Severe swelling of the ankle
Injury of the ankle joint. Treatment
Ankle joints carry the functions of supportand moving body weight. The injuries of these joints and their consequences constitute about a fifth of the diseases of the skeleton. It is very important to keep the ankle joints healthy with an injury. If you received ankle bruise, treatment should aim to preserve all its functions.
Causes of an ankle injury.
The cause is always a direct impacttraumatic agent. It can be a blow to the ankle joint with a foot, a solid object, including a blow against anything falling. The bruise can be exposed to soft tissues surrounding the joint, or periosteum, because the ankles protrude and are practically not protected by fatty tissue and muscles.
Signs of a bruised ankle joint.
- Pain. It appears at the time of the injury and can last several days.
- Soreness in the movement of the foot.
- Lameness. Apparatus usually does not suffer, a person can tread on the leg.
- Increased diffuse or limited edema of the soft tissues surrounding the joint. Tumescence may descend to the foot. Swollen tissues compress the nerve endings and pain intensifies.
- Hemorrhage into soft tissues (hematoma) as a result of rupture of small vessels.
- Possible numbness of the foot and fingers due to swelling.
Symptoms of bruising the ankle can besimilar to those with an ankle fracture, sprains, tendons. Therefore, if you are not completely sure of the diagnosis, consult your doctor with a traumatologist. He will find out from you the mechanism of injury, will conduct a clinical examination. You may need a radiograph of the joint in two projections.
- Hemarthrosis - the accumulation of blood in the joint inresult of damage to his capsule. With large bleeding, the joint is punctured and removed, then the joint is cleared 0.5% or 1% solution of novocaine.
- Synoviitis is an accumulation of exudate in the joint due toinflammation of the inner layer of the capsule. This complication can develop a few days after the injury. The joint looks swollen, if the joint is palpated, then throughout its extent will be soreness.
- Post-traumatic arthrosis - after sufferinga bruise with damage to the articular cartilage or multiple bruises of the ankle joint in months or years, this degenerative disease can develop.
- Syndrome Zudeka - a condition characterized byviolation of blood flow, trophic changes in tissues, local osteoporosis. The swelling is increasing, the skin is thinned, glossy, the joint is stiff. The cause of the development of this syndrome is usually a prolonged immobility of the joint after trauma. When bruised ankle should not be accompanied by a very long immobilization. Early medical exercises are very important.
First aid with an ankle injury.
- Give your leg an elevated position. Treat the site of injury with emulsion of Riciniol to reduce swelling and pain.
- Apply a pressure bandage of elastic bandage. If this is not at hand, you can use a normal medical bandage or tissue. Bandage follows, starting from the toes of the foot, rising upwards and blocking each bandage tour by one third. Do not wrap the bandage too much, otherwise the blood flow will be disturbed.
- Apply cold to the site of injury for 40-60 minutes.
- With severe pain, take an anesthetic drug inside or make an injection intramuscularly (ketonal, analgin, movalis, diclofenac).
Treatment of an ankle injury.
- The first leg should be in the staterest. It's better to put it on the pillow. With severe bruises, you should use a walking stick when walking. If the movement does not cause severe pain, you can walk, but for short distances and bandaging the joint with an elastic bandage or wearing a special bandage. At night, all pressing bandages should be removed. With severe bruises with pronounced edema, a gypsum lingeta is required. Immobilization of the joint should last 7-10 days.
- From the second day can be applied to the site of the injuryointments, gels or creams containing non-steroidal anti-inflammatory drugs (naize, fenbofid, movalis, fast-gel, etc.) 3 times a day. Continue to use Riciniol.
- Put on the place of injury medical film Polymedel: this has proven itself since the 80-ies of the 20th century a means of accelerating recovery,restoring tissues and capillary blood supply in the place of injury. The film should be applied for 30-40 minutes as often as possible once a day, for example, while you go to bed or rest on the couch.
- On the 2-3th day you need to start massaging your fingersfeet and lower leg. After another 2-3 days, if the swelling and pain have decreased, you can do a light massage and the joint itself. Massage combine with therapeutic gymnastics. In the supine and sitting position, bend and unbend the toes, feet, do rotational movements in the ankle, gradually increasing the amplitude.
- 5-6 days after injury daily usewarm foot baths with sea salt or salt at the rate of 300-400 gr. salt on a bucket of water. The temperature of the bath is 37 degrees, duration is 15-20 minutes.
- From 5-6 days, make half-alcohol compresses daily for 1 hour. You can apply a hot water bottle with warm water or salt, heated on a plate and poured into a tissue pouch.
- With a strong injury, you may need physiotherapy (magnetotherapy, electrophoresis with potassium iodide, UHF, paraffin applications, etc.).
In the case of timely and competent treatment of ankle injury the forecast is favorable, the work capacity is recovering quickly.