How to Care for a Sprained Ankle?
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Watch the presentation and find many ways to treat the sprain and get it back into good condition. Here you will come to know how to care for a Sprained Ankle. URL:- www.metrophysio.co.uk
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Grade1 anklesprain
A Grade 1 ankle sprain involves slight stretching of the ligaments connecting the shinbone, ankle bone, and heel bone. It causes mild pain, swelling, and bruising around the ankle joint but allows walking with some discomfort. Treatment focuses on RICE - rest, icing, compression with an ankle brace, and elevation of the ankle above heart level. With 2-3 weeks of rest, icing, compression, elevation and range-of-motion exercises, the ankle should fully recover from a mild Grade 1 sprain.
Ankle Sprains
An ankle sprain is a common injury caused by trauma to the ankle ligaments from excessive inversion or eversion. It can range from mild stretching to complete tears. Incidence is highest among athletes. Symptoms include pain, swelling, bruising and difficulty walking. Assessment involves examining range of motion, stability tests like the anterior drawer test, and imaging to rule out fractures. Treatment depends on severity but may include RICE, bracing and physical therapy.
Medial ankle sprain
This document presents a case review of a medial ankle sprain in a 16-year-old soccer player. It summarizes the player's history, assessment findings, diagnosis, and treatment plan. The assessment found tenderness of the deltoid ligaments and thickening of the anterior superficial deltoid ligament. The diagnosis was a grade 1 sprain of the deltoid ligament. The treatment plan focused on reducing swelling and pain through exercises and taping, restoring range of motion and strength over 3 phases of rehabilitation, and a gradual return to sport activities.
Ankle sprain
Ankle sprains are common injuries that can range from mild to severe depending on the ligament damage. The most common type is a lateral ankle sprain caused by foot inversion. Treatment involves RICE (rest, ice, compression, and elevation) followed by rehabilitation exercises and bracing to promote healing and prevent reinjury. For severe or recurrent sprains, surgery may be considered to repair damaged ligaments and increase stability.
Sprained ankle
A sprained ankle is a stretching or tearing of the ligaments in the ankle joint, usually caused by the ankle rolling or twisting. There are three degrees of ankle sprains ranging from minor ligament stretching to a complete ligament tear. Immediate first aid involves RICE - rest, ice, compression, and elevation to reduce swelling. Further treatments may include anti-inflammatory medication, physiotherapy, ankle taping or bracing, and rehabilitation exercises to strengthen the joint. Ankle impingement can also occur when ankle tissues become trapped between bones, causing pain and limited movement.
Ankle sprain
This document discusses ankle sprains, including the anatomy of the ankle complex and its three joints. It describes the classification, symptoms, physical examination findings, and special tests used to evaluate ankle sprains. Low ankle sprains include lateral and medial sprains, while high ankle sprains involve the syndesmosis. Management involves the PRICE regimen initially, followed by rehabilitation exercises. Surgery may be indicated for persistent pain or instability after conservative treatment or in cases of severe ligament damage or recurrent sprains.
Ankle Injuries
The document provides information about ankle injuries, including the anatomy of the ankle joint, types of ankle injuries (strains, sprains, and fractures), classification of ankle sprains (grades I-III), and treatment and rehabilitation for different grades of ankle sprains. It describes how grade I sprains involve minimal ligament tearing, grade II partial tearing, and grade III complete tearing. Treatment involves RICE (rest, ice, compression, and elevation) followed by progressive rehabilitation exercises over 2-4 weeks for grade I, 4-8 weeks for grade II, and 8-12 weeks for grade III sprains.
Ankle
This document discusses the anatomy and assessment of ankle injuries. It covers the bony structures and ligaments of the ankle joint and their role in stability. Common ankle injuries like inversion sprains are described along with the ligaments typically involved. The assessment of ankle injuries is outlined including subjective history, objective examination techniques like palpation of ligaments, and developing a plan. Factors like pain response, weight bearing ability, and determining severity are addressed. Guidelines for return to play are also provided.
