Do I Need Surgery?


Not every muscle injury or condition requires surgery.

healing your deltoid pain quickly

It's generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the muscle tissue. This added scar tissue will be problematic, requiring visits to a physical therapist (PT) and conservative treatment options post-surgery. If not dealt with properly, your injury could end up in worse condition than before the surgery! This is why surgery is only performed as a last resort - basically for chronic (long term) conditions, full ruptures of tendon/muscle/ligaments, arthritis, and/or severe, non-recoverable damage in a joint (ie. hip replacement due to fracture or extensive arthritis)..

Surgery on soft tissue is generally not considered until all conservative treatment options have been exhausted... or there is an infection, or a large/full tear in one or more of your muscles, tendons or ligaments. Barring this, doctors, orthopedic specialists and physical therapists will advise that you try at least 6 or more months of conservative treatments with no sign of improvement before surgery will even be considered.

Understand The Risks That Come From Having Surgery as well as Not Having Surgery

It is always highly recommended that anyone considering surgery always have a clear understanding of the risks as well as the benefits of elective surgery. In addition, one should be aware of the success rate of the particular surgery in question, combined with the post-surgical recommendations that will typically have an impact on your chances of success. Your surgeon should provide a treatment plan to help you regain normal use of the affected area as soon as possible.

As with any surgery there are risks to every procedure depending on a lot of factors, including your age, the severity of your injury and your level of health going into the procedure. It's always best to discuss all possible risks and complications with your doctor before the procedure. It's important to be aware of the risks you may face with any procedure intended to fix or relieve pain from your muscle injury.

Muscle Surgery is Usually Not Necessary

hip hamstring stretch

If you are not at the surgery stage and your physician has opted to treat your injury with conservative treatment options, then you will find that many of our customers have had great success treating themselves with the powerful conservative treatment products such as the Leg TShellz Wrap®. When used as directed, it is our opinion that the TShellz Wrap® when combined with an overall conservative treatment plan, will give you the best chances of healing your muscle strain, muscle spasms or related soft tissue injury at home without the need for surgery. If surgical intervention is required, you will be put on a post-surgery recovery plan by your surgeon or physician. We feel the TShellz Wrap® also plays a valuable role in post surgery recovery, but do not use them for at least 6 weeks after surgery, and only on approval from your physician or surgeon. (Basically do not use heat based treatments until the wound has healed, swelling has dropped and you have recovered enough to have been assigned a home stretching plan). The TShellz Wraps®, when used at this time should be quite effective at enhancing range of motion and minimizing scar tissue growth (which is a substantial problem in nearly any case of surgery).

Unless there is an avulsion or a severe tear of the muscle, most cases of muscle strains or minor tears are not Surgically Necessary, and will heal on their own. This is why most doctors, physicians and orthopedic specialists will recommend conservative treatment for non-SN injuries before considering surgery.

Some of the most effective conservative treatment methods to avoid surgery are:

