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#Also a splint is like a non-cast cast for when something is sprained. Or it’s like a wrist brace. Idk. I’m just a silly guy with a pen
cheezyratz · 9 months
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“I’ve been thinking a lot about you lately” or “don’t ever do that again” for the Fluff prompts for GreaseDinah?
Greasedinah “I’ve been thinking a lot about you lately”
💛-🖤-🩵-🤍-💛-🖤-🩵-🤍-💛-🖤-🩵-🤍
Dinah sighed as she walked to Pearl’s flower shop, her feet almost dragging. It was part of her routine to visit the small little shop every Friday, mostly because by then her other flowers would have already wilted. (She wasn’t the best at keeping flowers, but she was doing her best!) However, some days, for example this Friday, she was going in hopes the flowers could cheer her up. This week hadn’t been the greatest for her. She had tried to show Buffy and Ashley a trick she thought she had mastered, only to end up with a sprained wrist. ‘At least the splint is cute,’ she thought to herself as she continued to walk. Dinah froze at the shop’s door as she saw a familiar figure walk out of it. “GB?” She asked. “I didn’t know you liked flowers,” She continued, with a smile on her face. The mechanic, Greaseball, or ‘GB’ as Dinah called him, was holding a big bouquet of daisies wrapped in white paper with a big sky-blue bow holding it all together. “Well uh, they’re actually for you,” Geaseball spoke softly, voice close to a whisper and face turning pink. He handed the flowers to Dinah, before taking a card out of his pocket and handing it to her as well. “Heard from Rusty about your fall. Thought you’d uh.. like some flowers.” “Oh, that’s very kind of you GB,” the two smiled at each other. “It’s nice to know I’ve got someone thinking about me,” Dinah let out a pleased sigh, before smelling the flowers. “Then you’ll be happy to hear I’ve been thinking about you a lot lately,” Greaseball smirked. “Well…” Dinah began, taking Greaseball’s hand into hers, “I’m thinking we should go get some icecream.” the two smiled at each other again, before making their way down the street.
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fortitudinem · 4 years
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   LIVING CONDITIONS - BEFORE THE BARRIER DROPS 
The living conditions on the Isle are pretty awful (understatement). The cloud overhead is mostly made up of smog, created by the residents burning trash on open fires in an effort to stay warm, or for something to cook on and water vapour. The barrier means these things cannot escape. This gives the air a hazy quality to it. It smells like smoke and burning garbage, if near the water the smell of drying seaweed and rotting wood also accompanies this. The higher up you are, the worse the air quality, which is one of many reasons no-one really attempts to bypass the mountains in the south of the Isle, the other reason being that it's where the evil-but-sentient-animals are. The cloud cover means that on a dull day it's hard to tell exactly what time of day it is. Sunlight never makes it through the cloud.
The streets are brightly coloured. Any spare paint that is brought over from Auradon is quickly repurposed to colour the exteriors of buildings. However, there are piles of trash, twisted scrap metal, broken boxes and other 'unusable' trash that have been left in alleyways. The streets and pavements themselves are dirty. Litter and graffiti are everywhere. Any paint is peeling, windows are broken or non-existent, rooves are leaky, buildings are dangerous, bordering on condemned.
Housing comes in different styles. Those without homes will live communally, sleeping in any public building they can find, or outside if it's warm. Weaker residents live in shacks made from wood and corrugated metal. These are often single rooms for an entire family. Tougher residents, or those with methods of defence live in terraced housing or apartment blocks, where they have access to an entire home or apartment, but they are in charge of defending it themselves and/or stopping other people moving in or robbing them. Important villains and people who have made a name for themselves can have their own individual housing. Some of these are villain lairs that have been transported to the Isle to keep them from being an eyesore in Auradon (Hell Hall etc.) and some are self-made (Ursula's chip shop having been placed in a natural cave with some wooden walls etc.). A detached, well-furnished house or lair is a sign of power.
Furniture is upcycled at best and falling apart at worst. As far as furniture goes, functional items are hard to come by. Having a couch at all is considered amazing, no matter how broken or lumpy. Tables are often too short, having had their legs sawn down to size to fix a wobbly one, or because one has had to be replaced. Chairs are always mismatched. Plates and cups are often cracked or chipped. Beds are usually just a frame with mismatched wooden slats, or rope strung across it. mattresses are also difficult to come by- any mattress they receive has already been used to the point of falling apart, so often springs need to be removed, or stuffing needs to be put back in. They are always lumpy and sagging, or otherwise broken or uncomfortable. People also make their own, using offcuts from clothing, straw and anything else they can find to pad them out. Bed frames strung through with rope are the most common form of sleeping surface. Most household furniture has been created or fixed on the isle. Nothing comes to the Isle whole.
