Today we will discuss what an ankle is and what to do if the ankle is twisted and the leg is swollen. So let’s find out right away what it is. The ankle is the joint that connects the lower leg and foot. It is thanks to him that you can run in the morning, go for a cup of delicious coffee and, in general, move around.
But if you damage it, it can lead to complete immobilization. Most often, ankle injuries occur in the spring. It is at this time of the year that our foot is freed from the stiff fixing shoes. From this, when switching to open shoes, a fragile, relaxed ankle can be injured.
Let’s find out a little about the injuries themselves that the ankle can have. These are contusion and sprain of the joint, rupture and tear of ligaments, dislocation, subluxation and, the most severe, intra-articular fracture. Now let’s look at each case.
The most common injury is sprain. When stretching, you may feel that your ankle is swollen and sore in the front of your ankle.
There are three degrees of injury severity:
- insignificant. Ligaments are injured, but without rupture;
- partial. Swelling, bruising that hurts if you squeeze your leg and pain while walking;
- spicy. A hematoma forms on the injured site and it is impossible to move.
The diagnosis is made after examination by a doctor or X-ray. There is PRICE method for the treatment of minor sprains. In English, this stands for protection, rest, ice, compression, elevation. And in translation it means protection, rest, ice, compression, elevated position of the leg. It takes 10-15 days.
For the treatment of moderate sprains, it is recommended to see a doctor, because it cannot be healed at home. A hematoma, severe swelling and bruising are formed. Even if it’s small, it’s serious. With proper care under the guidance of a physician, the stretch should go away in a month.
If the ankle is swollen, it hurts to step on, and even the leg aches, even if you do not move it, then this is a severe form of stretching. Such a tear of the ligaments will heal in 3-6 months. In this case, surgery may be required.
During the rehabilitation period, you should not overload the leg. Because of this, complications may appear. If the leg starts to ache again, you should consult a specialist, and not wait until it passes by itself. It is also recommended to apply ice to improve blood circulation. Previously, the ice must be wrapped in gauze or a towel and kept for no more than 15 minutes.
In the hospital, the leg is suspended on special equipment, but at home you can use the tools at hand: a stool, chair, pillow and others.
It is very important to do special exercises to stretch your joints. For severe pain, you can drink pain relievers, for example, Ibufen. You need to pay attention to nutrition. Eat foods high in calcium. More information in the article “What to do if I twisted my leg?”
Dislocation and subluxation
Most often this happens in people who are overweight. Some of the reasons are: hitting, improper landing, falling from a height, age-related changes, improper positioning of the foot. Dislocations and subluxations are classified as follows:
- internal dislocation – it means the ankle is damaged from the inside;
- external dislocation – if the ankle is swollen from the outside;
- posterior dislocation occurs when the posterior part of the tibia is fractured;
- anterior dislocation – with joint injury or fractures of the lower third of the tibia.
These injuries can also be combined. If you do not consult a doctor in time, then serious complications may appear. Symptoms: swelling, pain, fever in the ankle area and discomfort.
Ankle swelling: what to do or how to provide first aid: immobilize the ankle, apply a cold compress to relieve puffiness. After that, you should immediately consult a doctor. If the pain is severe, then you can take analgesics. Here are some of them:
- ibuprofen, nise, nimesulide. Fight inflammation and relieve swelling;
- ketanov, analgin, pentalgin. Powerful pain relievers;
- troxevasin. Accelerates the resorption of hematoma.
Regardless of the reason the ankle joints are swollen, home treatment will include the same procedures. Puffiness and redness can be relieved with ice. Within 2-3 days for 15 minutes you need to apply ice through gauze or a towel. No direct contact. You can also apply a tight bandage. If not, you can use a bandage. Do not tighten too tight or the blood will not circulate. At night, the bandage must be removed to give the leg a rest.
Massage is an important part of healing. How to do it: gentle circular movements in the ankle area for about 2-3 minutes, transverse rubbing with the edges of the palm, rub the ankles with the pads, at the end massage the feet. Repeat the complex three times.
A number of ointments can also help:
- Heparin ointment acts as an analgesic, acts on the vessels, expanding them, which improves blood circulation. The course of treatment is up to 15 days. Analogs are Dolobene-gel, Troxevasin;
- at the initial stage of treatment, you can use Fastum-gel or Bystrumgel. Their main active ingredient is ketoprofen. These drugs are anti-inflammatory. There may be side effects. If the treatment is delayed, it is better to replace them with natural analogues: Badiaga, Forte gel, comfrey ointment;
- in the second week of treatment, you should switch to ointments with a warming effect: Finalgon, Efkamon, Apizatron. They help speed up the ligament repair process;
- Arnica is a homeopathic remedy that relieves inflammation, pain reliever. Promotes tissue regeneration and repair.
You can read more about the treatment in this article “Dislocation of the leg – what to do and how to treat it.”
During the recovery period, with microtraumas, you should walk in a bandage for a couple of weeks. After a week, the swelling will subside, and on day 10 you can move your leg. If the ligaments were not damaged, after the reduction, you need to wear a cast for two weeks, the treatment period is 1.5-2 months. In the event of a complete dislocation with a displacement of the joint, it will be possible to leave the hospital, if there was surgery, only after a week. The plaster should be worn for 20 days, the treatment period is 1.5-2 months.
Now let’s talk about fractures and what to do if the ankle bone is swollen. To begin with, let’s discuss what types of fractures are. Open fractures are the most severe and can have consequences. They are quite rare, and you cannot do without surgical intervention. The period of treatment stretches over many months. Closed fractures are much more common. They can include the displacement of bone fragments. Displaced injuries are much more difficult to treat and can cause long-term disability. In this case, a surgical operation may be prescribed. If there is only a crack in the bone, then you can do with plaster. If the leg is twisted outward, the literal ankle breaks, and if inward, the medial ankle breaks.
The reasons why there may be a fracture: a fall from a height on straight legs, a blow to the lower leg, a drop in weight, turning the leg during sports. For example, if the ankle is swollen after running. Fractures aren’t just due to injury. They can occur as a result of the development of a number of diseases: osteoporosis, cancer, tuberculosis, osteomyelitis. Such fractures appear even with minimal stress on the bone and are called pathological.
Symptoms include severe pain that does not go away even at rest, swelling, subcutaneous hematomas, crunching when probed.
As a first aid, the first step is to take off your shoes, if possible. Next, you need to apply a splint, with the help of it, the leg will be fixed. To make it, you can use the materials at hand: cardboard, sticks or boards. You need to fix it above and below the fracture. If the fracture is closed, ice should be applied to remove the swelling and limit the spread of the hematoma. You can also give the victim pain reliever. If the fracture is open, then a tourniquet must be applied to stop the bleeding. The edges of the wound should be treated with an antiseptic and the wound should be covered with a bandage.
Treatment consists in wearing a plaster cast for 2-3 months. Full recovery occurs in 3-4 months. After removing the plaster during rehabilitation, massage and special exercises are prescribed, as well as a special diet high in calcium, collagen, amino acids and silicon. A lot of calcium is found in sardines, cabbage, cheese, milk, they contain a lot of calcium. Silicon can be found in various cereals (oat, barley, corn, buckwheat), legumes, pistachio nuts. It is recommended to walk to develop the joint, but do not overload it. Exercises should be done, gradually increasing the load, so as not to tear the ligaments.
Today we figured out what to do if the ankle is twisted and the leg is swollen. To reduce the risk of sprains, dislocations and fractures, you need to monitor your diet, sunbathe and exercise.
Source : fiteria.ru