First of all, cold compress, of course, cools blood vessels and inhibits bleeding.

Otherwise, the blood vessels will continue to bleed.

When you sleep, you should raise the foot pad to at least 20 or 30 centimeters to prevent blood from flowing to your feet and oozing out from the broken blood vessels.

Use hot compress after 24 hours.

If you use trauma wine, you should first gently rub the injured part with your hands, and then massage with wine. After the massage, wrap it in a thick cloth, not too tight. This is to let the medicinal liquor continue to play its role. Don't wash your hands under the faucet immediately, otherwise you will get rheumatism easily.

The calf is composed of tibia and fibula, which is thick at the front and thin at the back. There is a bone at the top of the arch called talus. Ankle joint is formed by the lower ends of tibia and fibula riding on talus, commonly known as "ankle". The inward protruding part of the lower end of tibia is called medial malleolus, and the outward protruding part of the lower end of fibula is called lateral malleolus. The ankle joint capsule is loose in front and back, and tight on both sides. There are ligaments around the ankle joint, triangular ligaments on the inside and three independent ligaments on the outside. Because the lateral ligament is weaker than the medial ligament and the medial ankle is shorter, it is easy to cause varus foot (the center of the foot faces the medial side) and damage the lateral collateral ligament. When the ankle is dorsiflexion, the talus has no room to move, but when the ankle is plantar flexion (heel lifting), the talus can move slightly to both sides, so varus sprain often occurs in the ankle.

The incidence of ankle sprain among teenagers is high because students take part in more sports activities. If the preparation before the activity is not sufficient, it is easy to sprain during the activity; When girls wear high heels to walk on uneven roads or walk down steps, they are prone to plantar flexion and varus. At this time, the lateral collateral ligament is suddenly overstretched, which can cause ankle sprain. Ankle sprain ligament is slack or partially torn; In severe cases, complete fracture, ankle subluxation or complicated fracture and dislocation. After ankle sprain, the patient's front, lower and lower parts are painful and swollen, and there may be ecchymosis in the acute stage. At this time, the action of varus will aggravate the pain, and valgus can be painless.

So, what should I do after spraining my ankle? If the ligament is partially torn or injured, the varus angle will increase with severe pain. In the acute phase, you can immerse your ankle in cold water within 24 hours, or apply a cold towel to the affected area, every time 10-20 minutes, once every 6 hours, which can shrink blood vessels, reduce swelling and relieve pain. After 24 hours, hot compress is needed to accelerate local blood circulation and absorb exudates in the interstitial space as soon as possible, thus alleviating pain. If the ligament injury is severe and the pain is severe, three 4cm wide adhesive tapes can be attached to the ankle, and the three adhesive tapes overlap each other from the lower part of the inner leg 1/3. The width of the overlapping part is about half of each tape, and then three tapes are attached around the calf to fix it, but it is necessary to prevent the tape from being too tight and obstructing blood circulation. External bandage for 2-3 weeks. When the ligament is completely broken, the varus angle of the foot increases obviously. When subluxation occurs, the foot is in extreme varus position, and a gap can be felt under the lateral ankle. This kind of injury needs the doctor's manual reduction, and then the injured foot is fixed in the 90-degree position and valgus position with tubular plaster for 4-6 weeks. Repeated sprains often lead to joint dislocation due to improper early treatment. Patients with joint dislocation can wear foot-wrapped shoes to protect their ankles, and raise the outside of the shoes by 1- 1.5 cm, so as to keep their feet in eversion and prevent varus. In addition, adolescent middle school students should try not to wear high heels, do not chase and fight at ordinary times, and be fully prepared before sports activities to prevent ankle sprains.

What about sprained ankle?

Ankle sprain is one of the most common joint sprains and a very common disease in clinic. Ankle sprain, especially varus injury, causes strain, tear and even fracture of lateral collateral ligament. When walking and sprinting, the outer edge of the foot hits the ground or falls from a height, and the sole of the foot suddenly retracts, which may cause the lateral ankle ligament to be stretched and sprained, even partially torn, and may also be combined with the lateral ankle avulsion fracture.

When the ankle joint is sprained, there is a tearing feeling, local swelling and obvious pain. The affected foot can't walk with heavy load, limp, and can't land on the forefoot. If only the lateral collateral ligament is sprained and edema, the symptoms can disappear within 1 ~ 3 days. If there is a ligament tear, the pain will continue and the joint will be unstable. X-ray can show whether there is avulsion fracture, talus inclination increase or dislocation.

