Injury of the ankle: treatment

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Content

  • 1Injury of ankle
    • 1.1How long will the bruise
    • 1.2Symptoms and signs of trauma
    • 1.3What to do with a bruise of ligaments
    • 1.4Features of the ankle joint
    • 1.5Effective treatment and the best ointments with this disease
    • 1.6Coping with folk remedies
  • 2Injury of the ankle: symptoms and treatment characteristics
    • 2.1ICD
    • 2.2Injury of the ankle: classification
    • 2.3The main signs of injury
    • 2.4Injury of the ankle: symptoms
    • 2.5Complications that may occur
    • 2.6First aid with a bruise
    • 2.7Injury treatment
    • 2.8Specialized treatment
  • 3How to treat an ankle bruise at home
    • 3.1Variation of bruises
    • 3.2Signs of trauma
    • 3.3Main symptoms
    • 3.4Possible complications
    • 3.5First Aid
    • 3.6Healing procedures
    • 3.7Treatment of specialized type
  • 4Injury of the ankle: symptoms, first aid and treatment
    • 4.1Main reasons
    • 4.2Symptoms of trauma
    • 4.3First aid
    • 4.4Diagnosis of injury
    • 4.5Methods of treatment
    • 4.6Immobilization of the joint
    • 4.7Medications
    • 4.8Compresses
    • 4.9Physiotherapeutic procedures
    • 4.10Massage
    • 4.11Physiotherapy
    • 4.12Folk remedies
    • 4.13Possible complications
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  • 5Injury of the ankle: treatment, symptoms and first aid
    • 5.1Symptoms
    • 5.2First aid: what to do?
    • 5.3Home Treatment
    • 5.4Ointment with bruises and sprains
    • 5.5How long does it hurt
    • 5.6Effects

Injury of ankle

Unfortunately, there is often an ankle bruise. This problem is often faced by professional athletes. Often, injuries occur in everyday life. In this case, it is necessary to provide first aid to the victim and exclude a fracture.

When accumulating a large amount of blood in the joints, it is possible to damage the capsule and the appearance of hemarthrosis. In this case it is necessary to make a puncture.

Then you should perform articular sanation with a solution of novocaine. Untimely treatment of a doctor can cause accumulation of exudate. Therefore, you need to treat the problem immediately!

In the future this may cause the appearance of synovitis. The ankle joint thus strongly hurts because of the big tumor. Arthritis, which has a post-traumatic character, may begin to develop, due to damage to the cartilage of the joint. The disease will progress for many years.

How long will the bruise

This question can be answered only by a doctor. Recovery depends on what the degree of injury.

On average, you can recover after an ankle injury in 2-3 weeks. The speed of recovery depends on how good the treatment of the patient was.

The immunity of the patient also plays an important role in rapid treatment.

Symptoms and signs of trauma

When the ankle is bruised, only the joint is damaged. The fabric remains untouched. The pain syndrome depends on the severity of the resulting injury.

There are a number of symptoms of severe bruising in the ankle. Trauma is necessarily accompanied by a pain syndrome of varying severity.

In this case, the appearance of a bruised place:

  • swelling;
  • hematomas;
  • cyanotic skin.

Because of this, joint pain is constantly increasing.

When the ankle is bruised, lameness appears.

When walking, there are severe pains. It is impossible to determine visually how badly the place is bruised.

At home, it will not be possible to find out if the nearest ligaments are injured. It is also impossible to determine whether there is a fracture or a fracture.

Only a doctor can make an accurate diagnosis. To do this, you need to make a radiography (photo of the bone), which will accurately diagnose the extent of the injury and prescribe the subsequent treatment.

What to do with a bruise of ligaments

In the first place, immobility is needed. The bruised leg should be positioned in such a way that the foot is above the level of the heart.

A comfortable position can be taken, sit on the couch or lie down. This is necessary in order to reduce the edema of the tissues that are located next to the joint.

A good way to reduce pain with an ankle injury is ice. To do this, you can use a package with berries, for example, from a refrigerator.

Preliminary it should be wrapped in a towel or other fabric. You can also apply a bottle of cold water or a wet towel.

Reduce pain can be with ointments. A good cooling and anesthetic property is possessed by Diclofenac. In order to anesthetize a bruised area, non-steroidal anti-inflammatory drugs should be used.

The following types are particularly effective:

  • Nimesulide.
  • Analgin.
  • Ibuprofen.
  • Paracetamol.

