Recently, many friends have said that my ankle was crippled and my knee was twisted when I was playing. I felt that the knee joint was shaking during running, and I felt that the joint stability was poor in daily life. The MRI showed that the ligament was torn. What should I do? Do it? Ligament tearing Ligament tearing generally occurs during exercise that exceeds the range of joint motion. For example, when the human body rotates under a load or when the joint twists when landing, muscles, ligaments, fascia, etc. are involved. The torsion of this joint is stressed or Sudden contraction of muscles will cause a few fibers to be broken to form ligament damage, leading to torn or even rupture of ligaments. Is surgery necessary for a torn ligament? After the injury, we have to confirm the degree of ligament damage through MRI and physical examination. If it is a mild injury or partial tear, it has no effect on joint function and no dysfunction, there is no need to use surgery, and conservative rehabilitation can be used. If the symptoms are obvious, it can be fixed with a brace in the early stage, especially if the blood supply of the medial collateral ligament is good. Early fixation will help the ligament heal, but after fixation, pay attention to restoring the joint angle. In the early stage of conservative rehabilitation, attention should be paid to inflammation. It is necessary to eliminate inflammation and swelling through ice, manipulation, ultrasound, etc., and then perform strength training to strengthen the strength around the joints and increase the muscle strength. The load on the ligaments during exercise will be reduced and better improved. Joint stability and movement function. Let’s take the knee and ankle joints as examples to explain how to recover after ligament injury~ Knee ligament injury rehabilitation. For the knee joint, there are four main ligaments, the medial and lateral collateral ligaments and the anterior and posterior cruciate ligaments, which are common Maintain the stability of the knee joint. Medial collateral ligament-restrict knee valgus; lateral collateral ligament-restrict knee varus; anterior cruciate ligament-restrict excessive forward movement of the tibia relative to the femur; posterior cruciate ligament-restrict excessive rearward movement of the tibia relative to the femur. The more common injuries are the anterior cruciate ligament and the medial collateral ligament. The general injury is mainly caused by torsion, or the imbalance of muscle strength after long-term exercise. Therefore, after the injury, the strength of the surrounding muscles should be strengthened to improve the stability of the knee joint. 1. Rehabilitation of front fork injury. Front fork injury is mainly the forward shear force of the calf relative to the thigh. At the same time, the knee joint will increase the pressure of the front fork. We all know that the front fork restricts the forward movement of the tibia, so after ligament injury, we can stabilize the knee joint by strengthening the strength of the hamstring on the back of the thigh, balance the strength of the front side of the thigh, and reduce the load on the front fork caused by the forward movement of the calf. Back bridge standing position hook leg 2. Rehabilitation of medial collateral ligament injury The medial collateral ligament is mainly caused by sudden lateral stress, knee joint valgus, and other circumstances, which can cause ligament damage. The medial collateral ligament is located on the inner side of the knee joint to prevent knee ectropion, so do not perform training such as adduction and raising of the leg in the lateral position in the early stage to prevent further injury. We can strengthen the medial head, increase the strength around the knee joint, balance the strength of the inner and outer thighs, reduce the stimulation of the medial collateral ligament, and also strengthen the semitendinosus, gracilis, and gluteus medius, and improve the internal buckle of the knee joint. Reduce the risk of injury again. Knee joint stability training ankle ligament injury rehabilitation. For the ankle joint, the inner side of the joint is the triangular ligament, mainly including the posterior tibiotalar ligament, tibiocalcaneal ligament, tibioscaphoid ligament, and anterior tibiotalar The ligaments are mainly used to maintain the position of the talus and prevent talus valgus and dislocation. There is an anterior talofibular ligament on the outside of the joint to limit the anterior movement of the talus, the posterior talofibular ligament to limit the posterior movement of the talus, and the calcaneofibular ligament to limit calcaneal varus. 1. Medial ligament injury The deltoid ligament is relatively strong, and the injury mainly occurs when the valgus pressure is too high. Generally, simple deltoid ligament injury is relatively rare, and the valgus ridge will be more serious, often accompanied by fractures or cartilage damage. 2. The most common lateral ligament injury is the flared foot. The main damage is the anterior talofibular ligament and the calcaneofibular ligament. Due to the structure of the ankle joint, it is easy to turn the foot and the ligament is pulled, resulting in a decrease in integrity and tension. Feeling bad, we can strengthen the arch strength, train the ankle joint stability through the unstable plane, protect the ankle joint, and avoid ligament damage. Strengthen the posterior tibialis muscle, grasp the towel, stand on the elastic band, stand on the elastic belt, stand on the unbalanced training, be careful not to have pain during the training process, of course, relaxation after training is also essential. Does everyone understand about ligament injuries? Surgery is not the best choice for all injuries. Timely rehabilitation and recovery of function are the most critical. It must be combined with your own situation