Recommended
Grade1 anklesprain
A Grade 1 ankle sprain involves slight stretching of the ligaments connecting the shinbone, ankle bone, and heel bone. It causes mild pain, swelling, and bruising around the ankle joint but allows walking with some discomfort. Treatment focuses on RICE - rest, icing, compression with an ankle brace, and elevation of the ankle above heart level. With 2-3 weeks of rest, icing, compression, elevation and range-of-motion exercises, the ankle should fully recover from a mild Grade 1 sprain.
Ankle Sprains
An ankle sprain is a common injury caused by trauma to the ankle ligaments from excessive inversion or eversion. It can range from mild stretching to complete tears. Incidence is highest among athletes. Symptoms include pain, swelling, bruising and difficulty walking. Assessment involves examining range of motion, stability tests like the anterior drawer test, and imaging to rule out fractures. Treatment depends on severity but may include RICE, bracing and physical therapy.
Medial ankle sprain
This document presents a case review of a medial ankle sprain in a 16-year-old soccer player. It summarizes the player's history, assessment findings, diagnosis, and treatment plan. The assessment found tenderness of the deltoid ligaments and thickening of the anterior superficial deltoid ligament. The diagnosis was a grade 1 sprain of the deltoid ligament. The treatment plan focused on reducing swelling and pain through exercises and taping, restoring range of motion and strength over 3 phases of rehabilitation, and a gradual return to sport activities.
Ankle sprain
Ankle sprains are common injuries that can range from mild to severe depending on the ligament damage. The most common type is a lateral ankle sprain caused by foot inversion. Treatment involves RICE (rest, ice, compression, and elevation) followed by rehabilitation exercises and bracing to promote healing and prevent reinjury. For severe or recurrent sprains, surgery may be considered to repair damaged ligaments and increase stability.
Sprained ankle
A sprained ankle is a stretching or tearing of the ligaments in the ankle joint, usually caused by the ankle rolling or twisting. There are three degrees of ankle sprains ranging from minor ligament stretching to a complete ligament tear. Immediate first aid involves RICE - rest, ice, compression, and elevation to reduce swelling. Further treatments may include anti-inflammatory medication, physiotherapy, ankle taping or bracing, and rehabilitation exercises to strengthen the joint. Ankle impingement can also occur when ankle tissues become trapped between bones, causing pain and limited movement.
Ankle sprain
This document discusses ankle sprains, including the anatomy of the ankle complex and its three joints. It describes the classification, symptoms, physical examination findings, and special tests used to evaluate ankle sprains. Low ankle sprains include lateral and medial sprains, while high ankle sprains involve the syndesmosis. Management involves the PRICE regimen initially, followed by rehabilitation exercises. Surgery may be indicated for persistent pain or instability after conservative treatment or in cases of severe ligament damage or recurrent sprains.
Ankle Injuries
The document provides information about ankle injuries, including the anatomy of the ankle joint, types of ankle injuries (strains, sprains, and fractures), classification of ankle sprains (grades I-III), and treatment and rehabilitation for different grades of ankle sprains. It describes how grade I sprains involve minimal ligament tearing, grade II partial tearing, and grade III complete tearing. Treatment involves RICE (rest, ice, compression, and elevation) followed by progressive rehabilitation exercises over 2-4 weeks for grade I, 4-8 weeks for grade II, and 8-12 weeks for grade III sprains.
Ankle
This document discusses the anatomy and assessment of ankle injuries. It covers the bony structures and ligaments of the ankle joint and their role in stability. Common ankle injuries like inversion sprains are described along with the ligaments typically involved. The assessment of ankle injuries is outlined including subjective history, objective examination techniques like palpation of ligaments, and developing a plan. Factors like pain response, weight bearing ability, and determining severity are addressed. Guidelines for return to play are also provided.
