What can aggressive physical therapy and mobilization following a muscle injury lead to?

Aggressive physical therapy and mobilization following a muscle injury can potentially lead to myositis ossificans, which is the development of calcified bone within the muscle tissue. This condition typically arises as a result of trauma or injury to the muscle, particularly when excessive mobilization or aggressive rehabilitation strategies are employed too soon after the injury. The aggressive approach may provoke an inflammatory response, causing bone-forming cells to be stimulated inappropriately within the muscle tissue, leading to abnormal bone formation.

In cases where the muscle is subjected to vigorous activity before adequate healing has occurred, the risk of myositis ossificans significantly increases. This is particularly relevant after contusions or hematomas, where the muscle tissue is injured, and the body's healing response may become dysregulated. Recognizing the signs and symptoms of myositis ossificans during rehabilitation is crucial for physical therapists to adjust treatment plans accordingly and prevent further complications.