Josep Benítez Martínez
Physiotherapist Pamesa Valencia Basketball Team. Osteopathy C.O. (Expert)
Doctoral Candidate in Prevention and Treatment of Sporting Injuries. UCAM
Muscle problems are one of the main causes driving athletes to a decline in training and / or its interruption, with the consequent impact on performance.
Traditionally, muscular injuries in athletes have been classified into two big groups: with anatomical injuries (microsprains and sprains); and without anatomical injuries (contractures, contusions, strains).
How many times do we come across muscular injuries that we can’t include in those described in standard reading material?
How often do we act withouot having a clear recovery goal? Or what amounts to the same thing: how often do we act without really knowing where the cause of the problem lies?
In Physiotherapy it is very important to know the etiology of the injury. If one knows what produces a misalignment, one knows how to treat it.
In this paper, we will address the muscle injuries that cannot be included in the traditional classification.
We are going to outline a clinical classification, treating the cause, principally, and its consequences: Minor Muscle Injury. We will discuss its pathophysiology, underlining the importance to the collagen that makes up the tissue affected by these injuries, their examination and treatment.
This denomination aims to differentiate itself from Karl Vicent’s  Muscular Distress Syndromes.
Thus, we can classify the muscular conditions in four main sections:
- Myopathies and PNS or C anomalies (spasticity, rigidity, dystonia, Duchene muscular dystrophy, etc.)
- Muscular Distress Syndromes (fibromyalgia, myofascial pain syndrome)
- Anatomical/ traumatic injuries (contusion, contracture, strain, microsprain, sprain)
- Minor Muscle Injury.
Also, MMI can set off a Muscular Distress Syndrome if there is no spontaneous or therapeutic reduction.
Within the MMI we find two profiles: the one that we are dealing with in this paper which we will call chronic or prolonged stress, and acute, or Diffuse Muscular Soreness, better known as stiffness. Addressed by various authors, the most notable study is by Lieber RL & Friden J6, who, in our opinion, make a very accurate analysis about this type of profile and in which the MMI take physiopathological references.Sports physiotherapy