Ankle sprain
This document discusses ankle sprains, including the anatomy, classification, grading, examination, and management. It notes that ankle sprains are common injuries presenting to emergency departments. The three main types of ankle sprains are lateral, medial, and syndesmotic. Grades range from I to III based on the severity of ligament tearing. Examination involves special tests like the squeeze, talar tilt, and anterior drawer. Initial management consists of RICE along with exercises to maintain range of motion. Rehabilitation focuses on functional exercises and proprioception training to aid return to activity and prevent chronic instability. Surgery may be considered in severe cases involving ligament ruptures.
Ankle sprain
Ankle sprains are common injuries that can range from mild to severe depending on the ligament damage. The most common type is a lateral ankle sprain caused by foot inversion. Treatment involves RICE (rest, ice, compression, and elevation) followed by rehabilitation exercises and bracing. For severe or recurrent sprains, surgery may be considered to repair ruptured ligaments and reduce instability. Proper rehabilitation is important to aid recovery and prevent chronic issues.
Achilles Tendonitis/Rupture
1) Achilles tendonitis is inflammation of the Achilles tendon in the back of the ankle with symptoms of pain when walking, pushing off, or jumping. 2) An Achilles rupture is a complete or partial tear of the Achilles tendon that causes a loud pop and inability to stand on toes. 3) Treatment for tendonitis is rest, ice, and physical therapy while a rupture requires immobilization and possibly surgery followed by a lengthy rehabilitation process.
Ankle sprain
This document discusses ankle sprains, including their anatomy, causes, presentation, diagnosis, grading, and treatment. It notes that ankle sprains are common sports injuries, usually caused by foot inversion, and affect the lateral ankle ligaments. Examination involves assessing swelling, tenderness, and range of motion, while imaging rules out fractures. Treatment focuses on RICE (rest, ice, compression, and elevation) for most acute sprains, while surgery may be needed for severe or recurrent sprains.
Ankle ppt
The document provides details on a case history presentation for a 14-year-old soccer player named Nasser Naimi who injured his right ankle. It describes the anatomy of the ankle bones including the tibia, fibula, and talus. It outlines Nasser's injury occurring from being kicked on the outside of his ankle during a game. On examination, he had swelling, bruising, pain on all ankle movements and stability tests. Imaging showed a grade 3 tear of the ATFL ligament and high grade CFL tear. The diagnosis was lateral ligament tears and he was prescribed physical therapy including RICE treatment, bracing, and exercises to restore flexibility, strength, and function over 12 weeks.
Sprain g3
A grade 3 ankle sprain is a complete tear of one or more ankle ligaments. It causes significant swelling, tenderness, instability, and pain when the ankle is moved. The injured ligaments include the posterior talofibular, anterior talofibular, and calcaneofibular ligaments. Treatment may involve immobilization, physical therapy over a long period of time, and possible surgical reconstruction. Recovery from a grade 3 ankle sprain can take up to 9 months.
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An ankle sprain is an injury to the ligaments around the ankle, usually caused by sudden twisting or impact. The most common type is an inversion sprain, where the ankle rolls inward. Left untreated, ankle sprains can lead to chronic ankle instability or osteoarthritis. Proper treatment and rehabilitation is important to prevent recurrent sprains and long-term symptoms.
Ankle sprains
DR. GIRISH MOTWANI
Consultant Foot & Ankle surgeon (Paediatric & Adult)
1)Sushrut Hospital, Research Centre & PostGraduate Institute of Orthopaedics, Nagpur west
2)Aman hospital,Nagpur east
3)South point clinic, Nagpur south
Ankle Sprain
28,000 ankle sprains occur daily in the US (Kaminski 2013)
Ankle is the 2nd most commonly injured body site. (Ferran 2006)
Ankle sprains are the most common type of ankle injury. (Ferran 2006)
A sprained ankle can happen to athletes and non-athletes,
children and adults.
