Sprained my ankle after cold treatment first

Aviation general hospital of doctor of vice director of joint trauma surgery Shi Shaohui

Source: health

        Spring is coming, many people like to up the mountain to walk. Due to fewer people exercise in the winter, the weather gets warmer after to outdoor activities, often do not adapt, a carelessly sprained my ankle. Sprained my ankle, medically known as ankle sprains, happens at walking and running jump foot turned inward, when make the lateral ankle ligament tear, or two is likely to cause foot and ankle fractures. After ankle sprains, if can not get good treatment, 20% ~ 30% patients easily occurs repeatedly, habitual ankle sprain.

        Mild sprained my ankle just soft tissue injuries, can be disposed of; Serious may be associated with fractures, must send for a doctor to the hospital diagnosis and treatment. In general, if activities ankle is not feel severe pain, pragmatic can barely stand, just walk, ache place not on the bones, so mostly sprains, can own disposal.

        If feel severe pain, when the activities ankle pragmatic cannot stand and move step, the location of the pain in bones, or sprained foot feeling inside voice, immediately after the injury, swelling, especially high pressure point in the middle of the external ankle or feet outside of the bones, which is seriously injured, should be immediately to the hospital make a diagnosis and give treatment. If limited to conditions can not go to the hospital, can temporarily according to the following method to disposal.

        1. Immediately stop walking, sports or labor, etc. If can find a can as a crutch to rest, at least in 24 ~ 48 hours don't let the injured ankle to bear weight. Rest when sitting or supine position, at the same time, can use a pillow, blanket or clothing, backpacks, etc. The foot pad, for the venous return, so as to reduce swelling and pain.

        2. Immediately use ice packs or cold towel apply affected part, relieve swelling and pain, don't immediately with a local massage and hot compress. Because of a sprained ligament tear, after local blood vessels burst bleeds, massage can increase bleeding, swelling also increases. Hot compress can accelerate blood circulation, also can increase swelling and pain. Use ice method can make the vasoconstriction, reduce swelling and pain. General ice can last for 24 hours, and then change to hot compress and physical therapy, etc. Cold method is as follows:

        An icepack ready ice bag, with a towel wrapped ice packs, in need of cold area. In continuous cooling after 20 ~ 30 minutes to rest for a while, then cold, should pay attention to observe at the same time, avoid the frostbite.

        Wet cold compress fill half a basin of cold water, soak in two towels, out of a towel to dry, it is advisable to not to drop, and then apply for local, every 3 ~ 5 minutes in a cold towel. Two towels used interchangeably, general cold 15 ~ 20 minutes.

        Compression bandage the cold at the same time or after cold bandages, triangle towel fabric available compression bandage around the ankle. Can also use several wide tape from the foot to the back of the ankle and foot paste, fixed ankle, to reduce the scope of activities. Wrap or tape to paste, all should make the external ankle injury form strephexopodia the injured medial malleolus or strephenopodia formation, to reduce the injury of deputy ligament and muscle force, so as to reduce or avoid damage is aggravating.

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