Symptoms
- Pain increased with active movement
- Pain on passive stretch
- Loss of function
- Possible snapping sound heard when injury occurs
- Muscle fatigue before injury
- Tenderness

Signs
- Muscle spasm
- Swelling
- Ecchymosis
- Point tenderness
- Loss of function
- Loss of strength
- Hematoma formation
- Inflammation
Strain
Abdominal muscle strain
Cervical strain
Elbow strain
Foot strain
Gastrocnemius strain
Hamstring strain
Hand strain
Hip strain
Low back strain
Lower leg strain
Lumbosacral strain
Quadriceps strain
Shoulder strain
Triceps strain
First-Degree Strain
Mechanism
- Minimal stretching or microtrauma to a Musculotendinous unit due to excessive forcible contraction or stretching

Symptoms
- Minimal local pain on active movement
- Minimal loss of function
- Minimal local pain on passive stretch
- Muscle fatigue
- Mild tenderness

Signs

- Minimal muscle spasm
- Minimal loss of function
- Minimal swelling
- Minimal ecchymosis
- Local tenderness
- Minimal loss of strength
Third-Degree Strain
Mechanism
- Complete tearing of part of the Musculotendinous unit due to excessive forcible contraction or stretching

Symptoms
- Severe pain on active movement
- Severe loss of function
- Possible snap or pop sound when injury occurs
- Severe local pain on passive stretch
- Muscle fatigue at time of injury
- Severe tenderness

Signs
- Severe muscle spasm
- Severe loss of function
- Swelling
- Ecchymosis
- Local tenderness
- Severe loss of strength
- Hematoma formation with possible calcium formation
- Inflammation
- Possible palpable defect in muscle
Second-Degree Strain
Mechanism
- Partial tearing of tissue in the Musculotendinous unit due to excessive forcible contraction or stretching

Symptoms
- Moderate pain on active movement
- Moderate loss of function
- Moderate local pain on passive stretch
- Muscle fatigue
- Moderate tenderness

Signs
- Moderate muscle spasm
- Moderate loss of function
- Moderate swelling
- Minimal ecchymosis
- Local tenderness
- Moderate loss of strength
- Hematoma formation
- Inflammation