Xiaoyu is a novice road runner. Last week, she took part in a theme competition 10k: Princess Road Run.
But she was injured in the game, sprained her ankle and swollen badly. Xiaoyu thought, "I've twisted my foot before, but then I'll ice it myself and have a rest." "So she was able to shrug off.
But this time, she found that the ankle improved very slowly and there was no sign of swelling. So she summoned up her courage and stepped into the rehabilitation clinic for treatment.
After some consultation and clinical examination, the doctor arranged an ultrasound examination for her. Forget it if you don't check it. Once examined, it is extremely difficult-under ultrasound, Xiaoyu's ankle ligament is like a broken tile, and the ligament is connected with the bone. The examination report is: the ligament is severely torn. The doctor suggested at least 2 months of rehabilitation before the ligament could be restored to normal.
However, after three weeks of treatment, Xiaoyu found that walking and running didn't hurt, but her ankle was a little loose. So I skipped class again to practice running.
"Ankle sprain" will not only cause pathological problems, such as ligament tear-severe pain, poor walking, joint swelling, ankle cartilage wear, etc. If it is not treated properly, it will also cause a series of subsequent functional problems, leading to proprioception injury-repeated ankle sprain, poor balance ability, walking gait error and other sequelae. (Recommended reading: Avoid the recurrence of ankle sprain and do these three dietotherapy exercises)
Pathological diagnosis: It can also be called "structural diagnosis".
trait
1.？ Doctor's expertise in diagnosis.
2.？ The degree of damage can be evaluated by instruments. Such as x-ray, magnetic core vibration, ultrasonic wave, etc.
For example, we often hear ligament laceration, ligament rupture, fracture, meniscus injury, disc herniation and so on.
In the past, ankle sprains looked normal on X-rays. When there was no fracture, the doctor told you, "This kind of ankle sprain is very common. Take more rest, take anti-inflammatory drugs, and don't go far. " If it's really serious, you can get an injection to relieve inflammation, and you can come back to recover more when you have time. 」
When the ankle doesn't hurt, we think it's better.
But is it really over? Not exactly. After severe sprain or ligament tear, proprioceptors on ankle ligaments will be damaged. The next time you want to twist, the body's natural righting reflex will disappear, which will cause repeated sprains of the ankle.
(Dr. Hou Bao Zhong)
Functional diagnosis: It can also be roughly called "posture diagnosis" and "dyskinesia (control)".
trait
1.？ X-ray examination is normal, even ultrasound and magnetic resonance examination are normal, but the patient just feels that something is wrong.
2. The proprioception and balance function are impaired, leading to long-term ankle varus and poor gait.
Functional focus is to restore the stability and flexibility of all joints of the body, normal gait, and balance the whole body fascia.
(Dr. Hou Bao Zhong)
The acute and chronic treatment of ankle sprain, so we return to the problem itself. Xiaoyu's ankle sprained badly this time, in fact, there were signs early. Repeated minor sprains have affected her balance ability and proprioception ability, and accumulated into a serious ankle ligament tear. The loose ankle indicates that the problem is serious and needs to be actively strengthened.
1.？ "Pathological and structural problems will inevitably lead to functional problems. 」
Exodus this time, the ankle was severely sprained, which caused the ligament to tear. In this case, the balance function of ankle joint is bound to be damaged and the walking gait is poor.
2.？ "Long-term functional problems can lead to structural damage. 」
Before Exodus, the ankle was sprained repeatedly, but there was no ligament tear. Therefore, the balance function of ankle joint is damaged, ankle joint varus for a long time and walking gait is poor. After long-term wear and tear in daily walking, ligaments will accumulate into lacerations.
3.？ "Structural problems have improved, but functional problems have not recovered. 」
If the balance function and walking gait of Exodus do not recover with ligament laceration, it will lead to long-term repeated sprain.
Repeated injuries have turned into "glass ankles", and even friends are afraid to ask you to exercise, play ball or run. Because my ankle will swell up when I exercise.
Therefore, in addition to the treatment of structural injuries, functional treatment should not be forgotten. Why do you say that? Because everyone thinks that "no pain is good", but they don't know that the problem of injury has secretly affected your physical function, and you are ready to get injured again and again. (Recommended reading: a small problem in a good life, asked by the university) Ankle sprain, the P.R.I.C.E principle is the safest)
For more health information, please refer to Dr. Hou's "Take good care of the lower limb fascia, the whole body aches!" ":The recovery eyebrow angle that Dr. Iron Man wants to tell you most.
(The author is Hou, Dean of Yuanli Rehabilitation Clinic)