“Legs are boring, weak, unable to walk, even now I need to take a wheelchair to go out, and there is a needle-stick pain below the belly button. Now I have to wear two layers of pajamas to sleep, or I can’t sleep…” The 67-year-old grandmother Hu is suffering from illness. “Twists and turns” on the road to treatment 2 months ago, Grandma Hu developed weakness in her legs after fatigue, accompanied by pain in her legs, and a feeling of falling waist. She thought it was just fine to rest and rest after she was tired. Who knows that the symptoms gradually aggravated or even not Dare to walk alone, dizziness and discomfort from time to time. At that time, I was treated with drugs and other treatments in a clinic near my home, and I felt better. But 20 days ago, there was no obvious cause for Grandma Hu’s legs weakness again, and she accidentally fell. This made the family panicked and sent Grandma Hu to a local hospital. The local doctor considered that it might be the lumbar spine problem. There were no obvious abnormalities in NMR, lumbar spine MRI, and B-ultrasound of the veins of both lower extremities, and he improved after drug treatment. But the good times did not last long. Ten days ago, the symptoms became more serious. The patient once again became weak in his legs, accompanied by numbness, and feeling of stepping on cotton. “What kind of strange disease is this? How can it not be cured? Is it going to be paralyzed?” Grandma Hu’s condition is getting more and more serious. In 2 months, she has to rely on wheelchairs from walking independently to going out. The whole family is very anxious. Under the introduction of a friend, Grandma Hu came to the Affiliated Hospital of Northwest University·Xi’an Third Hospital in a wheelchair accompanied by her daughter. She hoped that the problem could be solved this time and she would not be disappointed again. Granny Hu first went to the Department of Neurology, Northwest University Affiliated Hospital and Xi’an Third Hospital. After various examinations, she was diagnosed with “Ossification of the Thoracic Spinal Canal Ligamentum Flavum”. It is recommended to go to neurosurgery for further treatment. After being transferred to neurosurgery, Professor Jiang Wei from the spine and spinal cord group was admitted. Combined with the patient’s various examination data and imaging data, it is recommended that surgery be performed as soon as possible. The strange disease turned out to be the ossification of the thoracic ligamentum flavum! ●What is the ossification of the thoracic ligamentum flavum? Ossification of the thoracic ligamentum flavum is a common clinical phenomenon of heterotopic ossification. There can be no symptoms in the early stage, but in severe cases It can compress adjacent spinal cord, nerves, blood vessels, etc., causing corresponding symptoms and signs. Many people may not have heard of this disease, but it is not rare. It occurs more frequently in East Asia, especially in Japan, with an average incidence rate of 0.9/100,000 persons/year reported in the literature. It is mainly distributed in North China, Northwest and Northeast China. The age of onset is the most common in 60-69 years old, followed by 50-59 years old and 70-79 years old, the male to female ratio is 2.2:1. ●Why do thoracic spinal canal ligamentum flavum ossification? Clinical studies have found that thoracic spinal canal ossification of ligamentum flavum mostly occurs in the thoracolumbar and cervical-thoracic junction, and the kyphotic apex of patients with kyphosis is adjacent to the segment Duan Changhui is complicated by thoracic spinal canal ossification of the ligamentum flavum, and it is speculated that its onset may be related to local stress stimulation. In addition, some scholars believe that the onset of thoracic spinal ligamentum flavum ossification may be related to factors such as degeneration, diabetes, obesity, and abnormal trace element metabolism. However, there is no theory that can fully explain the thoracic spinal ligamentum flavum bone. The pathogenesis of the disease. ●What are the clinical manifestations of thoracic spinal canal ossification of the ligamentum flavum? typically manifests as bilateral or unilateral upper motor neuron damage, that is, weakness, heaviness, joint stiffness, unstable walking and other symptoms of spastic paralysis. It may be accompanied by sensory dysfunction such as numbness of the lower limbs, sensation of stepping on cotton, and bandage, and sphincter dysfunction such as weakness or incontinence. We can understand from the anatomical structure: Flavum is a group of ligament structures in the spinal canal of the spine. Its main function is to maintain the stability of the spine. It