to move it. Severe strains that partially or completely tear the muscle or tendon are often very painful and disabling.

Causes of Strains

A strain is caused by twisting or pulling a muscle or tendon. Muscle strains occur when the weight load on a muscle is greater than the weakest part of the muscle can bear.
Strains can be acute or chronic.

  • An acute strain is associated with a recent trauma or injury; it also can occur after improperly lifting heavy objects or overstressing the muscles.

  • Chronic strains are usually the result of overuse: prolonged, repetitive movement of the muscles and tendons.


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Herbal & homeopathic remedies useful in sprains & strains
 

Many herbal and homeopathic remedies have been formulated with specific ingredients to heal from the inside out – helping to facilitate strengthening of injured ligaments. Arnica is a highly respected ingredient in homeopathic medicine and has powerful anti-inflammatory and tissue healing properties.

Filipendula almaria is another herb that has been used for centuries by herbalists to treat pain with modern research citing this herb as nature’s aspirin! Homeopathic ingredients such as Magnesium phosphoricum and Symphytum officinale can also greatly assist the body in recovering from sports injuries  and sprains – with no harsh side effects.

  • Arnica D6 is a highly respected ingredient in homeopathic medicine and has powerful anti-inflammatory and tissue healing properties. It is used extensively to treat shock, injury and for post-operative care, and also helps to control bleeding. It is often prescribed to help joint and muscle pain and fever. Although this herb is potentially toxic in its raw state (and is therefore only used externally), homeopathic manufacturing methods ensure that Arnica is safe to use internally.

  • Peppermint Essential Oil - Peppermint has many therapeutic uses and may be used for a wide variety of conditions including respiratory and digestive conditions as well as musculo-skeletal pain. Used in massage, peppermint has strong anti-inflammatory and analgesic properties and also assists in promoting blood flow to the affected areas. On the emotional level, the aroma of peppermint oil will relax and refresh the mind as well as the body, helping to uplift the spirits and restore courage and mental focus.

  • Filipendula almaria: also known as Meadowsweet, is an herb which has been used for centuries by herbalists to treat fever and pain. Modern science reveals that this herb contains salicylates - a natural chemical similar to the pharmaceutical aspirin. Unlike, aspirin, however, Meadowsweet has pain relieving and anti-inflammatory properties without side effects such as stomach ulcers and the risk of Raynaud's Disease, associated with the use of pharmaceutical aspirin.

  • Ginger Essential Oil - Obtained from the root of the ginger plant, ginger, like peppermint, is a highly versatile medicinal plant with thousands of years of therapeutic history. The oil is warming and toning and has particular application to all musculo-skeletal conditions, soothing pains and aches and also helps to reduce fever. Inhalation of ginger also helps to boost tired spirits and strengthen resolve.

  • Magnesium phosphoricum D6 is a biochemic tissue salt found naturally occurring in the body. It is known as the 'homeopathic aspirin' due to its unique pain killing and curative properties and is also an effective muscle relaxant, preventing and treating spasms and cramps and promoting relaxation.

  • Symphytum officinale also called comfrey, contains allantoin - a chemical which encourages bone, cartilage and muscle cells to grow. This explains why comfrey is called 'knitbone' by traditional healers, helping to heal wounds and injuries of all kinds.

   

Herbal & homeopathic products for sprains & strains

RealHeal™

Aids in naturally supporting the healing ability of the body.

Product Details

RealHeal Massage Oil™

Promotes muscular, joint, and skeletal health and comfort after strenuous activity.

Product Details

 

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Helpful dietary recommendations in sprains & strains

Adequate amounts of calories and protein are required for the body to repair damaged connective tissue. While major injuries requiring hospitalization raise protein and calorie requirements significantly, minor sprains and strains do not require changes from a typical, healthful diet consisting of fresh fruits and vegetables.

Still, if you are prone to sprains and strains, or you subject your joints to hard work, which may lead to sprains and strains, then your body definitely demands better, well-balanced diet from you. Some tips include:

  • Avoid chips and packaged and processed foods that contain hydrogenated oils, and avoid fried foods, which are often cooked in those oils. These substances increase the inflammation in your body.

  • Include in your diet anti-inflammatory oils such as those found in cold-water fish (salmon, trout, mackerel, herring and sardines), nuts, and seeds (linseeds). They contain omega-3 oils, which although not a direct anti-inflammatory, can lessen the amount of inflammatory chemicals your body produces over time.

