Ankle Ligament Injuries: Recovery and Rehabilitation Tips - Rehabilitation

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Ankle ligament injury


Hello Dr.
Hsu, I had a car accident in mid-January where I sustained an open contusion on my knee that required three stitches.
Additionally, my ankle experienced a "rolling" injury, where I was thrown about 5 to 10 meters.
When I arrived at the hospital, only my knee was X-rayed because I could still walk normally on my ankle at that time, so I thought it wasn't serious.
However, my ankle has continued to hurt since then.
I underwent treatment at various traditional Chinese medicine clinics for about a month, and they indicated that I had a ligament injury, but it still hasn't healed.
The pain intensifies with changes in weather (to the point where I can't walk), although when the condition improves, I can jog without significant pain.
I would like to know if I should continue treatment at the traditional Chinese medicine clinic or if I can do some rehabilitation exercises on my own to recover more quickly.
Thank you!

Chen Tongxue, 20~29 year old female. Ask Date: 2016/03/18

Dr. Xu Yongnan reply Rehabilitation


You need to go to the rehabilitation department for rehabilitation.

Reply Date: 2016/03/18

More Info


Understanding ankle ligament injuries, particularly following a traumatic event like a car accident, is crucial for effective recovery and rehabilitation. Based on your description, it seems you have experienced a significant injury to your ankle ligaments, which is common in situations where the ankle is subjected to excessive force or awkward positioning, often referred to as an "ankle sprain."

Recovery and Rehabilitation Tips
1. Initial Assessment: Since you mentioned that you were able to walk normally immediately after the injury, it might have led to an underestimation of the damage. However, persistent pain, especially with changes in weather, suggests that there may be lingering issues with the ligaments or surrounding tissues. It’s advisable to have a thorough evaluation by a healthcare professional, such as an orthopedic specialist, who can conduct physical examinations and possibly imaging studies (like an MRI) to assess the extent of the ligament injury.

2. Rest and Ice: Initially, after an injury, the RICE method (Rest, Ice, Compression, Elevation) is recommended. Resting the ankle and applying ice can help reduce swelling and pain. Ice should be applied for 15-20 minutes every couple of hours, especially in the first few days post-injury.

3. Compression and Elevation: Using an elastic bandage for compression can help control swelling. Elevating the ankle above heart level can also assist in reducing swelling.

4. Physical Therapy: Engaging in physical therapy is highly beneficial for ankle injuries. A physical therapist can design a personalized rehabilitation program that includes:
- Range of Motion Exercises: Gentle movements to restore flexibility.

- Strengthening Exercises: Once pain decreases, strengthening the muscles around the ankle is crucial. This may include resistance exercises and balance training.

- Proprioception Training: This involves exercises that improve your body's ability to sense its position in space, which is vital for preventing future injuries.

5. Gradual Return to Activity: As you progress, gradually reintroduce activities. Start with low-impact exercises, such as swimming or cycling, before returning to running or jumping activities. Pay attention to your body; if you experience pain, it may be a sign to scale back.

6. Consideration of Alternative Treatments: If traditional physical therapy does not yield results, you might explore other options, such as acupuncture or chiropractic care. However, ensure that any alternative treatments are conducted by licensed professionals.

7. Monitoring Symptoms: Keep a close watch on your symptoms. If you experience significant pain, swelling, or instability in the ankle, it may indicate that further medical intervention is necessary.
8. Lifestyle Modifications: Incorporate ankle-strengthening exercises into your routine even after recovery to prevent re-injury. This could include calf raises, ankle circles, and resistance band exercises.

9. Patience and Mental Health: Recovery from ligament injuries can take time, and it’s essential to be patient with the process. If you find yourself feeling anxious or frustrated about your recovery, consider speaking with a mental health professional. They can provide strategies to cope with the emotional aspects of injury recovery.


Conclusion
In summary, while you may have initially thought your ankle was fine, the ongoing pain suggests that further evaluation and rehabilitation are necessary. Engaging in a structured rehabilitation program, possibly under the guidance of a physical therapist, will likely yield the best results. Remember to listen to your body and allow adequate time for recovery to avoid long-term complications. If symptoms persist or worsen, do not hesitate to seek further medical advice.

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