Thursday, January 1, 2015

TWISTED ANKLE TREATMENT

                                                         TWISTED ANKLE TREATMENT


Abstract
Ankle sprain is characterized as ankle injury and divided into two groups: complicated and uncomplicated. Uncomplicated ankle sprains are deal with without surgery. They include includes rest, ice (Cryotherapy), compression and elevation and medications. Complicated ankle sprains usually need surgical treatment.

Keywords 
Ankle sprain, Cryotherapy, Vasoconstriction, Edema

Introduction 
Ankle sprain is characterized as ankle injury that arises when a person stumbles and the foot bend, resulting in injury to the ligaments. Ankle ligament sprains are categorize on the basis of severity such as I, II and III.  Ankle injury is divided into two groups: complicated and uncomplicated. Uncomplicated ankle sprains are deal with without surgery. They include includes rest, ice (Cryotherapy), compression and elevation and medications. Complicated ankle sprains usually need surgical treatment.1, 2, 3

Twisted ankle sprain Management

Immobilization and Rest 
Rest or immobilization is essential to decrease the metabolic burden of the injured tissue and thus avoid increased blood circulation and prevent the further tissue damage in the joint by restrictive movement, and thereby, declining pain and swelling. It may help in improving recovery time, decreasing functional impairment, and in reducing pain.4

Crushed ice
Crushed ice in a plastic bag may be applied to the affected area is limit the injury-induced damage by dropping the temperature of the tissues and consequently minimizing the metabolic demand, inducing vasoconstriction (Narrowing of the blood vessels), and limiting the bleeding. Affected area should be cooled for nearly twenty minutes every 2 to 3 hours for the initial 48 hours.5 

Compression  
Compression is applied to the affected area by the use of bandage to limit the amount of edema (swelling) caused by the exudation of fluid from the damaged capillaries and retain into the tissue. Compression reduces the swelling and exudation of the fluid.

Elevation
Elevation of the affected part reduces the pressure in blood vessels of injured area and helps to limit the blood loss. Elevation of the affected part increases the drainage of the inflammatory exudates through the lymphatic system, reducing and limiting the swelling. 

Medications
Nonsteroidal Anti-inflammatory Drugs (NSAIDs) are used in the treatment of ligament Injuries.3,6

Conclusion 
Ankle ligament injury and treatment included the rest, ice (Cryotherapy), compression and elevation, medications and surgery. 

References 
1.Wolfe Michael W, UHL Tim L., Mattacola Carl G, Mccluskey Leland C, Management of Ankle Sprains. American Family Physician, January 1, 2001 / Volume 63, Number 1.
2.Seah Richard, and Mani-Babu Sivanadian. Managing ankle sprains in primary care: what is best practice? A systematic review of the last 10 years of evidence. British Medical Bulletin 2011; 97: 105–135.
3.Hauser R.A, Dolan E.E, Phillips H.J, Newlin A.C, Moore R.E. and Woldin B.A. Ligament Injury and Healing: A Review of Current Clinical Diagnostics and Therapeutics. The Open Rehabilitation Journal, 2013, 6, 1-20.
4.Kerr KM, Daley L, Booth L, Stark J. PRICE guidelines: guidelines for the management of soft tissue (musculoskeletal) injury with protection, rest, ice, compression, elevation (PRICE) during the first 72 hours (ACPSM). ACPOM. 1998;6:10–11.
5.Bekerom Michel P.J. van den,  Struijs Peter A.A, Blankevoort Leendert, Welling Lieke, C. van Dijk Niek, Kerkhoffs Gino M.M.J. What Is the Evidence for Rest, Ice, Compression, and Elevation Therapy in the Treatment of Ankle Sprains in Adults?. Journal of Athletic Training 2012;47(4):435–443.
6.Gino M Kerkhoffs et al. Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. Br J Sports Med 2012; 46:854–860.