The includes food. Food, when it comes, is half-eaten, rotting, stale or is otherwise literal trash. It is barely edible. Food is cooked only in restaurants, or over open fires. Most of what gets eaten on the Isle has already been cooked once or can be eaten raw. Almost no-one has a stove in their house and the few that there are are electric or wood burning (though often garbage is used instead of wood) and are reserved solely for businesses whose purpose is to supply food to the masses.  
Basic necessities are lacking or non-existent. Lighting has to be cobbled together, the most common form of lighting on the Isle are string lights that used to operate off battery packs but have since been wired into the mains, or paper lanterns and bulbs of coloured glass. Mains electric on the Isle is generated almost exclusively by wind and steam power. Steam power is generated by heating water using burning garbage and produces a high volume of pollution, so it is not used very often, only if there is a severe shortage of alternatives. There is no connection to the Auradonian electrical grid. Most houses on the Isle aren't connected to the mains electricity and do not have electricity at all. Energy is reserved for lighting the Isle at night and funnelling into the businesses that require energy to function and provide a valuable service, such as restaurants. It is an important commodity. Affluent or powerful enough villains can insist on having their houses connected to the electrical grid and it's common for lower class villains to highjack the system and steal power anyway, but ultimately only around 1/3rd of homes on the Isle have access to power.
Even less have access to running water in their homes. There isn't much in the way of fresh, running water on the isle to begin with, what natural water there is is funnelled from the mountains/hills in the south of the isle and collected there. Wells have been dug all over the Isle but proximity to the sea means they must be manually refilled regularly with water from the hills, or rain butts. Often the water goes untreated and residents must boil any water they intend to use for culinary purposes or risk using contaminated water.
Living quarters can be found on almost every suitable surface, especially in the warmer seasons you will find people sleeping on roofs or out in the open and in the cold months, indoor spaces that are usually marketplaces suddenly become packed with beds. Communal living is common and it's not unreasonable in exceptionally cold circumstances to find multiple beds pushed together and lots of people squeezed into them in an effort to keep warm. Personal space is a complex entity on the Isle and having your own separate living space is something only the most affluent and powerful villains are capable of doing, only because they are the only ones capable of scaring other people out of their space, or preventing them from accessing it.
This communal living extends to every aspect of living. Clothes that are not being worn are often taken by someone else. To have multiple outfits is considered a sign of power. Power is also denoted by the materials used (to be expanded on in a future post). Bathrooms are difficult to come by. There are often public baths, which is to say, there are baths with curtains around them in the town square and you can use them if you're brave enough and have a way to get the water there yourself (and can risk being publicly exposed or losing your top layer of clothing). Toilets are often communal too, though without running water, most operate on a bucket flush system, aka you fill a bucket with water from the nearest well and tip it down the toilet to 'flush', and hand washing is difficult to say the least. 'Sinks' are usually simply washbasins, that you can fill yourself or that may already be pre-filled but has also been pre-used. Washing clothes usually takes place in large tubs, or personal ones, with washboards. There are no washing machines on the Isle. Clothes often come out dirtier than they went in. Washing is hung above street level and due to the lack of sun, it usually takes several days to dry completely.
The sewage system is not great, which is why the need for public toilets came about. baths are usually not plumbed into anything and simply empty into the street, but toilets are set up to be connected to a system of pipes that leads to the ocean. It's not the most sanitary of things, but it's all they've got. Everyone avoids the area where it dumps out into the sea. No-one wants to go fishing or swimming near there. No-one would be willing to risk their health like that.
There is a total lack of trained medical care on the Isle. Though there may be a few residents that are trained medical professionals, there are no facilities for them to run safely. Clinics, surgeries and hospitals are virtually non-existent. Some residents have set up make-shift clinics in their homes, but the facilities are poor, there is no safe medical equipment and medicines are difficult to come by. There are occasions where someone in Auradon will throw away out-of-date medication, or won't finish their course of antibiotics etc and these end up on the Isle, but they are usually snapped up quickly. Bandages may be found on the trash barges or cut from fabrics. They are washed more thoroughly than anything else on the Isle, but that doesn't mean much. Most people make their own.