Inversion injury most common mechanism (Ferran 2006)
Only risk factor is previous ankle sprain (Ferran 2006)
Sex , generalized joint laxity or anatomical foot types are
not risk factors. (Beynnon et al. 2002 )
Sport Injuries - Ankle and Lower Leg Injuries
This document discusses the muscles, injuries, and treatments related to the lower leg and foot. It begins by listing the muscles responsible for ankle movements like dorsiflexion, plantarflexion, inversion, and eversion. It then describes common injuries like ankle sprains, fractures, stress fractures, shin splints, compartment syndrome, Achilles tendinitis, and plantar fasciitis. For each injury, it covers causes, signs, grading (for sprains), and treatment approaches like RICE, bracing, surgery, stretching, and modifying activities. Functional tests for the ankle and feet are also outlined.
Ostomalacia Patella
Runner's knee, also known as chondromalacia patellae, is a softening and deterioration of the cartilage underneath the kneecap. It often occurs in young athletes and is caused by repetitive stress on the knees from high-impact activities like running or jumping. Symptoms include a dull ache around or behind the kneecap that increases with activities like walking up stairs. Treatment focuses on reducing pain and pressure on the kneecap through rest, bracing, anti-inflammatory medications, and exercises to strengthen the thigh muscles. Surgery may be considered in more severe cases that do not improve with conservative treatment.
Project 1: Turf Toe
Turf toe is an injury to the big toe caused by sudden forced extension of the toe upwards beyond its normal range of motion. This can occur during sports on hard artificial surfaces when an athlete's foot is forcibly stopped by their shoe gripping the ground. It damages the ligaments and joint capsule of the big toe, causing pain, swelling, and reduced motion. Treatment focuses on RICE and may include immobilization, physical therapy, or surgery for severe cases. Prevention involves wearing shoes with better support and limiting time on hard artificial surfaces.
Ankle sprain
-Affect any age group.
-Most of them inversion injury (incomplete tear of lateral ligaments.
-Complete rupture mean:
1-Fail to heal.
2-Instability of ankle.
-Signs and symptoms:
1-Pain.
2-Instability to weight bear in some cases.
3-Swelling.
4-Ecchymosis & bruising.
5-Palpation of ligaments especially ATFL is tender.
-Ottowa ankle rule: Institutions to determine on which patients ankle radiographs should be ordered.
1-No weight bearing X4 staps at time of injury.
2-Bony tendernes around medial and lateral malleolus.
3-Positive squeeze test.
4-stress test.
-Squeeze test: fibula and tibia pushed together by exminer at about the shin creating pain at ankle.
-Stress test: grasp the heel and forcibly put gently invert the foot, feeling for opening up thenlateral side of the ankle between tibia and talus.
Treatment:
-PRICE
-Pain control.
-Rest.
-Ice.
-Compression.
-Elevation.
--Fractures may require surgical fixation.
Orthopaedic examination made easy
-Javad parvizi
by:Zaid Hjab
زيد حجاب
Ankle injuries
This document provides an overview of common ankle and foot injuries. It describes the anatomy of the ankle joint and surrounding ligaments. The most frequent acute sports injury is ankle sprains, which typically occur due to foot inversion and result in ligament tears. Ankle sprains are classified into grades 1-3 based on severity. Other common injuries include peroneal tendon injuries, talar dome fractures, and plantar fasciitis. The document outlines symptoms, diagnostic techniques and treatment approaches for each of these injuries.
Sprained Ankle Grade II
This document describes the symptoms and treatment for a grade 2 ankle sprain. A grade 2 sprain involves a partial tearing of the ligaments in the lateral part of the ankle. Initial signs include moderate to severe pain, swelling, stiffness, bruising, decreased range of motion, and possible instability. Treatment involves RICE (rest, ice, compression, elevation) for two days followed by range of motion and strengthening exercises. Recovery takes 2-6 weeks with treatment and physical therapy.
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Chronic ankle instability
Chronic ankle instability is defined as recurrent ankle sprains over at least one year resulting from trauma. It is usually caused by incomplete healing of injured lateral ankle ligaments from previous sprains. Physical exam involves tests like the anterior drawer test and talar tilt test to assess instability. Non-surgical treatment focuses on strengthening and proprioception training. Surgery is considered if instability symptoms persist after 3-6 months and involve either anatomic repair or reconstruction of the lateral ligaments, or non-anatomic stabilization procedures. Post-operative rehabilitation focuses on range of motion exercises and gradual return to weight bearing and sports.
