A muscle strain, commonly called a “pulled muscle,” can happen during exercise, sports, lifting, or even everyday activities. The first 48 hours are important because the right actions can help reduce pain, limit swelling, and speed up recovery.

What is a pulled muscle?

A pulled muscle occurs when muscle fibers are overstretched or torn. Muscle strains can range from mild discomfort to significant pain and loss of function. Common locations include the hamstrings, calf muscles, lower back, shoulders, and neck.

What should I do immediately after pulling a muscle?

The first priority is to protect the injured area and avoid activities that increase pain. During the first 24 to 48 hours:

• Stop the activity that caused the injury.
• Use ice for 15–20 minutes at a time several times throughout the day.
• Consider light compression if appropriate.
• Elevate the area if swelling is present.
• Avoid aggressive stretching or massage immediately after the injury.

Should I use heat or ice?

Ice is generally recommended during the first 24 to 48 hours because it can help reduce pain and inflammation. Heat is often more beneficial later in the recovery process when muscle stiffness becomes a greater concern.

Is it okay to keep moving?

Yes—gentle movement is often beneficial as long as it does not significantly increase pain. Complete inactivity may lead to stiffness and delayed recovery. A physical therapist can help determine the appropriate level of activity based on the severity of the strain.

When should I see a physical therapist?

Consider scheduling a physical therapy evaluation if:

• Pain is severe.
• You cannot bear weight or use the affected limb normally.
• Swelling or bruising is significant.
• Symptoms are not improving after a few days.
• The injury keeps recurring.

Early intervention can help prevent compensation patterns and reduce recovery time.

Can physical therapy help a pulled muscle heal faster?

Physical therapy can play an important role in recovery by restoring mobility, strength, and function. Treatment may include:

• Manual therapy
• Therapeutic exercises
• Stretching and strengthening programs
• Movement retraining
• Return-to-sport or activity guidance

A personalized treatment plan can help ensure the muscle heals properly and reduce the risk of reinjury.

Can dry needling help a muscle strain?

In some cases, dry needling may help reduce muscle tension, improve blood flow, and decrease pain during the recovery process. It is often used alongside other physical therapy treatments to support healing and restore normal muscle function.

Can Summus Medical Laser Therapy help?

Summus Medical Laser Therapy uses photobiomodulation to stimulate cellular activity and support tissue healing. Research suggests that Class IV laser therapy may help:

• Reduce inflammation
• Improve circulation
• Decrease pain
• Promote cellular repair

When incorporated into a comprehensive treatment plan, laser therapy may help accelerate recovery and improve comfort after a muscle strain.

How long does a pulled muscle take to heal?

Recovery time depends on the severity of the injury:

• Mild strains: 1–3 weeks
• Moderate strains: 3–8 weeks
• Severe strains: Several months and may require additional medical care

Early treatment and appropriate rehabilitation can often help improve outcomes and shorten recovery time.

When should I seek medical attention?

Seek immediate medical evaluation if you experience:

• Severe pain
• Inability to move the affected area
• A noticeable deformity
• Extensive swelling or bruising
• Symptoms that worsen rather than improve

Dr. Dana

Physical Therapist / Mobility & Wellness Advocate