In fact, most residents take care of their own health. An illness (a cold, the flu, food poisoning, anything else) is usually combatted by rest alone (plus water if you have someone to care for you and fetch it for you). A strain or sprain is treated similarly, should the person be able to do so. A bone break is harder to fix and a rudimentary splint can be created, but there are no plaster casts. Walking sticks and crutches can be cobbled together out of wood. Physical wounds are easily the most dangerous injury. They need to be cleaned with alcohol, or in extreme cases fire. Stitches are generally avoided if possible, as making items sterile is difficult. If necessary, stitches are done with thread or, in a worst case scenario, dental floss. If painkillers must be taken, they are most likely to be self-prescribed. Alcohol is the most common. Natural bark can be used, despite the lack of flowering plants on the Isle and there are some opiate-like painkillers that the Heart family have been able to produce, but these are expensive and saved for those able to afford it.
The Isle is an extremely dangerous place to get an injury. But they're also pretty common. Any injury that would require surgery to fix is pretty much beyond what the Isle can offer. Limbs can be removed if gangrenous or otherwise infected, but that is the surgical limit unless you know where to go and can afford to pay. There may be a black-market surgeon or two on the Isle. A first-aid class is taught in schools to all the VKs.
There is a lack of education on the Isle, many residents are incapable of reading or writing at an adult level and most are unable to perform basic mathematic functions. Books are rare and when they do show up they are usually waterlogged, wrecked or immediately taken to Dr Facilier's library. Having a collection of books and being able to read is a sign of importance. Math is considered less important than reading. The system on the Isle is lacking in almost every area.
Originally there was only one school, but as more children were born, more schools started to open. Dragon Hall first and then Serpent Prep and the Witch Academy. Classes are taught on how to be as villainous as possible, but there is an element of survival included too. Skills like thievery and dark magic (theoretical only) are more highly prized than basic knowledge of math/english/science etc. Some children don't go to school at all, some are home schooled and some attend actual school- but even these classes are lacking. It is expected for students to turn up late and not partake in lessons or do their homework. Even children enrolled at school sometimes don't show up for class either because they don't want to, or because they have duties elsewhere. Most children above a certain age are expected to be in some manner of employment by or for their families.
The age a child is expected to work varies between households, but it is usually under the age of ten and by the time they are teenagers they are being given more complex, demanding jobs and/or being made to do backbreaking physical labour that the older villains can't or don't want to do. (I'll do a post about common jobs on the Isle in the future).
Mental health on the Isle is awful, never seeing the sun combined with all the other factors has led to depression being very common amongst all Isle residents. Though the adults are more likely to succumb to it and retreat into themselves and into their homes and stop interacting with the world, or to get angry with their children and raise a hand against them. With the lack of books, however, knowledge on the subject is rudimentary and basic. There is no real treatment for it.
While many residents are proud to be Villains or Villain Kids, no-one is proud of the Isle itself. The conditions are too awful. No-one feels like they really own anything so there's nothing for them to be proud of. But for a lot of them, it's still the only home they've ever known, so they're not going to be willing to abandon it in a hurry.
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Ankle injury: causes and treatments
Ankle injury: causes and treatments
Ankle injuries are often considered as sports injuries. But you do not have to be an athlete or even a "weekend warrior" to transform your ankle and damage. Something as simple as walking on an uneven surface can cause a painful and disabling sprain.
Ankle injuries can happen to everyone at any age. However, men between 15 and 24 have higher rates of ankle sprain compared to women over 30 years who have higher rates than men. Half of the ankle sprains occur during a sporting activity. Every day in the United States, 25,000 people sprained ankle. And more than 1 million people visit emergency rooms each year because of ankle injuries. The most common injuries are ankle sprains and fractures, involving ligaments and ankle bones. But it can also tear or strain a tendon.
What kind of ankle injuries there?
Sprains, strains and fractures
Ankle injuries are defined by the type of tissue - bone, ligament or tendon - that is damaged. The ankle is where three bones: the tibia and the fibula of the leg with the talus of the foot. These bones are held together in the ankle joint by ligaments that are solid elastic connective tissue that hold the bones in place while allowing normal ankle motion. The tendons connect the muscles to the bones to do the work to make the ankle and foot move, and help to keep the joints stable.