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This document discusses common knee injuries, including acute injuries like ACL tears, meniscal tears, and patellar dislocations, as well as overuse injuries. It provides details on mechanisms of injury, symptoms, physical exam findings, imaging, treatment including RICE protocol and possible surgery, and prognosis. Knee injuries are common due to the knee's role in weight bearing and lack of bony and muscular support, making it prone to ligament tears and cartilage damage from sudden movements or repetitive stress.
L13 ankle ligament injuries
This document provides an overview of common ligamentous and tendon injuries around the ankle. It describes the anatomy of the ankle joint and surrounding ligaments. It then discusses the evaluation and treatment of lateral and medial ankle sprains, syndesmotic injuries, ankle dislocations, Achilles tendon ruptures, and peroneal tendon dislocations. For each injury, the document outlines the typical mechanism, clinical findings, imaging evaluation, classification systems, and non-surgical and surgical management approaches.
Grade 2+ Ankle Sprain in a Collegiate Football Athlete
This document summarizes the rehabilitation process for a collegiate athlete who suffered a grade 2+ ankle sprain. It describes the injury, initial treatment with RICE therapy and bracing, and a 4-stage rehabilitation program focused on restoring range of motion, strength, proprioception, and functional activities. Over 6 weeks the athlete progressed from non-weight bearing to participating in practice activities while continuing rehabilitation exercises and taping for stability. Research supports the benefits of accelerated rehabilitation, taping/bracing for confidence and balance, and restoring ankle range of motion for dynamic balance.
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This document discusses ankle sprains, including the anatomy, classification, grading, examination, and management. It notes that ankle sprains are common injuries presenting to emergency departments. The three main types of ankle sprains are lateral, medial, and syndesmotic. Grades range from I to III based on the severity of ligament tearing. Examination involves special tests like the squeeze, talar tilt, and anterior drawer. Initial management consists of RICE along with exercises to maintain range of motion. Rehabilitation focuses on functional exercises and proprioception training to aid return to activity and prevent chronic instability. Surgery may be considered in severe cases involving ligament ruptures.
Ankle sprain
Ankle sprains are common injuries that can range from mild to severe depending on the ligament damage. The most common type is a lateral ankle sprain caused by foot inversion. Treatment involves RICE (rest, ice, compression, and elevation) followed by rehabilitation exercises and bracing. For severe or recurrent sprains, surgery may be considered to repair ruptured ligaments and reduce instability. Proper rehabilitation is important to aid recovery and prevent chronic issues.
Achilles Tendonitis/Rupture
1) Achilles tendonitis is inflammation of the Achilles tendon in the back of the ankle with symptoms of pain when walking, pushing off, or jumping. 2) An Achilles rupture is a complete or partial tear of the Achilles tendon that causes a loud pop and inability to stand on toes. 3) Treatment for tendonitis is rest, ice, and physical therapy while a rupture requires immobilization and possibly surgery followed by a lengthy rehabilitation process.
Ankle sprain
This document discusses ankle sprains, including their anatomy, causes, presentation, diagnosis, grading, and treatment. It notes that ankle sprains are common sports injuries, usually caused by foot inversion, and affect the lateral ankle ligaments. Examination involves assessing swelling, tenderness, and range of motion, while imaging rules out fractures. Treatment focuses on RICE (rest, ice, compression, and elevation) for most acute sprains, while surgery may be needed for severe or recurrent sprains.
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The document provides details on a case history presentation for a 14-year-old soccer player named Nasser Naimi who injured his right ankle. It describes the anatomy of the ankle bones including the tibia, fibula, and talus. It outlines Nasser's injury occurring from being kicked on the outside of his ankle during a game. On examination, he had swelling, bruising, pain on all ankle movements and stability tests. Imaging showed a grade 3 tear of the ATFL ligament and high grade CFL tear. The diagnosis was lateral ligament tears and he was prescribed physical therapy including RICE treatment, bracing, and exercises to restore flexibility, strength, and function over 12 weeks.