If you get a bruise, be sure to use a tight bandage. You can use ointment.

The dressing will help reduce pain and reduce puffiness. Apply it, starting with the heel. Eighth movements should be repeated so that each new layer is about 4 centimeters on the previous layer.

In some situations, there is a need to immobilize the joint. This is necessary in cases where the leg is moving in different directions. For these purposes, the T-bar is a good fit.

You can make it out of improvised means. You can wrap your foot with a cloth or a scarf. Immobility will help reduce pain.

After all the procedures described above, you should always contact a traumatologist. Only a doctor can diagnose the degree of injury and prescribe appropriate treatment.

Features of the ankle joint

The ankle joint is of an uneasy structure. It consists of three bones. They are connected together by means of a ligamentous apparatus. In appearance, it resembles a block.

Due to the fact that the connecting device in the form of a block is movable, a person has the ability to rotate the foot, withdraw it in different directions.

This feature allows a person to make different movements:

  • jump;
  • run;
  • dance.

All possible effects can lead to damage to the ankle joint. Depending on the degree of mechanical action, a certain number of damage variations are identified.

For example, it can be:

  • injury;
  • dislocation;
  • fracture;
  • crack;
  • gap;
  • stretching.

Effective treatment and the best ointments with this disease

First of all, when an ankle is injured, an X-ray is performed.This procedure is necessary in order to exclude a fracture.

Then put a plaster on the bruised place. This is necessary in order to immobilize the foot, thereby reducing its mobility. Applying gypsum can reduce puffiness, which will help to anesthetize the bruised area.

Reduce the inflammatory process can be with the help of such non-steroidal agents as:

  • Nyz.
  • Movalis.
  • Bystrumgel.
  • Ketonal.
  • Noumesulid.

Local treatment of an ankle injury is carried out with the help of ointments, creams and gels. If the bruise is severe and the pain is severe, then intramuscular treatment with drugs such as Procaine or Metamizol may be required.

The need for puncture can occur when pus or fluid accumulates in the joint. It is deflated, and then a course of antibiotic treatment is conducted. It is dissected and the infected exudate is removed from the cavity.

For a speedy recovery, the patient is recommended to perform special exercises. They can be conducted no earlier than 4 days after the place was bruised. After 2 days, you can massage your lower leg and toes with your own feet.

After 5-6 days, you should warm your feet daily in water with sea salt or salt. To do this, take 100 grams of salt per 1 liter of water. Effective for treating the injury of the tub with the addition of chamomile or thyme.

Coping with folk remedies

For treatment, you can use folk methods that have proven effective:

  1. These include onions. It should be twisted in a meat grinder. The resulting gruel put in gauze and leave a similar compress on the bruised place for the night.
  2. Good for treating bruised leaves are aloe. They need to be cut across and attached to the bruised place. The procedure should be repeated for a week.
  3. Milk compresses have proven their healing properties. Milk or water should be slightly heated and moistened in cotton wool. Attach to the place of bruise, wrap with cellophane, upstairs - bandages. Hold for about 7 hours.

Home folk remedies contribute to a speedy recovery. But do not ignore the treatment prescribed by the doctor.

A source: http://GidPain.ru/ushib/golenostopnogo-sustava-lechenie.html

Injury of the ankle: symptoms and treatment characteristics

The ankle is the largest joint in the human body. It includes three bones:

  • large tibia (lower joint surface, condyle);
  • small tibia (condyles);
  • rammed (stop).

Between each other these bones are attached with a thin articular capsule and ligamentous apparatus.

Both basic movements, including extension and flexion, are provided with a block-shaped joint device.

In the process of walking, an ankle is involved.

This joint is very heavily loaded due to the weight of the body, because in the standing position, most of the weight falls on it.

What is the ICD code for a bruised ankle joint?

ICD

According to ICD-10, bruises and similar diseases corresponds to class 19, which is called "Poisoning, trauma and other consequences arising from external causes." Diseases and injuries related to the foot and ankle joint are collected in one common block, indicated by the numbers S90-S99.

Injury of the ankle: classification

Damage to the ankle can have several varieties:

  • Stretching.
  • Injury.
  • Dislocation.
  • Combined fracture.
  • A bone fracture located in the region of the shin.

And bruises are subdivided into some subspecies in accordance with the nature of displacements and complications.

In this article, we will analyze how serious the consequences of a bruised ankle joint can be, how to remove the pain that arises from this trauma.

