PEACE and LOVE
In 2019, the British Journal of Sports Medicine developed a new acronym for the management of soft tissue injuries.
The new acronym is designed to include management strategies from acute injury up until the end stages of soft tissue healing. The acronym is also inclusive of other factors that might improve or delay the recovery process.
How to incorporate the P.E.A.C.E and L.O.V.E principles for soft tissue injuries
Minimising loading and limiting movement of the affected area for 1-3 days plays an important role. This will aid in minimising bleeding of bleeding, preventing further distention of injured fibers and reduce the risk for any further damage.
Your Physiotherapists will advise you if any assistive devices or braces will be needed.
Elevation is key. When elevation the injured area, always ensure it is higher than the heart. This will assist the flow of fluids out of the damaged area.
A for AVOID ANTI-INFLAMMATORIES
During the initial phase of healing, the use of anti-inflammatories could lead to disruption of soft tissue healing.
External compression techniques, including bracing, strapping or bandaging aids in limiting and decreasing soft tissue swelling. Physiotherapists can guide patients with certain techniques to assist with the swelling process.
E for EDUCATION
One of the roles of Physiotherapy is to educate their patients on the condition at hand and how they manage the injury. Education patients on recovery times will help patients understand the condition and set realistic goals and expectations.
Loading refers to adding mechanical stress of weight. This is very beneficial during the early recovery phase as it promotes soft tissue repair and assists in “building of tissue tolerance and capacity”. (BMJ, 2019)
Patients that are mote optimist about their injury, likely enhance the recovery process. Conditioning our thoughts, being more confident and positive regarding injuries will add to optimal recovery.
Pain-free cardiovascular exercise plays an integrated role in assisting and increasing blood flow to the injured area. Early mobilisation and exercise improve will enhance function and assist with pain relief. Your Physiotherapist will guide you to which exercises will be appropriate in different stages of the healing process.
Physical exercise has an immense contribution during the recovery phases of any injury. Improving mobility, regaining strength and increasing balance (proprioception) forms part of this active approach to healing.
Physiotherapists aim to provide short and long- term goals and holistic approaches to ensure optimal recovery.