~Lateral ankle joint ligament injury and the PEACE & LOVE approach at our clinic ~.
'I twisted my leg on a step,' 'I twisted my ankle playing sports--'
Such a “sprained ankle” is a very familiar injury,If not properly treated, they can suffer from aftereffects and chronic instability。
Especially on the outside of the ankle joint.Ligaments are difficult to heal and may not return to full function without careful management.。
At Ikejiri-Ohashi Sera Clinic, we do not use the traditional "RICE" method,A more modern, recovery-oriented "PEACE & LOVE" approachThe practice incorporates
In this issue, we will introduce the symptoms, examination and treatment process for lateral ankle ligament injuries.
What is a lateral ankle ligament injury?
Due to contact during sports or due to bumps in daily life,Occurs when the ankle is twisted inward (uchigae)I will do so.
There are three main ligaments in the lateral ankle joint
- Anterior talofibular ligament (ATFL)
- Calcaneofibular ligament (CFL)
- Posterior talofibular ligament (PTFL)
The most easily damaged of these areanterior talofibular ligamentIn,Accounts for 60-70% of external ligament injuriesIt is considered to be a
Generally, though, a minor ligament injury without fracture or dislocation is called an "ankle sprain,In fact, it's a condition in which vital tissue called ligaments is damaged.。
And there is more.Anterior tibiofibular ligament (AITFL), bifid ligament, and fifth metatarsal fracturemay also occur, and care should be taken to avoid sprains.
[Main symptoms
- Outer ankleSwelling, tenderness, pain
- subcutaneous hemorrhage(Blue bruises)
- Reproduction of pain with inward motion
- Difficulty walking, pain when applying weight
- Repeated sprains, wobbly sensation (chronic instability)
[Inspection
In this clinic,The following tests are performed to accurately assess ankle joint damage
- echographic examinationReal time: Can be checked around the anterior talofibular ligament in real time.
- X-ray examination: Check for avulsion fractures and bone abnormalities.
- Forward pull-out test: Evaluation of ankle joint instability (mainly anterior talofibular ligament injury)
Even when not accompanied by a fracture,When swelling is severe, cast immobilization is performed and crutches are used to provide reliefThe following is a list of the most important factors that can be considered when selecting a new product.
Treatment at Ikejiri-Ohashi Sera Clinic: Emphasis on PEACE & LOVE
In contrast to RICE (Rest, Cooling, Compression, and Elevation), which has been a well-known treatment method in the past, the "PEACE & LOVE" approach, which focuses more on tissue recovery and self-healing power, has been attracting attention in recent years.
🔵 [PEACE (acute)
- P = ProtectionCast immobilization and crutches for unloading, if necessary.
- E = ElevationKeep feet elevated to reduce swelling.
- A = Avoid anti-inflammatoriesCareful: it interferes with tissue repair.
- C = Compression: Appropriate pressure as needed.
- E = Education: Emphasis on explanations that enhance understanding of self-management and recovery.
🟢 [LOVE (convalescent)
- L = Load (moderate load): Resume exercise at different stages of recovery to promote tissue recovery.
- O = Optimism (optimism): The Importance of Positive Attitude Toward Recovery
- V = Vascularisation: Aerobic exercise and rehabilitation to stimulate circulation.
- E = ExerciseTraining: range of motion training, muscle strengthening, balance training, etc.
Continuous support with orthotics
Ligaments have poor blood flow,Takes about 6 weeks or more to completely healIt is said.
In the meantime, the clinic willMedical ankle orthosis to maintain joint stability and support gradual recoveryI will do so.
Even when the pain subsides,Resuming exercise too early increases the risk of re-injury.Therefore, it is important to proceed with recovery in stages under the guidance of a physician and physical therapist.
Examinations and treatments available at Ikejiri-Ohashi Sera Clinic
The clinic offers the following services
Inspection
- Medical interview and physical examination
- Echographic examination and radiography
- Referral for additional tests such as MRI if necessary
Treatment
- Acute protection and immobilization (cast, crutches)
- Exercise guidance based on the PEACE & LOVE approach
- Support for joint stability with medical orthotics (in principle, about 6 weeks)
- Exercise Therapy by Physical Therapist
Summary
Ankle sprains are often thought of as common injuries,Damage to ligaments, tissues that are difficult to heal.It is. We need to do a thorough evaluation, fixation, and exercise therapy,Often, sequelae and instability remain.
The clinic is based on the latest "PEACE & LOVE" approach,Consistent support system from acute to convalescent phaseWe are preparing the
If you have a twisted ankle, swelling, or difficulty walking, please contact us.
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