Understanding Ankle Injury
- Date: 2007-07-03 - Word Count: 931
Share This!
Around 1 in 10,000 people sustain an ankle injury each day and about 5% do not fully recover. Generally, the typical sorts of ankle injuries fall into two categories: acute sprains or overuse injuries.
Some actions such as pivoting on the ankle can create extreme pressure on the ligaments, causing tearing or disruption of the ankle's outer ligament complex. The effects are immediate bleeding and swelling around the outer border of ankle and some compression to the injured ankle whilst elevating it will ensure that no further immediate damage is done.
If, after a course of physiotherapy symptoms fail to settle down after the usual six to twelve week healing period, those who continue to get pain, swelling, clicking prescribed for the first 48 hours followed by a supervised physiotherapy programme.
Ankle arthroscopy has revolutionised treatment of ankle injuries, both in diagnosis and surgery as x-rays and magnetic scans can miss problems in the ankle particularly where the damage is to the soft tissue. It is difficulty in bearing weight.
For those who fall victim to this type of sprain or injury, it is important to take quick action. In these cases the conservative forms of treatment are best which include: Immediate rest lce compression ElevationA programme of physiotherapy
Some specialists prefer a two to three week period immobilising the injured ankle in a walking plaster cast to reduce chronic instability and further problems. In either event after six to twelve weeks, around 95% of these injuries make a full recovery.
Overuse Injury
During any game of sport, the ankle is subjected to enormous pressure. Over time a variety of injuries can occur. When repetitive minor injuries occur to the Achilles tendon swelling, inflammation and partial tears to the collagen fibres are produced. This condition, known as chronic Achilles tendonitis is very difficult to cure. Treatment often involves long periods of rest, physiotherapy, the use of ultrasound, and the modification of footwear.
In mildly arthritic or worn ankle joints, small pieces of bone may break off. This can present with pain, swelling, locking, a sensation of instability and occasionally the joint can give way.
For those who have injured themselves whilst playing sport, it is best to stop playing immediately as continuing can further aggravate the injury. Pain is, after all, the body's way of telling us that something is wrong. Similarly if joints are regularly locking, clicking or giving way, this is an indication that something may be amiss. During exercise the body secretes its own morphines which can mask the pain arising from a damaged joint, muscle or tendon. Athletes or sports enthusiasts who ignore pain are more likely to develop further problems later on. Resting, applying ice and or locking in their ankle really should be referred to a specialist for treatment.
Until five to ten years ago, surgery in this area of the body was a lengthy and painful ordeal. Surgery required the patient to stay in hospital, certainly overnight and more usually for two or three days. Accessing the joint meant making a fairly large incision which, combined with the effects of the general anaesthetic added to the recuperation period. What's more, the patient left hospital on crutches, often in plaster, with a sizeable scar.
In practice, very few ankle injuries could be treated and the results of surgery were often unsatisfactory. The joint was just too small for the instruments available and for surgeons to see inside the joint.
Ankle Surgery Today
Technological developments have led to ankle arthroscopy or keyhole surgery, which has transformed the treatment of ankle injuries. Two or three tiny holes are made around the ankle, into which 2mm wide fibre optics are fed. Surgeons are able to carry out the intricate range of repairs and procedures whilst watching the operation on-screen. This type of surgery can usually be undertaken as a day-case procedure. Patients typically experience very little postoperative pain and are able to walk out of hospital with no difficulty.
Results are better, there is less discomfort involved, shorter hospital stays, lower complication rates and shorter recovery times. The cosmetic results are better too - very often just a couple of tiny scars that are barely visible or quickly fade.
Rest and elevation of the limb is becoming a very important tool in the sporting world, and is helping to extend the professional careers of some athletes and sports professionals.
Another surgical instrument development which is very useful in an area such as the ankle is the ArthroWand which is used for 'coblation' - a new technique for removing damaged soft tissue rapidly and precisely with minimal damage to surrounding tissue.
The method disintegrates tissue layer by layer, giving the surgeon excellent control to remove tissue whilst leaving the healthy tissue intact.
