verrekking

Verrekking is a Dutch medical term describing an injury caused by overstretching of muscle or ligament tissue, typically translated as a strain when it involves muscle and as a sprain when it involves ligaments. The word derives from the verb rekken (to stretch) with the prefix ver-, indicating excessive or extended stretching. In everyday use, verrekking is commonly divided into spierverrekking (muscle strain) and gewrichtsverrekking or ligamentverrekking (ligament sprain).

Causes and presentation usually involve sudden or rapid movements, twisting, jumping, or overuse during sports or daily activities. Verrekkingen can affect various body parts, most notably the hamstrings, calf, groin, and ankle. Symptoms include pain, tenderness, swelling, bruising, limited range of motion, and sometimes weakness or difficulty bearing weight. Medical professionals classify verrekkingen into degrees: first-degree (mild overstretch with minor fiber damage), second-degree (partial tear with more significant pain and swelling), and third-degree (severe injury or rupture with substantial impairment).

Diagnosis is typically clinical, based on history and physical examination. Imaging, such as ultrasound or MRI, may be used to assess severity or to distinguish a strain from a more serious injury when the diagnosis is unclear or when athletes want a precise return-to-play plan.

Treatment emphasizes protecting the injured tissue and gradual rehabilitation. Acute management often includes rest, ice, compression, and elevation, followed by controlled mobilization and progressive rehabilitation exercises. Return to activity should be gradual and guided by pain levels and functional recovery. Prevention focuses on proper warm-up, progressive loading, strength and flexibility training, correct technique, and using appropriate footwear and equipment. Verrekkingen generally heal well, but reinjury risk is higher if activity resumes too soon.