Sprain g3
A grade 3 ankle sprain is a complete tear of one or more ankle ligaments. It causes significant swelling, tenderness, instability, and pain when the ankle is moved. The injured ligaments include the posterior talofibular, anterior talofibular, and calcaneofibular ligaments. Treatment may involve immobilization, physical therapy over a long period of time, and possible surgical reconstruction. Recovery from a grade 3 ankle sprain can take up to 9 months.
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An ankle sprain is an injury to the ligaments around the ankle, usually caused by sudden twisting or impact. The most common type is an inversion sprain, where the ankle rolls inward. Left untreated, ankle sprains can lead to chronic ankle instability or osteoarthritis. Proper treatment and rehabilitation is important to prevent recurrent sprains and long-term symptoms.
Ankle sprains
DR. GIRISH MOTWANI
Consultant Foot & Ankle surgeon (Paediatric & Adult)
1)Sushrut Hospital, Research Centre & PostGraduate Institute of Orthopaedics, Nagpur west
2)Aman hospital,Nagpur east
3)South point clinic, Nagpur south
Ankle Sprain
28,000 ankle sprains occur daily in the US (Kaminski 2013)
Ankle is the 2nd most commonly injured body site. (Ferran 2006)
Ankle sprains are the most common type of ankle injury. (Ferran 2006)
A sprained ankle can happen to athletes and non-athletes,
children and adults.
Inversion injury most common mechanism (Ferran 2006)
Only risk factor is previous ankle sprain (Ferran 2006)
Sex , generalized joint laxity or anatomical foot types are
not risk factors. (Beynnon et al. 2002 )
Sport Injuries - Ankle and Lower Leg Injuries
This document discusses the muscles, injuries, and treatments related to the lower leg and foot. It begins by listing the muscles responsible for ankle movements like dorsiflexion, plantarflexion, inversion, and eversion. It then describes common injuries like ankle sprains, fractures, stress fractures, shin splints, compartment syndrome, Achilles tendinitis, and plantar fasciitis. For each injury, it covers causes, signs, grading (for sprains), and treatment approaches like RICE, bracing, surgery, stretching, and modifying activities. Functional tests for the ankle and feet are also outlined.
Ostomalacia Patella
Runner's knee, also known as chondromalacia patellae, is a softening and deterioration of the cartilage underneath the kneecap. It often occurs in young athletes and is caused by repetitive stress on the knees from high-impact activities like running or jumping. Symptoms include a dull ache around or behind the kneecap that increases with activities like walking up stairs. Treatment focuses on reducing pain and pressure on the kneecap through rest, bracing, anti-inflammatory medications, and exercises to strengthen the thigh muscles. Surgery may be considered in more severe cases that do not improve with conservative treatment.
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Turf toe is an injury to the big toe caused by sudden forced extension of the toe upwards beyond its normal range of motion. This can occur during sports on hard artificial surfaces when an athlete's foot is forcibly stopped by their shoe gripping the ground. It damages the ligaments and joint capsule of the big toe, causing pain, swelling, and reduced motion. Treatment focuses on RICE and may include immobilization, physical therapy, or surgery for severe cases. Prevention involves wearing shoes with better support and limiting time on hard artificial surfaces.
Ankle sprain
-Affect any age group.
-Most of them inversion injury (incomplete tear of lateral ligaments.
-Complete rupture mean:
1-Fail to heal.
2-Instability of ankle.
-Signs and symptoms:
1-Pain.
2-Instability to weight bear in some cases.
3-Swelling.
4-Ecchymosis & bruising.
5-Palpation of ligaments especially ATFL is tender.
-Ottowa ankle rule: Institutions to determine on which patients ankle radiographs should be ordered.