  • Rest - This is important for initial healing to reduce pain, swelling and inflammation in the early stage of your soft tissue injury. Too much rest can also be harmful as joint immobility can actually cause stiffening, overcompensation and atrophy (wasting away of soft tissue). This is why rest should be used when reducing initial pain and swelling, but should not be considered for more long-term conservative treatment.
  • Avoid Activity that caused your injury. - While resting the area, it's also important to avoid all activities that may have caused your symptoms - including any repetitive movements (possibly work or hobby related). This may include reduced activities in your job if that has caused your injury. Continuing on with regular activities can increase the severity of your injury, turning a mild to moderate case of muscle strain into a downward spiral of atrophic damage that may eventually severely impact your life. Also, trying to 'work around' your injury will eventually give rise to over-compensation injuries in other areas of your body.
  • Use a Cold Compress or Ice Pack - Cold is very effective at reducing pain and inflammation - use at the onset of the injury and during flareups.
  • Natural healing Back Spasm T•Shellz Wrap
  • Use a TShellz® Circulatory Boost Wrap - Once swelling has been reduced, you can use your own blood flow to maximize your rehabilitation. Knowing the body uses blood flow to heal soft tissue, this wrap is intended to introduce heat and an increase in blood flow to the treatment area. This in turn, will assist the body in its own repair process, helping decrease recovery time while reducing re-injury risk. Promoting blood flow and heat to the treatment area will help to minimize the growth of scar tissue, increase tissue flexibility and help reduce onset of atrophy. This is why we recommend a TShellz Wrap treatment before undergoing activity - an increase in flexibility should help reduce risk of further injury while also assisting in the battle against atrophy. Heat via the TShellz Wrap® is especially helpful in dealing with chronic tendon & muscle injuries or on-going pain and stiffness from a torn muscle.
  • Use a Support Wrap or Brace (depending on the area) - to increase comfort and prevent further damage you may want to use a support sleeve or brace to help support the area, reduce risk of further injury and reduce stress on the injured tissue. They can be used until your injury is gone or during active sports for additional stability. Note that these should not be worn at all times as they can limit muscle development, cut off circulation and impede healing of muscle tissue.
  • For reducing discomfort while resting, (or to get some sleep) consider a High Quality Back Pillow and/or Knee Pillow for comfort while sleeping or sitting
  • Rehabilitative stretching under supervision of a PT or doctor. The intent of this is to provide you with increased range of motion, pain relief and strengthening of the surrounding tissue of the joint. Caution: aggressive PT (such as aggressive stretching or massage) can be harmful - when dealing with a joint that has very limited range of motion, there is high risk to further damage weak and damaged soft tissue. This could lead to the need for surgery, and this is why you need to seek out a PT or physician as they can determine safe stretching parameters for you.
  • Stretching - Stretching your joint in PT and at home will help you to regain your range of motion much faster than not stretching at all. Stretching in many ways is key for maintaining good Range of Motion (ROM) in your joint, and stretching can be made much easier with use of a TShellz Wrap® before to warm up soft tissue, and a Cold Compress or Ice Pack treatment after to prevent any return of swelling and inflammation.

The Two Biggest "Gotchas" When Treating Muscle Injuries

1: The Absence of Pain Does Not Mean Your Injury is Gone

After most of our clients use a Cold Compress or Ice Pack for a couple days, pain will typically drop very significantly. This where most people wrongly associate the pain with the injury, whereas in truth, almost all of the pain really came from the inflammation and swelling. Once the inflammation is gone, do not assume you are fully healed.

2: Time Is Not Your Friend

So you have used a Cold Compress or Ice Pack on your muscles and most of the pain is gone, but it's been a couple of months and the injury keeps flaring up. If this is you, then you probably know why this is happening now... the injury was never full healed. To really heal a soft tissue injury, you really need to rest until it is healed, and you don't need me to tell you this is a pain in the butt! This is why the TShellz Wrap® is such an important tool, as it introduces the concept of enhancing localized blood circulation - giving the body's own healing process a kickstart. With this accelerated blood flow, you increase your odds of getting back on your feet more quickly, thus reducing your risk of re-injury.

When the swelling has gone down and the pain has reduced, this is the perfect time to use the TShellz Wrap®. A treatment with a TShellz Wrap® will substantially increase blood-flow to the treatment area - an increased blood flow helps maximize your body's rate of healing. We also highly recommend that our clients treat themselves with the T•Shellz first thing in the morning before getting out of bed. We feel it is important, as heat is known to increase elasticity and flexibility in soft tissue; when getting out of bed, your soft tissue is likely at its least flexible point throughout the day. Not only will this treatment combat atrophy, it will also decrease the chance of re-straining these ligaments, muscles and tendons at their most vulnerable time - after a long period of inactivity.


