Abdominal Muscle Strain
(Pulled Muscle in Abdomen; Strain, Abdominal Muscle)
An abdominal muscle strain is a partial or full tear of the small muscle fibers in the abdomen. The abdominal muscles are grouped around the abdomen and trunk. They make up the core muscles in our body.
Abdominal muscle strain is caused by:
- Activity that the muscle is not ready for
- Excessive exercise
- Improper technique while playing sports
- Lifting heavy objects
- Sharply twisting the body
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These factors increase your chance of developing an abdominal muscle strain:
- Improper technique during sports activities, especially running and jumping
- Previous strain or injury to the area
- Muscle fatigue
- Tight abdominal muscles
Symptoms may include:
- Muscle pain or soreness immediately after an injury
- Stiffness and discomfort
- Problems flexing or pain while stretching the muscle
- Pain when touching the area
- Muscle spasms
- Swelling or bruising
You will be asked about your symptoms and medical history. A physical exam will be done.
Muscle strains are graded according to their severity:
- Grade 1—Some stretching with micro tearing of muscle fibers
- Grade 2—Partial tearing of muscle fibers
- Grade 3—Complete tearing of muscle fibers; this may also be called a rupture or avulsion
Talk with your doctor about the best treatment plan for you. Recovery time ranges depending on the grade of your injury. Treatment steps may include:
Your muscle will need time to heal. Supportive care may involve:
- Rest—Activities may need to be restricted. Normal activities will be gradually reintroduced.
- Ice—Ice therapy may help relieve swelling. Heat or cold may be advised throughout recovery if they provide benefits.
Prescription or over-the-counter medications may be advised to reduce pain.
A physical therapist will assess the muscles. An exercise program will be created to help recovery and to strengthen the muscles.
To help reduce your chance of getting another abdominal muscle strain, take the following steps:
- Do not overexert yourself while exercising.
- Get proper training for sports and exercises.
- Do exercises to strengthen your abdominal muscles.
- Learn how to properly lift heavy objects.
- If you are tired, stop exercising.
American Council on Exercise
Family Doctor—American Academy of Family Physicians
Canadian Physiotherapy Association
Public Health Agency of Canada
Muscle strain (pulled muscle). Johns Hopkins Medicine website. Available at: http://www.hopkinsortho.org/muscle_strain.html. Accessed March 7, 2018.
Sprains, strains, and tears. American College of Sports Medicine website. Available at: http://www.acsm.org/docs/brochures/sprains-strains-and-tears.pdf. Published 2011. Accessed March 7, 2018.
10/26/2010 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com: Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
Last reviewed March 2018 by EBSCO Medical Review Board Alan Drabkin, MD Last Updated: 12/15/2013