What to do if you have a sprained foot?

Ans:

The lower leg consists of the tibia and fibula, the tibia is thicker in the front, the fibula is thinner in the back, and there is a bone called the talus at the top of the arch of the foot. The ankle joint is formed by the lower end of the tibia and fibula riding on top of the talus, commonly known as the "neck of the foot". The lower part of the tibia that protrudes inward is called the inner ankle, and the lower part of the fibula that protrudes outward is called the outer ankle. The ankle capsule is loose in the front and back and tighter on the sides. The ankle is reinforced by ligaments around the perimeter of the joint, with a deltoid ligament on the medial side and three separate ligaments on the lateral side. Because the lateral ligaments are weaker than the medial ones, and because the medial ankle is shorter, it is prone to inversion of the foot (the center of the foot facing inward) and injury to the lateral collateral ligaments. When the ankle is dorsiflexed, the talus has no room to move, but when the ankle is plantarflexed (lifting the heel), the talus can move slightly to both sides, so the ankle tends to be sprained in the plantarflexed position in an inversion position.

The incidence of ankle sprains in adolescents is higher because students participate in more sports activities. If the activity before the preparation is not sufficient, the activity is prone to sprain; girls wearing high heels walking on the uneven road, or down the steps when the thought is not concentrated, easy to plantarflexion inverted, then the lateral collateral ligament suddenly excessive tension, can cause ankle sprain. Ankle sprain is a mild case of ligament pulling loose or partially torn; in the severe case, it is completely ruptured, and there is ankle joint subluxation or fracture dislocation. After ankle sprain, the patient has pain and swelling below or in front of the external heel, and there may be ecchymosis in the acute stage. At this time to do foot inversion action will aggravate the pain, do foot external rotation can be no pain.

Then, what should be done after ankle sprain? Ligament partially torn, injury, inversion angle increases, accompanied by severe pain. In the acute stage within 24 hours, the ankle can be immersed in cold water, or use a cold towel on the affected area, 10-20 minutes each time, once every 6 hours, can shrink blood vessels, swelling and pain. 24 hours later, hot compresses are needed to promote local blood circulation, the exudate of the tissue interstitial space as soon as possible to absorb, so as to reduce the pain. If the ligament injury is more serious, the pain is severe, available 4 cm wide three strips of adhesive tape on the ankle, from the lower 1/3 of the inner calf, three strips of adhesive tape overlap each other, overlap part of the width of about half of each strip of adhesive tape, and then around the calf to paste the three masses of adhesive tape, to play a role in the fixation, but to prevent the paste is too tight to impede the blood flow. External bandage wrapping, fixed for 2-3 weeks. If the ligament is completely ruptured, the angle of inversion of the foot increases significantly, and the foot is in the extreme inversion position in the case of subluxation, when the gap can be felt under the outer ankle. This kind of injury needs to ask the doctor to manipulate and reposition the foot, and then immobilize the injured foot in the 90-degree position and the valgus position with a tube cast for 4-6 weeks. Repeated sprains are more likely to result in joint dislocation due to early mismanagement. Patients with joint dislocations can wear shoes with a wraparound top to protect the ankle and raise the outside of the shoe by 1-1.5 cm to keep the foot in the valgus position and to prevent foot inversion. In addition, in adolescence, secondary school students try not to wear high heels, usually do not run after the fight, sports activities before the full preparation to prevent ankle sprains.

What about ankle sprains?

Ankle sprain is the highest incidence of joint sprain in the whole body, is a very common clinical disease. Ankle sprains are especially common when the lateral collateral ligament is strained and torn or even ruptured due to an inversion injury. When walking and running or stepping on the ground or falling from a height, the outer edge of the foot landing, the foot metatarsal violently inward, can cause the lateral ankle ligament is stretched and sprained, or even partially torn, but also can be combined with the lateral ankle avulsion fracture.

