Showing posts with label Injury treatment. Show all posts
Showing posts with label Injury treatment. Show all posts

Tuesday, 23 July 2024

My experience with the Peace and Love approach

 
"Achilles Tendonitis Treatments - The Good, the Bad, and the Useless" by Treat My Achilles

The injury

I landed badly and sprained my Achilles tendon when playing badminton on Tuesday (16/7/24) at around 6 pm.  I felt a fairly sharp pain on my right heel after landing badly on my right foot.  It was not too severe and I knew nothing was torn.  

I decided to try out the PEACE and LOVE and no-HARM approach.  See my post on Soft Tissue Injuries. 

No-HARM stands for: no Heat, Alcohol, Running/activity, or Massage.  PEACE stands for: Protect, Elevate, Avoid anti-inflammatory drugs, Compression, and Education.  LOVE stands for: Load, Optimism, Vascularisation, and Exercise.

Disclaimer: The following is a record of my attempt to try out the no Harm and Peace and Love approach. The following should NOT be considered an instruction on how to recover from an injury.  It is merely a record of my experience.  I did not consult a medical professional for the following attempt in recovery as I considered the injury minor.  Please make your own decision and consult your medical advisers as appropriate. 

No-HARM and PEACE and LOVE 

First day (Tuesday 6 pm to Wednesday 6 pm)

Tuesday evening: The right heel was quite sore.  There was some warmth to the area, perhaps some inflammation.  I did not put ice on the area and avoided too much hot water during shower.  I tried using two Nordic Walking poles when moving around. 

"Is Ice Or Heat Better For Achilles Tendinitis?" by Treat My Achilles

Second day (Wednesday 6 pm to Thursday 6 pm)

Wednesday evening: I could move the ankle a few times through its restricted range of motion.  There was a slight pain afterwards.  Gentle massage and elevation felt comfortable.  I applied a compression bandage to the ankle. I tried using two Nordic Walking poles to protect the right foot.  

Thursday morning: I walked slowly.  I applied kinesiology tape to the ankle.  It was important to have a balanced gait when walking.  My heart rate increased when moving around.  I slowed down and calmed myself.  It helped with more awareness and mental connection with the injured area. Learning about the injury and related information was useful.  

I practised Tai Chi (the Hao 96 form) with no problem, allowing pain to guide my range of motion. The movements of this Tai Chi form were slow and gentle.

Day Three (Thursday 6 pm to Friday 6 pm)

Day three: Continued practicing PEACE. 

Day Four (Friday 6 pm to Saturday 6 pm)

Friday afternoon: I walked around reasonably well.  The right ankle was still slightly sore.  I practiced the Tai Chi and did some two legged standing isometric heel raise. 

Saturday morning: I taught Tai Chi classes for about 2-1/4  hours. I walked around reasonably comfortably.

Day Five (Saturday 6 pm to Sunday 6 pm)

Sunday morning and early afternoon: I moved around quite freely.  I had some soreness in the hip area due over-compensation.  I did more exercises including standing isometric heel raise, lunge, and push ups.

Day Six and Seven (Sunday 6 pm to Tuesday 6 pm)

Monday: I taught Tai Chi (for 1 hour) in the morning and did some strengthening exercises.  I removed the kinesiology tape that was put on from Day Two.

Tuesday: The ankle was a bit sore after waking up in the morning.  It felt better after some walking.  I walked around normally without pain in the afternoon.

Concluding thought

The no-HARM and PEACE and LOVE approach had worked well.  After 7 days, my right ankle injury was much better.  Further implementation of the LOVE principle should strengthen the ankle.

Tuesday, 25 June 2024

Soft tissue injuries (sprains and strains)

YouTube video - "PEACE & LOVE: New acronym for the treatment of traumatic injuries"
from La Clinique Du Coureur

When we engage in physical exercises, sometimes we sustain soft tissue injuries.  We have been taught in the past to use the R.I.C.E. approach as a first aid treatment for minor soft tissue injuries.  RICE stands for Rest, Ice, Compression and Elevation.  

The mnemonic was introduced by Dr. Gabe Mirkin in 1978. He withdrew his support of this regimen in 2014 after learning of the role of inflammation in the healing process. The implementation of RICE for soft tissue injuries as described by Dr. Mirkin is no longer recommended, as there is not enough research on the efficacy of RICE in the promotion of healing.[1]

What are the current recommendations?

The following general guide from Safer Care Victoria provides a guideline for the initial treatment of minor soft tissue injuries.

Soft tissue injuries (sprains and strains)

The guideline above recommends an updated RICE and no HARM approach for the first 48 to 72 hours following the injury.  HARM stands for Heat, Alcohol, Running/activity, and Massage.

Some health practitioners recommend a PEACE and LOVE approach.  The YouTube video above explains briefly the PEACE and LOVE approach. 

For more information, please refer to the following web page: 

https://www.physio-pedia.com/Peace_and_Love_Principle.

Moderate and severe injuries

Some scientists proposed that for minor soft tissue injuries, the No Harm and Peace approach may be appropriate in the acute phase.  However for moderate and severe injuries, a CARE approach should be adopted.  For further information, please see reference [4] and [6] below.

Additional information

The references below provide additional information on minor soft tissue injuries and proposed treatments.

Reference:

  1. Wikipedia - RICE (medicine) 
  2. Wikipedia - Soft tissue injury
  3. YouTube video - "Physiotherapy Treatment for Soft Tissue Injury - Your Comprehensive Guide" from Ask Giri - The Physio Show
  4. Minor Soft Tissue Injuries may need PEACE in the Acute Phase, but Moderate and Severe Injuries Require CARE - Konstantinos Fousekis and Elias Tsepis, Therapeutic Exercise and Sports Rehabilitation Lab, Physical Therapy Department, University of Patras, Greece.
  5. Soft-tissue injuries simply need PEACE and LOVE by Blaise Dubois,The Running Clinic, Lac Beauport, Quebec, Canada, and Jean-Francois Esculier, Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
  6. Is Ice Or Heat Better For Achilles Tendonitis? by Treat My Achilles on YoutTube.

Disclaimer: The above information is for general education purposes only. Please consult with your doctor or other health professional to make sure this information is right for you.

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