As sports rehab specialists, it's our job to understand the mechanism and pathophysiology of muscle strains and to implement an evidence-based approach to treating them. Muscle strains occur when the muscle fibers are overstretched or torn due to excessive force, leading to pain, swelling, and loss of function. In order to promote optimal healing and minimize the risk of re-injury, a progressive and challenging rehabilitation plan is essential. Working with a professional who has experience challenging active individuals is crucial as they can develop a plan that will gradually challenge the injured muscle to the point that you feel comfortable going back to full activity, having been challenged as such. This is achieved through a combination of manual therapy techniques, exercise prescription, and modalities, in this case, shockwave therapy and blood flow restriction training. With a progressive, challenging rehabilitation plan and the guidance of a professional, muscle strains can be effectively managed and individuals can return to their activities in a safe and efficient manner.