The ankle sprain has a "cracking" tearing sensation, localized swelling, pain, the affected foot can not walk with weight, claudication, and the foot before the metatarsal can not touch the ground. If only the lateral collateral ligament sprain edema, the symptoms can disappear in 1 to 3 days, if there is a ligament tear, the pain persists, joint instability, X-ray can show whether there is an avulsion fracture, talus tilt increase or dislocation phenomenon.

Early treatment of ankle sprains is very important, it is appropriate to rest in bed, hold the crutches to prevent the ankle joint weight-bearing when you get down to the ground, can not be too early activities, rest should be more than two weeks. Immediately after the injury, cold compresses should be used, do not apply hot compresses, and can not use local kneading and other heavy manipulation, can be used to stop the pain of local closure. In order to stabilize the joint, the patient can sit on a chair with the lower leg hanging down, and use a narrow bandage to cover the fourth and fifth toes to be pulled upward by the patient, so as to make the ankle joint dorsiflexed and turned out. Doctors use three 4cm wide adhesive tape, overlap half of the inner ankle by the top of the metatarsal surface of the foot through the outer ankle upward, affixed to the fibula below the small head, and then wrapped with a bandage to fix and brake for a few days. Fixation and braking should be overkill to the extent that the injured limb is turned to the opposite direction of the injured force, the inversion position is fixed in the outversion position, and the outversion position is fixed in the inversion position. If necessary, it should be immobilized with plaster or splint. After the acute stage, hot compresses can be used and the flexion, extension and inversion of the ankle joint can be practiced, or the *** maneuver can be used to rotate the ankle joint, plantarflexion, dorsal extension and dorsal inversion, and the affected area can be pressed and kneaded. A complete tear of the ligament can be repaired. A few patients are prone to reoccurring sprains after healing.

Why does an ankle sprain cause long-term foot pain?

Most patients can recover from ankle sprains after reasonable treatment, but some patients have lateral foot pain after the ankle pain disappears, which remains for a long time, even up to several decades, affecting walking and labor. Usually, it is caused by the simultaneous injury of soft tissues in the tarsal sinus. The tarsal sinus consists of the talus groove and the heel groove, the sinus opening is located below the anterior aspect of the ankle, and the sinus contains the interosseous heel-talus ligament, the fat pad, and the synovial membrane and bursa of the heel-talus joint. Sprain of the ankle can cause injury to the ligaments, fat pads and synovial membrane in the tarsal sinus, resulting in aseptic inflammation, scar contracture and ligamentous tension after healing of the injury, resulting in lateral dorsal pain and tenderness at the opening of the tarsal sinus, sometimes radiating to the toes. Soft tissue lesions cause vegetative nerve dysfunction. There are abnormal sensations in the calf and foot, coldness, sinking tightness, weakness and involuntary shivering.

The pain can disappear immediately after using local closure of the sinus. Attention should be paid to rest after ankle sprain, local physiotherapy treatment, closed treatment can be used. The therapeutic effect is good. If conservative treatment is ineffective and the pain is persistent, surgical excision of the soft tissue in the tarsal sinus can be used, and gelatin sponge can be inserted into the tarsal sinus to stop bleeding and eliminate the dead space.

Prevention and treatment of ankle sprain

1. Causes and principles of ankle sprain. According to the anatomical characteristics, the ankle joint is composed of the articular surface under the tibia and fibula and the articular surface of the upper talus (talus slide). The flexor muscle force of the foot is greater than the extensor muscle, and the inversion muscle force is greater than the eversion muscle force; plus the outer ankle is longer than the inner ankle, and the inner ankle deltoid ligament is stronger than the outer three ligaments. Therefore, the range of motion of inversion is greater than that of eversion. In addition, the talus body is wide at the front and narrow at the back, when the foot is dorsiflexed, the talus completely enters the ankle point, the ankle joint is stable and is not easy to be sprained, while when plantarflexed, the narrow part of the back of the talus enters the wide part in front of the ankle point, the ankle joint is relatively unstable and is easy to be sprained. Ball sports technology is complex, in the practice of technical movement of the conversion is more frequent, requiring constant change of direction, stopping and starting, especially in basketball, grabbing the rebound, volleyball jumping up and dunking the ball, students leave the ground in the aerial stage, the foot is in the plantarflexion inverted position, if the center of gravity of the body is unstable, tilted to the side, or stepping on the foot of another person and the ball, or on the ground unevenly, and the students and the lack of self-protection ability to adapt. Lack of self-protection resilience, it will be the front lateral side of the foot on the ground, so that the foot inversion, resulting in injury.