A fracture describes a pause in one or more bones. A sprain is the term that describes damage to the ligaments when it is stretched beyond its normal range of motion. A sprained ligament may vary from many microscopic tears in the fibers including the ligament to tear or break completely. A strain refers to damage to the muscles and tendons as a result of being pulled or stretched too far.
Strains of the muscles and tendons are more common in the legs and lower back. The ankle, two tendons often tense. These are the peroneal tendons, and stabilize and protect the ankle. They may swell due to excessive use, or injury. Acute tendon tears are the result of sudden trauma or force. Inflammation of a tendon is called tendinitis. Tendon microscopic tears that accumulate over time because it expands several times, and do not heal properly lead to a condition called tendinitis. They can also be broken. Subluxation refers to a tendon that slips out of place.
What causes ankle injuries?
An ankle injury occurs when the ankle joint is twisted too far from its normal position. Most ankle injuries occur during sports activities or walking on an uneven surface that forces the foot and ankle in an unnatural position. The natural position of the high-heeled ankle or walking in hoofs or unstable and loose sandals is also a factor that can contribute to the ankle injuries. Besides the use of defective shoes, ankle injury can occur as a result of:
Stumble or fall
Landed left after a jump
Walking or running on uneven surfaces
A sudden impact like a car accident
Twisting or twisting the ankle
The bearing pin
Are there any different signs for different ankle injuries?
The symptoms of a sprain and a fracture are very similar. In fact, fractures can sometimes be confused with sprains. This is why it is important to have an ankle injury evaluated by a doctor as soon as possible. Signs include:
Pain, often sudden and severe
swelling
blue
Or inability to walk carry the weight on the injured joint
With a sprain, the ankle can also be stiff. With a fracture area will be sensitive to the touch, and the ankle it may also appear distorted or misplaced.
If the sprain is mild, the swelling and pain may be mild. But with a serious sprain, there is a lot of swelling and pain is usually intense.
Tendonitis and acute peroneal tendon tears give rise to pain and swelling. In addition, the area of ​​the ankle will feel warm to the touch with tendinitis. With an acute tear, there will be weakness or instability in the foot and ankle.
Tendonitis can take years to develop. Symptoms include:
Sporadic pain in the outside of the ankle
The weakness or instability in the ankle
An increase in the height of the arch of the foot
With subluxation, you will notice the instability or weakness of the ankle. You may also notice an occasional pain behind the ankle bone on the outside and a feeling of "breaking" around the ankle bone.
What should someone do after an ankle injury?
It may be first aid requested an injury to the ankle memory R.I.C.E: rest, ice, compression, elevation.
Rest. It is important to rest from the ankle to avoid further damage and maintain the weight there.
Ice. Using retarded ice assist or reduce swelling and give a sense of anesthesia relieve pain. Adequate ice formation includes icing within 48 hours of an injury, never leave the ice for more than 15 minutes to 20 minutes at a time to avoid freezing. Wait 40 minutes to 45 minutes before applying the ice again to allow the tissues to return to normal temperature and feeling, and repeat as needed. You can apply ice cream with a freezer plastic bag filled with ice cubes and water to mold the ankle or use a frozen vegetables such as bag of corn or peas (do not eat after use and refreeze) A Layer of towel between the skin and the plastic bag.
Compression. Wrapping the ankle injury with an elastic bandage or compression film, will help to keep it immobile and supported. Be careful not to wrap the ankle too hard. If the toes become blue, chilled or lose the feeling that the package is too tight.
Raise. Raising the injured ankle at least to the level of your heart will reduce swelling and pain.
It is important not to put any weight on the ankle until it has been assessed by a doctor, which should be done as soon as possible. Fractures and strains that are ignored or not treated properly can lead to long-term chronic problems with the ankle, such as repeated injuries, ankle weakness and arthritis.
How does the doctor diagnose an ankle injury?
The first thing a doctor will do is ask about how the injury has occurred. The doctor will then examine your ankle, noting the amount of swelling and bruising. Physical examination of the ankle can be painful because the doctor needs to move the ankle to evaluate the pain and swelling in order to make a good diagnosis.
Your doctor may order an X-ray ankle to check for broken bones. In addition to an X-ray ankle, your doctor may order X-rays from your leg and foot to determine if there are other related injuries. If the doctor suspects a stress fracture, the doctor will ask for more imaging tests such as MRI, which show details of the injury. If there is a fracture, the doctor can also order a stress test, which is a special x-ray taken with the pressure applied to the joint. This will help the doctor determine if surgery is needed.
