Black and blue. Ouch!
(Keywords: ankle sprain treatment, chiropractic help, ankle exercises, plantar myofascitis, ankle joint pain)
of us will escape the need of treatment of a lower leg injury on one or another
occasion. A soft-ball slide, standing unexpectedly on the edge of the
pavement or uneven ground, can and does from time to time cause awesome
injuries to the ankle. Note the swelling, and the bruising from torn
It could be from a fracture within the ankle, but more likely it is due to torn ligaments or tendons.
Like all sportsmen and women, I have had my shares of sprains and strains. Of the three major events I have experienced, sprained ankle, a calf muscle strain and a slipped disk ... the ankle was by far the worst. Perhaps only by a small margin, on second thoughts. That ankle sprain troubled me for six months in my pre-chiropractic days. Ouch!
Update: I wrote this page some five years ago. My recent run in with a femoral nerve damage must surely compete with that ankle injury, only it lasted two months under chiropractic care.
Worse, it disabled me. I had to give up squash for six months. And what cured it? This is dinkum, latent heat fusion ...
Chronic foot pain - plantar myofascitis
Treatment of a sprained ankle will include careful chiropractic management of any subluxation of the talus bone in the ankle mortise joint. Other joints in the foot, leg and even pelvis too, of course. During such a sudden sprain, a chain events often shakes up the whole spine. Thereafter ankle exercises are vital to prevent reoccurence and a future plantar myofascitis ...
Whilst sprained ankle often happens in sport, or stepping unexpectedly on the edge of the curb, never forget our CHIROPRACTIC HELP safety on the stairs page. In your own home it's paramount.
On a personal note...
I was playing an important squash match when, at full stretch, I put my foot clumsily into the crack between the floor and the wall. The stab of pain as my ankle turned was one of the most painful things I have ever experienced. Sadly, I had to concede, as there was absolutely no possibility of continuing the match.
Within half an hour the ankle was very swollen and the next day there was bruising spreading down into the toes. Those were pre-chiropractic days, and I had no idea what to do.
The only suggestion of the school nurse for ankle sprain treatment was to use ice. Placing weight on the foot caused sharp stabs of pain within the ankle, and I had to use crutches for a week.
The ankle was extremely unstable, and for about six months, it would turn suddenly and unexpectedly, with sharp pain, and swell just whilst walking on level ground. After a few months the side of my knee started to ache.
It's a myth that, if you can walk on the walk on the ankle, that nothing is broken. Fortunately mine was not broken, though it should have been x-rayed.
What occurs in a sprained ankle?
TIP: Every day is a good day to quit smoking, but particularly today - avulsion fractures in smokers usually need to be pinned. The bone doesn't get enough oxygen, so after 6 weeks when the cast comes off, if it's still not healed, you have an operation and another two months in a cast to look forward to. Your call.
Can you spot the Jones fracture (below) on the side of the foot? There is a little white marker. This has to be cast, or it won't heal. The first priority in the treatment of a sprained ankle is the management of any fractures obviously. There are very few chiropractors equipped to do this, though the introduction of the post-graduate FICS programme is changing that. (see below)
CHIROPRACTIC HELP FOR ANKLE SPRAIN TREATMENT
An x-ray is important before chiropractic ankle sprain treatment if there is any suggestion of possible fracture, as adjusting the ankle would obviously aggravate the condition.
Usually more than one tissue is injured and unfortunately the treatment of one (eg a fracture) may contra-indicate the treatment of another (eg ice on the sprain, or adjusting the talus). Fracture will always take precedence. The talus can always be adjusted once the fracture has healed.
Sports chiropractic is now an integral part of the profession since the establishment of Federation International Chiropractic Sports ( FICS online ), a training course for chiropractors interested in treating sportsmen and women.
Ankle sprain treatment should ALWAYS include rehabilitation. Ankle exercises plus stretches plus ankle muscle strengthening. Otherwise another sprain is just around the corner and the likelihood of a nasty chronic plantar myofascitis!
A good ankle exercise stretch is simply to kneel on a carpet, with your toes pointed out behind you. Sit back on your heels, pressing them gently down towards the carpet. You should feel the stretch in the front and sides of the lower leg (not the calf).
Another essential stretch is for the Achilles / calf muscle complex. Stand about one metre from a wall, with one foot forward,knee slightly bent, and the other straight with the heel firmly on the ground. Stretch forwards, first with the leg straight, and then slightly bent.
Strengthening weak muscles and stretching damaged ligaments so they remain flexible, mobilising the subluxated joint, and finally re-establishing what is called "proprioception" are all important parts of ankle sprain treatment. Do it! Wobble boards are important aspect of chiropractic ankle exercises ... are easily available, and really make a difference. Ask your chiropractor where you can buy one locally, or very easy to turn on a lathe if your are at all handy.
Whilst not every sprained ankle necessarily needs professional care, I am finding more and more patients complaining of foot and ankle pain, such as plantar myofascitis, that has its origins in a long forgotten sprain sprain (years ago). When in doubt, treatment of a sprained ankle should include a chiropractic examination. If a subluxated Talus bone or a subtalar joint dysfunction, for example, is not corrected, it will alter your gait and inevitably leads to changes in the foot.
