Fractures: Heat Therapy, Infrared Treatment, and More

Fracture

Is it true that fractures should not be treated with heat? Can infrared therapy be used? What is the difference between a tendon tumor and a ganglion cyst? I previously injured my ankle, but why does it still remain swollen?

redson, 20~29 year old female. Ask Date: 2001/01/29

Dr. Shi Guozheng reply Orthopedics

1.
After a fracture, it is generally necessary to immobilize the area, which can be done using a cast or fixation with pins; in some cases, a triangular bandage may suffice.
After the fracture has been treated (usually after three to five days), heat therapy can be applied to help reduce swelling.
The effects of infrared therapy should be discussed with a rehabilitation specialist, and treatment should be followed according to their recommendations.
2.
A ganglion cyst commonly occurs in the wrist and fingers, containing clear fluid.
The term "tenosynovial cyst" is often used interchangeably with "ganglion cyst," but tenosynovial cysts can sometimes represent other types of tumors, such as giant cell tumors or others.
3.
Ankle injuries typically require a long recovery period, ranging from a minimum of six weeks to as long as six months or more.
Recovery from ligament injuries follows a similar timeline, making it difficult for ankle swelling to subside.
Gentle ankle exercises and soaking in warm water may help reduce swelling.

Reply Date: 2001/01/29

More Info

When it comes to managing fractures and related injuries, understanding the appropriate treatment modalities is crucial for recovery. Your question about the use of heat therapy and infrared treatment, as well as the differences between tendon tumors and ganglion cysts, highlights some important aspects of orthopedic care.

Heat Therapy and Infrared Treatment
In the context of fractures, the application of heat therapy is generally not recommended during the acute phase of injury, especially when there is swelling, redness, or warmth in the affected area. This is because heat can exacerbate inflammation and increase swelling, which can delay the healing process. Instead, ice therapy is typically advised during the initial 48-72 hours post-injury to reduce inflammation and manage pain.

Once the acute phase has passed and swelling has subsided, heat therapy can be beneficial. It helps to increase blood flow to the area, relax muscles, and alleviate stiffness. The ideal temperature for heat application is around 40-43 degrees Celsius (104-109 degrees Fahrenheit), but it is not necessary to measure the temperature precisely. A warm bath or a heating pad set to a comfortable level can suffice.

Infrared treatment, which provides superficial heat, can also be used similarly to traditional heat therapy. It is important to note that both heat and infrared treatments should be applied cautiously and not directly on the fracture site until it is deemed safe by a healthcare professional.

Differences Between Tendon Tumors and Ganglion Cysts
Tendon tumors and ganglion cysts are two distinct entities that can occur in the musculoskeletal system.
1. Tendon Tumors: These can be benign or malignant growths that arise from the tendon tissue. They may cause localized pain, swelling, and sometimes functional impairment depending on their size and location. Common types include lipomas (fatty tumors) and fibromas (fibrous tissue tumors). Diagnosis often requires imaging studies such as MRI or ultrasound, and treatment may involve surgical excision if they cause significant symptoms.

2. Ganglion Cysts: These are fluid-filled sacs that typically develop near joints or tendons, most commonly in the wrist or ankle. They are benign and often painless, though they can cause discomfort if they press on nearby structures. Ganglion cysts can fluctuate in size and may resolve spontaneously. Treatment options include observation, aspiration (removing the fluid), or surgical removal if they are symptomatic or recurrent.

Persistent Swelling After Ankle Injury
Regarding your concern about persistent swelling in your ankle following a previous injury, this can be attributed to several factors:
- Chronic Inflammation: After an injury, the body may continue to respond with inflammation even after the initial healing phase. This can lead to ongoing swelling.

- Scar Tissue Formation: Injuries can lead to the formation of scar tissue, which may restrict movement and contribute to swelling.

- Joint Instability: If the ligaments around the ankle were damaged, this could lead to instability, causing the body to react with swelling as a protective mechanism.

- Lymphatic Drainage Issues: Sometimes, the lymphatic system may not effectively drain excess fluid from the injured area, leading to persistent swelling.

If the swelling continues or worsens, it is advisable to consult with a healthcare professional. They may recommend imaging studies to assess the underlying structures and determine if there are any complications that need to be addressed.

Conclusion
In summary, the management of fractures and related injuries requires a careful approach to treatment modalities such as heat and infrared therapy. Understanding the differences between tendon tumors and ganglion cysts can aid in appropriate diagnosis and treatment. If you are experiencing persistent swelling after an ankle injury, seeking medical advice is essential to ensure proper healing and recovery. Always follow the guidance of your healthcare provider regarding treatment options and rehabilitation strategies to optimize your recovery.

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