You have a sprained ankle does not heal? is not so rare. Studies have shown that 10 to 30 percent of the distortions will have symptoms later. What is a sprained ankle anyway? It 's the most common injuries in all sports and dance.
Dancing drives your body to its limit. Landing from a jump, you can distort or injure the ligaments in the outer (lateral) side and holding the joint together. The degree of injury varies, depending on the damage to the ligaments. We must determine this a physical examination and X-rays that help us to classify the ankle sprain grade I (mild), II (moderate) or III (severe). The most serious distortion involves a complete rupture of the ligaments with marked instability, which often require surgery. Fortunately, most distortions are Grade I or II and heal in 3-6 weeks. The exceptions are those that continue to cause problems. This is the "ankle sprain that has not healed."
In medical circles, residual problems from sprained ankles cause considerable angst, because they can be difficult to diagnose and difficult to treat, especially when warning signs are ignored by stoic dancers. Problems with old distortions tend to fall into three categories: swelling, pain and instability ("failure").
SWELLING
It 's normal for a sprained ankle to swell, sometimes for 4-6 weeks or more. But swelling that persists for more than three months can be a sign of trouble. The capsule shell is called the synovium, and anything that irritates the synovial membrane causes fluid secretion. The swelling that you see from outside is a combination of soft tissue swelling around the joint and fluid inside. In the ankle there are many reasons for this condition. Although these may seem alarming, the treatment is possible. But first, let's take a look at the culprits.
chronic synovitis sometimes damage the surface of the town that does not appear on any test, such as an X-ray or MRI, although it continues to cause irritation and excess liquid.
What can you do? Treatment for chronic swelling, no matter what the cause is usually required to stay in bed with his leg elevated on a pillow at night and elastic ankle in the morning when you get out of bed. If the swelling is minimal and is slowly going away with no other symptoms, it is OK to dance, but go easy on the jumps and push ups until all the swelling is gone. However, if you feel so much better not do it! An ankle support (no need for metal hinges, etc.) and usually it feels good at this time.
PAIN
There are several common causes of ankle pain that does not go away: The persistent inflammation, scar tissue, or a torn ligament can occur in part into the empty part of the talus in the breast called the tarsus (tarsal sinus in Latin means cable or collected and ankle). This is the most common cause of ankle sprain that has not healed. Although it may be difficult to discern the problem on an X-ray or magnetic resonance imaging, a physical examination by a specialist in dance medicine and is capable of restricting the diagnosis to identify the exact area that hurts.
INSTABILITY '
"My ankle swinging" is probably the most common problem with ankle sprains after the sinus tarsi syndrome. Many things can cause this problem. Fortunately most respond to appropriate treatment.
For example, the weakness of the peroneal. There are two peroneal tendons that run parallel along the outside of the ankle, one is short and the other is long. Their main function is to keep the ankle from rolling over and to prevent distortion. After an accident remain weak, so the ankle is poorly protected from further roll-over. It's easy to fall into this vicious circle of 'E' weak, then the twist, then weakens, which can go on for months. If this is the problem, it is easy to solve. Simply restore the normal peroneal strength with physical therapy. A few months of daily use of a Theraband, under the guidance of a physiotherapist, and usually manages to strengthen the peroneal muscles.
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