The main signs of injury

First of all, the ankle injury is characterized by damage to the skin, also the subcutaneous tissue and muscles.

In addition, trauma has a negative effect on nerve endings and blood vessels, which leads to the formation of bruising.

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As a result of a bruised ankle joint, a hemorrhage occurs, and a swelling appears on the affected area.

Thus the symptomatology can worsen in due course, that further can lead to a hemarthrosis - to accumulation of a blood in a cavity of a joint.

It is for this reason that a bruise appears on the site of the bruise.

If the trauma is of a rather severe character, then the necrosis of the skin tissue may occur on the damaged site.

Injury of the ankle occurs as a result of a fall or blow about an object with a bone. At the same time, the soft tissues surrounding the joint are affected, because the ankle and ankle are not protected by muscles and fiber. Symptoms of injury are as follows:

  • Severe pain in the foot, which occurs immediately after receiving a bruise and can accompany the patient for several days.
  • Pronounced limp, it is more difficult to step on the foot.
  • Soft tissues, which surround the joint, swell. Appears swelling in the foot.
  • As a result of rupture of small vessels there is a hematoma.
  • If the swelling is significant, then numbness of the foot and toes is possible.

Injury of the ankle: symptoms

Thus, the symptomatology of an ankle injury is very similar to the symptomatology accompanying sprain, a tendon rupture, or an ankle fracture. The correct diagnosis can be made only by a competent doctor after a close examination and radiography.

Complications that may occur

As a result of an ankle injury, some significant complications may occur:

  • As a result of the accumulation of a significant amount of blood in the joint bag, hemarthrosis may occur. If the bleeding is severe, then this will be an indication for joint puncture in order to remove the blood accumulated in the cavity. Then, a sanation with a solution of novocaine is recommended.
  • If you do not turn to a traumatologist in time, the synovitis may begin to develop two days after the injury. Inflammatory process, taking place in the capsule, causes the accumulation of exudate in the joint.
  • The bruise of the ankle is dangerous, the code for the ICD-10 of which we already know, the possibility of developing post-traumatic arthrosis. The disease occurs as a result of cartilage damage and develops quite long, sometimes for several years.

As a result of a bruise, an ankle joint becomes immobilized, and this can lead to Zudeck's syndrome. It is characterized by impaired blood circulation, resulting in trophic tissue changes and osteoporosis.

The affected area in this case has a pronounced puffiness, thin skin. It is impossible to move the joint. Therefore, doctors recommend avoiding prolonged immobilization after you have received an ankle injury (ICD-10 code - S90-S99).

First aid with a bruise

If a person has received an ankle joint bruise, then the time during which the first aid will be given is very important. The following rules should be observed:

  • Arrange the bruised limb slightly above the body position. This will reduce pain and swelling. Cover the site of the injury with a special remedy, for example the emulsion "Ratsiniol".
  • After that, tie the bruised place with a simple shawl or elastic bandage. Bandage should begin from the toes and rise higher in the leg. To the process of bandaging does not violate the blood circulation in the place of injury, it should be carried out slowly enough.
  • On the bruised place, apply a cold compress and leave it for at least an hour.
  • If the pain is too strong, then anesthetic may be used, for example, "Analgin "Ketonal "Diclofenac".

Injury treatment

When an ankle is bruised, the treatment should be performed in accordance with the following scheme:

  • At first, you need to reduce the load on your leg, place it on a soft pillow. If the bruise is severe, then when walking, the patient is recommended to use the cane. In this case, you can move only at short distances, at which time the bruised limb should be bandaged. Most often, a bandage or an elastic bandage is used for this. To avoid excessive swelling, the patient can use a special long.
  • On the second day after receiving the injury, it is necessary to start rubbing the bruised place with gels, creams and ointments containing anti-inflammatory non-steroid substances. Apply them three times a day. In this case, daily use of "Ratsinol" is mandatory. And in order to restore blood circulation and tissues, you can impose Polymedel, cover with a film and hold for about 30 minutes.