2. Symptoms. After the injury, there is obvious pressure and pain on the inner or outer side of the ankle joint; there is obvious swelling on the inner and outer ankles, localized subcutaneous bruises, limited ankle joint movement, and difficulty in walking.

3. On-site treatment of ankle sprain. Immediately after the injury, give a cold compress, pressure bandage, elevate the affected limb, fixed rest, external application of new wound medicine.

4. *** Treatment. 3 days later, light manipulation ***: (1) *** Xiexi point (the center of the dorsal ankle transverse stripe, between the extensor tendon of the thigh and the extensor tendon of the toe) 1min; (2) *** Kunlun point (the midpoint of the line between the outer ankle and the Achilles tendon) 1min; (3) *** Hangzhong point (the tip of the outer ankle 3 inches below the top row, the posterior edge of the fibula bone) 1min; (4) *** Yanglingquan acupoint (in the depression below the small head of the fibula) 1min. the above acupoints *** are to the extent that the patient has a feeling of soreness and distension.

5. Post-injury exercises. After the swelling and pain is reduced, you should walk on the ground or walk with crutches under the fixation of adhesive plaster support band. 1~2 weeks later, you can carry out muscle strength and coordination exercises, jogging on the sand or walking or jumping exercises on the concave-convex sloping surface, and gradually enter into the formal practice.

6. Strengthen preventive measures. An important cause of injury is the lack of self-protection awareness, do not pay attention to preventive measures. Therefore, it is necessary to do a good job in the preparation activities, improve the venue facilities, cultivate and improve the self-protection ability, improve the muscle strength of the ankle joint, as well as the stability and coordination of the ankle joint, and wear a good protective support belt when practicing.

Why ankle sprains often appear in the lateral

People in their daily lives, up and down the stairs, walking shopping, strolling in the park, a little bit of inattention when the step, collision of masonry stumps, etc., are prone to sprain the ankle joint. But wherever there is a sprain, most of them appear in the lateral lower ankle, and the medial side is less common, which is the reason why?

This is because the outer ankle is longer than the inner ankle, so support the lateral ankle joint, at the same time, the inner ankle part of a group of strong ligaments, known as the "tibial collateral ligament" (also known as the "deltoid ligament"), fan-shaped from the inner ankle to the foot bone, tightly pulling the ankle. The ligaments are stretched in a fan shape from the inner ankle to the foot bone, and tightly hold the inner side of the ankle joint. The two act simultaneously to prevent the ankle from turning outward when the ankle is twisted, but often cause the ankle to turn inward excessively, which causes the weaker fibular collateral ligament to tear and injure. This is the reason why ankle sprains are more common on the lateral side (i.e. the fibular side).

There is another reason, is that the inner calf foot muscle groups such as the tibialis anterior, tibialis posterior are more powerful, can stabilize the ankle joint medial, do not make it outward displacement; on the contrary, the lateral calf foot peroneus longus muscle, peroneus brevis muscle is relatively weak, in case of a sprain, it can not tight control of the ankle lateral stabilization, but is forced to stretch the ankle joint excessively inward sprain. The ankle's lateral side.

The lateral ankle sprain, due to the fibular collateral ligament tear bleeding, so that below the ankle and the back of the foot appeared hematoma, subcutaneous ecchymosis, localized obvious pressure pain, inspection, such as the foot will be passive to the inward turn, due to the pulling of the injury and feel severe pain, such as to the outside of the sprain turn, the pain is not obvious.