is one of the supporting structures behind the spine. However, if there is local hypertrophy of the ligamentum flavum, or even subsequent ossification after the hypertrophy, ossification of the ligamentum flavum occurs, it will cause stenosis of the spinal canal, severely even compressing the spinal cord inside the spinal canal, or compression of the nerve roots , According to different parts, corresponding clinical symptoms appear. The volume of the thoracic spinal canal of the human body is originally smaller than that of the cervical spinal canal and lumbar spinal canal. If the thoracic spinal segment undergoes ossification and thickening of the ligamentum flavum, the volume of the thoracic spinal canal is further reduced and it is more likely to be compressed into the spinal cord inside. This picture vividly expresses the volume of cervical, lumbar, and thoracic spinal canals with different finger thicknesses. Picture a is the cervical spinal canal, the thumb can pass. Picture b is the lumbar spinal canal, the index finger can pass. Picture c is the thoracic spinal canal, only the thumb
In the anorectal clinic, there are often menopausal women who come to the clinic due to anal discomfort, while men rarely have them. This is mainly due to the special physiological characteristics of women. Estrogen can maintain the tension of muscles and ligaments, blood supply and nerve regeneration. As the age increases, the level of estrogen decreases, and the tension of the pelvic floor muscles and ligaments decreases. It loses its elasticity and becomes slack, which causes pelvic floor relaxation syndrome over time. Prolapse of pelvic floor organs such as the uterus, rectum, and vagina, which will always make the anus swell and discomfort, which will seriously affect daily life. For this situation, how to relieve the symptoms, first of all, to ensure smooth bowel movements, not to defecate stools, to reduce further damage to the pelvic floor muscles; in addition, you can also take Buzhong Yiqi Chinese medicine to play a lifting role.
The symptoms of ankylosing spondylitis are chronic myelitis, osteoporosis, and fractures. The accumulation of new bone hyperplasia is called ligament osteophyte, which occurs when the spine ligaments merge with the vertebral body. Because of the improper routine imaging of patients and the difficulty of obtaining living tissue, the mechanism of these processes is not completely clear, but the development of high-resolution peripheral quantitative CT has now enabled detailed visualization of bone microarchitecture. To explore whether this new technology can help elucidate progressive bone abnormalities in patients with AS, Klingberg and colleagues compared the 69 male Swedish patients who initially participated in a larger osteoporosis trial with 68 healthy people from Olmstead, Minnesota CT results of healthy people in the town. The average age of the patients was 49 years, and the average duration of illness was 23 years. Accompanying the lumbar spine trabecular bone BMD decline, AS patients also showed symptoms of bone microarchitecture changes, such as trabecular bone and cortical thinning. The implication is that osteoporosis in patients with AS is a broad process that includes the spine and trabecular bone at the distal end of the bone. In contrast, fractures at the spine and pathological bone formation are local problems, mainly related to bone compaction, which are revealed by further imaging and analysis. The researchers compared the high-resolution CT of 8 patients with vertebral fractures and 16 patients without fractures as controls. They found that the BMD and thickness of the trabecular bone and cortex were lower than the distal radius of the fracture group. However, the most significant difference between patients with fractures and controls without AS fractures is the cortical thickness of the radius (P=0.003) and tibia (P=0.016), and the cortex of the radius (P=0.001) and tibia (P=0.013) Cross-sectional area. In addition, in multiple regression analysis, only the reduction of the cross-sectional area of the tibia was related to fracture (B=0.063, P=0.008) and odds ratio of 0.939 (95%CI0.897-0.984). Klingberg’s team then analyzed the link between excess spinal bone formation and BMD, and found that 39 patients had radiographs showing ligamentous osteophytes. Multiple regression analysis found that after adjusting for age, ligament osteophytes were associated with a decrease in lumbar trabecular bone BMD (B=-0.058, P<.0.001), an odds ratio of 0.943 (95% CI 0.917-0.970) and an increase in cortical lumbar BMD ( B=0.019, P=0.016), and the odds ratio of 1.019 (95%CI1.004-1.035). The finding that the BMD of the trabecular bone in the lumbar spine is decreased but the cortical BMD is increased “is speculatively indicative of pathological new bone formation in the vertebral cortex”, the researchers explained. However, the formation of new bone in the spine is not related to the similar process of peripheral bone. Of course, this is related to the thickness and density of the peripheral trabecular bone. They elaborated, “This finding supports the fact that bone hyperplasia is a local bone anabolism response to inflammation, mechanical stress, or micro-damage, but it is not the concept of AS’s systemic process.”