But this is not all recommendations for an ankle injury (ICD-10 code we reviewed):

  1. It is necessary to regularly massage the foot and shin. After the pain subsides, a gentle massage of the joint area is recommended. If the therapy of the bruised joint is carried out at home, then it is not necessary to neglect the special gymnastic complex. The warm-up should be carried out either in a recumbent or in a sitting position - this is the flexion and extension of the fingers of the injured leg. At the end of this exercise, it is worthwhile to warm up the foot with circular motions.
  2. A week after the onset of the injury, you can begin to take warm baths with the addition of sea salt or rock salt. Do not heat water very much.
  3. It will not be superfluous to use alcohol compresses, which are superimposed in the place of injury.
  4. On the recommendation of a doctor, you can go through physiotherapy procedures, such as electrophoresis, paraffin baths.

A bruise of the ankle joint (in ICD-10 he enters) is not always harmless. Therefore, in order to prevent complications, one should think about special therapy.

Specialized treatment

In medical institutions, specialized treatment of a bruise can be carried out. In this case, the traumatologist fixes the position of the foot by means of medical bandages or gypsum longs. If the inflammation has a pronounced character, then the administration of anti-inflammatory non-steroid agents is possible.

In order to avoid fracture, dislocation and other possible injuries, the patient is assigned a radiographic examination.

Subsequently, he is prescribed medications that will speed up the process of tissue healing and eliminate acute manifestations of injury. Most often, for this purpose, drugs are used to eliminate edema: B-group vitamins and venotonics.

To avoid the occurrence of side effects, take these drugs in strict accordance with the recommendations of your doctor.

Thus, it can be concluded that it is possible to eliminate the symptoms and the consequences of a bruise in a fairly short time, if in time to seek qualified help and start therapy in time.

We considered such a trauma as an ankle bruise. In the ICD-10 this is the 19th grade.

A source: http://.ru/article/330229/ushib-golenostopnogo-sustava-simptomyi-i-osobennosti-lecheniya

How to treat an ankle bruise at home

Ankle joint is one of the largest in the human skeleton.

The ankle is made up of three bones: the tibia (the lower articular surface, the condyle), the fibula (condyles), and the talant (foot).

For attachment of these bones, among themselves, a thin articular capsule and ligamentous apparatus is used.

The block joint device provides 2 basic movements - extension and flexion. Articulation of the ankle is involved in the walking process. The joint experiences a heavy load due to the weight of the body, most of which is accounted for in a standing position.

Variation of bruises

Damage to the ankle is represented by several varieties:

  • stretching;
  • dislocation;
  • injury;
  • fracture of the bones in the region of the lower leg;
  • combined fracture.

Also divided into subspecies, which are classified according to the nature of the displacement and complication.

From the following, you will learn how serious consequences can have an ankle bruise and how to get rid of the pain caused by this trauma.

Signs of trauma

The ankle bruise is primarily characterized by damage to the skin, subcutaneous tissue, muscles.

Trauma also affects the nerve endings and blood vessels (blood bruises are formed).

The result of an ankle injury is a hemorrhage, the appearance of swelling in the affected area.

Symptoms may deteriorate over time, leading to hematoma, and then to hemarthrosis (blood accumulates in the joint cavity). For this reason, a bruise appears on the skin. In the event of a severe ankle injury, the skin may become dead.

A bruised ankle can occur due to a fall or blow by a bone on the object. From such a trauma the soft tissues surrounding the affected joints are more likely to suffer. Muscles and fiber do not protect the ankle (ankles).

Main symptoms

  • Severe pain comes instantly after a bruise. The patient may experience discomfort for several days.
  • Movement is complicated, the foot is very sore.
  • Appearance of severe lameness, it becomes more difficult for a person to step on his leg.
  • Puffiness appears in the soft tissues surrounding the joint. In the foot area, a swelling is formed.
  • The rupture of small vessels leads to a hematoma.
  • In case of severe edema of the foot and fingers may become numb.

The signs of a bruised ankle joint are similar to a sprain, an ankle fracture, a tendon rupture. In this regard, to confirm the diagnosis should immediately contact a traumatologist.

Possible complications

  • The accumulation of large amounts of blood in the joint area becomes the cause of hemarthrosis. If bleeding is severe, puncture and removal of accumulated blood should be performed. After this, an articular sanation with a Novocaine solution is performed.
  • Untimely treatment of a doctor can lead to harmful consequences: two days after the onset of an injury, synovitis may develop. Inflammation of the capsule will cause the process of accumulation of exudate in the joint.
  • The emergence of posttraumatic arthrosis due to damage to the articular cartilage. The disease develops over several years.
  • When the ankle is bruised, its immobilization takes place, which subsequently leads to the Syndrome of Zudek. This is manifested by a violation of blood circulation, tissues undergo trophic changes, osteoporosis is observed. The condition of the affected area is characterized by severe swelling, thinning of the skin, inability to move the joint. After getting injured, prolonged immobilization should be avoided.