  • Vitamin C with flavonoids for connective tissue repair - Some rich sources of vitamin C are oranges, green peppers, watermelon, Rose Hips, papaya, parsley, grapefruit, cantaloupe, strawberries, kiwi, mango, broccoli, tomatoes, Brussels sprouts, cauliflower, currants, cabbage, and citrus juices or juices fortified with Vitamin C.

  • Turmeric – Curcumin is the active constituent in turmeric, the yellow Indian spice that is a key ingredient in many curry recipes. Turmeric has an age old reputation as an anti-inflammatory and pain-relieving agent. But it seems to be curcumin that does the real work: it inhibits the synthesis of prostaglandins –hormone like compounds in the body that are involved in the transmission of pain signals. Take a teaspoon of turmeric in a glass of lukewarm milk at bedtime for best results.

  • As the cause is the drying up of the Synovial lubricating fluid in the joints, eating some avocado daily is considered helpful in restoring normalcy. Avocado also provides you with vitamin E.

  • Drink at least eight glasses of water daily to eliminate unwanted toxins from the body

  • Alternative healthcare practitioners frequently recommend proteolytic enzymes (enzymes that catalyze the splitting of proteins into smaller peptide fractions and amino acids by a process known as proteolysis) for various minor injuries. These enzymes are also well absorbed when taken by mouth, and are quite effective in reducing pain and swelling associated with various injuries and for speeding up the healing process. Bromelain, a proteolytic enzyme, is an anti-inflammatory agent and for this reason is helpful in healing minor injuries, particularly sprains and strains, muscle injuries, and the pain, swelling, and tenderness that accompany sports injuries. Pineapples are the best dietary sources of bromelain.

  • There is some suggestion that a low intake of the antioxidants selenium and vitamins A, C and E may increase the risk of tendinitis. Hence, make sure that your diet includes plenty of fresh fruit and vegetables for vitamin C and beta carotene (which the body converts into vitamin A). Avocados, fresh nuts and olive oil will provide vitamin E and fish oils, cereals, eggs, and brewer’s yeast will supply selenium.

 


Dos & don'ts (precautionary measures) in sprains & strains

Treatments for sprains and strains are similar and can be thought of as having two stages - Reduce Swelling and Pain and rehabilitation.
 
Reduce Swelling and Pain

The goal during the first stage is to reduce swelling and pain. At this stage, patients are usually advised to follow a formula of rest, ice, compression, and elevation (RICE) for the first 24 to 48 hours after the injury (see below).

For people with a moderate or severe sprain, particularly of the ankle, a hard cast may be applied. This often occurs after the initial swelling has subsided. Severe sprains and strains may require surgery to repair the torn ligaments, muscle, or tendons. Surgery is usually performed by an orthopaedic surgeon.

RICE Therapy

  • Rest - Reduce regular exercise or activities of daily living as needed. Put no weight on an injured area for 48 hours. If you cannot put weight on an ankle or knee, crutches may help. If you use a cane or one crutch for an ankle injury, use it on the uninjured side to help you lean away and relieve weight on the injured ankle.

  • Ice - Apply an ice pack to the injured area for 20 minutes at a time, 4 to 8 times a day. A cold pack, ice bag, or plastic bag filled with crushed ice and wrapped in a towel can be used. To avoid cold injury and frostbite, do not apply the ice for more than 20 minutes.

  • Compression - Compression of an injured ankle, knee, or wrist may help reduce swelling. Examples of compression bandages are elastic wraps, special boots, air casts, and splints. Ask your provider for advice on which one to use, and how tight to safely apply the bandage.

  • Elevation - If possible, keep the injured ankle, knee, elbow, or wrist elevated on a pillow, above the level of the heart, to help decrease swelling.

Begin Rehabilitation

The second stage of treating a sprain or strain is rehabilitation, whose overall goal is to improve the condition of the injured area and restore its function. The health care provider will prescribe an exercise program designed to prevent stiffness, improve range of motion, and restore the joint's normal flexibility and strength. Some patients may need physical therapy during this stage. When the acute pain and swelling have diminished, the provider will instruct the patient to do a series of exercises several times a day. These are very important because they help reduce swelling, prevent stiffness, and restore normal, pain-free range of motion. The provider can recommend many different types of exercises, depending on the injury. A patient with an injured knee or foot will work on weight-bearing and balancing exercises. The duration of the program depends on the extent of the injury, but the regimen commonly lasts for several weeks.