Early treatment after ankle sprain is very important, so it is advisable to stay in bed, hold crutches when going to the ground to prevent ankle from bearing weight, and don't exercise too early, and rest for more than two weeks. Cold compress should be used immediately after injury, not hot compress or local rubbing. Local sealing can be used to relieve pain. In order to stabilize the joint, the patient can sit in a chair with his calf drooping, and the fourth and fifth toes are wrapped with narrow bandages, which are pulled up by the patient himself, so that the ankle joint extends backward and everts. The doctor used three pieces of 4cm wide adhesive tape, which were overlapped by half in turn, bypassed the plantar surface from the upper part of the medial malleolus, went up through the lateral malleolus, stuck it under the fibula capitulum, and then bandaged and fixed it, and braked for several days. Fixed braking should be overcorrected, that is, the injured limb rotates in the opposite direction of the injury force, the eversion injury should be fixed, and the eversion injury should be fixed. Fix it with plaster or splint if necessary. After the acute phase, you can use hot compress and exercise the flexion and extension of the ankle joint, or massage the ankle joint, plantar flexion and varus, dorsal extension and valgus in turn, and press the affected area. The ligament is completely torn and can be repaired. A few patients are prone to sprain again after recovery.

Why does ankle sprain cause long-term foot pain?

After reasonable treatment, most patients can recover from ankle sprain, and some patients leave lateral foot pain after ankle pain disappears, which can last for decades and affect walking and labor. It is usually caused by simultaneous injury to the soft tissue of the tarsal sinus. The tarsal sinus consists of talus sulcus and calcaneus sulcus. The ostium of the sinus is located at the anterior lower part of the lateral malleolus, and there are calcaneal ligament, fat pad, synovium and calcaneal joint capsule in the sinus. Ankle sprain can cause damage to tarsal sinus ligament, fat pad and synovium, leading to aseptic inflammation. Scar contracture and ligament tension may occur after injury healing, resulting in dorsolateral pain of the foot and tenderness of the tarsal sinus, which may sometimes radiate to the toes. Autonomic nerve dysfunction caused by soft tissue lesions. Abnormal sensation, chills, weakness and involuntary trembling of the lower legs and feet.

The pain will disappear immediately after local sealing of the sinus. Attention should be paid to rest after ankle sprain, and local physical therapy and closed treatment can be used. The treatment effect is good. If conservative treatment is ineffective and the pain is stubborn, the soft tissue in the tarsal sinus can be surgically removed, and the gelatin sponge can be stuffed to stop bleeding and eliminate the dead space.

Prevention and treatment of ankle sprain

1. Causes and principles of ankle sprain. According to anatomical characteristics, the ankle joint is composed of the articular surface under the tibia and fibula and the articular surface on the talus (talus trochlea). Foot flexion muscle strength is greater than extensor muscle strength, varus muscle strength is greater than valgus muscle strength; In addition, the lateral malleolus is longer than the medial malleolus, and the medial malleolus triangular ligament is stronger than the lateral three ligaments. Therefore, the range of motion of eversion is larger than eversion. In addition, the talus body is wide at the front and narrow at the back. When the foot is extended, the talus completely enters the ankle point, and the ankle joint is stable and not easy to sprain. When the sole flexes, the narrow part behind talus enters the wide part in front of ankle point, so the ankle joint is relatively unstable and prone to sprain. The technique of ball games is complex, and the technical movements change frequently in practice, so it is necessary to constantly change the direction, make an emergency stop and get up. Especially in rebounding in basketball and spiking in volleyball. When students leave the ground in the air, their feet are in a state of plantarflexion and varus. If they fall to the ground with unstable center of gravity, lean to one side or step on other people's feet and balls, or on uneven ground, students lack the ability to protect themselves, they will use their feet.

2. symptoms. There is obvious tenderness on the medial or lateral side of ankle joint after injury; The swelling of medial and lateral ankles is obvious, local subcutaneous ecchymosis, limited ankle movement and difficulty in walking.

3. On-site treatment of ankle sprain. Immediately after the injury, give cold compress, pressure bandage, raise the affected limb, rest regularly, and apply new drugs externally.

