Ankle and foot sprain
The most common mechanism of ankle sprain (ankle) is podvertyvanie foot inwards or outwards, often in the winter on the slippery ice, ice-covered areas and levels. Needless sprains ankle (ankle) can occur even when jumping from a low altitude. Frequent damage to the ankle in sports.
Ankle and foot sprain diagnosis
These signs include local pain with palpation in the locations damaged ligaments attach to bone, increased pain when playing a mechanism for injury, swelling in the area of injury, a bruise on the ankle joint, hemarthrosis (bleeding into the cavity of the ankle joint).
Strengthening the pain while playing due to injury mechanism tension of soft tissues (ligaments, muscles and tendons) in damage to the ankle.
When hemarthrosis ankle appears elastic swelling in the anterolateral corners of the joint, palpation is determined by the fluctuation.
Computed tomography (CT) of muscles and ligaments of ankle and foot damaged by stretching ankle.
With torn ligaments patients often feel a crunch or crack in the ankle. Typically, in these affected areas there is considerable swelling of the injury, hemarthrosis and pronounced pain syndrome.
To clarify the nature of the changes in the ankle joint is required:
Ankle and foot sprain treatment
When straining ligaments ankle is not accompanied by a sharp pain syndrome and hemarthrosis ankle, treatment is reduced to the imposition of a tight 8-shaped bandage and apply a cold, but after 1-2 days - heat in the damaged area, UHF, electrophoresis. The patient was allowed to walk, loading the injured limb in a special holder ligament of ankle joint (ankle).
Ability to work with an ankle ligament strain, is not accompanied by a pronounced pain syndrome and hemarthrosis usually recovers within 7-10 days.
In cases where the ligament tear ankle (ankle joint) is accompanied by sharp pains, there is considerable swelling in the area of injury and hemarthrosis, therapeutic tactics must be different. When the ankle hemarthrosis is necessary to make a puncture ankle with the evacuation of blood streamed out of it.
In order to reduce edema and resorption of hemorrhages in the ankle sprains (ankle joint) is assigned to UHF therapy. Appointed by the warm baths, physiotherapy exercises, massage muscles damaged limbs, tight bandaging of the joint or bearing retainer ankle ligaments in the entire period of follow-up care in the first 2-3 weeks.
If resistant, long-term pain in the ankle a good therapeutic effect has physiotherapy (UHF electrophoresis with a solution of anesthetic and potassium iodide), injection of novocaine or lidocaine with hydrocortisone in the greatest point of pain (procaine or lidocaine therapeutic injections).
Depending on the degree of damage to the ankle (ankle), the following therapeutic action:
- drug therapy (NSAIDs, analgesics, hormones)
- block - injection of drugs into the cavity of the ankle and ligament attachment sites (novocaine, lidocaine)
- manual therapy (muscle and joint technology)
- physiotherapy (UHF, SMC, etc.)
- medical gymnastics