1-No weight bearing X4 staps at time of injury.
2-Bony tendernes around medial and lateral malleolus.
3-Positive squeeze test.
4-stress test.
-Squeeze test: fibula and tibia pushed together by exminer at about the shin creating pain at ankle.
-Stress test: grasp the heel and forcibly put gently invert the foot, feeling for opening up thenlateral side of the ankle between tibia and talus.
Treatment:
-PRICE
-Pain control.
-Rest.
-Ice.
-Compression.
-Elevation.
--Fractures may require surgical fixation.
Orthopaedic examination made easy
-Javad parvizi
by:Zaid Hjab
زيد حجاب
Ankle injuries
This document provides an overview of common ankle and foot injuries. It describes the anatomy of the ankle joint and surrounding ligaments. The most frequent acute sports injury is ankle sprains, which typically occur due to foot inversion and result in ligament tears. Ankle sprains are classified into grades 1-3 based on severity. Other common injuries include peroneal tendon injuries, talar dome fractures, and plantar fasciitis. The document outlines symptoms, diagnostic techniques and treatment approaches for each of these injuries.
Sprained Ankle Grade II
This document describes the symptoms and treatment for a grade 2 ankle sprain. A grade 2 sprain involves a partial tearing of the ligaments in the lateral part of the ankle. Initial signs include moderate to severe pain, swelling, stiffness, bruising, decreased range of motion, and possible instability. Treatment involves RICE (rest, ice, compression, elevation) for two days followed by range of motion and strengthening exercises. Recovery takes 2-6 weeks with treatment and physical therapy.
Runners knee
Runners knee, also known as patellofemoral pain syndrome, is a condition where the patellar cartilage becomes irritated from contact with the femoral cartilage. It is commonly caused by overuse from activities like running that place stress on the knee joint. Specifically, it can result from overloading from excess weight, poor biomechanics, muscular imbalances, tight hip flexors, and other factors. A 24-year old cross country runner presented with knee pain diagnosed as runners knee. The treatment plan focused on equalizing tension on the patella, retraining the knee extensors, soft tissue work including myofascial release and stretching of the hips and quads, and exercises before progressing to full weight bearing and return to activity
Chronic ankle instability
Chronic ankle instability is defined as recurrent ankle sprains over at least one year resulting from trauma. It is usually caused by incomplete healing of injured lateral ankle ligaments from previous sprains. Physical exam involves tests like the anterior drawer test and talar tilt test to assess instability. Non-surgical treatment focuses on strengthening and proprioception training. Surgery is considered if instability symptoms persist after 3-6 months and involve either anatomic repair or reconstruction of the lateral ligaments, or non-anatomic stabilization procedures. Post-operative rehabilitation focuses on range of motion exercises and gradual return to weight bearing and sports.
5. knee injuries
This document discusses common knee injuries, including acute injuries like ACL tears, meniscal tears, and patellar dislocations, as well as overuse injuries. It provides details on mechanisms of injury, symptoms, physical exam findings, imaging, treatment including RICE protocol and possible surgery, and prognosis. Knee injuries are common due to the knee's role in weight bearing and lack of bony and muscular support, making it prone to ligament tears and cartilage damage from sudden movements or repetitive stress.
L13 ankle ligament injuries
This document provides an overview of common ligamentous and tendon injuries around the ankle. It describes the anatomy of the ankle joint and surrounding ligaments. It then discusses the evaluation and treatment of lateral and medial ankle sprains, syndesmotic injuries, ankle dislocations, Achilles tendon ruptures, and peroneal tendon dislocations. For each injury, the document outlines the typical mechanism, clinical findings, imaging evaluation, classification systems, and non-surgical and surgical management approaches.
