Physical therapy for muscle contraction should be done carefully to avoid aggravation of pain. At the beginning of the session, preference should be given to the use of hot water bags or devices that provide heat such as infrared or shortwave, for example, depending on the case and the severity of the contracture.
Following is manual techniques of Swedish massage, deep transverse and muscle emptying to release adhesions and eliminate contracture. A technique not always used but that achieves good results is the use of suction cups. They promote suctioning of the muscle and fascia and by slipping can help undo the contracture, although this may cause some discomfort.
The stretches should be performed in an intercalated way with the massage for a better result.
The contracture can be avoided by maintaining good body posture and proper muscle strengthening. Therefore, it is an important part of the treatment to strengthen the muscles involved with active or resisted exercises to avoid new injuries.
The hot water bottle can and should also be used at home for 20 to 30 minutes daily until complete remission of symptoms.