Why Your Muscle Won't Heal

If our body is designed to heal our own injuries, why does it take so long to heal?

injured tendons that won't heal might have a build up of scar tissue

Once the Pain is Gone, We Think Our Soft Tissue Injury is Healed.

So we start using it more and more for common tasks, and then "boom" we get a sharp pain and then it starts all over. When this happens, the injury was never fully healed - and now it is worse! More scar tissue grows in the new tissue micro-tears and well, lets talk about scar tissue.

Scar Tissue - We Need It For Kick-Starting Soft Tissue Repair But After That It is Nasty Stuff

Tendons, ligaments, muscle and other soft tissue are all meant to be durable and flexible, ready to work and move extreme forces in everyday activities. When I say extreme force, I mean try to imagine the amount of force that your hamstrings and calf muscles are under even when you are just walking, let alone running or jumping. Once there is a strain or tear, these same extreme forces can easily make the injury worse - this why pain exists - it conveniently helps the body prevents you worsening soft tissue injuries.

Scar tissue grows in damaged tissue when it tries to heal; little tiny band-aids that overlap each other to bind tiny tissue tears together. With this added scar tissue, muscles & tendons & ligaments become rigid, less flexible and unable to handle the forces that it once could. If you're suffering with scar tissue now you may feel the effects with stiffness, tightness, weakness and pain in the area. So much pain that you don't want to move it!

On-going issues with scar tissue can result in soft tissue tears and increase chances of strain to nearby tendons or ligaments (as they are now handling higher forces due to overcompensation).

Scar tissue is one of the MAIN reasons why a chronic injury has not healed and your Range of Motion (ROM) is reduced from what it once was.

trigger points elbow arm hand

Scar tissue will form fast to deal with a soft tissue injury, and this scar tissue will also attach to everything in the area, including the surrounding healthy tissue as well. This can result in a fusing together of soft tissue that shouldn't be fused together, causing extreme pain when you try to move your joint - it is literally ripping scar tissue. This is why PT is often painful - the therapist stretches the joint, forcing the scar tissue bonds to break so you can regain your range of motion.

Scar tissue is a major problem as it is difficult to treat and can cause your injury to become chronic - taking months or even YEARS to completely heal!

Minimize scar tissue growth and reduce risk of re-injury to your muscles/tendons/ligaments by:

  • (1) increasing blood flow to the area and
  • (2) increasing the elasticity of soft tissue in the area and
  • (3) elongating soft tissue in the area.

You can accomplish all three of the above goals by treating yourself consistently, every day with a TShellz Wrap.. Overall, continued treatment with the TShellz Wrap® will maintain good health in the treatment area and significantly reduce risk of reinjury.

Who Should Use the TShellz Wrap®

We recommend the use of a TShellz Wrap®:

  • If you have injured tendons, ligaments or muscle, then the TShellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
  • If you are dealing with soft tissue conditions affecting your range of motion.
  • If you have a chronic soft tissue condition that has lasted for years- this device is intended to kick start the recovery process and help strengthen surrounding and supporting tissues.
  • If you are still working with a soft tissue injury, the TShellz Wrap® will help relax injured soft tissue prior to work and after a day at the job.
  • If you are still trying to enjoy your favorite activities such as gardening, tennis, golf, etc - use the TShellz Wrap® prior to activity to help reduce chances of re-injuring or re-aggravating those targeted tissues.
  • If you are suffering from bursitis and want to treat a major source of it (inflammation and damage to tissue surrounding the bursa sac). Through trauma, overuse or degenerative changes, muscle and tendons surrounding the bursa sacs will tighten and constrict. When they do, they place pressure on the bursa, causing it to become irritated. Applying a TShellz Wrap® to the area will help relax tissue in the treatment area, taking pressure off the bursa.
  • If you have been to a clinic for some form of massage or stretching and your PT or physician has recommended stretching and/or conservative treatments for home.
  • If you have upcoming surgery scheduled for your soft tissue injury, then you will find a blood circulation booster to be a powerful tool after surgery to help surgically repaired tissues recover for long-term health. (once the surgery wound has healed and your physician has given the ok - minimum 6 weeks after surgery)
  • If you are experiencing atrophy in your joint and want to reduce the risk of re-injury (or further injury) while stretching - we recommend its use every time before you stretch.

