Thursday, 17 January 2013

Sprains and strains

Sprains and strains
Tendon and ligament injury

Both ligament sprain and tendon and muscle strains are common, they occur not only in persons who do a lot of sports but also those who don’t do enough exercise, overuse and trauma situations.

The ligament joins a bone to a bone
The tendon connects the muscle to the bone.

A sprain is stretching or tear of a ligament where a strain is an injury to a tendon or muscle where there is micro-tearing, more severe tearing or overstretching.

Both sprains and strains result in pain, some cases more than others depending on the severity of the injury. More often than not other symptoms such as swelling, heat in the affected joint, instability of the involved joint or muscle spasm and or lack of strength in the muscle also occur as a result of the injury. It may be difficult to put weight on the affected joint.

Diagnosis will be based on the symptoms, and graded by severity of the injury. In severe cases it’s important to eliminate other possible injury such as fracture to the bones of the affected joint.
General advice given with this type of injury is (RICE) rest, ice, compression, elevation.

Anti-inflammatory medication may be given.
Physiotherapy is usually advised as part of the rehabilitation process.

Chinese medicine,
This type of injury may fall into the category of bi syndrome ( blockage) of the affected channels involved. There may be variations of the diagnosis in Chinese medicine terminology that reflect the pattern being presented and depending on the type of injury and location.

Acupuncture can be extremely effective in helping to reduce inflammation which will in turn improve blood circulation and help to relieve pain. This will speed up the recovery process.

The acupuncturist will also take into account any underlying energetic imbalances the person maybe presenting with and help to correct these which will also aid the recovery process.

These injuries can sometimes be frustrating as they can be slow to heal. Both tendons and ligaments have poor blood supply, they can take much longer to repair than a torn muscle which has a huge blood supply by comparison.

Over straining the tendon or ligament may aggravate the situation, if you need to work or are going to attempt exercise strap the sprained area or wear a support initially for some time after the initial injury.

Rehabilitating the injured ankle or wrist is a important and may take some time to build strength back into the affected joint.
Rotating the toes and ankle

Rotating the toes and ankles gently can be very effective once the swelling has gone and most initial pain has begun to subside, only rotate in the direction that feels best or has no pain.   

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1 comment:

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