4. Massage therapy. After 3 days, you can have a light massage: (1) massage Jiexi point (between extensor pollicis longus tendon and extensor digitorum longus tendon)1min; (2) Massage Kunlun point (the midpoint of the connecting line between the lateral ankle and achilles tendon)1min; (3) Massage hanging hours (3 inches above and below the lateral ankle tip and the posterior margin of fibula)1min; (4) Massage Yanglingquan point (the depression below fibular capitulum) 1min. The above acupoint massage is carried out according to the patient's feeling of acid swelling.

5. Practice after injury. After swelling and pain relief, you should walk on the ground or walk on crutches under the condition of fixing the adhesive tape support belt. 1 ~ 2 weeks later, you can do muscle strength and coordination exercises, jog in the sand or walk or jump on uneven slopes, and gradually enter regular exercises.

6. Strengthen preventive measures. An important cause of injury is lack of self-protection awareness and neglect of preventive measures. Therefore, it is necessary to make full preparations, do a good job in venues and facilities, cultivate and improve the ability of self-protection, improve the muscle strength of the ankle joint, improve the stability and coordination of the ankle joint, and wear protective support belts when practicing.

Why does ankle sprain often appear on the outside?

In daily life, people are prone to sprain their ankles when they go up and down stairs, go shopping on foot, take a walk in the park, accidentally step on empty steps and bump into masonry stumps. But if there is a sprain, most of it appears in the lower part of the lateral ankle, and the medial ankle is rare. What is the reason?

This is because the lateral ankle is longer than the medial ankle, so it supports the lateral ankle. At the same time, the medial malleolus has a group of powerful ligaments, called "tibial collateral ligaments" (also called "triangular ligaments"), which extend from the medial malleolus to the foot bone in a fan shape and hold the medial malleolus tightly. Both of them work at the same time to prevent the ankle from everting when the ankle is twisted, but often the ankle is excessively pronated, which will tear the weak fibular collateral ligament. This is why ankle sprains are more common on the lateral side (that is, the fibula side).

Another reason is that the medial leg dominates the muscles of the foot, such as the anterior tibialis muscle and the posterior tibialis muscle, which is powerful and can stabilize the medial ankle joint and prevent its valgus displacement; On the contrary, the peroneal longus and peroneal brevis, which dominate the foot on the outside of the calf, are relatively weak. When spraining, they can't control the lateral ankle tightly, but are forced to stretch, which makes the ankle joint excessively varus and sprains the lateral ankle.

When the lateral ankle joint is sprained, hematoma and subcutaneous ecchymosis appear in the lower part of the lateral ankle joint and the dorsum of the foot due to the tearing and bleeding of the peroneal collateral ligament, and there is obvious tenderness locally. If the foot is passively turned inward during the examination, it will feel severe pain because of the injury. If you turn to the outside of the sprain, the pain is not obvious.

The diagnosis of ankle sprain is generally not difficult, but the fracture of fibula condyle must be ruled out. If there is a suspicious fracture, X-ray is needed to confirm it.

Treatment is mainly symptomatic. Fresh sprain can be immediately iced, or locally sprayed with refrigerant to inhibit bleeding and swelling, and properly bandaged and fixed. Avoid massage, passive exercise and walking immediately for fresh sprain, which will aggravate local injury and bleeding. 1 ~ 2 days later, infrared lamp can be irradiated by local hot compress and short-wave diathermy therapy can be used. After 2 ~ 3 days, you can practice walking, local gentle massage or passive activities. 1 ~ 2 weeks can be cured, and severe ligament tear takes a long time to recover. If you are not careful, you may sprain again.

Take ankle sprain seriously

Almost every day, 25,000 Americans sprain their ankles, but few people pay attention to this problem. When the foot is not properly twisted, the external ligament of the ankle joint will be overstretched and bent.

Glenn Pfeffer, a plastic surgeon in California, said that people rely on their ankles for exercise and work. If ankle sprain is not treated in time, it may cause joint instability complications, such as joint pain or repeated sprains.

It is said that the best way to treat ankle sprain is to rest, freeze, compress and lift the ankle. If the situation is serious, the joint should be bandaged, and the patient should do appropriate exercise to prevent joint stiffness.

Of course, it is best to prevent sprains. It is also a good way to prepare volleyball and tennis and wrap the joints with bandages.