If Surgery is Required

Ok, well the good news is that our TShellz Wraps® are highly effective treatments for post-surgery recovery. Learn more about how to get started with recovery after surgery.


Key Points To Keep in Mind When Treating Your Muscle Injury

Make Sure That Complete Healing is Your #1 Goal

We all know that if the injury was healed, the pain would go away but what about the opposite situation? If the pain is gone, does that mean the injury is better? Unfortunately, this is not always true.

Too many people only focus on suppressing pain symptoms while providing less attention to the true healing aspects of the body. Experiencing less pain, while obviously a good short-term goal, never equates to underlying healing. Scar tissue can remain for months after one gets to a point of being relatively pain-free. However, as long the weak and brittle scar tissue remains, you are susceptible to re-injury. Certain motions or movements can cause the weaker tissue to easily tear - resulting in some reversal of the recovery up until that point.

This is why we recommend for people to continue with their doctor or therapist recommended exercises and to continue with mild treatments of the TShellz Wrap® for a period of time - to better ensure complete recovery.

Ongoing treatments to enhance circulation are intended to soothe, relax and promote healing of damaged soft tissue in the application area. T•Shellz treatment also results in the ability of soft tissue to extend further due to the effect of heat on soft tissue. The more extensible your tissues are, the less likely they are to strain or sprain.

Soft tissue injuries are a race against time. The faster and stronger you heal your muscle, the less chance there is for re-injury or other problems later on.

Leg Thigh Injury HEAT Treatment

Resting Will Help, But Only Temporarily

The truth is, significant or repetitive muscle strains (often combined with tendonitis) are often a culmination of numerous factors, such as repetitive stress, poor posture, acute injuries, and overcompensation issues resulting from other muscle and soft tissue ailments. It may take weeks or months for these pain triggers to surface. When they , however, merely resting will solve the underlying issues. You need to utilize actions and options that actually treat the source of the pain and help reverse the damage that has been done.

Resting has a role to play, but it is only one small factor in a recovery plan.

If Your Muscle Injury Keeps Popping Up -> Identify The Cause & Fix It

In order to get long term relief from - let's say for example - "hip pain".... you need to identify all the factors that are contributing to it. These factors can include muscle imbalances, short leg syndrome, herniated discs, trauma and tightness to surrounding muscle and soft tissue, etc. The list is certainly significant and it can be frustrating for people who may have no idea where to begin. This is one of many reasons why you should always get to a physician and, in some cases, a specialist to identify the source of your problem.

Know that Pain isn't the Only Proof You're Still Injured

Would you know you injured yourself if there was no pain? Probably not! Pain and swelling perform a useful role in letting you know that you did, in fact, injure yourself. Pain and swelling are what get you to seek out medical attention in the hopes of finding a way to reduce the pain and heal your injury.

Inflamed muscle tissue can cause extreme pain and result in a chronic muscle injury. When using a Cold Compress or Ice Pack, you can control inflammation which speeds up healing and clears away the pain. You don't need medication (drugging your whole body) to mask the pain. You need to reduce the inflammation in your muscle and avoid re-injury to see a reduction in pain.

We all know that if the injury was healed, the pain would go away but what about the opposite situation? If the pain is gone, does that mean the injury is better? Unfortunately, this is not always true.

On-going TShellz Wrap® treatments at home, every day, are intended soothe, relax and promote blood flow to soft tissue. Consistent TShellz® Circulatory Boost Wrap treatments before activity or work will help warm up the area, increasing soft tissue elasticity & flexibility; this in turn will also reduce the risk of re-injury.

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