First Aid

If an ankle is bruised, it is important to provide first aid in time. The rules are as follows:

  • The leg should be placed above the body, to reduce puffiness and pain. The place of injury should be covered with emulsion Riciniol.
  • It is necessary to make a tight bandaging of the injured area with the help of an elastic bandage or scarf. The first thing you need to bandage your toes and from them to rise higher. In order not to disturb the blood circulation, the process must take place at a slow pace.
  • Within an hour, a cold compress should be applied to the sore spot.
  • If the pain is unbearable, then you will have to use an analgesic - Analgin, Ketonal, Diclofenac. In particularly severe cases, the use of intramuscular injection will be required.
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Healing procedures

To treat an injured ankle joint is recommended according to the following program:

  1. At first, the leg should not strain, it must be put on a soft pillow. If the ankle is heavily bruised during walking, the patient will have to use a cane. Movement can only be carried out over short distances, and the area of ​​the injury must be in the bandaged state. For this, an elastic bandage or bandage is used. To avoid the development of swelling, the patient can use special longs.
  2. Use of gels, creams and ointments with non-steroidal anti-inflammatory substances on the second day. They are applied 3 times a day. Regular use of riciniol is mandatory.
    To restore tissues and blood circulation, the patient needs to impose Polymedel on the area of ​​the injury. Keep film for 30 minutes.
  3. Regularly massage the lower leg and the foot. When the pain subsides a little, you need to do a light massage of the affected area. Treatment of an ankle injury at home should include the performance of a special gymnastic complex. Before the start of the warm-up you need to take a sitting or lying position, then proceed to bend and unbend the toes. Next, the foot itself is kneaded by performing circular motions.
  4. A week later, warm baths with sea salt or rock salt are started. Heated water is not recommended.
  5. It is important to use alcohol compresses, cover the affected area with a bag of heated salt.
  6. Passage of physiotherapy procedures - electrophoresis, paraffin applications.

Treatment of specialized type

Specialized curative therapy for bruising the ankle is carried out in medical institutions. The position of the leg is fixed by the doctor.

For the procedure, a bandage or gypsum lingeta is used. The use of non-steroidal anti-inflammatory drugs is carried out with pronounced inflammation.

To exclude a fracture, dislocation, or other possible injuries, the patient undergoes X-ray examination.

After that, he is prescribed drugs, to eliminate acute manifestations of injury and improve the healing of tissues. The most commonly used medicines for edema: venotonics and B vitamins.

Take medication is recommended only with the permission of the doctor, in order not to allow any harmful complications.

Having considered the various treatment options, it can be concluded that to get rid of the consequences of a bruise of the ankle really in a very short time, if you resort to the passage of therapy in time.

A source: https://NaNogah.com/injury/ushib-golenostopnogo-sustava.html

Injury of the ankle: symptoms, first aid and treatment

This is one of the most insidious and painful injuries, and everyone needs to know about it. Due to its structure, the ankle is particularly prone to bruises, so it is important to recognize them immediately by symptoms. Let's consider, than the strong bruise of an ankle joint is dangerous, and how to be treated at such traumas.

Main reasons

The peculiarity of this joint lies in its anatomy. The lower margins of the fibula and talus bone seem to bulge out of the way, which already requires caution.

In addition, there is no powerful fat layer or strong subcutaneous tissue, which increases the risk of injury.

This also applies to the tissues surrounding the tibial and metatarsal bones, which also enter the structure of the joint.

Causes of damage may include:

  • fall (even with a slight height);
  • blows;
  • weakness of the joint bag and ligaments;
  • careless and abrupt movement (if a person suffers from excessive weight).

Symptoms of trauma

A bruise of the ankle has such symptoms:

  1. long (up to several days) pain, which is intensified when trying to take a step. In a state of rest, it is not so noticeable or completely absent;
  2. when walking, the whole foot hurts;
  3. pronounced lameness;
  4. edema and swelling of the ankle or foot;
  5. hematomas, indicating the rupture of small vessels;
  6. if your toes numb, then the case is heavy.

Determine the damage to the ankle can only the doctor, and before his arrival, direct all efforts to provide first aid.