Wearing air-cushion sports shoes is easy to hurt your ankle. Wen Wei Po 20065438+0 March 29th

According to the British "Times" reported on the 27th, the latest research report of an Australian university shows that wearing air-cushion sneakers is more likely to cause ankle injuries during exercise.

According to the report, a survey of about 10000 basketball players by researchers shows that the probability of injury is four to one compared with those who don't wear air cushion shoes. Most of them hurt their ankles when they jumped to the ground. Once the results were announced, it caused quite a shock in sports and business circles. A spokesman for Nike, a manufacturer of air-cushion sports shoes, immediately said that the company attached great importance to the report.

Sick ankle sprain

Ankle sprain refers to a disease of ankle ligament injury or rupture. It is a common and frequently-occurring disease in orthopedics and traumatology, which can occur at any age. Children of middle school age have more activities and diseases. Modern medicine believes that ankle sprains are mostly caused by walking, running, jumping or going down stairs. When going downhill, the ankle joint and plantar flexion suddenly turn outward or inward, and the lateral or medial collateral ligament is under strong tension, which makes the stability of the ankle joint out of balance and coordination, resulting in ankle sprain. Lateral ankle injury is the most common. Traditional Chinese medicine believes that the occurrence of this disease is due to trauma and other factors, which damage the meridians of the ankle, hinder the circulation of qi and blood, block the meridians, and cause qi stagnation and blood stasis.

The common symptoms are obvious swelling and pain of the ankle, inability to land, obvious tenderness and local subcutaneous blood stasis of the wound. If the lateral ankle ligament is sprained, the pain is obvious when the foot is varus; If the medial malleolus ligament is sprained, the pain is obvious when the foot is everted. If the ligament is torn, varus deformity and hematoma may occur.

Massage method: one massage method and two kinds of life conditioning.

Massage method 1

1. Common methods

(1) In supine position, parents massage Xu Qiu, Taixi, Kunlun, Shenmai and Yanglingquan with their thumbs, and the intensity is from light to heavy, and each acupoint is operated for half a minute.

(2) Parents should fix their feet with one hand and use thenar force with the other hand to gently rub around the ankle joint for 2-5 minutes.

(3) Parents hold the plantar part with one hand, the heel part with the other hand, and press their thumb on the wound. Pull your hands down slightly hard and turn them inside out slightly at the same time. The time is 1 ~ 3 minutes.

(4) Parents hold the heel with one hand and the plantar part with the other, at the same time, exert force, stretch while pulling, extend the ankle as far as possible, and then do circular motion. The time is 1 ~ 3 minutes.

(5) Parents rub the thumb and other four fingers from top to bottom for 1 ~ 3 minutes, and then the palms are relatively hard. Horizontal friction of lower limbs 1 min.

Massage method 2

1. Common methods

(1) When the child lies on his back, the parents gently rub the injured part with thenar, with heat penetration as the degree.

(2) Massage gently with thumb and abdomen 1 ~ 3 minutes to treat the injured part.

(3) When the child is sitting, the parents hold the heel from the outside with one hand, press the injured ligament with the thumb, and hold the metatarsal with the other hand, shaking 1 min.

(4) Parents hold their feet with both hands, bend their feet under the pull-out force, and then bend their backs. At the same time, they press the injured ligament inward and downward with their thumbs so that the child can bear it. This operation is repeated 5 ~ 8 times.

(5) Parents should rub their palms relatively hard and rub them repeatedly from the knee joint down around the ankle joint. Take local redness and heat penetration as the degree. Time is 2 ~ 5 minutes.

Life adjustment

(1) Patients with severe ankle sprain should go to the hospital for X-ray examination to rule out fracture and dislocation. If you find a fracture, please see a doctor immediately.

(2) In the acute phase of ankle sprain, the manipulation should be gentle and gentle, so as not to aggravate traumatic bleeding, and at the same time, do not apply hot compress.

(3) During the recovery period, the manipulation can be appropriately aggravated, and at the same time, with local hot compress or external washing with traditional Chinese medicine for promoting blood circulation and dredging collaterals, satisfactory results can often be obtained.

(4) Pay attention to keep the damaged parts warm.

(5) In the early stage of sprain, severe cases should be braked, fixed appropriately according to the condition, released after 1 ~ 2 weeks, and functional exercise should be carried out.