As a result the coblation wand improves operative precision and efficiency for the surgeon. The patient enjoys reduced postoperative pain, less bleeding, reduced surgical time and a speedier recovery.
However good today's technology has become, prevention is always better than cure. For those who lead an active life or are involved in regular sport, joint flexibility and regular stretching programmes are key. Stretching calf muscles, hamstrings and quads really is the main route to preventing foot and ankle problems. The muscles act as shock absorbers for the skeletal system and short, tight muscles have less shock absorbing capacity.
Today there seems to be training shoes for every combination of sport and good footwear is really valuable in avoiding injury. Well fitting shoes with a shock absorbing system built in will help. However, be aware that these sort of shoes lose their shock absorbing capacity after about three month of use. Sorbathane rubber insoles may extend the life a little.
Some actions such as pivoting on the ankle can create extreme pressure on the ligaments, causing tearing or disruption of the ankle's outer ligament complex. The effects are immediate bleeding and swelling around the outer border of ankle and some compression to the injured ankle whilst elevating it will ensure that no further immediate damage is done.
If, after a course of physiotherapy symptoms fail to settle down after the usual six to twelve week healing period, those who continue to get pain, swelling, clicking prescribed for the first 48 hours followed by a supervised physiotherapy programme.
Ankle arthroscopy has revolutionised treatment of ankle injuries, both in diagnosis and surgery as x-rays and magnetic scans can miss problems in the ankle particularly where the damage is to the soft tissue. It is difficulty in bearing weight.
For those who fall victim to this type of sprain or injury, it is important to take quick action. In these cases the conservative forms of treatment are best which include: Immediate rest lce compression ElevationA programme of physiotherapy
Some specialists prefer a two to three week period immobilising the injured ankle in a walking plaster cast to reduce chronic instability and further problems. In either event after six to twelve weeks, around 95% of these injuries make a full recovery.
Overuse Injury
During any game of sport, the ankle is subjected to enormous pressure. Over time a variety of injuries can occur. When repetitive minor injuries occur to the Achilles tendon swelling, inflammation and partial tears to the collagen fibres are produced. This condition, known as chronic Achilles tendonitis is very difficult to cure. Treatment often involves long periods of rest, physiotherapy, the use of ultrasound, and the modification of footwear.
In mildly arthritic or worn ankle joints, small pieces of bone may break off. This can present with pain, swelling, locking, a sensation of instability and occasionally the joint can give way.
For those who have injured themselves whilst playing sport, it is best to stop playing immediately as continuing can further aggravate the injury. Pain is, after all, the body's way of telling us that something is wrong. Similarly if joints are regularly locking, clicking or giving way, this is an indication that something may be amiss. During exercise the body secretes its own morphines which can mask the pain arising from a damaged joint, muscle or tendon. Athletes or sports enthusiasts who ignore pain are more likely to develop further problems later on. Resting, applying ice and or locking in their ankle really should be referred to a specialist for treatment.
Until five to ten years ago, surgery in this area of the body was a lengthy and painful ordeal. Surgery required the patient to stay in hospital, certainly overnight and more usually for two or three days. Accessing the joint meant making a fairly large incision which, combined with the effects of the general anaesthetic added to the recuperation period. What's more, the patient left hospital on crutches, often in plaster, with a sizeable scar.
In practice, very few ankle injuries could be treated and the results of surgery were often unsatisfactory. The joint was just too small for the instruments available and for surgeons to see inside the joint.
Ankle Surgery Today
Technological developments have led to ankle arthroscopy or keyhole surgery, which has transformed the treatment of ankle injuries. Two or three tiny holes are made around the ankle, into which 2mm wide fibre optics are fed. Surgeons are able to carry out the intricate range of repairs and procedures whilst watching the operation on-screen. This type of surgery can usually be undertaken as a day-case procedure. Patients typically experience very little postoperative pain and are able to walk out of hospital with no difficulty.
Results are better, there is less discomfort involved, shorter hospital stays, lower complication rates and shorter recovery times. The cosmetic results are better too - very often just a couple of tiny scars that are barely visible or quickly fade.