Another goal of rehabilitation is to increase strength and regain flexibility. Depending on the patient's rate of recovery, this process begins about the second week after the injury. The provider will instruct the patient to do a series of exercises designed to meet these goals. During this phase of rehabilitation, patients progress to more demanding exercises as pain decreases and function improves.




The final goal is the return to full daily activities, including sports when appropriate. Patients must work closely with their health care provider or physical therapist to determine their readiness to return to full activity. Sometimes people are tempted to resume full activity or play sports despite pain or muscle soreness. Returning to full activity before regaining normal range of motion, flexibility, and strength increases the chance of reinjury and may lead to a chronic problem.

The amount of rehabilitation and the time needed for full recovery after a sprain or strain depend on the severity of the injury and individual rates of healing. For example, a mild ankle sprain may require up to 3 to 6 weeks of rehabilitation; a moderate sprain could require 2 to 3 months. With a severe sprain, it can take up to 8 to 12 months to return to full activities. Extra care should be taken to avoid re-injury (see below Ways & Means to Prevent Sprains and Strains).

Other treatments and techniques used are:

Acupuncture

Acupuncture appears to be effective for sprains and strains. Acupuncture improves feelings of soreness. Acupuncturists often apply moxibustion (a technique in which the herb mugwort is burned over specific acupuncture points) in combination with needling in order to strengthen or deepen the treatment for this condition.

Chiropractic

Chiropractors commonly treat sprain and strain injuries, particularly those with pain and diminished function. Chiropractors, licensed naturopathic doctors, and some osteopathic doctors to relieve pain and improve healing of sprains and strains use spinal manipulation. In addition to joint manipulation, chiropracters use other treatments for sprains and strains, such as applications of ice and heat and ultrasound or electrical muscle stimulation. Stretching and strengthening exercises are also often recommended to aid recovery and rehabilitation.

In a study of people with ankle sprains, researchers compared the effectiveness of chiropractic joint manipulation vis-à-vis anti-inflammatory medication. They found that joint manipulation was as effective as the anti-inflammatory medication in improving pain and flexibility, but it was more effective than the medication in improving range of motion.

Massage

Therapeutic massage is effective at increasing circulation and may relieve spasm in surrounding muscle groups.



Ways & Means to Prevent Sprains and Strains

There are many things people can do to help lower their risk of sprains and strains, including:

  • Avoid exercising or playing sports when tired or in pain. Also, do not participate in sports and activities that you are not conditioned for. It may be hard to digest and even harder to restrict yourselves, but sadly, it is true. For example, running is a potential hazard for quite a few people. Basically, be in proper physical condition to play a sport.

  • Maintain a healthy weight.

  • Practice safety measures to help prevent falls (for example, keep stairways, walkways, yards, and driveways free of clutter; anchor scatter rugs; and salt or sand icy patches in the winter).

  • Wear shoes that fit properly – Buy well-cushioned shoes with excellent arch support. Ask a podiatrist (foot doctor- a specialist in care for the feet) about arch supports or heel inserts. Additionally, do not expect your shoes to be multi-functional – buy the right shoe for your sport. Running shoes, for example, do not provide the right support for squash players. People with flat feet must make sure that they have adequate arch support and shock-absorbing cushioning.

  • Replace athletic shoes as soon as the tread wears out or the heel wears down on one side – A simple guideline says that runners who put in 25 miles a week or more need new shoes every 60 to 90 days – less mileage than that means new shoes every four to six months. Those who participate in aerobics, tennis, or basketball twice a week need new shoes 2-3 times a year, while those who participate up to four times a week need them every 60 days.

  • Do stretching exercises daily.

  • Warm up and stretch before participating in any sports or exercise. It is vitally important to stretch your calf muscles before you exercise. Whether you are running, doing aerobics or playing a team sport, talk to a fitness instructor or triner to find out what type of leg stretches are most appropriate, and then make sure you do them religiously before and after each work-out session.

  • Wear protective equipment when playing.

  • Run on even surfaces. Also, choose the softest available surface for exercise. If you do aerobics on a hard floor (such as carpeted concrete), always put down an impact-absorbing foam mat first. Wood floors over airspace are the least damaging.

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Herbal & homeopathic products for sprains & strains

RealHeal™

Aids in naturally supporting the healing ability of the body.

Product Details

RealHeal Massage Oil™

Promotes muscular, joint, and skeletal health and comfort after strenuous activity.

Product Details