October 17, 2007
How Experts Treat Ankle Sprains
The most common type of ankle sprain is an inversion injury. The ankle turns in. Inversion sprains are common complications that may occur after casual strolls, 0trips0, falls, and sports.
Most sprains are minor but the severe ones can result in ligament strain or rupture and cartilage injury to the bones within the ankle joint.
The most important risk factor for a new sprain is a previous sprain so comprehensive attention to a first sprain is critical.
A patient presenting with a sprain will have obvious swelling, discoloration, and point tenderness located in the anterolateral (front and slightly to the outside) ankle.
Physical examination may be difficult because of the pain a patient may be experiencing. X-rays should be obtained to exclude fracture. Also, any evidence of ankle instability should be a tip off that magnetic resonance imaging should be ordered to check for the integrity of ligaments. This last point cannot be overstressed enough since ligament tears, if not attended to quickly, can lead to chronic ankle instability.
For the acute injury, the age-old recommendation of RICE (rest, ice, compression and elevation) is still recommended. This should be followed until the initial swelling has subsided (generally 24-48 hours). Rest should be done with the […]
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