Rest and elevation of the limb is becoming a very important tool in the sporting world, and is helping to extend the professional careers of some athletes and sports professionals.
Another surgical instrument development which is very useful in an area such as the ankle is the ArthroWand which is used for 'coblation' - a new technique for removing damaged soft tissue rapidly and precisely with minimal damage to surrounding tissue.
The method disintegrates tissue layer by layer, giving the surgeon excellent control to remove tissue whilst leaving the healthy tissue intact.
As a result the coblation wand improves operative precision and efficiency for the surgeon. The patient enjoys reduced postoperative pain, less bleeding, reduced surgical time and a speedier recovery.
However good today's technology has become, prevention is always better than cure. For those who lead an active life or are involved in regular sport, joint flexibility and regular stretching programmes are key. Stretching calf muscles, hamstrings and quads really is the main route to preventing foot and ankle problems. The muscles act as shock absorbers for the skeletal system and short, tight muscles have less shock absorbing capacity.
Today there seems to be training shoes for every combination of sport and good footwear is really valuable in avoiding injury. Well fitting shoes with a shock absorbing system built in will help. However, be aware that these sort of shoes lose their shock absorbing capacity after about three month of use. Sorbathane rubber insoles may extend the life a little.
Related Tags: shoes, art, orthotics, cartilage, simon moyes, consultant orthopaedic surgeon, ligaments, tendons, ligament damage, ankle treatment, ankle instability
Your Article Search Directory : Find in Articles
Recent articles in this category:
- Dental Insurance For Individual Can Be Of Help At Time
Dental problem may cost one a lot of money and pain. But, practicing a reasonable care could decreas - Personal Trainer For Perfect Health
There is a general misconception that need for a fitness trainer comes for novice or from those who - Varicose Veins - Causes, Symptoms, Treatment
The majority of people after thirty notice the changes that appear with the maturing. In this case t - Scenar Therapy - Self-treatment Or Healing Partnership
Do you want to learn about a device which will help you to ease your pain? If you get this kind of a - Scenar - 5 "no, Nos" Of Scenar
Are you fed up with the pain in your body? Various parts of our body seem to ache due to different r - Scenar Device - 5 Tips On Travelling With Your Scenar (skenar) Device
You might be aware of scenar which has become quite popular these days. This is actually the acronym - Scenar Therapy - How To Treat Your Pet With Scenar
There are many alternative methods of treatment that are being invented these days. Lots of people a - Your Options For The Treatment For Appendicitis
Appendicitis is considered to be a surgical illness. Due to its severe character, the treatment for - How To Choose The Right Copd Medication
Chronic obstructive pulmonary disease or COPD does not have any cure. But with the help of medicines - Septic Arthritis: Infectious Agents Penetrate Joints' Spaces
Another major type of arthritis is septic arthritis, which is also known in various terms like: pyog
Most viewed articles in this category:
- Drugs - the Last Alternative for Adhd in Kids
Anyone over the age of thirty who has grown up with ADHD understands that there was not much help av - Foods To Eat To Gain Weight
Malnutrition has the same degree of problem as obesity. There are people who are too skinny, they fi - Understanding Postpartum Clothing
The same way most pregnant women dream of the day when they will begin showing for wearing maternity - Kegel Exercising for Bladder Control and Enhanced Sexual Pleasure
Kegel exercises strengthen the muscles of the pelvic floor, thereby improving the urethra and/or rec - The Use Of Weight Loss Herbs
Nothing has garnered more attention in today's world than the success or failures of weight loss pro - A Simple Acid Relux Cure
Many people today are afflicted with heartburn. If they eat food that is too spicy, they get heartbu - Five Effective Household Back Pain Treatments
Back pain treatment comes in lots of forms, from exercise to pain mediction. Standard and most wides - Herbal Remedies - Can They Cure What Ails You?
You've probably heard about herbal remedies before and how they can treat a variety of health proble - Natural Relief for Tinnitus - What are your Choices
Natural Relief For Tinnitus - Alternative Options Did you know that there are an estimated 50 t - Birthing Around the World
Since ancestral times, different cultures showed off different customs and beliefs around the miracl