For most ankle injuries, pain is controlled by the use of a non-prescription drug such as acetaminophen or other non-steroidal anti-inflammatory drugs like ibuprofen. A specific treatment of the lesion depends on the type of injury.
Treatment of Fractures
Fractures can be treated surgically or non-surgically. The doctor can treat the rupture without surgery by immobilizing the ankle if only one bone is broken, and if the bones are not on the spot and the ankle is stable. Usually the doctor will do this by putting on a device that acts as a splint or put in a plaster. If the ankle is unstable, the fracture will be treated surgically. Often the ankle is made stable using a metal plate and screws to hold the bones in place. After the surgery, the ankle is protected by a splint until the swelling decreases then with a cast.
It usually takes at least six weeks for the bone to heal. Your doctor will probably ask you to maintain the ankle weight during this time for the bones to heal in a proper alignment. Ligaments and tendons may take longer to heal after it has been completely repaired a fracture. It can take up to two years to completely recover pain without pain and strength after an ankle fracture, although most people are able to resume their normal daily routine within three to four months.
After the doctor has determined that he is sure that you are starting to move your ankle, you may need physical therapy to provide training gait, balance exercises, strength and mobility. The therapist will develop a home program that you can use to recover its previous normal function. It may take several months to return to a normal walking pattern without limping.
Treatment of Entorses
The treatment of strains depends on the severity of the injury. They are classified as mild, moderate or severe. Surgery is usually not a treatment option unless the damage is significant, involving more ligaments or when other treatment options fail.
Benign sprains, called grade 1, treated with the RICE method for several days until pain and improve inflammation. With a slight sprain, you will not need a splint or a plaster. Your doctor will tell you to put weight on the ankle quite quickly - within one to three days - as long as you can tolerate and prescribed amplitude of movements, stretching and strengthening exercises.
If your sprain is classified as moderate or grade 2, the doctor will use the RICE method but will give more time for healing to occur. The doctor may also use a device such as a starter or splint to immobilize the ankle. You will be given exercises to do first to improve the amplitude of movement and stretch and strengthen the ankle. The doctor may also prescribe a physical treatment to help you regain full use of the ankle.
Grade 3 or severe sprain involves a complete tear or rupture of a ligament and takes much longer to heal. This is the immobilization of the joint followed by longer physical therapy for the range of movement, stretching and strengthening period. Occasionally, especially if the sprain is not cured within a reasonable period of time, it is considered a surgical procedure to rebuild the torn ligaments.
On average, initial treatment of a sprain, including rest and protect the ankle until the swelling goes down for about a week. It is followed by a period of one to two weeks of exercise to restore the amplitude of movement, strength and flexibility. It can take several weeks to months to gradually return to normal activities while continuing to exercise.
Treatment of tendon injuries
Options for treating tendon injuries are similar to options for treating sprains. They understand:
Immobilization plaster or splint
Oral medications or anti-inflammatory injection to reduce pain
Physical therapy for amplitude of movement, strength and balance
A key to providing support during activities
Surgery to repair tendon or tendons and sometimes to repair foot support structures
Can I prevent ankle injuries?
The National Institute of Arthritis and Musculoskeletal and Skin Disorders recommends the following steps to reduce the risk of ankle injury:
Avoid exercise or exercise when you are tired or in pain.
Keep your muscles strong by eating a well balanced diet.
Maintain a healthy weight.
Try not to fall.
Wear shoes that fit well and are appropriate for the activity you are doing.
Do not wear shoes with worn heels on one side.
Exercise every day.
Maintain proper conditioning for all the sports you play.
Heat and stretch before exercising or practicing a sport.
Use the appropriate equipment for all sports to play.
Run on flat surfaces.
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health1information · 7 years
Text
Ankle injury: causes and treatments
Ankle injury: causes and treatments
Ankle injuries are often considered as sports injuries. But you do not have to be an athlete or even a "weekend warrior" to transform your ankle and damage. Something as simple as walking on an uneven surface can cause a painful and disabling sprain.
Ankle injuries can happen to everyone at any age. However, men between 15 and 24 have higher rates of ankle sprain compared to women over 30 years who have higher rates than men. Half of the ankle sprains occur during a sporting activity. Every day in the United States, 25,000 people sprained ankle. And more than 1 million people visit emergency rooms each year because of ankle injuries. The most common injuries are ankle sprains and fractures, involving ligaments and ankle bones. But it can also tear or strain a tendon.
