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Why it happens

Sudden loads tear muscle fibres; twisting stretches or tears ligaments; repetitive loading outpaces a tendon’s ability to repair. Recovery stalls when the injury is under-diagnosed, the tissue is loaded too early, or the blood supply is poor — tendons and some ligaments heal slowly for this reason.

How Dr. Kiruthika assesses it

Examination and ultrasound in the same visit to grade the injury — size of a muscle tear, degree of ligament damage, tendon structure. MRI when a complete tear, bone injury or intra-articular damage is suspected. A return-to-play timeline is set from the grade, not the calendar.

Conditions treated

Muscle tears

Hamstring, calf, quadriceps and groin strains, graded one to three. Grades one and two: early protected movement, then progressive loading; ultrasound-guided PRP for large grade-two tears or slow healing. Grade three (complete) tears are referred for surgical opinion.

Ligament sprains and tears

Ankle, knee (MCL, ACL), thumb and elbow ligaments. Partial tears: bracing, rehabilitation, ultrasound-guided PRP to support healing and stability. Complete tears of key stabilisers in active athletes are referred for reconstruction.

Tendinopathies

Patellar, Achilles, hamstring, gluteal and elbow tendons that hurt under load. A loading programme is the treatment; PRP when pain persists after twelve weeks of correct loading.

Overuse and stress injuries

Shin pain, stress reactions and stress fractures from training increases. These need load reduction and bone health assessment, not injection. Imaging confirms; a graded return plan follows.

Return to play

Recovery is staged — pain-free daily activity, strength symmetry, sport-specific drills, then full play — with criteria at each stage rather than fixed dates. Re-injury is most common when a stage is skipped.

Treatment options, least to most invasive

  1. Accurate grading, protection and early controlled movement
  2. Progressive loading programme with a physiotherapist
  3. Ultrasound-guided PRP for tendons, partial ligament and muscle tears
  4. Ultrasound-guided steroid injection for bursitis only, not into tendons
  5. Surgery — complete tears of major ligaments or tendons in active athletes. Referred directly.

On the day

Assessment with ultrasound takes twenty minutes. PRP takes about forty-five minutes including the blood draw, with soreness for two to five days and a temporary reduction in training load.

Questions patients ask

Will PRP get me back faster?

It can support healing in tissues with poor blood supply — tendons and ligaments — and reduce time lost in slow-healing cases. It does not shortcut the rehabilitation stages.

Should I ice and rest completely?

Brief rest and ice in the first days, then early guided movement. Prolonged rest slows recovery.

Can I play through tendon pain?

Mild pain that settles by the next morning is usually acceptable during a loading programme; pain that worsens overnight means the load is too high.

Do I need an MRI?

For suspected complete tears, bone injury or knee ligament injury. Most muscle and tendon injuries are graded fully on ultrasound.

When is surgery needed?

Complete tears of the ACL, Achilles, quadriceps or patellar tendon in active people, and some complete muscle tears.