10 common problems with ankle sprains,the ankle brace can help you recover

- Dec 31, 2019-

In daily life, ankle sprains are very common. The following 10 common ankle sprain treatment methods, I hope to give you some help.


Why does an ankle sprain appear sore and bruised?


Inappropriate activities lead to an uneven force in the ankle and can cause soft tissue damage to the ankle. This is called an ankle sprain. When the ankle is usually in the inverted position when the injury is caused, and the ligaments in the front of the lateral ankle are weak, most Anterior talofibular ligament injury to the outside of the ankle.


After the injury, the surrounding capillaries are damaged and ruptured, leading to bleeding and swelling. When the bleeding is long, the blood penetrates into the surrounding tissue space and subcutaneously and manifests as large patches of ecchymosis. Stimulation of the peripheral sensory nerves is manifested as pain, sometimes with severe pain or increased pain during movement.


Should an ankle sprain be iced or hot?


Usually, the ankle (ankle within 48 hours) is swollen and swollen after ankle and ankle sprain. In order to reduce the bleeding, it is recommended to apply ice. The capillaries will shrink after the ice and the bleeding will not be too swollen.


If the ankle joint is well protected without further secondary injury, the bleeding has stopped after 48 hours. At this time, hot compresses are recommended to promote blood circulation and promote hematoma absorption. At the same time, it needs to cooperate with the elevation of the affected limb;


How to deal with ankle sprain immediately? Can or when can I walk?


Most patients with sprained ankles are in motion or in the suburbs. After an injury, they are usually stressed throughout the body. They do not feel pain in the early stages of the injury, but continue to exercise or walk, resulting in more serious injuries.


After an ankle sprain, you need to stop the ankle movement immediately or think of the problem more seriously, you can treat it as a "fracture" and use a rigid plate to hold it. The standard method is PRICE principle, Protection, Rest, Ice, Compression, Elevation The first letter of each word is protection, rest, ice, pressurization, elevation, and seek medical attention as appropriate.


After ankle sprains, you need to rest adequately. It is recommended that you cannot walk with the affected limb bearing weights. You need to use bilateral axillary crutches. The affected limb is suspended and walked. However, it is not recommended to walk too much. So when can I walk?


This depends on the extent of the patient's sprain. It is generally recommended that the affected limb be unweighted for 2 weeks. If the swelling and pain improve, you can walk under a walking brace; however, if the injury is severe, the affected limb needs to be unweighted for 4 weeks. In short, the earlier the sprain, the earlier the weight-bearing, the more it affects the healing of the ligament, which is inversely proportional to the healing.


How to fix ankle sprain?


After ankle and ankle sprains have different degrees of soft tissue damage, initial braking is necessary to reduce the further aggravation of the injury and provide a stable environment to repair the damaged tissue. Depending on the degree of injury and the patient's symptoms, different fixation schemes can be selected, including elastic bandage fixation, ankle fixation, functional ankle braces (braces that can be used for ankle flexion and dorsiflexion), restrictive braces, The plaster is fixed, and the doctor will arrange it according to the degree of the patient's injury.


It is particularly reminded that although the foot and ankle are fixed accordingly, the affected limb also needs to maintain certain activities, such as hip, knee, toe joints, and thigh calf muscle contraction activities to prevent thrombosis.


How is ankle sprain distinguished from a fracture?


There is a substantial difference in the treatment of ankle sprains and fractures, and it must be determined whether the sprain has a combined fracture. Can be judged by the following points:


1. The violence of injuries;

2. The extent of pain and swelling;

3, the duration of symptoms, simple sprains generally gradually improve after one week, if the fracture lasts for a long time, or can not improve;

4. Finally, X-rays are needed to determine the presence of fractures.


Ankle sprain for a month, why is it still sore? How to deal with it?


Usually ankle and ankle sprain (simple soft tissue injury), swelling and pain will be relieved and ecchymosis will be eliminated within 3-4 weeks; however, some patients will have swelling and pain, which is reduced but still present, manifested as active pain, pain on the affected area, and walking pain.


There are two reasons why the ankle is still swollen after a month of sprain:


1. The degree of patient injury. The more severe the injury, the second or third-degree injury of the ligament, and the synovial impaction, bone contusion, and cartilage impact injury, the longer the healing time, or the failure to heal.


2. Improper treatment after injury. After a sprained ankle, some patients do not pay attention to it or need to work, do not take proper rest and braking, walk under the weight as usual after the injury, resulting in secondary injuries, or the injured ligament is not sufficiently protected, and the new tissue has just healed and connected It was pulled apart again by the activity, resulting in long-term non-healing.


The patient's ankle sprain is still swollen and painful for a month, and it is more difficult to handle. It is not recommended to continue to fix and not carry weight, but it is necessary to avoid strenuous exercise. Functional exercise of the ankle is recommended, see the functional exercise section;


When not active, raise the affected limb more to help blood circulation and swelling; dynamic observation, swelling, and pain, and decrease activity;


If long-term swelling and pain, MRI examination is needed to further understand the injury situation; dynamic judgment of foot and ankle recovery, surgery is needed if necessary.


How to functional exercise in the late stage of an ankle sprain?


Braking and functional activity are a contradiction, which is applied to the early and late treatment of ankle and ankle injuries respectively; the ankle sprain is mainly braking at the beginning (about 3-4 weeks), and then gradually ankle functional exercise is given, and Functional exercise can increase over time.


The main functional exercises are walking, practicing the strength of foot eversion, ankle motion and flexibility, and balance. See the linked article for details.


Its role is to enhance the muscle strength around the injury, enhance the stability of the ankle joint, enhance proprioception, and can be self-control when walking.


What is the difference between an ankle sprain and western medical treatment?


The modern western medical method for sprained ankles is mainly used for early brake protection and functional training at the later stage; traditional Chinese medicine bruise therapy is to promote blood circulation and remove blood stasis, and to correct the symptoms by hand.


In fact, the two have the same thing in common, but the assessment and treatment methods are different. Both Western and Chinese medicine treatments are effective, but the existence of fractures needs to be ruled out.


Regardless of whether the patient is treating it on his own or in a western medicine hospital or traditional Chinese medicine for traumatic treatment, it is necessary to remind that ice compresses should be selected at the early stage of the sprain, and do not forcefully activate the oil, so as not to aggravate the injury or increase bleeding and swelling.


What are the worst consequences of an ankle sprain?


After an ankle sprain, if it is more serious or the treatment is not appropriate, the following sequelae may occur:


1. Chronic instability of the ankle joint, repeated swelling and pain, unstable walking, easy to sprain multiple times when walking on uneven roads or sports;

2. Ankle instability can lead to ankle joint synovitis and talar osteochondral damage, which are mainly manifested as persistent pain and swelling of the ankle joint, which worsens when walking;

3. Ankle instability persists for a long time, which can cause ankle osteoarthritis, ankle swelling, and pain, limited mobility, and stiffness.