I'm sure somebody out there has had a twisted ankle before. Can ya tell me what to expect? I fell off my garden wall on Saturday
tard
& Dr. said it's not broken but bruised badly enough to have fluid on the joint? Whatever.
I'm kind of worried I won't be able to hold up the bike when I come to a stop. I'd love to have some feedback.........
Information obtained from
-Management of Ankle Sprains
MICHAEL W. WOLFE, M.D.,
Lewis-Gale Clinic, Salem, Virginia
TIM L. UHL, PH.D., A.T.-C., P.T., and CARL G. MATTACOLA, PH.D, A.T.-C.
University of Kentucky College of Allied Health Professions, Lexington, Kentucky
LELAND C. MCCLUSKEY, M.D.,
Hughston Clinic, Columbus, Georgia -------------------------------------------------------------------------------
Grade
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Signs and symptoms
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I: partial tear of a ligament Mild tenderness and swelling
Slight or no functional loss (i.e., patient is able to bear weight and ambulate with minimal pain)
No mechanical instability (negative clinical stress examination)
II: incomplete tear of a ligament, with moderate functional impairment Moderate pain and swelling
Mild to moderate ecchymosis
Tenderness over involved structures
Some loss of motion and function (i.e., patient has pain with weight-bearing and ambulation)
Mild to moderate instability (mild unilateral positivity of clinical stress examination)
III: complete tear and loss of integrity of a ligament Severe swelling (more than 4 cm about the fibula)
Severe ecchymosis
Loss of function and motion (i.e., patient is unable to bear weight or ambulate)
Mechanical instability (moderate to severe positivity of clinical stress examination)
Ankle sprains are probably in the top 5 of presenting complaints to Emergency departments. The mechanism of injury pattern is usually caused by inversion of the foot (common) or ever eversion (less common) Often there is no need to x-ray the ankle as universally a set of diagnostic rules are followed called the "Ottawa rules" (thanks Canada). These simple rules have a very good sensitivity for identifying fractures (broken bones). Often the patient will disbelieve the doctor when they are told an x-ray is not required. Sprains can also be under estimated as they cause a large degree of discomfort and reduced mobility.
Depending on the degree of spray depends on the level of treatment. Broadly speaking there is now a general consensus that RICE along with early mobilisation of the joint offer quicker recovery times and fewer longterm complications (even with a grade III sprain). It may take several months for a sprain to fully recover.
rsw81 will be able to give further advice on this subject.
Good luck
Nelly
Sorry to hear about that.
are you calling lytehouse a lezzie????
