2021Year January

足首捻挫の後遺症でよく起こるメカニズム

a mechanism common in the aftereffects of ankle sprains

Mechanisms that often occur after the sequelae of ankle sprains After spraining the ankle, fixation is essential for the repair of ligaments. It depends on the severity, but it is fixed by bandages and taping from Gibbs. Sprains often improve the affected area (such as ligaments) between 2 weeks and 1 month, but there are cases where pain and dysfunction remain after the ligament is repaired. A sequelae that occurs after this ankle sprain is a distal joint release due to damage to the anterior tibia and fibula. When this articular release occurs, ankle mobility is significantly reduced. It is painful with various movements such as bottom flexion, back flexion, rotation, etc., and the range of motion is narrowed. In addition, the walking phase is disturbed because the pain in walking appears. From the perspective of people, it becomes a walk that is said, "Are your feet okay?" (I named this way of walking penguin walking.) The fixation of the ligament outside the ankle (such as the anterior fibula) caused by a general inverted sprain is the first priority, and if the healing is bad, you may suspect damage to the anterior tibial fibula. In particular, it is likely to occur when a person with a loss of flat feet or plantar arches becomes a sprain and is fixed for a long time. If this joint release occurs (the fixed period may be short), the swelling under the knee will become severe. This is because it is painful to use the abdominal muscles and anterior tibial muscles when walking, so it naturally becomes "penguin walking". This petapeta walking method is useful on snowy roads, but since it does not use the lower leg muscle group, the heart pump becomes difficult to work. If you walk and use muscles→ you will want to walk more than → swelling→ loosening of the ligaments will worsen → fall into a vicious circle that the cure becomes worse. After the ankle sprain is fixed, it is important to take appropriate treatment at an early stage to avoid sequelae. * If you can check yourself: Try to tighten the ankle and inner ankle from the side. If you compare the left and right feet, if there is joint release, the play is large, and you may be able to sense that it is spreading sideways. In addition, it is painful depending on the condition. *First of all, it is a good idea to have a sprain with bad healing examined (X-ray, etc.) by orthopedics. And please consult our hospital! *External rotation test is one way to determine damage to the tibial fibula ligament. The patient sits in a chair and bends the knees 90°, and the examiner grips the proximal position of the lower leg with one hand and externally rotates the foot in the middle of the ankle joint with the other. In the positive reaction, pain appears in the affected area. If you are worried about bad healing after spraining your ankle, please contact us. TEL 03-3272-1939 email: kizu@kizuchiro.com KIZU Chiropractic Main Director Naoaki KizuLanguage This page has been translated automatically. Please note that it may differ from the original contents.

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