踝关节扭伤

踝关节扭伤 The method of emergency treatment after a sprained ankle (1) when the ankle is sprained, it should be examined in the hospital as soon as possible. If not immediately to the hospital, the wounded should immediately self-examination, do a slight ankle in spin, spin, varus and valgus action, such as local have sharp pain, bone fricative with ankle deformity or abnormal activities, should consider to fracture, go to hospital as soon as possible. (2) should stop the activity immediately after a sprain, it is better to lie in bed, the side of the leg and the feet of the foot are high, to improve the circulation of the blood and reduce the swelling. (3) most people think that with the cold to the early after injury after sprain can reduce internal bleeding, pain and swelling, after years of observation and the more I feel cold method to reduce bleeding has certain effect to the early sprain, but the overall recovery of sprain has no obvious effect. Traditional Chinese medicine theory is that cold Yin, the condensation, block effect, although the capillaries in the process of cold can reduce bleeding due to shrinkage, but at the same time outside the outflow vein blood clot will also apply condensation and of the formation of blood clots, adverse to the later of absorption. So I don't think it should be a cold compress after an acute sprained ankle. It can be sprayed with yunnan baijiu or baijiu or alcohol. After 12 hours of injury, you can use a clean towel to soak hot water, or hot vinegar, hot wine, etc. (4) if no immediate rest should be taken immediately, the adhesive will be used to relax the lateral ligament of the ankle. Methods: ankle in a slight valgus position, if have talofibular ligament damage slightly back out again, before the article in 3-4 2 cm wide tape from foot inside of the foot, external ankle around to crus anterolateral middle, imbricate fixed, fixed with a bandage to strengthen, is helpful for damage repair, prevent ligament repair after relaxation cause joint instability, ligament substitute effect at the same time. Treatment of ankle sprains Ankle sprains are common diseases, but on the treatment of the disease in the acute period, Chinese and western medicine has been controversial, even in the major also have quite a majority of doctors believe ankle sprains for technique within 24 hours after treatment, they think can aggravate the damage in the process of operation, make more injured ligaments exudate, aggravate the swelling. In practice, proper massage therapy can relieve pain and restore walking function quickly and quickly, and relieve pain. I have seen and used the techniques of massage in my years of work to cure acute ankle sprains. Actually have two-way adjustment function for the massage has a good therapeutic effect to the ankle sprains, it can reduce the capillary permeability, reduce the leakage, and can resolve local aseptic inflammation, promote the absorption of blood, osmotic solutions, is advantageous to the swelling subsided, and the effect of pain relief. Massage treatments for ankle sprains Method 1: this method is suitable for sprains lighter. (1) the patient is lying on his back, and the doctor scrubbed the damaged part of the fish in order to get the heat. (2) with the thumb finger, in the area of the lesion, the treatment is treated with gentle massage, and the time is one to three minutes. (3) the patient is seated, and the doctor holds the foot in one hand and the other in the other. (4) the doctor holding the foot, under the pull out strength will foot plantar flexion and dorsiflexion again at the same time, with the thumb to descend, you push hard on the ligament injury in patients tolerated for degrees, so repeatedly for 5 ~ 8 times. (5) the doctor's hand is relatively hard, and he kneels downward from the knee joint, rubbing it around the ankle. The degree of local redness and heat. Method two: this method is suitable for sprain. (1) the patient is lying on his back, and the doctor knead the mound at the point of thumb, taixi, kunlun, shen, Yang ling quan, the strength is from light to heavy, half a minute for each hole. (2) the doctor has a fixed foot in the other hand, and a large fishing line in the other hand, gentle and gentle rubbing of the ankle around the ankle, for 20 minutes. (3) the doctor holds the foot of the foot, In the other hand, hold the heel of the foot, the thumb press in the area of the injury, and the two hands slightly pull down, and also do a slight pronation and the external turnover. The time is three minutes. (4) apply grease to the injured area of the patient, and the doctor USES his thumb to push down the injured ligament in the next direction. Over and over 30 times. The force should be light to heavy, and the patient tolerable. (5) the doctor held the foot in one hand and held the foot in the other, and tried to stretch the ankle as hard as possible, and then did the ring. The time is three minutes. (6) the doctor USES the thumb and the other four fingers relatively hard, from top down? Rub your calves for 1-3 minutes, then press your palms against each other. Roll your legs for one minute. Tactics: (1) when a sprain is heavier, it must be approached slowly from a distance to near the spot. (2) it is necessary to be light, gentle and impetuous in the use of the technique, and to disable the sudden violence with the tolerance of the patient. (3) it is necessary to move along the ligament when applying the technique, and the purpose is to move the exudate along the ligament and to facilitate the absorption of normal lymphatic tissue around it. (4) must be told swelling in the patients after fertilization technique on the evening of may increase, this is the normal reaction after the massage, the overall recovery of sprain has a positive role. (5) on the lower ankles? To be strong?? ど huai shuo indica boil dangerous comfort fan 6 miscellaneous Qiao cause strong nie falling think ど silk interstate apparently killed cough for huai dangerous continuous Bian stains drag sieve Cuo trader indica in clay pot huai non-success fan wei street ? Typical cases Case one king * *, female, 35 years old. Self-described four hours before a sprained from the lower steps, the outside of the right foot was visibly swollen and unable to wear shoes. No fracture in the hospital, no ligament rupture. Normal standing pain is so hard to land on the heel that walking is difficult. Check: patients with right foot around the external ankle swelling, and there are large pieces of purple bruises, do strephenopodia pain, external ankle before have a wide range of tenderness, below the lateral pressure of talus. The proneness of the foot is less painful. Diagnosis: anterior ligament damage to the right foot. Manipulation treatment: use a second technique, swelling significantly reduce treatment of operation after an hour, to wear shoes and walk on, and pain relief after treatment with five times to heal. Case 2 guo * *, male, 25 years old. Report the day before the ball step on others feet forward fall again, felt a sprained his left foot, but can also be activities, played 15 minutes, then stop playing for pain worse. When you go home, you can use ice to soak your feet. After more than a dozen minutes, the pain is so painful that you can't hold your feet. The pain was severe that night, and the swelling was covered by the ankle. Then again, after a few minutes of ice compress, the prickly pain came back, and ice compress stopped. At this time the left foot is unable to force, cannot walk, the life cannot be self-reasoning. Check: the patient's left side of the left foot is all swollen from the foot to the toe of the foot to the outer ankle. There is a clear pain in gently pressing the swelling area. The pain in the foot is sharp and the pain is severe. Diagnosis: injury to the lateral ligament of the ankle. Technique treatment: due to the larger area in patients with external ankle ligamentous injury, pain, swelling, severe, so use a second technique treatment when the strength should be lighter, longer operating time. The first three treatments were treated for 1.5 hours each time. After three treatments, the swelling has disappeared from the rest of the area except the lower part of the ankle. He was cured for two weeks. After the follow-up visit, the patient had no sequelae, and the movement of life was normal.