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Author: NOW Health
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After the global epidemic was lifted, people began to go outdoors and even go abroad. As a result, many patients with ankle pain appeared in outpatient clinics. If not treated properly, it may cause long-term sequelae. Rehabilitation doctors explain that if you usually do little exercise and suddenly walk or exercise a lot, resulting in ankle sprains, strains and inflammation, active treatment is recommended to avoid chronic pain in the upper body.
The ankle has a complex structure and may cause difficulty in movement if it is sprained or strained.
Liu Bihan, director of the Rehabilitation and Health Clinic, explained that the ankle is a very complex joint in the human body with many movements. It is mainly composed of the tibia, fibula and talus, and is covered by multiple ligaments: the anterior talofibular ligament and the posterior talofibular ligament on the outside. ligament and calcaneofibular ligament, and a large deltoid ligament on the medial side.
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In addition to maintaining ankle stability during running and jumping, these structures can also prevent ankle eversion and external rotation caused by excessive movements, preventing sprains, strains, or lacerations.
Ankle sprains or strains most often occur during exercise or when walking on uneven roads, especially when you usually do less exercise, suddenly walk for a long time, or do strenuous exercise, such as mountain climbing, playing badminton, or working. Relationships have to involve a lot of moving around, etc.
Even when muscle mass is lost with age and strength weakens, chronic injuries may occur due to reduced joint stability. To make a correct diagnosis, a doctor must conduct an ultrasound diagnosis to confirm whether it is an acute or chronic injury or a ligament injury, bone fracture, etc.
Is massage helpful for chronic ankle pain?Medical warning: Beware of worsening of the condition
Dean Liu Bihan reminded that when in pain, many people will want to use massage to improve swelling and pain. However, if you go for massage due to ankle pain caused by ligament tear or rupture, it will lead to a larger scope of the tear and worsened pain symptoms. It is recommended to see a specialist for a detailed evaluation before disposal so that the right treatment can be prescribed.
As for chronic pain, the blood flow supply to the tendons, ligaments and other structures of the foot is poor, so the repair speed is not as fast as that of muscles and bones, so it is easy to evolve into chronic inflammation. This is most likely because the previous injury has not been fully repaired. thus causing the pain to persist.
Acute treatment of torn or ruptured ligaments, prolotherapy to assist tissue regeneration
Dean Liu Bihan pointed out that when treating acute pain, it is recommended to use non-steroidal analgesics (NSAIDs) in the short term to help relieve pain, but not for too long, otherwise it will affect tissue recovery; bandages or ankle braces can protect and fix the ankle joint to avoid injury. Expand the scope; do not apply ice for too long, and because blood flow is important for tissue repair, after the inflammation period, it will be recommended to switch to hot compress or electrotherapy to enhance tissue repair. Nowadays, many people also accept manual therapy. By using physical therapists to help patients loosen their restricted ankle joints and massage soft tissues, they can reduce pain.
As for the injection treatment, during the acute pain period, anti-inflammatory and analgesic injections will be used to relieve the pain, but more attention should be paid to tissue repair. If the ligament is torn or broken, proliferative therapy can be used to help tissue regeneration. At the same time, it is combined with other treatment methods to speed up recovery and improve recovery effects.
Dean Liu Bihan further explained that PLT is a new type of platelet preparation. It mainly extracts the patient’s own blood and separates the platelets. It uses patented technology to make frozen crystal powder and uses a large amount of growth factors in the platelets to help the rapid repair of muscle tissue; Each frozen crystal bottle contains 1 billion platelets, and after being stored for 3 years, it is still 95 to 98% active, so it can help patients with long-term and stable treatment, and the treatment stability is very high.
▲Dean Liu Bihan said that if the ligament is torn or ruptured, proliferative therapy (PLT) can be used to help tissue regeneration, and can be combined with other treatments to accelerate recovery and improve recovery effects. (Photography/Lin Zhiyuan)
Regular follow-up visits are still required after surgery to protect the ankle from chronic pain.
If there is slight redness, swelling and pain after PLT, you can apply ice compress to relieve the pain within 24 hours, then switch to hot compress 24 hours later. Also, be careful to avoid extensive joint activity for 1 week after treatment, and avoid spicy, spicy, alcoholic, and other irritants. Food, and supplementing with more vitamins B, C, and D can help tissue repair more completely. The most important thing is to follow the doctor’s instructions for regular follow-up visits to track the recovery status in order to get the best care.
Finally, Dean Liu Bihan suggested that you must warm up dynamically before exercising. It is not just about standing in place and stretching, but to warm up the body to activate nerves, muscles and joints. In addition, the shoes should fit well and be sturdy, and the shoe cups should be hard to provide support. To increase your strength, you can choose shoes with good coverage, such as high-heeled shoes, which can protect your ankles and avoid injuries.
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(This article is reprinted with the permission of “NOW Health”, and the original text is published here)
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