The diagnosis of ankle sprains is generally not difficult, but it is necessary to exclude the often combined presence of fibular condyle fractures. If a fracture is suspected, radiographs are needed to determine this.

Treatment is symptomatic. Fresh sprains can be immediately iced, or to the local spray cryogenics, to inhibit bleeding and swelling, and proper bandage fixation. Fresh sprain avoid ***, passive movement, immediately walking activities, which will aggravate the local damage and bleeding. 1 ~ 2 days after the local hot compresses, infrared lamps, the use of short-wave diathermy. 2 ~ 3 days after the practice of walking activities, the local gently *** or supplemented with passive activities. 1 ~ 2 weeks or so tend to be cured, the serious ligament tear requires a longer time to recover. If you don't pay attention to it, you may sprain it again.

Taking ankle sprains seriously

Nearly 25,000 Americans sprain their ankles every day, but few pay attention to the problem. When the foot is twisted incorrectly, the ligaments outside the ankle become hyperextended and flexed.

According to Glenn Pfeffer, an orthopedic surgeon in California, people rely on their ankles for movement and work. If an ankle sprain is not treated in a timely manner, it can lead to complications of joint instability, such as joint pain or recurrent sprains.

It is said that the best treatment for ankle sprains is rest, ice, compression, and elevation of the ankle. In severe cases, the joint should be wrapped in a bandage and the patient should exercise to prevent stiffness.

Of course, it is best to prevent sprains. Preparation for volleyball and tennis is a good way to wrap the joint with a bandage.

Wearing air-cushioned sports shoes is easy to injure the ankle joints "Wen Wei Po" March 29, 2001

According to the British newspaper "The Times" reported on the 27th, the latest research report of a university in Australia shows that wearing air-cushioned sports shoes in the movement is more likely to make the ankle joints injured.

The report said that researchers conducted a survey of about 10,000 basketball players, wearing air-cushioned shoes and *** air-cushioned shoes, compared to the athletes, the chance of injury is four to one. Most of them hurt their ankles while landing from a high jump. The results caused quite a stir in the sports and business world when they were published. A spokesman for Nike, the maker of air-cushioned sneakers, spoke quickly to say that the company took the report very seriously.

Disease Ankle Sprain

Introduction Ankle sprain is a condition in which the ligaments of the ankle joint are damaged or ruptured. For orthopedics and traumatology common and frequent disease, can occur at any age, pediatric school-age children with greater activity, the incidence of more. Modern medicine believes that ankle sprains are mostly in walking, running, jumping or going down the stairs. When going downhill, the ankle plantarflexion position, suddenly turned outward or inward, the lateral or medial collateral ligament is subjected to strong tension, resulting in a loss of balance and coordination of ankle stability, and ankle sprain occurs. Outer ankle injury is the most common. Chinese medicine believes that this disease occurs due to trauma and other factors, so that the ankle meridians are damaged, qi and blood run poorly, meridians do not pass, stagnation of qi and blood stasis and cause.

The common symptoms are, the ankle is obviously swollen and painful, can not land, the injury has obvious pressure pain, local subcutaneous ecchymosis. If the outer ankle ligament is sprained, the pain is obvious when the foot is turned inward; the inner ankle ligament is sprained, the pain is obvious when the foot is turned outward. If the ligament is torn, there can be inversion and eversion deformity and hematoma.

*** Method 1 *** Method 2 Life Conditioning

*** Method 1

1. Commonly used techniques

(1) The child is lying on his back, and the parents use their thumbs to knead the Qiu Hui, Taixi, Kunlun, Shenwei, and Yanglingquan, with the force from light to heavy, and each point is operated for half a minute.

(2) Parents with one hand to fix the foot, the other hand, the big fish margin focus, in the ankle joint around the gentle gentle kneading, time for 2 to 5 minutes.

(3) Parents hold the metatarsal part of the foot with one hand, the other hand holds the heel part of the foot, the thumb is pressed on the injured area, and both hands are slightly forceful downward traction, and at the same time, mild inversion and eversion are carried out. The time is 1 to 3 minutes.

