From the Research
The initial treatment for a rhomboids muscle tear involves rest, ice, compression, and elevation (RICE protocol). Rest the affected area by avoiding activities that cause pain for 48-72 hours. Apply ice packs to the injured area for 15-20 minutes every 2-3 hours during the first 2-3 days to reduce inflammation and pain. Over-the-counter pain medications such as ibuprofen (400-600mg every 6-8 hours) or naproxen (220-440mg every 12 hours) can help manage pain and reduce inflammation. Gentle stretching and range of motion exercises can begin after the acute pain subsides, usually within 3-7 days. Physical therapy may be recommended for moderate to severe tears to restore strength and function. Heat therapy can be introduced after the initial inflammation period (48-72 hours) to increase blood flow and promote healing. This approach works by first controlling inflammation and pain through the RICE protocol, then gradually restoring function through controlled movement and strengthening. Most minor to moderate rhomboid tears will improve within 2-6 weeks with proper treatment, though severe tears may require longer recovery periods or consultation with a specialist.
Key Considerations
- The most recent study 1 suggests that surgical repair may be an option for complete rhomboid tears with muscle retraction, but this is typically considered after conservative treatment has failed.
- Conservative treatment, including physical therapy and pain management, is often the first line of treatment for rhomboid muscle tears, as seen in studies 2, 3, and 4.
- The use of thoracic spine manipulation, as studied in 4, may also be beneficial in reducing pain and improving mobility in patients with rhomboid muscle tears.
Treatment Approach
- Rest and ice are crucial in the initial stages of treatment to reduce inflammation and pain.
- Gentle stretching and range of motion exercises can help restore function and strength to the affected area.
- Physical therapy may be recommended to promote healing and prevent further injury.
- Heat therapy can be introduced after the initial inflammation period to increase blood flow and promote healing.
Important Notes
- Severe rhomboid tears may require longer recovery periods or consultation with a specialist.
- It is essential to prioritize a thorough diagnosis and individualized treatment plan to ensure optimal outcomes for patients with rhomboid muscle tears.