First aid

The order of its rendering for such injuries is as follows:

  1. First, the leg is positioned so that it is above the head (so as not to disturb the bloodstream at the site even more).
  2. Then the place of a bruise is rubbed with an anesthetic emulsion like ricinol, so that the swelling does not go all the way.
  3. Then immediately put something cold: ice or any product from the freezer. So dull the pain and relieve swelling. Keep it up to an hour, longer is undesirable.
  4. In the first minutes, a bandage (both elastic and simple) is useful. They wrap an ankle - start from the fingers and wrap up to the top of the joint.

In case of acute pain, the victim should be given an analgesic or an anesthetic injection, without forgetting to tell the doctor about it.

Diagnosis of injury

It all begins with a primary examination - the expert finds out how the injury was received and carefully examines the ankle itself, paying special attention to swelling and bruising.

This may be due to painful sensations - the doctor will move the ankle to clarify the diagnosis. Based on the results of the examination, an ankle x-ray is assigned. To obtain a complete picture, you can also send an additional examination of the foot and lower leg.

If suspected of the stressful nature of the injury (due to shock overloads), the victim is recommended to undergo an examination on the MRI unit. For elderly patients, such procedures are more likely the norm (loads on the ankle are consistently large, and with age, ligaments and tissues lose elasticity).

In difficult cases, you may need a stress test. It is used mainly to detect fractures, but the line between this displacement and deep bruise needs to be clarified with this method.

Recommendations, how to treat a bruised ankle joint, is given by a traumatologist. If such a nuisance occurred against the background of internal disease (especially in chronic form), the surgeon and therapist are connected to the case. They also prescribe a course of treatment for each specific case.

Methods of treatment

Effective recovery requires an integrated approach, so doctors often assign different manipulations and procedures.

Immobilization of the joint

The method is conservative, but effective, especially when carried out in the first couple of hours after the injury.

In simple cases, the doctor will impose a bandage that is removed for the night. With such treatment, a film like "Polymedel" is effective, which improves blood circulation and is applied 2-3 times a day for 30 minutes.

In severe pain, gypsum langettes are exposed:

  • blockade of the damaged area is carried out (1% solution of procaine is injected);
  • The foot is exposed at right angles to the outside (as far as possible);
  • The gypsum is imposed from the upper glossed third to the fingertips.

All this time the patient needs a cane for walking, and in a lying position a pillow is put under the foot.

Medications

Special gels and ointments are used as early as the second day after the injury. Prescriptions prescribe anti-inflammatory drugs containing non-steroidal compounds.

These formulations are ketonal, movalis, nimesulide, nise, febrofide and similar preparations. In the course of treatment, pulsatile headaches may also occur, which are extinguished by ibuprofen or imet. True, the regular need for them - a serious "bell which is better to inform the doctor.

Compresses

After 6 - 7 days after the accident, compresses can be used.

A bruise of the ankle and its treatment at home is often accompanied by the imposition of an alcohol compress. All is extremely simple - at night impose a bandage, moistened in a warm solution of water and alcohol. These components are taken approximately equally.

This procedure is preceded by ointment treatment, although some compounds are better to exclude, so as not to disturb the protective mechanisms of the skin.

Physiotherapeutic procedures

Such procedures are appointed in 7-10 days. At earlier times, physiotherapy is not applied (warming up can cause a burn).

The type of influence is chosen by the doctor, based on the dynamics of recovery and the general condition of the victim.

It can be:

  • paraffinotherapy, which reduces the intensity of inflammation
  • diadynamic currentsfor anesthesia.
  • magnetotherapy, which removes puffiness and normalizes blood flow.
  • ultrasound. After it, the work of the vessels and lymph nodes improves. Yes, and ointments penetrate deeper, which speeds up treatment.
  • UHF currentsrestore the metabolism and also "disperse" the blood;
  • balneotherapy, which strengthens tissues.

Massage

He is practiced after 2-3 days. The main thing is not to hurt the affected bundle.

The first to massage the drumstick and fingers. If after a couple of days the pain slowly goes away and the swelling becomes smaller, you can easily rub the joint itself. In this case, the movements should be smooth, without a sharp change in direction.

Here elements of gymnastics are often included. For example, the same fingers can be bent in any position (sitting or lying down), supplementing such activity with rotational movements in the ankle. As they recover, their scope increases.

Physiotherapy

Exercises exercise in the case of injury are simple. Small loads can be applied as early as 3-4 days and they boil down to active work of the toes and tension of the muscles of the lower leg and foot.