This is particularly true if you are a sportsman and woman - footflare occurs and your performance will drop off. Plantar myofascitis often has its origin in a long forgotten injury that really should have had ankle sprain treatment.
An aside: A report in a geriatric medicine research journal reveals that older persons who do balance exercises every day (such as a wobble board, though just standing on one foot makes a good start) are much less likely to fall and break a hip or crack their head on the floor, the most common cause of death. When you're done with your wobble board, give it to mum for a birthday present. She will bless you in time. Tell her to be careful, or she may be needing ankle sprain treatment!
For more interesting cases from the Chiropractic Coalface,
click here: CHIROPRACTIC COALFACE ...
Severe disabling arthritis of the ankle is less common than in the knee and hip, however it remains a regular challenge in every chiropractic clinic periodically. Invariably, it's an old sprain or fracture that was not well managed with the proper ankle sprain treatment; the hyaline cartilage degeneration is often accompanied by obesity, perhaps in part the cause, often the result of the disabling arthritis from the original injury.
If you can't walk regularly because your ankle hurts, you're likely to put on weight, further aggravating the problem. Worse, how fast you can and do walk, research proves, will directly affect your longevity.
Joint distraction is one excellent option for advanced arthritis in the knee or ankle.
Choosing the right shoes is vital if you plan to walk or jog safely after your Chiropractic Ankle Sprain treatment. A firm strap around the heel helps to prevent pronation, and a solid rubber heel reduces shock to the cushioning under the foot. If you have a tendency towards flat feet, make sure there is good arch support to prevent pronation.
this site you will get some straight forward advice in what is really
quite a difficult topic. Ankle sprain treatment begins with
the best walking shoes ...
Share your question. Perhaps I or someone else can contribute to the misery that foot and ankle joint pain can cause.
Click below to see contributions from other visitors to this page...
Old untreated sprain Not rated yet
I had a sprain on the anterior talofibular ligament and it was left untreated for year. It has been swollen and sometimes painful throughout the years …
Terrible ankle pain from an old sports injury Not rated yet
I went over front twist and it has never been the same tried everything please help me as it is the right foot I need a lot more detail, Craig, …
Ankle pain Not rated yet
I am a sportswomen and an avid tennis player (13 years now) and I have noticed that my ankle joint pain occurs when I'm playing tennis indoor on a hard …
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Interesting challenges of the day
1. Mr B has the trophy for the most acute neck in February. He has quite advanced lower neck arthritis for a forty year old, thanks to a severe fall on the head from a trampoline. But this is upper cervical pain. Right rotation is simply impossible. Luckily he is improving rapidly, eighty percent better he says after three treatments. See cervical facet syndrome.
2. Mrs C is a new patient with a long history of lower back pain, hip pain and pain in both feet. We'll see how we get on, Rome wasn't built in a day.
3. Miss U sprained her ankle two months ago, wearing high heels. She still has severe mid foot pain. Xrays and perhaps a CT scan.
4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.
5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.
6. Mrs X, a young mother has severe lower back pain, with numbness down the posterior thigh, calf and side of foot. It started after a long drive in the car. Update, she's forty percent less painful after four treatments, but the leg is still numb. Update two; she 60% better, but it's slow and is going to take the full 6 weeks to heal. Further update; a setback, after lifting her child she now has leg pain. It's going to the be difficult.
7. Mrs Y, a 70 year old woman is on maintenance care fo a nasty lumbar stenosis despite having to do everything at home. Her husband has a hospital acquired infection in the shoulder. After 4 operations he is incapacitated and going rapidly down hill.
8. Mrs Z, an 78 year old woman is doing remarkably well with a bad sciatica. But at over 200 lbs she is not losing weight, in fact gaining despite my suggestions. She's high risk for a stroke. Referral to a dietician to crack the whip.
9. Mr A, a 73 year old engineer, still working, is doing fine after a long episode of lower back pain. Some pain on the side of the hip remains after five treatments. Reassured him it's not hip arthritis.
10. Mrs B, a 64 year old woman has had Scheuermanns disease; it's left with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment, provides she come every six weeks or so for treatment.
11. Mr C, a young engineer fell off his mountain bike injuring his cervical spine and pelvis. Luckily both responded very quickly to a few chiropractic adjustments. Update: his neck is sore again. It all goes back to a whiplash injury ten years ago when he was rammed by a fully laden truck carrying a load of stone. Time for Xrays.
12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.
13. Both Mrs E and I can't believe how much better her lower back and leg pain are. Surgery for a scoliosis and spondylolysthesis three years ago helped greatly for one year. But then her leg went lame and weak. He was responded extremely well despite all expectations.
And so the day goes. Chiropractors shouldn't be treating the elderly? Bunkum.
Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?
Greetings, Dr B.
You helped me quite some time back with a soothing and professional
response which turned out to be exactly correct. I now consult a local chiropractor.
You write a superb newsletter, too.
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You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
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