Friday, 11 September 2015

Ankle Pain

Pain around ankle area reason may be the one or more ankle ligaments are injures or torn partially or completely. This is known as Ankle sprain.
There are 3 grades of sprains depending upon the severity of injury.

The most commonly affected ligament is the anterior talo-fibular ligament & gets affected due to injury resulting in inward rotation (inversion) of the ankle.
A less common type of ankle sprain occur due to outward rotation (eversion) of ankle & injuries the deltoid or medial ligament.
Foot arch is responsible for supination (High arch) & pronation (Flat Feet) throw anke more outer
border or inner border of foot respectively. Chances of inversion ankle sprain in supinator which is more common & eversion ankle sprain in pronators are more.

Causes:

  • Trauma or fall is the most common cause.
  • Weak musculature.
  • Increased laxity &/ reduce stability of ligaments.
  • Walking in high heels or footwear with inappropriate platform.
  • Walking or running on uneven surface.
  • Faulty foot alignment.
  • Impaired balance.
Symptoms:
  • Pain & swelling over ankle.
  • Inability to bear weight over affected limb.
  • Stiffness in the joint.
Treatment:

The most basic approach is to follow the PRICE protocol. This abbreviation stand for the following:

P- Protection- which can be attained by use of brace while walking or standing activities. Selection of the brace should be according to the grade or level of ankle sprain. 

R- Rest- which is required for allowing healing. If the patient attempts to walk with the present injury then the chances of further damage are high.

I- Ice pack- This helps in reduction of inflammation & helps in draining out of the end product which helps in pain reduction.

C- Compression- which also can be achieved by the use of braces that provide adequate support.

E- Exercise- which is the most important aspect. 

Apart from the above if the cause of ankle sprain is faulty foot alignment then it is necessary to administer appropriate treatment for the cause or consult podiatrist.


 

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