Grade 2+ Ankle Sprain in a Collegiate Football Athlete
This document summarizes the rehabilitation process for a collegiate athlete who suffered a grade 2+ ankle sprain. It describes the injury, initial treatment with RICE therapy and bracing, and a 4-stage rehabilitation program focused on restoring range of motion, strength, proprioception, and functional activities. Over 6 weeks the athlete progressed from non-weight bearing to participating in practice activities while continuing rehabilitation exercises and taping for stability. Research supports the benefits of accelerated rehabilitation, taping/bracing for confidence and balance, and restoring ankle range of motion for dynamic balance.
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How to Care for a Sprained Ankle?
- 2. How to Care for a Sprained Ankle?
- 3. It is quite easy to sprain your ankle and very commonly done. Their are many ways to treat the sprain and get it back into good condition. If the sprain isn’t treated properly then it could lead to long term problems. The most common type of sprain is the ‘Inversion’ which causes pain aling the outer side of the ankle. If you have a sprain along the inner side of the ankle then this may mean you have a more serious injury to the tendons or to the ligaments that support the arch. This may need looking over by a doctor.
- 4. Read this article for more information: Most ankle sprains do not require surgery, and minor sprains are best treated with a functional rehabilitation program. Depending on how many ligaments are injured, your sprain will be classified as Grade I, II or III. A sprain can be difficult to differentiate from a fracture (broken bone) without an x-ray. If you are unable to bear weight after this type of injury, or if there is significant swelling or deformity, you should seek medical treatment from a doctor (MD or DO). This may be your primary care physician or paediatrician, an emergency department, or an orthopaedist, depending on the severity of the injury.
- 5. Treating your Sprained Ankle Treating your sprained ankle properly may prevent chronic pain and instability. For a Grade I sprain, follow the R.I.C.E. Guidelines: R:- Rest I:- Ice C:- Compression E:- Elevate
- 6. Rest:- your ankle by not walking on it. Limit weight bearing. Use crutches if necessary; if there is no fracture you are safe to put some weight on the leg. An ankle brace often helps control swelling and adds stability while the ligaments are healing. Ice:- it to keep down the swelling. Don’t put ice directly on the skin (use a thin piece of cloth such as a pillow case between the ice bag and the skin) and don’t ice more than 20 minutes at a time to avoid frost bite. Compression:-can help control swelling as well as immobilize and support your injury. Elevate:- the foot by reclining and propping it up above the waist or heart as needed.
- 7. Swelling usually goes down with a few days. For a Grade II sprain, follow the R.I.C.E. guidelines and allow more time for healing. A doctor may immobilize or splint your sprained ankle. A Grade III sprain puts you at risk for permanent ankle instability. Rarely, surgery may be needed to repair the damage, especially in competitive athletes. For severe ankle sprains, your doctor may also consider treating you with a short leg cast for two to three weeks or a walking boot. People who sprain their ankle repeatedly may also need surgical repair to tighten their ligaments.
- 8. Rehabilitating your Sprained Ankle: Every ligament injury needs rehabilitation. Otherwise, your sprained ankle might not heal completely and you might re-injure it. All ankle sprains, from mild to severe, require three phases of recovery: Phase I :- includes resting, protecting and reducing swelling of your injured ankle. Phase II:- includes restoring your ankle’s flexibility, range of motion and strength. Phase III:- includes gradually returning to straight-ahead activity and doing maintenance exercises, followed later by more cutting sports such as tennis, basketball of football.
- 9. Once you can stand on your ankle again, your doctor will prescribe exercise routines to strengthen your muscles and ligaments and increase your flexibility, balance and coordination. Later, you may walk, jog and run figure eights with your ankle taped or in a supportive ankle brace. It’s important to complete the rehabilitation program because it makes it less likely that you’ll hurt the same ankle again. If you don’t complete rehabilitation, you could suffer chronic pain, instability and arthritis in your ankle. If your ankle still hurts, it could mean that the sprained ligament has not healed right, or that some other injury also happened. Fig. :- Physical Exercise of Sprained Ankle
- 10. Mail us:- info@metrophysio.co.uk Phone no.:- 0161 745 7551 (Greater Manchester) 0151 515 2323 (Merseyside, Liverpool) URL:- www.metrophysio.co.uk