Care adapted to each muscle or tendon injury
Among athletes as well as active people, muscle and tendon tears are common and often disabling. They can occur suddenly during a false movement or intense effort, or develop gradually on a tendon weakened by time.
In the majority of cases, conservative treatment (rest, physiotherapy, injections) is sufficient to achieve complete recovery. But in certain situations, particularly in the case of complete break or persistent functional discomfort, surgical intervention becomes necessary to restore function and allow a return to active life.
What is a muscle or tendon tear?
A muscle tear corresponds to a partial or complete rupture of muscle fibers, most often linked to intense or poorly prepared effort (acceleration, sprint, sudden change of direction). It manifests itself by sharp pain, sometimes associated with a hematoma and an immediate loss of strength.
A tendon tear, on the other hand, concerns the tendon — the essential fibrous structure that connects muscle to bone. When the tendon ruptures, it no longer transmits forces, resulting in significant weakness, persistent pain, and loss of function. Certain locations are particularly at risk:
- Proximal hamstrings, during explosive efforts.
- Achilles tendon, often among athletes or after a misstep.
- Rotator cuff (shoulder), affecting both athletes and manual workers.
When should surgery be considered?
Dr. Coulin always favors conservative treatment as a first-line treatment. However, the muscle and tendon tear surgery is necessary in several situations:
- Complete rupture of a tendon, especially in active or athletic patients.
- Muscle tear with retraction significant, massive hematoma or significant loss of strength.
- Failure of conservative treatment, after several weeks of rest and rehabilitation.
- Painful and resistant degenerative lesions to care (such as chronic rotator cuff tears).
An accurate assessment relies on theclinical examination and theimaging (MRI, ultrasound), which allow us to determine the severity of the lesion, its age and the optimal timeframe for surgical repair.
How does the procedure with Dr. Coulin take place ?
The goal of surgery is simple: repair, strengthen and preserve muscle and tendon function.
Depending on the location and severity, the intervention can be performed:
- Minimally invasive or arthroscopic, especially for the shoulder, to reduce scarring and promote rapid recovery.
- By open route, for certain locations such as the proximal hamstrings or the Achilles tendon, where a direct procedure is necessary.
In each case, Dr. Coulin adapts the surgical technique to the patient's anatomy and functional objectives, in order to obtain a solid and lasting repair.
What are the post-operative consequences ?
The after-effects depend on the area and extent of the tear. Typically, they include:
- A period of immobilization initial, variable depending on location.
- A progressive rehabilitation, implemented quickly to limit stiffening.
- Specific work on the mobility, strength and proprioception.
Dr. Coulin works with specialized physiotherapists to ensure optimal care, allowing the patient to gradually regain normal muscle function and, if possible, a return to sport.
What results can you expect ?
Surgery of the muscle and tendon tears allows in the majority of cases a complete or near-complete recovery. Benefits include:
- Disappearance of chronic pain.
- Restoration of muscle strength.
- Return to normal joint function.
- Gradual resumption of sporting or professional activity.
Recovery time depends on the initial severity of the injury and compliance with the rehabilitation protocol. Tailored care maximizes the chances of success and reduces the risk of recurrence.
Expertise dedicated to active patients
Whether it is for high-level athletes, physically demanding professionals or active patients wishing to regain an optimal quality of life, Dr. Coulin adapts each treatment according to thefunctional objective sought.
The challenge is to treat the lesion effectively, while respecting biological healing times and taking into account individual expectations.
Are you suffering from a muscle or tendon tear?
Dr. Coulin will see you in Geneva to establish a precise diagnosis, analyze your examinations (MRI, ultrasound) and determine if a surgery is indicated or if conservative treatment is sufficient.
Thanks to specialized expertise in orthopedics and personalized care, you benefit from an adapted care pathway, aimed at a rapid and safe return to active life.
