1. Sports injuries 2. Coccygeal issues
Hello, Doctor: I would like to ask two questions.
Q1: I sprained my ankle when I was in the first grade.
At that time, I only used ice therapy and saw a traditional Chinese medicine practitioner once.
During my second year of high school, I usually only felt pain when the weather was colder, but recently, over the past month, I have been experiencing pain intermittently.
Could this be related to the recent significant changes in weather?
Q2: If I am sitting on a chair and it suddenly breaks (the chair is about 25 cm off the ground), and my buttocks hit the ground (which is slightly away from a highway), could this cause any injury? How should I manage it to alleviate discomfort in my buttocks?
Yu, 10~19 year old female. Ask Date: 2018/06/30
Dr. Zhou Jianwen reply Rehabilitation
Please visit the rehabilitation department for examination and treatment.
Reply Date: 2018/06/30
More Info
When it comes to sports injuries and issues related to the tailbone, understanding the nature of the injury and the appropriate management strategies is crucial for recovery and prevention of future problems. Let's address your questions one by one.
Q1: Ankle Injury and Weather Changes
You mentioned that you had previously sprained your ankle and that it has been bothering you again recently, particularly with changes in the weather. It is not uncommon for individuals with prior injuries to experience discomfort or pain when the weather changes, especially if there is a significant drop in temperature or an increase in humidity. This phenomenon is often attributed to changes in barometric pressure, which can affect the joints and surrounding tissues, leading to increased sensitivity and pain in previously injured areas.
In your case, the recurring pain could be due to several factors:
1. Residual Weakness or Instability: After an ankle sprain, it is common for the ligaments and muscles around the joint to remain weak or unstable, which can lead to pain during certain activities or changes in weather.
2. Chronic Inflammation: If the ankle was not fully rehabilitated, there might be lingering inflammation that can be exacerbated by weather changes.
3. Arthritis Development: In some cases, previous injuries can lead to early onset of osteoarthritis in the affected joint, which can also be sensitive to weather changes.
To manage this pain, consider the following:
- Rehabilitation Exercises: Engage in physical therapy focused on strengthening the ankle and improving stability. This can help reduce pain and prevent future injuries.
- Heat and Cold Therapy: Use heat to relax the muscles and improve blood flow, especially in colder weather, and ice to reduce inflammation if you experience acute pain.
- Proper Footwear: Ensure that you are wearing supportive shoes that provide adequate cushioning and stability for your ankle.
If the pain persists or worsens, it is advisable to consult a healthcare professional for a thorough evaluation.
Q2: Falling from a Chair and Tailbone Pain
Regarding your second question about falling from a chair and experiencing pain in your tailbone (coccyx), it is important to assess the severity of the injury. Falling onto the tailbone can lead to a condition known as coccydynia, which is characterized by pain in the coccyx area. The severity of the injury can vary based on the height of the fall and the surface you landed on.
Here are some steps to manage tailbone pain after a fall:
1. Rest: Avoid activities that put pressure on the tailbone, such as sitting for long periods or engaging in strenuous activities.
2. Ice Therapy: Apply ice packs to the affected area for 15-20 minutes several times a day to reduce swelling and pain.
3. Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help alleviate discomfort.
4. Cushioning: When sitting, use a cushion or a doughnut-shaped pillow to relieve pressure on the tailbone.
5. Gentle Stretching: Once the acute pain subsides, gentle stretching and strengthening exercises can help improve flexibility and support the area.
If you experience severe pain, difficulty sitting, or if the pain persists for more than a few weeks, it is essential to seek medical attention. A healthcare provider may perform imaging studies to rule out fractures or other injuries.
In summary, both your ankle and tailbone issues require careful attention and management. Engaging in rehabilitation exercises, using appropriate pain management techniques, and consulting with healthcare professionals when necessary can significantly improve your recovery and overall well-being.
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