Muscular Strain: Going Beyond DOMS

When do you cross the line from Muscular Fatigue, to Delayed Onset Muscle Soreness (DOMS) and sometimes jump right in to Muscular Strain?

 We have all had muscular fatigue, when you simply cannot complete that final rep.  Nothing left in the tank if you will.  DOMS is again something that I am sure we are all familiar with, that ache you get the day after, or even the ‘day after, the day after’ you have worked out hard.  It doesn’t necessarily stop you functioning and can even improve after further exercise.  Muscular strain is a completely different kettle of fish.  Yes there may be pain or ache but what is more pronounced is the lack of force that muscle of group of muscle or even more extreme the inability to contract that muscle at all.  Lets take a quick look at how you can identify what is going on for you and how you can take the right approach to address each.

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Knee Pain: A Complex Problem to Solve

It is not uncommon for a client to turn up at my door and state they have been told by friends, colleagues, team mates and sometimes other therapists that they have ‘Runners Knee’ and don’t know what to do about it.  ‘Jumpers Knee’, ‘ITB Syndrome’ and many other complaints present but all have one thing in common – a knee that is in pain!  Personally I think these name’s are misleading, non specific and not very useful in terms of identifying for the client what exactly the problem is and more importantly what the client needs to do to heal. 

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Injuries: Ice or Heat?

A question I am asked all the time is when something hurts should you use ‘Ice or Heat?’.  As always the

answer is – it depends……


When you initially strain a muscle or sprain ligaments or tendons there are tears in the fibre, bleeding and swelling.  This leads to inflammation and heat being radiated from the area as the dead cells are removed and new ones brought in to start the healing process.

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