(4) Parents hold the heel with one hand, hold the metatarsal part of the foot with the other hand, exert force at the same time, and dorsalize the ankle as much as possible while pulling and stretching, and then do a circular movement. The time is 1 to 3 minutes.

(5) Parents with the thumb and the rest of the four fingers relative force, from top to bottom, repeated in the middle of the rubbing 1 to 3 minutes, and then the two palms of the hand relative force. Rub the lower limbs horizontally for 1 minute.

*** Method 2

1. Commonly used techniques

(1) the child lying on his back, parents with the big fish gently rubbing the injury, to the degree of penetrating heat.

(2) With the abdomen of the thumb, in the localization of the injury with gentle pressure and kneading method for 1 to 3 minutes.

(3) The child is seated, the parents hold the heel of the foot from the outside with one hand, and use the thumb to press on the injured area of the ligament, and hold the metatarsal with the other hand, and use the shaking method for 1 minute.

(4) Parents hold both hands to the foot, under the force of pulling and stretching the foot plantarflexion, and then dorsiflexion at the same time, with the thumb inward and downward pressure ligament injury site, in order to the degree that the child can tolerate, and so on repeated operations 5 to 8 times.

(5) Parents relative force of both palms, from the knee joint downward, repeatedly rubbing to the ankle joint around. To the extent that the local redness and heat. The time is 2 to 5 minutes.

Life conditioning

(1) For serious ankle sprains, X-rays should be taken in the hospital to rule out fractures and dislocations, and if a fracture is found, a doctor should be asked to deal with it immediately.

(2) In the acute stage of ankle sprain, the maneuver should be gentle and slow, so as not to aggravate the injury bleeding, and do not apply hot compresses.

(3) In the recovery period, the manipulation of the appropriate increase, at the same time can be combined with local hot compresses, or blood circulation of Chinese medicine external wash, often can receive more satisfactory results.

(4) Pay attention to the localization of the injury should be protected from cold and warmth.

(5) In the early stage of sprain, the heavier ones should be braked, and given appropriate fixation according to the condition, and then unfixed after 1 to 2 weeks for functional exercise.

Under the action of external forces, the joints suddenly to one side and more than its normal activity, caused by the soft tissues around the joints, such as the joint capsule, ligaments, tendons, etc., tear injury, known as joint sprain. In mild cases, only part of the ligament fibers are torn, but in severe cases, the ligaments may be completely torn or the ligaments and joint capsule attached to the bone are torn off, and even dislocation of the joint occurs. Joint sprains are most common on a daily basis, with the ankle being the most common, followed by the knee and wrist.

I. Anatomical summary, causes of injury and pathology

The ankle includes the ankle joint and the subtalar joint, which is a weight-bearing joint of the lower limb. The former is composed of the lower end of the tibiofibula and the upper part of the talus body, and the latter is composed of the lower part of the talus and the heel bone. The lower end of the tibiofibula is connected by the internal and external ankle and lateral collateral ligaments, making the ankle joint quite stable. Below the inner ankle are the tough deltoid ligament and the anterior and posterior fibular talocalcaneal ligaments, which are relatively weak and serve to limit inversion of the foot. Excessive forceful inversion or eversion activities, such as walking on uneven surfaces, losing heights or landing unsteadily when running or jumping, can cause lateral or medial ligament injuries, partial tear or complete rupture or avulsion fracture. If the early treatment is not appropriate, the ligament excessive laxity, can cause the ankle joint instability, easy to cause repeated sprains, and even articular cartilage damage, the occurrence of traumatic arthritis, seriously affect the walking function.

Lateral ligament rupture Medial ligament rupture Lateral ligament avulsion fracture Medial ligament avulsion fracture

Second, the clinical manifestations and diagnosis

1. Lateral ligament injury

Caused by the strong inversion of the foot. Because the lateral ankle is longer than the medial ankle and the lateral ligaments are weak, which makes the foot turn inward with greater mobility, lateral ligament injuries are more common in clinical practice. Partial tear of the lateral ligament is more common, and its clinical manifestations are lateral ankle pain, swelling, walking limp; sometimes subcutaneous ecchymosis can be seen; the lateral ligament area has pressure pain; when the foot is turned inward, it causes increased pain in the area of the lateral ligament.