Scientific research believes that males will stop developing their penis by the age of 20, and their length and circumference will not change again. The principle of current penile extension surgery is to increase the length of the visible part of the penis as much as possible to achieve the effect of visual extension. [Hot Questions and Answers] What is the principle of male penis extension surgery? Will it cause erectile dysfunction? It is not difficult to see from the above picture that under normal circumstances, only part of the body of the penis is exposed to the outside of the body, while the other part is “buried” under the skin. In order to maximize the exposure of body tissues, we can cut part of the penile penile ligament (the part marked by the purple dotted line in the figure) or reduce the thickness of the lower abdominal fat by liposuction (the part marked by the green dotted line in the figure). [Hot Questions and Answers] What is the principle of male penis extension surgery? Will it cause erectile dysfunction? The above is a schematic diagram of the operation. By making an incision at the root of the penis, the penile ligament of the penis is exposed, and part of the ligament of the penis is cut to increase the exposed length of the penis. [Hot Questions and Answers] What is the principle of male penis extension surgery? Will it cause erectile dysfunction? This is a schematic diagram of the operation. In order to achieve better results, some doctors will place a wedge-shaped medical silicone material at the site of the cut ligament. The purpose is to prevent postoperative tissue adhesion and retraction and maintain the postoperative effect. [Hot Questions and Answers] What is the principle of male penis extension surgery? Will it cause erectile dysfunction? This schematic diagram is more intuitive. By sucking the fat of the lower abdomen, the penis body buried under the skin is “seeing the sun again”, and the effect of penis extension is objectively achieved. The beauty seekers with surgical indications can have a certain degree of improvement in the length of the penis through surgery, and they will be effective in both weak and erectile states. So, does penis extension surgery cause erectile dysfunction? We know that the erectile tissue of the penis is the blood sinus tissue located in the white membrane of the penis, and the well-known cavernous body. Both penis lengthening and liposuction are performed in a space outside the penile tunica albuginea, so there is no damage to the cavernous body, and complications of erectile dysfunction rarely occur.
The basic cause of cervical spondylotic myelopathy is cervical degeneration. Among the various structures of the cervical spine, cervical disc degeneration is considered to occur earliest. As the texture of the intervertebral disc degrades, the water content decreases, the height decreases and the peripheral edge protrudes, the thickened ossification of the posterior longitudinal ligament covering the back of the intervertebral disc, the bone hyperplasia at the edge of the vertebral body, and the corresponding stress of the interlaminar ligamentum and intervertebral joints increase. The thickening of the ligament joint capsule and the decrease in elasticity result in a decrease in the diameter of the spinal canal, especially the anterior-posterior diameter, that is, the reduction of the sagittal diameter constitutes a static factor for spinal cord compression. Dynamic factors mainly refer to the extension and flexion of the cervical spine and increase the stress and deformation of the spinal cord. When the cervical spine is stretched, the length of the spinal canal is shortened, the spinal cord is relaxed, the spinal cord tissue becomes “short and thick”, the cross-sectional area increases, the yellow ligament folds into the spinal canal from the side and back, the fiber ring and the posterior process of the covered posterior longitudinal ligament, and the spinal cord compression increases When the cervical spine is flexed, the spinal canal is elongated and the spinal cord becomes flattened and widened. The bowstring action moves it forward. The osteophyte in front of the spinal canal and the protruding intervertebral disc tissue press against the spinal cord and aggravate the spinal cord damage. Some authors emphasize that when the cervical spine is extended, the posterior edge of the previous vertebral body is close to the posterior superior edge of the posterior vertebral arch, which produces a “clamp” effect on the spinal cord. The dysfunction of the spinal cord is caused by compression of the spinal cord and blood supply of the spinal cord. The number of nerve fibers in the spinal cord is reduced, the axoplasmic flow is blocked, twisted and deformed, the demyelination changes, nerve cell necrosis, apoptosis, spinal cord inflammation and ischemia, etc. There are few collagen hyperplasia, scar formation or cystic changes. Chronic injury is used as a precipitating factor in the pathogenesis of cervical spondylotic myelopathy. Most scholars believe that developmental spinal stenosis can lower the threshold of cervical spondylotic myelopathy.
