If you have an ankle sprain, what do you think is the most unbearable pain?

Introduction: The most unbearable pain after an ankle sprain is pain, you must know that after a severe sprain or ligament rupture, it will cause direct damage to the local sensory nerves, resulting in severe pain, and every step feels like being pricked by a needle, this period is particularly uncomfortable and painful. And after 100 days, there was no way to do what I wanted to do according to my mood, and I felt that I was restricted everywhere, and it was very difficult to accept.

I twisted my ankle to that period before, and it was really tears that came out instantly, and I didn't pay attention to the steps when I got off work at night, and I went down directly, and I could still hear a click at that time, and tears came out of my eyes in an instant, and then quickly swollen up, and I felt like a needle prick when I took a step, and there was no way to continue walking. And I am always afraid that there is no way to recover this place by myself.

And when you encounter some special circumstances, you want to deal with it yourself but there is no way to deal with it, because the feet are not strong at all, because the muscles and bones are injured for 100 days, if you don't have a good rest, you may recover longer in the later stage, when you are more painful, you must pay attention to rest, take ice to reduce, local swelling can also be smeared with some safflower oil, it can also effectively relieve pain, and can make the ankle recover faster, in the following days, Everyone must be vigilant to avoid getting hurt again, and I don't know what's going on, as long as it's that place, it's going to be injured frequently. If possible, you can actually use a cast or other thing to fix the ankle, so that you can reduce the use.

Ligament strain ...... after sprainIt's heart-rending to take a step because you can't use any force at all, but you have to land on your toes and heels, and that feeling is ......It can instantly sweat like soybeans; Especially if your mouth is dry and dry ...... at nightToileting, bathing, cooking, ......If you still have to do it, you may even have the heart to die!

The most unbearable pain for me is when I am massaged, because this act is very painful and it also makes me feel like life is worse than death, so the most unbearable pain I can bear is when I am massaged.

I can't walk at all, and as long as I walk, I feel special pain and discomfort, which is unbearable.

I can't move casually, I have to lie down all the time, it's very uncomfortable to lie there, and it hurts to move casually.

Xiaowei fell and twisted his ankle while running, he applied ice at home, rested for a month, felt that his feet would not hurt, and started running again, but within a few days his feet were swollen again, and it was more painful than before.

An ankle sprain is more than just a pain

When the ankle is injured, most people will know to repair muscles, ligaments and other tissues, but they don't know that when the ankle is injured, in addition to this structural injury, it is also necessary to take into account the functional injury.

Structural injuries can cause pain, swelling, and problems where you can see them, so you will take them seriouslyHowever, functional injuries are inability to function, such as muscles that are no longer as strong as before, uneven force due to the shift in bone position, and damage to proprioceptive receptors, which makes the body lose its sixth sense to avoid injury.

Proprioception is the sixth sense of the body

Proprioception refers to the feeling that the body can still make corresponding movements and perceive the use of one's body without relying on the eyes, for example, when you close your eyes, you can still understand that stretching your hand forward is an intuitive action, so it is also called the sixth sense of the body.

The receptors of proprioception are mainly hidden in the muscles, joint capsules, and ligaments, and when these parts are stressed and forced, the proprioceptive receptors will inform the brain of the changes in the body and make corresponding actions; For example, when we are pushed from the right side, our body will feel a greater force on the left side, and immediately adjust the center of gravity of the standing position to avoid falling, which is a reflex to prevent injury. Alternate paragraph

But if only structural tissue is repaired,However, if you do not deal with the damage to the sensory receptors, not only will you not be able to make reflex movements, but you will also be able to ignore that you actually have the injured part; The body will be skewed due to the uneven force on the muscles, such as scoliosis, hunchback, etcLet the brain mistakenly think that this is a normal posture, and over time it will crush the bones and muscles again.

Proper sprain repair should include proprioception

Therefore, when the swelling and pain have disappeared, it is actually the time to repair the proprioceptive receptors, rather than thinking that he is already healed, so that Li Ji continues to exercise with the injured part, resulting in secondary injury. In addition to repairing proprioceptive receptors, it is also important to understand that after a muscle injury, the strength will decrease and there may be an imbalance of force, so it is also necessary to rebuild muscle strength.

In order to rebuild the proprioceptive receptors, it is necessary to carry out unbalanced ** to make the sensory receptors sensitive again, such as trying to stand on a flat disturbing balance ballThese parts need to seek the assistance of a physicist to make the sprained part really return to its previous state, and it is less likely to be injured again.

It is not uncommon to have a broken foot, especially the varus foot shown in the picture above is more common, some people will go to the hospital to take a picture of the inversion foot first to see if there is no fracture, generally if there is no fracture, do ice treatment, prescribe some anti-inflammatory and pain-relieving drugs and go back, but after returning home, there is long-term chronic pain and habitual broken foot.

This is because most medical professionals have the wrong judgment about many ankle injuries. Most people are diagnosed with a sprain of the anterior talofibular ligament and the calcaneofibular ligament (as shown in the blue area above) after the ankle varus, but even the ligament tear is not too obvious, in fact these ligaments are very strong, so the lateral malleolus is often fractured at the top.

In fact, the problem caused by ankle varus sprain is mainly found in the distal tibiofibular joint (the area circled above), which can cause misalignment. After varus, the distal end of the fibula tends to move anteriorly relative to the distal end of the tibia. We can use Mullligan dynamic joint mobilization as an assessment plus**.

The method is as shown in the above two pictures, the ** division places the thenar of the hand 2 3cm above the lateral malleolus, pushes the fibula diagonally behind the tibia, and supports the calf with the other hand. After varusing, there is often pain when doing the varus movement, but once we push his fibula back, you will find that the pain magically disappears when you do the action again, which is the best evidence of the misalignment of the tibiofibular joint, if it is a ligament sprain, the pain will be enhanced by the traction caused by pushing the fibula backwards.

Once the indication is confirmed, you only need to push the fibula back and ask the patient to repeat the painful maneuver 10 times, and give a pressure at the end of his movement for the last time to turn the ankle inward to the maximum angle for 10 seconds. Then you can put the patient on the ground, at which point you will find that he will be much better, and this technique can cut the patient's recovery time in half.

If there is no combined fracture during varus, the fibula should be reduced as soon as possible after the injury and the management of the acute injury (rest, ice, compression bandaging, elevation of the affected limb) should be given within 48 hours of injuryDo not follow the method taught in the textbook to fix the foot bandage in a position to avoid varus, which will inhibit the normal movement of the ankle joint and slow down the healing time, which is not the point!

Of course, the biomechanical changes caused by an ankle sprain also require core stabilization and balance training to prevent it again.