Under the action of external force, when the joint suddenly moves to one side and exceeds its normal range of motion, it causes tearing damage to the soft tissues around the joint, such as joint capsule, ligament and tendon, which is called joint sprain. In light cases, only some ligament fibers are torn; In severe cases, the ligament can be completely broken or the bone at the joint between the ligament and the joint capsule is torn, and even joint dislocation occurs. Joint sprain is the most common in daily life, among which ankle joint is the most common, followed by knee joint and wrist joint.

I. Anatomical summary, causes of injury and pathology

Ankle joint, including ankle joint and subtalar joint, is a load-bearing joint of lower limbs. The former consists of the lower end of tibia and fibula and the upper part of talus, while the latter consists of the lower part of talus and calcaneus. The lower end of tibia and fibula is connected by medial and lateral ligaments of ankle joint, which makes ankle joint quite stable. There are tough triangular ligaments and fibula anterior and posterior ligaments under the medial malleolus, which are weak and play a role in limiting the movement of varus foot. Excessive strong eversion or eversion activities, such as walking on uneven roads, falling from a height or landing unsteadily, can cause lateral or medial ligament damage, partial tearing or complete fracture or avulsion fracture. Improper early treatment and excessive relaxation of ligaments will lead to instability of ankle joints, easy to cause repeated sprains and even traumatic arthritis, which will seriously affect 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 strong varus. Because the lateral malleolus is longer than the medial malleolus and the lateral ligament is weaker, the mobility of foot varus is greater, and the lateral ligament injury is more common in clinic. Partial tearing of lateral ligament is common, and its clinical manifestations are pain, swelling and lameness of lateral ankle joint. Sometimes you can see subcutaneous congestion; Tenderness of lateral ligament; When the foot is varus, the pain of the lateral ligament is aggravated.

Complete rupture of lateral ligament: rare, with obvious local symptoms. Because the lateral ligament is out of control, abnormal varus movement may occur. Sometimes there is a small bone on the outside of the ankle joint accompanied by ligament avulsion, which is called avulsion fracture. The inclination of the metaphyseal end face of the medial tibia is far beyond the normal range of 5- 10 when the film is taken in the inverted position, and the joint space of the injured side is widened. X-ray examination showed torn bone fragments.

2. Injury of medial ligament

It is caused by the eversion of foot textile force, which happens less. Its clinical manifestations are similar to those of lateral ligament injury, but the position and direction are opposite. It is characterized by pain, swelling, tenderness and eversion of the medial ligament, which can cause pain of the medial ligament and avulsion fracture.

Third, treatment.

Slight injury of medial ligament of ankle joint, fixed with adhesive tape, bandaged when overcorrected.

If the lateral ligament is slightly damaged and the stability of the ankle joint is normal, the affected limb can be raised early, cold compress can be used to relieve pain and reduce bleeding and swelling. After 2-3 days, physical therapy, swelling-relieving, pain-relieving and blood-stasis-removing substances can be used for external application, with proper rest and attention to ankle protection (such as wearing high boots). If the injury is serious, 5-7 pieces of adhesive tape with a width of about 2.5 cm can be attached to the middle of the lateral leg from the lower part of the medial leg 1/3, through the medial and lateral ankles, and the adhesive tape should be wrapped outside. Keep the foot in eversion position to relax the ligament for healing and fix it for about 3 weeks. In the case of medial ligament injury, the position of dressing and fixing is opposite.

If the symptoms are serious, or the ligament is completely broken or there is an avulsion fracture, the affected foot should be fixed with short-legged plaster boots to keep it in an "over-corrected" posture for about 4-6 weeks. Rubber pads or other wear-resistant materials can be added to the bottom of gypsum boots for walking. If the ankle fracture is large and the reduction is poor, it should be open reduction and internal fixation.

Ankle ligament injury, severe, short leg plaster fixation, sole rubber pad.

If the old rupture or repeated sprain of the lateral ligament leads to excessive relaxation of the lateral ligament and unstable joints, reconstruction of the lateral ligament with peroneal brevis tendon can be considered.

After the joint sprain, it should be treated in time. The principle is braking, reducing swelling and promoting blood circulation, so that the damaged tissue can be well repaired. Those with excessive joint bleeding should be removed in time under aseptic technique to avoid intra-articular adhesion. If ligament rupture or avulsion fracture affects joint stability, it needs surgical reduction and repair to avoid repeated sprain, articular cartilage injury and traumatic arthritis.

