Muscle injuries represent a large number of professional and recreational s
ports injuries, Muscle strains habitually occur after an eccentric contract
ion, which often leads to an injury located in the myotendinous junction, T
reatment varies widely, depending on the severity of the trauma, but has re
mained limited mostly to rest, ice, compression, elevation, antiinflammator
y drugs, and mobilization. The authors' research group aims to develop new
biologic approaches to improve muscle healing after injuries, including mus
cle strains, To achieve this goal, the authors investigated several paramet
ers that will lead to the development of new strategies to enhance muscle h
ealing. The authors first evaluated natural muscle healing after strain inj
uries and showed that muscle regeneration occurs in the early phase of heal
ing but becomes impaired with time by the development of tissue fibrosis, S
everal growth factors capable of improving muscle regeneration were investi
gated; basic fibroblast growth factor, insulinlike growth factor, and nerve
growth factors were identified as substances capable of enhancing muscle r
egeneration and improving muscle force in the strained injured muscle. The
current study should aid in the development of strategics to promote effici
ent muscle healing and complete recovery after strain injury.