These simple exercises do three times a day, each for 10 approaches. A week later the task becomes a little more complicated, adding:

  • cautious ascents to the socks;
  • stretch marks. Applying efforts on the expander, bend the foot. The leg is turned outward and inward;
  • thrust. Fingers of a foot cling a leg of a chair and pull on itself. Then the weight is increased (you can put other objects on the same chair);
  • walking at a comfortable pace on a flat surface (-2 hours).
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With a set of exercises for ankle joint damage, you can read more in the video.

Folk remedies

Considering the bruise of the ankle joint, one can not bypass treatment with folk remedies.

The most frequent reception -baths, which take a week. On a bucket of water take 400 g of any salt (ideally - marine) and warm up. The solution should be warm (up to + 37 °), and the immersion takes 15-20 minutes.

In the course are also warmers and bags with warm sand, which are applied to the problem place. The only requirement is that they should not cause unpleasant sensations, and even more so, burns.

As part of ointments and compresses, folk medicine does not lag behind the official one. Here, for example, the most popular recipeointments:

  1. The harvested comfrey roots are finely chopped and insisted 2 weeks in olive oil (50 ml of oil per 100 g of roots).
  2. Then the oil is decanted, and in the saucepan melted the beeswax (40 g).
  3. In the same container add essential oil of lavender (20 drops) and a glass of castor oil.
  4. The resulting composition is hindered and bottled (preferably with a dark glass).

This tool is suitable for massage, and as a lubricant for the night.

Compressesmake from:

  • Broth of wormwood.A tablespoon is taken on a glass of water and boiled on low heat for up to 15 minutes. The bandage is put on for 2-3 hours.
  • Cabbage.The washed sheet is beaten with a kitchen hammer until juice comes. Everything, you can tie up with a flexible bandage.
  • Aloe and garlic juice.They are taken evenly, and they pour gruel with vegetable oil. Here you need a warm bandage.
  • Red clay, which is interfered with water to a thick state.
  • Herbs and vodka.Chamomile, horsetail, sporach and birch buds are ground and poured with vodka for several days. After a few days, the liquid is decanted.

Possible complications

In any trauma, the risk of complications remains. In the case of a bruise, they can appear in:

  • Hemarthrosis(accumulation of blood in the cavity of the damaged joint). Then pierce and remove the liquid.
  • Synovite.Inflammation of the membrane is accompanied by swelling.
  • Zourek's syndrome.A sedentary lifestyle can cause blood flow disorders in the area of ​​trauma.
  • Post-traumatic arthrosis.The pain can suddenly appear and in some years after treatment. If there were repeated bruises, it is dangerous to deform the bone or ligament.

Compliance with medical prescriptions and moderate physical activity significantly reduce the risk of their occurrence. Health to you and the strength of your joints!

A source: http://prosustav.ru/travmasustava/ushibiperelom/chto-delat-pri-ushibe-golenostopnogo-sustava.html

Injury of the ankle: treatment, symptoms and first aid

The ankle bruise occurs quite often and is quite an unpleasant injury. Statistics show that virtually every person in his life is subject to this injury in varying degrees.

Symptoms

Unlike other joints, the ankle is the largest. It consists of three bones - a ram, a peroneal and a tibia.

Bones are strengthened with ligaments and placed in the joint capsule. Because of the special structure, the ankle is subjected to a considerable load, and, consequently, the risk of its damage is very high.

Usually, the following factors cause a trauma:

  • Fall from a significant height;
  • Force action on the ankle;
  • Individual anatomical features of the joint structure.

Depending on the force acting on the joint, the following damage can occur:

  1. Fractures and cracks in one of the joint bones;
  2. Dislocation;
  3. Sprain or ligament rupture;
  4. Injury.

Unlike other types of injuries, there are no abnormalities of tissue integrity with bruises. There is a bruise under the influence of an external force directed to the joint or its area.

In this case, the periosteum is actually affected by the injury, because the ankle has neither muscle nor fat protection.

With bruises of the ankle joint, the main symptoms are:

  • Pain that increases with movement and walking. Appears immediately after the impact and persists for several days and longer;
  • Edema of tissues in the joint region. With continuing loads can increase several times;
  • As a result of vascular damage, tumor formation and growth are sometimes observed;
  • Swelling can cause numbness in the fingers.

First aid: what to do?

