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MSK Physiotherapy - Sprains & Strains

For the most up-to-date advice regarding the management of soft tissue injuries  Soft tissue injuries simply need PEACE and LOVE

These recommendations have been adapted from previous advice (previously termed PRICE and POLICE).

The main changes include:

1) The importance to LOADING the injured tissue as quickly as pain will allow.

What does this mean?

Pain is a signal that protects our body from harm especially after we have injured ourselves. As the pain starts to improve we want to start thinking about gaining movement and strength back. This allows the healing tissue to adapt in a healthy way.

Your improvements might be very slow to start with and you still want to listen to your pain levels  (especially in the early stages). A gradual return to normal function is the best way to get good short and long term results.


2) The use of anti-inflammatories and ice in the acute stages.

What does this mean?

Recent evidence suggests that high levels of anti-inflammatories (e.g. ibuprofen and naproxen) may slow down the body’s own natural healing process. If you have high levels of pain anti-inflammatories may still be  recommended.

The benefits of ice is now considered to be more limited than we previously thought. If you are developing significant swelling, ice alongside elevation and compression is still advised.

If you want to read a slightly longer article explaining the rationale behind this approach click here

Alternatively, here is a video summary explaining the PEACE & LOVE approach:

More Information: 

I feel I may need to speak to a healthcare professional? 

Should you go to A&E? | NHS inform

I'm looking for information about using crutches?

NHS Inform Walking Aids

 

Last Updated: 04 November 2021