What kind of ankle injuries there?
Sprains, strains and fractures
Ankle injuries are defined by the type of tissue - bone, ligament or tendon - that is damaged. The ankle is where three bones: the tibia and the fibula of the leg with the talus of the foot. These bones are held together in the ankle joint by ligaments that are solid elastic connective tissue that hold the bones in place while allowing normal ankle motion. The tendons connect the muscles to the bones to do the work to make the ankle and foot move, and help to keep the joints stable.
A fracture describes a pause in one or more bones. A sprain is the term that describes damage to the ligaments when it is stretched beyond its normal range of motion. A sprained ligament may vary from many microscopic tears in the fibers including the ligament to tear or break completely. A strain refers to damage to the muscles and tendons as a result of being pulled or stretched too far.
Strains of the muscles and tendons are more common in the legs and lower back. The ankle, two tendons often tense. These are the peroneal tendons, and stabilize and protect the ankle. They may swell due to excessive use, or injury. Acute tendon tears are the result of sudden trauma or force. Inflammation of a tendon is called tendinitis. Tendon microscopic tears that accumulate over time because it expands several times, and do not heal properly lead to a condition called tendinitis. They can also be broken. Subluxation refers to a tendon that slips out of place.
What causes ankle injuries?
An ankle injury occurs when the ankle joint is twisted too far from its normal position. Most ankle injuries occur during sports activities or walking on an uneven surface that forces the foot and ankle in an unnatural position. The natural position of the high-heeled ankle or walking in hoofs or unstable and loose sandals is also a factor that can contribute to the ankle injuries. Besides the use of defective shoes, ankle injury can occur as a result of:
Stumble or fall
Landed left after a jump
Walking or running on uneven surfaces
A sudden impact like a car accident
Twisting or twisting the ankle
The bearing pin
Are there any different signs for different ankle injuries?
The symptoms of a sprain and a fracture are very similar. In fact, fractures can sometimes be confused with sprains. This is why it is important to have an ankle injury evaluated by a doctor as soon as possible. Signs include:
Pain, often sudden and severe
swelling
blue
Or inability to walk carry the weight on the injured joint
With a sprain, the ankle can also be stiff. With a fracture area will be sensitive to the touch, and the ankle it may also appear distorted or misplaced.
If the sprain is mild, the swelling and pain may be mild. But with a serious sprain, there is a lot of swelling and pain is usually intense.
Tendonitis and acute peroneal tendon tears give rise to pain and swelling. In addition, the area of ​​the ankle will feel warm to the touch with tendinitis. With an acute tear, there will be weakness or instability in the foot and ankle.
Tendonitis can take years to develop. Symptoms include:
Sporadic pain in the outside of the ankle
The weakness or instability in the ankle
An increase in the height of the arch of the foot
With subluxation, you will notice the instability or weakness of the ankle. You may also notice an occasional pain behind the ankle bone on the outside and a feeling of "breaking" around the ankle bone.
What should someone do after an ankle injury?
It may be first aid requested an injury to the ankle memory R.I.C.E: rest, ice, compression, elevation.
Rest. It is important to rest from the ankle to avoid further damage and maintain the weight there.
Ice. Using retarded ice assist or reduce swelling and give a sense of anesthesia relieve pain. Adequate ice formation includes icing within 48 hours of an injury, never leave the ice for more than 15 minutes to 20 minutes at a time to avoid freezing. Wait 40 minutes to 45 minutes before applying the ice again to allow the tissues to return to normal temperature and feeling, and repeat as needed. You can apply ice cream with a freezer plastic bag filled with ice cubes and water to mold the ankle or use a frozen vegetables such as bag of corn or peas (do not eat after use and refreeze) A Layer of towel between the skin and the plastic bag.
Compression. Wrapping the ankle injury with an elastic bandage or compression film, will help to keep it immobile and supported. Be careful not to wrap the ankle too hard. If the toes become blue, chilled or lose the feeling that the package is too tight.
Raise. Raising the injured ankle at least to the level of your heart will reduce swelling and pain.
It is important not to put any weight on the ankle until it has been assessed by a doctor, which should be done as soon as possible. Fractures and strains that are ignored or not treated properly can lead to long-term chronic problems with the ankle, such as repeated injuries, ankle weakness and arthritis.