Complete rupture of the lateral ligament: less common, more pronounced local symptoms. Due to the loss of control of the lateral ligament, abnormal inversion mobility can occur. Sometimes there is a small piece of bone in the lateral ankle along with the ligament avulsion, called avulsion fracture. In the inversion position, the tibial middle joint surface is tilted far beyond the normal range of 5-10°, and the joint space on the injured side is widened. x-ray examination shows avulsion bone fragments.

2. Medial ligament injury

Caused by the foot textile force valgus, which occurs less often. Its clinical manifestations are similar to the lateral ligament injury, but the location and direction are opposite. The manifestation of the medial ligament area pain, swelling, pressure pain, foot externalization, caused by the medial ligament area pain, there can also be avulsion fracture.

Third, treatment

Medial ligament injury of the ankle, light, tape fixation, bandage in overkill

If the lateral ligament injury is light, ankle stability is normal, early can elevate the affected limb, cold compress to relieve pain and reduce bleeding, swelling. 2-3 days after the available physiotherapy, closed, applying swelling, pain and blood stasis, appropriate rest, and pay attention to the protection of the ankle (such as wearing a high-tuned, high-tuned, high-tuned, high-tuned, high-tuned). The ankle should be protected (e.g. wearing high boots). If the injury is more serious, 5-7 pieces of adhesive tape about 2.5 cm wide can be used from the lower 1/3 of the medial calf through the inner and outer ankle pasted in the middle of the lateral calf, and the tape is wrapped with a bandage outside. Keep the foot in the valgus position to loosen the ligament for healing and immobilize it for about 3 weeks. If the medial ligament injury, the bandage fixation position is opposite.

If the symptoms are severe, or the ligament is completely ruptured or there is an avulsion fracture, the foot should be immobilized in a short-legged cast boot to keep the foot in an "overcorrected" position for about 4-6 weeks. Rubber pads or other abrasion-resistant materials can be added to the bottom of the cast boot to facilitate walking. If the fracture block of the ankle is large and poorly displaced, it should be incised and internally immobilized.

Ankle ligament injury, heavy, short leg cast immobilization, with rubber pads on the bottom of the foot

Old lateral ligament rupture or repeated sprains to cause excessive relaxation of the lateral ligament resulting in joint instability, can be considered to rebuild the lateral ligament with the tendon of the short peroneal bone.

Joint sprains should be handled in a timely manner, the principle is to brake and reduce swelling and dissipate blood stasis, so that the damaged tissues can be well repaired. If there is a lot of blood in the joint, it should be extracted in time under aseptic technique, so as not to leave behind intra-articular adhesions. Ligament rupture or avulsion fracture that affects the stability of the joints needs to be repaired by surgical reset, so as not to cause repeated sprains, articular cartilage damage and traumatic arthritis.

How to treat ankle sprains

1, for mild ankle sprains, in the immediate sprain should be cold compress. To reduce the formation of hematoma. At the same time, you can apply drugs to activate blood circulation and eliminate blood stasis. This can make the swelling subside and reduce the pain. Generally 10-14 days can be healed.

2, the ankle joint injury is heavier, causing heavier ligament damage, you should go to the hospital. At this time to use wide adhesive tape fixed. Fixation time is usually 2-3 weeks.

3, serious ankle sprain caused by ligament rupture or ankle subluxation, the injured foot should be immobilized with a plaster in the 90o position and valgus position. Generally, the foot should be immobilized for 4-6 weeks, and the ankle joint should be actively exercised after the cast is removed.

