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Abdominal Muscle Strain


About this topic


A muscle strain happens when the muscle is stretched too much. Sometimes, this is also called a pulled muscle. In some cases, your muscle may bleed and you may see bruising on the skin. When this injury happens in the stomach area, it is an abdominal strain. Most of the time, there is a minor tear of the muscle. In very bad cases, the muscle may tear fully from where it is attached. This is called a rupture. ‚  

What are the causes?


  • Overuse of stomach muscles or repeat movements in the stomach area
  • Not using good body form to lift or move heavy objects
  • Not using good techniques when working out
  • A sudden, forceful movement in the stomach area like twisting
  • Forceful coughing, sneezing, or laughing

What can make this more likely to happen?


  • Playing sports or doing thing that make you twist like tennis, gymnastics, golf, and baseball
  • Not warming up before a workout
  • Working out in cold weather
  • Weak stomach muscles
  • Being too tired when you work out

What are the main signs?


  • Pain or soreness
  • Weakness
  • Swelling
  • Bruising or redness
  • Stiffness
  • Muscle spasms

How does the doctor diagnose this health problem?


Your doctor will feel around your stomach area. Your doctor may also have you move in certain ways to check your motion and strength. Your doctor may order: ‚  
  • Lab tests
  • X-ray
  • Ultrasound
  • CT or MRI scan

How does the doctor treat this health problem?


  • Rest
  • Ice
  • Compression ¢ ˆ ’ An ACE wrap may be wrapped lightly around the stomach area for support and to ease swelling.
  • Exercises
  • Heat may be used later but not right away. Heat can make swelling worse.
  • Physical therapy
  • Surgery is very rare and is only done when a muscle is fully torn.

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain and swelling

What can be done to prevent this health problem?


  • Take breaks often when doing things that use repeat movements.
  • Warm up slowly and stretch before you work out. Use good ways to train, such as slowly adding to how far you run. Do not work out if you are overly tired. Take extra care if working out in cold weather.
  • Stay active and work out to keep your muscles strong and flexible.
  • Keep a healthy weight so there is not extra stress on your joints. Eat a healthy diet to keep your muscles healthy.
  • Use good form with your body when lifting heavy objects.
    • Bend your knees.
    • Keep your back straight.
    • Do not twist at your waist. Turn with your feet instead.
    • Keep objects close to your body.
  • Wear shoes with good support.

Where can I learn more?


American Academy of Orthopaedic Surgeons ‚  
http://orthoinfo.aaos.org/topic.cfm?topic=A00111 ‚  
National Institute of Arthritis and Musculoskeletal and Skin Diseases ‚  
http://www.niams.nih.gov/Health_Info/Sprains_Strains/sprains_and_strains_ff.asp ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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