From 15 June 2020, visitors and outpatients coming into our hospitals will be asked to wear a face covering at all times, to help us reduce the spread of Covid-19.
A face covering can be as simple as a scarf or bandana that ties behind the head. It should cover your mouth and nose while allowing you to breathe comfortably.
New measures to increase services
Our staff have been working hard to respond to the coronavirus pandemic and ensure the safety and quality of our services for all patients.
Just like the rest of the NHS, our number one priority for the last few months has been ensuring that all those who need urgent care - not just those with coronavirus - have been able to get it when they need it. Combined with the need to avoid unnecessary contact to reduce the spread of the virus, this has meant that some non-urgent appointments may have been postponed, and others delivered differently using technology.
We are now preparing to gradually increase some important face-to-face services, but only where this can be done safely - the virus is still circulating and we don’t want to put our patients, the public or our staff at greater risk. Thank you for your patience and understanding during these difficult times.
Recommended exercises for new pain problems from arthritis UK. Links to exercise pamphlets for early pain problems of different parts of the body.
Managing a soft tissue injury
The most common injuries in active people
RICE protocol is the best immediate treatment in the first 48 hours
Symptoms usually settle within 6 weeks
Physiotherapy rehabilitation can be useful in getting back to sport
What are soft tissues?
Soft tissues are the structures in the body that connect, support and move the bones and joints.
The most common soft tissues involved in injury are:
Ligaments: strong supporting tissue that connects bone to bone.
Muscle: muscles are made up of fibres that contract and lengthen to produce or control movement of joints.
Tendon: the part of the muscle that connects to bone. made up of collagen and elastic fibres.
How do soft tissue injuries occur?
Soft tissue injuries usually occur as a result of trauma or injury or as a result of overuse.
What are the symptoms?
The most common symptoms are pain and swelling. Sometimes bruising may also occur. Bruising can be a sign of a more significant injury (such as a tendon or ligament rupture). We would recommend you seek a specialist opinion as soon as possible if you suspect a more significant injury.
What is the best initial treatment?
The best initial treatment for soft tissue injuries is referred to as the RICE protocol. The RICE protocol is designed to reduce bleeding, swelling and pain.
RICE stands for:
Rest: Try and do as little as possible with the injured area for 48-72 hours after injury
Ice: Ice should be applied around the area regularly in the first 72 hours after injury as often as every 2-3 hours. If you don't have an Ice pack to hand try a bag of frozen peas wrapped in a towel. Always protect your skin from the risk of frostbite by using a damp towel or flannel between the ice and your skin. Check the iced area regularly during treatment every 5-10 minutes. There is not much benefit from applying ice for more than 15 minutes in one treatment session. The video below shows a method for repeating ice packs in the first few days after injury.
Compression: A special compression bandage can be obtained for most soft tissue injuries from your local pharmacy.
Elevation: Keeping the injured area elevated can reduce swelling.
The no HARM protocol should also be used in the first 72 hours- no Heat, no Alcohol, no Massage. Again the point of this is to ensure decreased bleeding and swelling in the affected area.
What should I do next?
After 72 hours it is advisable to start trying to move the affected area (the MICE protocol - Movement Ice Compression Elevation). Your pain should gradually settle and you should be able to return to normal activity. Your symptoms should show signs of improvement quite rapidly over the next few weeks. If your pain persists beyond 6 weeks physiotherapy may be helpful to get things back to normal, discuss a referral with your GP or you can refer yourself here.