Self-diagnosis and treatment of ankle injuries

My friend accidentally sprained her ankle a few days ago while walking down the stairs, may I ask the experts how to self-diagnose and treat ankle injuries in daily life? Reader Liu Yaoming

Ankle injuries are a common clinical condition, mostly caused by a sudden inversion or eversion of the foot, rotation, and gravitational imbalance when people walk or run on uneven roads, or go downhill or downstairs. In daily life, the injured patient used to use hot water or hot towels to scald the affected area, or rub the affected area with alcohol, some people think it is a minor problem, insist on walking, homework, which will not only aggravate the symptoms, but also delay the time of treatment.

After the ankle injury, the first thing you should do is to judge for yourself, is it a soft tissue sprain or fracture? Sprains, after the injury that pain, activity is limited, can not walk or can barely walk, followed by ankle joint swelling; if the ankle bruising pain, pressure pain inside and outside the ankle is obvious, can be heard and bone rub sound, dysfunction, and even deformity, is the ankle joint fracture.

In terms of treatment, for sprains, to avoid continuing to bear weight or work, should be used to self-tendon manipulation, the first ankle joint slowly pulling stretching, a few moments after the dorsal stretching, inward and outward movement, but do not use localized manipulation of kneading; localized swelling is obvious, the available cold water soaked towels or ice into a plastic bag for the external application, 3 minutes to replace one time, for 30 minutes, so that vasoconstriction, reduce the local congestion, reduce tissue temperature, and so on. Local congestion, reduce tissue temperature, play the role of hemostasis, antipyretic, analgesic. Acute sprains, the implementation of cold compresses the sooner the better, sprains 24 hours later, it is appropriate to change to hot compress therapy, with warm water or hot vinegar soaked towel placed on the injury, 30 minutes, 1 to 2 times a day, can improve blood and lymphatic circulation, conducive to the absorption of bruises and oozing injury.

For fracture, should immediately go to the hospital orthopedics for examination, filming, in order to diagnose and correct treatment. Dr. Zhiliang, an attending orthopedic surgeon at Downtown Hospital

[ Overview ]

Ankle sprains are relatively common, especially lateral collateral ligament injuries. Most of them are caused by indirect external force. The lateral collateral ligament can be injured if the ankle joint is suddenly turned inward and retracted by stepping into the concave area while walking, and in serious cases, it can be combined with ankle fracture. If the treatment is not timely or thorough, the sprain will be repeated in the future, thus affecting the function of the joint.

[ Symptoms ]

1. History of sudden inversion or eversion sprain of the foot.

2. Localized pain, swelling, bruising, and tenderness, and when the foot is turned to the healthy side, the pain on the affected side increases.

[ Diagnostic basis ]

1. History of obvious sprain.

2. Localized pain, swelling, tenderness and limitation of movement.

3. X-ray radiography, can be seen with ankle subluxation manifestation, or accompanied by fracture.

[ Treatment principle ]

1. Incomplete fracture should be treated with localized braking and symptomatic treatment.

2. For complete fracture, or combined with avulsion fracture and subluxation of the ankle joint, early surgical treatment.

[ Evaluation of treatment ]

1. Cure: painless, stable joints, complete or basic recovery of function.

2. Improvement: mild swelling and pain in activities, joint stabilization, and basic recovery of function.

3. Not cured: still have swelling and pain, joint instability, functional limitation.

[ Expert Tips ]

Ankle sprain can be combined with fracture and ankle subluxation in severe cases. The ligament injury is not treated in time or thoroughly, which will lead to repeated sprains in the future. Therefore, ankle sprains, should go to the hospital to find orthopedic doctor timely diagnosis and treatment, thorough treatment. The first thing you need to do is to get a good deal of money to pay for the work you've done.

I've heard that ankle sprains can be as serious as fractures, right?

In some cases, it can be. While "sprain" usually refers to a torn or torn ligament, ankle injuries can be mild or severe, depending on which ligaments are injured.

Injuries to the ligament located on the anterolateral side of the ankle bone (anterior ankle ligament) are usually only mild sprains. Symptoms are less severe pain, tenderness and bruising, and the ankle can still be flexed. Treatment of a mild sprain is simple: apply a cold compress to reduce pain and swelling, then apply a tight bandage and rest for a few days if possible. Full recovery can take up to three weeks.

