Muscle strain (pulled muscle)

About Muscle strain (pulled muscle)

A strain is a stretched or torn muscle. Any muscle may be involved. For a short time the injured muscle will have decreased strength or function. Bleeding into the tissue can occur causing bruising. Sometimes a strain (muscle injury) can be difficult to tell apart from a sprain (a sprain is an over-stretched or torn ligament.)

Symptoms

Pain and difficulty moving the injured muscle, discolored and bruised skin, swelling.

Tests & Diagnostics

A history and physical exam will be performed. A X-ray may be done to rule out fracture. A MRI may be used to identify a torn muscle or injury to a ligament or tendon. MRI is not necessary in most cases because the diagnosis may be obvious.

Common tests: MRI, X-ray.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Treatment includes: rest, ice, pressure (ace wrap if needed), elevation, and nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol). Severe muscle tears or those with associated injury to tendons or ligaments may require surgery.

Medical specialties

Internal Medicine · Pediatrics · Family Practice · Sports Medicine · Pediatric Sports Medicine

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Muscle strain (pulled muscle).