  1. To provide first aid to the victim, it is necessary to first provide the injured limb an elevated position. Further, the site of the injury is treated with ricinol or an iodine mesh is applied to reduce edema and anesthetize the surface of the injury;
  2. Then, using an elastic bandage, a pressure bandage is applied. Instead of an elastic bandage, the usual or any other fabric is suitable. Bandage should start from the fingers, gradually rising upward, making each subsequent turn with the overlap of the previous by 2-3 centimeters. It is important to ensure that the bandage does not squeeze the leg too much and does not interfere with the blood flow;
  3. Strong pain can not be tolerated. It is recommended to take any pain medication or to inject;
  4. To remove the swelling to the diseased surface, you also need to apply cold. It can be ice or cloth, moistened with cold water. It is important not to allow hypothermia, so every 15-20 minutes you need to take breaks. Total keep the cold need not more than an hour.

During the day after the injury, it is important to ensure the patient's limb maximum peace, and for walking use a cane.

Home Treatment

Treatment of a bruise, as a rule, does not require hospitalization, however a visit to the doctor is still strictly necessary, since the symptoms of mild trauma is similar to an extension or fracture of the ankle and not performed in time therapy can be addressed by the development of severe consequences. In general, the treatment includes:

  • Immobilization of the damaged limb;
  • Treatment with the use of medicines;
  • Rehabilitation actions (physiotherapy, massage, exercise therapy).

In more complicated cases, with the development of complications, a doctor can be assigned to puncture the joint to remove accumulated blood.

At home, the treatment of the injury is reduced to the use of fixative bandages (bandages, orthosis, etc.).

) for 10-15 days and use of anti-inflammatory gels and ointments, which are applied 3 times a day.

From the second day, the ankle should begin to be gently massaged, but on condition that the puffiness has passed or started to decrease.

Developmental exercises also begin only after the removal of edema and pain and must include flexion-extensor movements of the fingers, as well as rotation of the foot into the inner and outer sides.

Daily, starting from the fifth day, you need to take warm baths and sea salt in the proportion of 300 grams to 20 liters of water. Duration of reception - no more than 20 minutes.

Alcohol and semi-alcohol compresses and warmers also effectively act on the damaged joint. To put them is not more than an hour. In case of severe damage, electrophoresis and waxing can be used for recovery.

Traditional medicine also offers several means of treating injury:

  1. For heating, it is useful to use heated salt wrapped in tissue;
  2. Compresses from medicinal herbs, infused with vodka or alcohol. A good effect is possessed by bearberry leaves, birch buds, cornflower flowers. The grass is infested for several days in a dark place, after which it is filtered and applied to the bruised place for several hours.

Ointment with bruises and sprains

Ointments and gels are indispensable tools for treating bruises and sprains, since they are capable of in a short time to penetrate into damaged tissue and have analgesic and anesthetic effect. However, before applying the ointment or gel, you need to make sure that it is not a steroid drug.

The use of ointments is allowed only on the second day after the injury. Local application of Troxevasin, Lyoton, Rescuer and other combined ointment preparations favorably affect the affected area and will help to eliminate swelling, bruising and pain relief.

Effectively eliminate pain and strengthen damaged tissues and ointment vessels, which include dexpanthenol, heparin and troxerutin.

With topical application, dexpanthenol is converted to vitamin B and accelerates regeneration processes.

Dimethyl sulfoxide, which is part of the Dolobieni ointment, relieves pain by blocking pain impulses, contributes to greater penetration of the remaining components of the drug. In addition, it has a very good anti-edematous effect.

How long does it hurt

Recovery after an ankle injury depends on the severity of the injury and on the presence or absence of concomitant damage.

As a rule, an independent bruise completely passes for 10 days.

However, when the injury is combined with a fracture, it is not always possible to cure quickly and the recovery period may increase to 3-4 months.

Effects

Negligent attitude to the treatment of injury can lead to serious consequences, including:

  • Hemarthrosis due to damage to the joint capsule. In this case, the blood accumulates in the joint cavity. With this complication, the treatment is performed surgically;
  • Arthrosis develops with repeated damage;
  • Inflammation of the synovial membrane, when even a slight effect on the ankle causes acute pain and edema formation;
  • Violation of blood circulation (Syndrome Zudeck). At the same time, the skin becomes unnatural, and the swelling intensifies.

A source: https://travmagid.ru/ushiby/ushib-golenostopnogo-sustava.html