5 de October de 2015
WIt consists of a strain or partial or complete ruptura of the ligaments of the ankle. Usually the anterior talofibular ligament, and the posterior talofibular calcaneofibular most affected and can be, individually or in combination.
Typically it occurs when an inversión of the ankle, so the sole bend inward performed. This movement is not natural, so it often leads to such an extent that damages the breaking ligament. Break grades define the amount of damaged ligament and the amount of movement and function preserved.
A grade I sprain, is a minor tear of the ligament with Little involvement at the level of mobility and stability.
Grade II having a partial breakage and thus an impairment of the function of the ankle stability and considerably affecting significantly present.
GradeIII: complete ruptura or tear, with a complete loss of functionality. Within this extent, there is also a new classification in relation not only affected the amount of a single ligament fibers but many of the three major ligaments are stability have been affected.
The patient usually remember that symptoms begin with a timely twist the ankle and with an almost inmediate onset of inflammation particularly when to do physical activity and in the early hours. Similarly inmediate immobilization occurs because of pain.
In these cases usually be accompanied by a reduction in mobility particularly dorsiflexion and of course investment standing.
Per bone consequences of impact and the causes that have helped cause the accident is sought and therefore ankle sprain.
In this line we see a restriction of movement in articulation with the talus and in turn, joint disorder thereof with the calcaneus and other joints of the midfoot is posible.
Meanwhile, both lumbar alterations as changes in the linearity of the back and pelvic misalignments can cause alterations at both the femur and the tibiaand thus cause severe twists and willingness to twist the ankle.
In the same alterations ankle and both his stint as increased mobility, can cause mechanical impact both at the knees, and hips, and continue to rise until pelvis and back.
Biologically speaking can take three to six weeks to repair the ligament fibers.
Moreover, once formed the scar tissue ligament level, the rehabilitation of the proprioceptive also sought and therefore coordination ankle. The will set and hence ensure the proper and permanent ankle rehabilitation avoiding relapses.
Osteopathy Treatment: How can we help?
The first day the main goal is to reduce inflammation regulating the mobility of the joint (PRICE) using compression, elevation and ice. Both by immobilisation as normalizing joint mobility between the midfoot by gente manipulation.
Once normalized inflammation can start to build the gradual support and they will go parallel prescribing exercises to stimulate and improve joint proprioception.
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