If the anterior ankle ligament is torn in conjunction with other ankle ligament injuries, this usually results in a severe sprain. These ligaments are essential for stabilizing the ankle joint as it bears weight.

In this case, the swelling and pain at the site of the injury is much more severe, and may be so great in the front and back of the ankle that walking or any movement of the ankle is very difficult.

In fact, a severe sprain can be exactly like a fracture, depriving the injured person of mobility, and the injury often has to be put in a cast in order to heal. Immediately after the cast is removed, it is important to start a progressive exercise program, doing stretches and exercises to regain range of motion. Finally, strengthening exercises should be done to restore flexibility to the joint and to help prevent re-injury.

Some people describe themselves as having an "unreliable ankle".

It means that the ligaments that connect the ankle bones are very susceptible to injury under stress, usually due to previous ligament injuries that haven't healed completely. Tying the ankle with a bandage can help prevent re-injury, and wearing shoes with a thicker heel can help minimize the chance of twisting the ankle and injuring it.

Acupuncture treatment for ankle sprains

Sports site is not flat, heavy walking or walking down the stairs, walk on the slope suddenly lost foot and make the ankle ligament injury, ligament injury local exudate *** peripheral nerves and cause pain and activity disorders, known as ankle injury. Chinese medicine believes that after the ankle injury, due to blood away from the meridian, so it causes swelling and pain.

Most patients have a clear history of acute sprain, ankle pain, swelling, localized skin bruising or cyanosis, joint movement disorders, walking difficulties. If there is localized sharp pain, accompanied by ankle deformity or abnormal activity, fracture should be considered, and go to the hospital as soon as possible.

Ankle sprain is a common disease, the use of massage therapy can be simple and quick to relieve pain and restore walking function, for themselves or their families and friends to relieve pain.

The specific method is: the patient supine position or sitting position, the doctor in the ankle massage, first from the affected part to the surrounding, and then from the ankle, through the lateral calf to the Yanglingquan, focusing on the Qiu Hui, Jiezhong, Yanglingquan three points. Then use your thumb to push the affected area, also from the local to the periphery, in order to activate blood circulation and dissipate blood stasis.

After the above manipulation, there will be a localized warming sensation and pain relief, and then the key manipulation can be performed: pulling and extending the ankle joint and making small internal and external rotation.

Pulling and stretching, i.e., pulling or traction, in this disease, the operation is: one hand holds the palm of the foot, fixing the end of the ankle joint, and the other hand moderately pressed on the affected part, and slowly traction and small rotation at the same time, the action should be slow and gentle, do not use explosive force. Afterwards, press the Qiu Hui and Yanglingquan points to the degree of soreness, and then apply rubbing from the back of the foot through the ankle to the calf, the affected area with moist heat.

The operation and care need to pay attention to some matters:

1, for the local appearance of large bruises, it is not appropriate to immediately apply manipulation and hot compresses, should be first cold compresses, in 24 hours before manipulation of the treatment;

2, the treatment should be gentle;

3, the affected part of the appropriate fixation, to prevent the foot from maintaining the dorsal curvature of inversion of posture;

4, local warmth;

5, rest ankle placed above the hip position, conducive to swelling subsides.

How to care for patients with ankle sprains?

1, usually within 24 hours after the sprain, local cool water or alcohol cold compresses can be used to promote hemostasis, reduce the formation of hematoma and pain. 24 to 48 hours later, hot compresses can be used to improve blood circulation.

2, sprained ankle, do not get off the ground too early and hold weight, to avoid hindering the recovery of its function. Generally, it is necessary to wait for 7 to 10 days after the sprain is basically improved, before you can gradually start walking. When you sleep, the affected foot can be cushioned with a pillow to reduce swelling.

3, when walking, pay attention to the road surface height, poor light should be more careful, downhill downstairs, foot plantarflexion angle should not be too large, to prevent sprains