How to treat ankle sprain

1, for mild ankle sprain, cold compress should be done immediately after sprain. To reduce the formation of hematoma. At the same time, drugs for promoting blood circulation and removing blood stasis can be used externally. This will relieve swelling and pain. Generally 10- 14 days can be cured.

2. When the ankle joint is seriously injured and the ligament is seriously injured, you should go to the hospital for treatment. At this time, it should be fixed with wide tape. The fixed time is usually 2-3 weeks.

3. When severe ankle sprain causes ligament rupture or ankle subluxation, plaster should be used to fix the injured foot at 90 and valgus position. Generally, it is fixed for 4-6 weeks, and the ankle joint is actively moved after the plaster is removed.

Self-diagnosis and treatment of ankle injury

My friend accidentally sprained his ankle when he went downstairs the other day. I would like to ask experts how to diagnose and treat ankle injuries in daily life. Reader Liu

Ankle injury is a common disease in clinic, which is mostly caused by gravity imbalance when people walk or run on uneven roads, or go downhill or downstairs. In daily life, injured patients are used to scalding the affected area with hot water or hot towel, or rubbing the affected area with alcohol. Some people think it's a minor problem. Insisting on walking and working will not only aggravate the symptoms, but also delay the treatment opportunity.

After an ankle injury, you should first judge for yourself. Is it a soft tissue sprain or a fracture? The sprained person feels pain immediately after being injured, and his activities are limited, so he can't walk or can barely walk, and then his ankle is swollen; If the ankle joint is swollen and painful after injury, the tenderness of the inner and outer ankles is obvious, bone friction can be heard, and there is dysfunction or even deformity, it is an ankle fracture.

In terms of treatment, for sprain, in order to avoid continuing to bear the burden or work, we should take self-relaxing meridian massage, first slowly pull out the ankle joint, and then do back extension, varus and valgus after a while, but avoid rubbing with local methods; Local swelling is obvious. Towels can be soaked in cold water or put into plastic bags for external application, and changed every 3 minutes/kloc-0 for 30 minutes, which can constrict blood vessels, relieve local congestion, lower tissue temperature, and achieve the effects of hemostasis, fever reduction and analgesia. For acute sprain, the earlier the cold compress, the better. After 24 hours of sprain, it is advisable to switch to hot compress therapy. Soaking a towel in warm water or hot vinegar and applying it to the wound for 30 minutes, 1 ~ 2 times a day, can improve blood and lymphatic circulation, and is beneficial to the absorption of blood stasis and exudate at the wound.

For patients with fractures, they should immediately go to the orthopedic department of the hospital for examination and filming, diagnosis and correct treatment. Zhiliang, Attending Physician of Orthopedics, Central Hospital

[Overview]

Ankle sprain is common, especially lateral collateral ligament injury. Most of them are caused by indirect external forces. If the ankle joint suddenly turns inward and adducts when walking, the lateral collateral ligament can be damaged, and in severe cases, the ankle joint fracture can be complicated. If the treatment is not timely and thorough, it will be sprained repeatedly in the future, affecting joint function.

[symptoms]

1. History of sudden varus or valgus sprain of foot.

2. Local pain, swelling, blood stasis and tenderness make the foot turn to the healthy side, and the pain on the affected side is aggravated.

[Diagnostic Basis]

1. Obvious sprain history.

2. Local pain, swelling, tenderness and limited activity.

3.x-ray shows subluxation or fracture of ankle joint.

[therapeutic principle]

1. Incomplete fracture should be treated with local immobilization and symptomatic treatment.

2. Complete fracture, or combined with avulsion fracture and ankle subluxation, early surgical treatment.

[Efficacy evaluation]

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

2. Improvement: Most activities have mild swelling and pain, the joints are stable, and the functions are basically restored.

3. Not healed: there is still swelling and pain, unstable joints and limited function.

[Expert Tips]

Ankle sprain, severe cases can be combined with fracture and ankle subluxation. At the same time, the treatment of ligament injury is not timely or thorough, which will lead to repeated sprains in the future. Therefore, I sprained my ankle, so I should go to the hospital to find an orthopedic surgeon for timely diagnosis and treatment and thorough treatment. In order to avoid missed diagnosis or misdiagnosis, the treatment effect will be affected.

