instruction: hello doctor I played volleyball on monday night and everything was fine but then I played squash on tuesday night my glutes were really sore on wednesday just deep muscle soreness but I chalked it up to not having played in months then I played volleyball wednesday night too and things were really sore thursday my left glue started hurting around am and by 10 am I could not walk at all so much pain I have been taking hydromorphone and oxycodone and celebrex anti inflammatory pills all night and day friday and today not getting better it is either a really good strain or a tear I have iced it I have got my home tens unit on it right now and often throughout the day night this feels like it is the exact same muscle that I hurt at the rehab center three years back and it really hurts it feels like my glue minimum maybe on thursday I used my massage chair hot tub foam roller trigger point lacrosse ball and my massage gun on it I am thinking that digging into the injury that much probably made it worse or aggravated it sorry so here is my question I have dry needled in the past and it has helped a lot but is it okay to dry needle if it is a torn glue muscle or even a strain the tens machine seems to take some of the pain away but could my tens be making things worse also I have been in bed laid up all day and night yesterday literally only crawling to the bathroom and back I was hoping that staying off of it a few days will make it better but I am not sure what else I can do since it is the weekend and the clinic is closed I was going to look around for a mobile physiotherapist to come to my place and maybe dry needle me or other therapy for some pain relief I honestly do not think I could climb into a car to drive anywhere otherwise I will stay in bed for the weekend and hope that enough of the pain is gone and I can go into the clinic and see someone on monday
output: hello from the history it sounds more of a muscle strain or you can say it as does which is sometimes common as one lands or take a flight for taking up the shot but the pain is not reducing is not making things clear whether it is a does or muscle strain as both of it should resolve within 4 days of time so what I can advice is continue with tens and take proper rest tens will never make the injury worse its a morality for reducing the pain I will advice to take tens for almost 30 40 minutes 4 times a day and allow a complete bed rest without doing much mobility we can expect the pain to come down drastically in case after a day or two of applying tens for 30 40 minutes if the pain still persist we need to look for other factors but rest is what is needed without having much mobility in the muscle