How does the doctor diagnose an ankle injury?
The first thing a doctor will do is ask about how the injury has occurred. The doctor will then examine your ankle, noting the amount of swelling and bruising. Physical examination of the ankle can be painful because the doctor needs to move the ankle to evaluate the pain and swelling in order to make a good diagnosis.
Your doctor may order an X-ray ankle to check for broken bones. In addition to an X-ray ankle, your doctor may order X-rays from your leg and foot to determine if there are other related injuries. If the doctor suspects a stress fracture, the doctor will ask for more imaging tests such as MRI, which show details of the injury. If there is a fracture, the doctor can also order a stress test, which is a special x-ray taken with the pressure applied to the joint. This will help the doctor determine if surgery is needed.
For most ankle injuries, pain is controlled by the use of a non-prescription drug such as acetaminophen or other non-steroidal anti-inflammatory drugs like ibuprofen. A specific treatment of the lesion depends on the type of injury.
Treatment of Fractures
Fractures can be treated surgically or non-surgically. The doctor can treat the rupture without surgery by immobilizing the ankle if only one bone is broken, and if the bones are not on the spot and the ankle is stable. Usually the doctor will do this by putting on a device that acts as a splint or put in a plaster. If the ankle is unstable, the fracture will be treated surgically. Often the ankle is made stable using a metal plate and screws to hold the bones in place. After the surgery, the ankle is protected by a splint until the swelling decreases then with a cast.
It usually takes at least six weeks for the bone to heal. Your doctor will probably ask you to maintain the ankle weight during this time for the bones to heal in a proper alignment. Ligaments and tendons may take longer to heal after it has been completely repaired a fracture. It can take up to two years to completely recover pain without pain and strength after an ankle fracture, although most people are able to resume their normal daily routine within three to four months.
After the doctor has determined that he is sure that you are starting to move your ankle, you may need physical therapy to provide training gait, balance exercises, strength and mobility. The therapist will develop a home program that you can use to recover its previous normal function. It may take several months to return to a normal walking pattern without limping.
Treatment of Entorses
The treatment of strains depends on the severity of the injury. They are classified as mild, moderate or severe. Surgery is usually not a treatment option unless the damage is significant, involving more ligaments or when other treatment options fail.
Benign sprains, called grade 1, treated with the RICE method for several days until pain and improve inflammation. With a slight sprain, you will not need a splint or a plaster. Your doctor will tell you to put weight on the ankle quite quickly - within one to three days - as long as you can tolerate and prescribed amplitude of movements, stretching and strengthening exercises.
If your sprain is classified as moderate or grade 2, the doctor will use the RICE method but will give more time for healing to occur. The doctor may also use a device such as a starter or splint to immobilize the ankle. You will be given exercises to do first to improve the amplitude of movement and stretch and strengthen the ankle. The doctor may also prescribe a physical treatment to help you regain full use of the ankle.
Grade 3 or severe sprain involves a complete tear or rupture of a ligament and takes much longer to heal. This is the immobilization of the joint followed by longer physical therapy for the range of movement, stretching and strengthening period. Occasionally, especially if the sprain is not cured within a reasonable period of time, it is considered a surgical procedure to rebuild the torn ligaments.
On average, initial treatment of a sprain, including rest and protect the ankle until the swelling goes down for about a week. It is followed by a period of one to two weeks of exercise to restore the amplitude of movement, strength and flexibility. It can take several weeks to months to gradually return to normal activities while continuing to exercise.
Treatment of tendon injuries
Options for treating tendon injuries are similar to options for treating sprains. They understand:
Immobilization plaster or splint
Oral medications or anti-inflammatory injection to reduce pain
Physical therapy for amplitude of movement, strength and balance
A key to providing support during activities
Surgery to repair tendon or tendons and sometimes to repair foot support structures
Can I prevent ankle injuries?
The National Institute of Arthritis and Musculoskeletal and Skin Disorders recommends the following steps to reduce the risk of ankle injury:
Avoid exercise or exercise when you are tired or in pain.
Keep your muscles strong by eating a well balanced diet.
Maintain a healthy weight.
Try not to fall.
Wear shoes that fit well and are appropriate for the activity you are doing.
Do not wear shoes with worn heels on one side.
Exercise every day.
Maintain proper conditioning for all the sports you play.
Heat and stretch before exercising or practicing a sport.
Use the appropriate equipment for all sports to play.
Run on flat surfaces.
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