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

In some cases, it may be. "sprain" usually refers to ligament tearing or tearing, while ankle injury can be light or heavy, depending on which ligament is damaged.

The ligament (anterior ankle ligament) located on the anterolateral side of the ankle bone is injured, usually only slightly sprained. Symptoms are less severe pain, tenderness and bruises, and the ankle joint can still bend. The treatment of mild sprain is relatively simple: use cold compress to relieve pain and swelling, then bandage it and try to rest for a few days. It may take three weeks to fully recover.

If the anterior ankle ligament is torn and there are other ankle ligament injuries, it will usually cause serious sprain. Ankle bears weight, and these ligaments play a vital role in stability.

In this case, the swelling and pain of the wound are more serious, and the ankle joint may be swollen and painful back and forth, so it is very difficult to walk or move the ankle joint.

In fact, a severe sprain may deprive the injured person of mobility just like a fracture, and the wound often needs plaster to help heal. After removing the plaster, it is important to start a gradual exercise plan, do stretching exercises, and immediately restore the range of motion. Finally, physical exercise should be carried out to restore the flexibility of joints and help prevent further injuries.

Some people say that their ankles are unreliable. What the hell is that?

That means that the ligament connecting the ankle is very vulnerable to injury under pressure, usually because the ligament injury in the past has not been completely cured. Bind the ankle with a bandage to help prevent another sprain; Wearing high heels also helps to reduce the possibility of sprained ankles and injuries.

Acupuncture and moxibustion for ankle sprain

Ankle injury is called ankle injury when the ground is uneven during exercise, and you suddenly slip when walking with load or descending stairs or slopes. After ligament injury, local exudate stimulates peripheral nerves, causing pain and dyskinesia. Chinese medicine believes that after ankle injury, swelling and pain are caused by blood leaving the meridians.

Most patients have a clear history of acute sprain, ankle pain, swelling, local skin blue or purple, joint movement disorders, walking difficulties. If there is local severe pain, accompanied by ankle deformity or abnormal activity, you should consider fracture and go to the hospital as soon as possible.

Ankle sprain is a common disease. Massage therapy can simply and quickly relieve pain, restore walking function and relieve pain for yourself or your family and friends.

The specific method is: the patient takes a supine position or a sitting position, and the doctor massages the ankle, first from the affected part to the periphery, then from the lateral ankle, and then from the lateral leg to the Xiangyang Lingquan, focusing on Xu Qiu, Jueyin and Yanglingquan. Then push the affected area with your thumb, which is also pushing around from the local area to promote blood circulation and remove blood stasis.

After the above manipulation, the local fever and pain are relieved, and the key manipulation can be carried out: stretching the ankle joint and doing a small amount of internal and external rotation.

Stretching, that is, traction or traction, is the operation in this disease: one hand holds the sole of the foot and fixes one end of the ankle joint, and the other hand presses the affected part moderately, slowly traction, and at the same time makes a small rotation, which is gentle and non-explosive. Then according to Xu Qiu and Yanglingquan points, take the degree of acid swelling as the degree, and then use rubbing method from ankle to thigh for self-sufficiency, and cooperate with wet and hot compress on the affected area.

Some points for attention in operation and nursing:

1. For those with large local abrasions, it is not appropriate to immediately apply manual and hot compress, but to apply cold compress first, and then apply manual treatment 24 hours later;

2, the treatment should be mild;

3, properly fix the affected part to prevent the foot from keeping the posture of dorsiflexion and varus;

4. Keep warm locally;

5. When resting, the ankle should be placed above the breech position, which is conducive to swelling.

How to nurse patients with ankle sprain?

1, generally within 24 hours after sprain, cold water or alcohol can be used locally to promote hemostasis and reduce the formation and pain of hematoma. After 24 ~ 48 hours, hot compress can be carried out to improve blood circulation.

2. After ankle sprain, don't go to the ground too early, so as not to hinder the rehabilitation of its function. Generally, it takes 7 ~ 10 days to get well, and then you can gradually start walking. When sleeping, you can use a pillow to cushion the affected foot to reduce swelling.

Pay attention to the height of the road when walking, and be more careful when the light is bad. When going downhill or downstairs, the plantar flexion angle of the foot should not be too large to prevent sprain.