Ankle Sprains

As a sports doctor, I see many injuries. The most common is the ankle sprain.

It never fails, if I'm covering an event, such as a soccer tournament, a kid will twist an ankle and some well meaning parent with some medical training will jump right in with the "Standard" advice. Don't take off the shoe, ice right away, don't walk on it, take some ibuprofen.....

While these steps have been firmly implanted into our heads; this approach actually slows the healing process and sets up an inferior repair that will lead to repeat ankle injuries.

The old RICE (rest, ice, compression and elevation) treatment is good for immediate pain relief, but does nothing to enhance or speed the healing process. Let me explain...

When an ankle or other joint is sprained, the ligaments that hold the bones together get stretched or torn. This can only happen if the bones get pulled apart. When you twist an ankle, one side gets opened up and stretches/tears the ligament. It is imperative that the bones get re-aligned immediately to start the repair process.

The first thing I do is evaluate the injury and see if the ligaments are intact, then traction the joint to re-align the boney structures. This usually brings great relief to the injured athlete. This must also be done before the swelling begins.

Conventional wisdom tells us that swelling and inflammation is bad. If it is bad, why does the body do it? Swelling and inflammation is vital to the repair process. The swelling floods the damaged area and cleans out the damaged tissue. This gives a foundation for the repair. Inflammation occurs when tissues are damaged. Histamines are released from the cells. This histamine release sets in motiion the repair process, as the body begins to deliver repair materials to the area. The pain and swelling helps to protect the joint durring this phase.

Taking NSAIDS (non-steroidal anti-inflammatory drugs-ibuprofen) leads to fibrosis formation. This creates an inferior and weak repair, prone to reinjury. Natural anti-inflammatory remedies include tumeric, curcummin and the enzyme bromelain are effective.

Weight bearing, as soon as possible, will strengthen the repair and speed healing. Weight stresses the repair and the body will build a stronger repair along the stress zones.

Best advice... if you suffer a sprained ankle, have a trained sports chiropractor evaluate it and treat as needed. Within a week to 10 days, most ankle sprains are healed enough to resume normal activities. Any questions or comments would be welcome.