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Common conditions

Acute ankle pain

Ankle sprain

ankle ligamentsThis is the most common problem for ankle pain. Sprained ankle specifically means lateral ligaments injury. There are three lateral ankle ligaments, runs from the tip of lateral malleolus, like a trident, to three other different bones (actually two bones, because two ligaments to the same bone.) They are Anterior Talofibular Ligaments ATFL, Calcaneobibular Ligament and Posterior Talofibular Ligaments. Over 80% of ankle sprain is ATFL injury.

 

 

 

 

injury machenismThe common injury mechanism is plantar flexion and inversion injury, which means down stairs, down sloop and twist ankle inverse, also common in sport, when jumping and landing on other player’s foot.

 

 

 

 

 

 

grade III The common signs and symptoms after injury are, pain, swelling, impaired walking, depends the injury, it may or may not involve with bruising.

 Ankle sprain is divided into three levels:

  • Grade I: pain but stable, mil swelling
  • Grade II: pain and instable, moderate swelling
  • Grade III: nil pain and extended swelling

 

 

 

Management for ankle sprain can be divided into to stage,

1, acute stage, RICE, rest, ice, compression, elevation. It is important to visit a health professional as soon as possible after you sprained ankle, because it is important to rule out any kind of fracture or avulsion fraction (tear a small piece of bone).

 

2, rehabilitation stage, after the pain and swelling settled down, it is really important for you to go through the full process of ankle rehabilitation, because ankle sprain is one the most common recurrent injury the body, normally the therapist will ask you how many times do you have this problem? A well designed the full rehabilitation program can eliminate recurrent injury in the future. The rehabilitation program should cover AROM exercise, strengthen exercise, stretch, endurance exercise, agility exercise and balance retraining.

 

 

 

 

 

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