There are many people who have been troubled by frozen shoulder! Let’s understand Yan next week. What is frozen shoulder? Periarthritis of the shoulder joint: refers to a chronic aseptic inflammation caused by injury and degeneration of the shoulder joint capsule and soft tissues around the joint. The disease is characterized by shoulder joint pain, movement dysfunction and muscle atrophy, which is referred to as shoulder circumference. Inflammation is also known as “Fifty Shoulders”, “Frozen Shoulders”, “Shoulder Coagulation Syndrome”, “Leaky Shoulder Wind” and other diseases. This disease is more common among manual workers. Women are slightly more than men and often occur on one side of the shoulder. This disease belongs to the “shoulder arthritis” area. The pathology of the shoulder shoulder is the joint with the widest range of movement. The joint capsule is relatively loose to maintain the stability of the shoulder joint. Most of them depend on the surrounding muscles, tendons and ligaments. power. There are many tendons and ligaments across the joint, and most of them are slender tendons. Due to the poor blood supply of the tendon itself, there are often degenerative changes with age; on the other hand, the shoulder joint is active in daily life and labor More frequently. Shoulder soft tissues are often subject to inflammatory changes such as hyperemia, edema, exudation, and thickening. If effective treatment is not obtained, shoulder soft tissue adhesion formation and even tendon calcification may occur over time, resulting in severe functional impairment of the shoulder joint. The clinical stage of periarthritis of shoulder is roughly divided into the pain period, freezing period and recovery period. Pain period: (also known as the inflammatory period) At this time, the inflammation is inflamed, and the periarthritis pain is very severe. Usually, after the onset of periarthritis pain, the short person takes one month and the long person takes two months. During this period, the periarthritis pain will be severe. Freezing period: As the shoulder joint is gradually thawed, the joint capsule ligament contracture and muscle spasm are gradually eliminated due to the reduction of pain, and the joint function gradually returns to normal. Recovery period: As the shoulder joint is gradually thawed, the joint capsule ligament contracture and muscle spasm are gradually eliminated due to pain relief, and the joint function is gradually returning to normal. The treatment method of periarthritis of shoulder is different in different periods, and the treatment methods adopted are also different. Shoulder joints should be rested in the acute phase of periarthritis of shoulder, and analgesic and anti-inflammatory measures (physiotherapy) should be taken to prevent cold and keep warm in the chronic phase of periarthritis, and cooperate with massage and cupping. During the recovery period of periarthritis of the shoulders, actively carry out rehabilitation exercises, etc., and adopt a comprehensive treatment method to restore health as soon as possible.
What causes the sore wrist? It is believed that many people have experience of wrist joint pain, and there are many causes of wrist joint pain, and it may also be caused by disease. So what are the causes of wrist joint pain, how to treat wrist joint pain, and how to recover wrist joint pain? What is the cause of wrist soreness? The causes of wrist pain are various and may be related to the following diseases. 1. Rheumatoid arthritis and rheumatoid arthritis occur mostly in women aged 20 to 45 years. Rheumatoid arthritis symptoms are often walking pain (the location of the pain is uncertain), pain, swelling, and stiffness mostly occur in the wrist, and joint sensitivity and swelling and pain occur at the same time, symmetrical disease (such as two-handed wrist, double knee). 2. Gouty arthritis Gout pain is common in the thumb. Mainly due to the consumption of seafood and alcohol and then induced purine metabolism disorders. In the acute phase, the patient has local swelling and severe pain, which is unbearable. In the chronic phase, the patient may have pain and joint deformation. 3. Tenosynovitis is also commonly known as the mouse hand. 4. Ligament injury Some people may experience valgus or inversion of joint ligaments due to external force stimulation, resulting in damage to the medial and lateral ligaments. These patients generally have a history of obvious trauma, so it is usually necessary to prohibit excessive physical activity. 5. Cartilage injury The meniscus of the knee is searched. When the knee is slightly bent, the knee will be stretched due to excessive internal rotation, causing the meniscus to tear, and joint pain will occur immediately. 6. Low autoimmunity Some people’s own immune system is damaged, and diseases such as lupus erythematosus or psoriasis can invade the joints and cause joint swelling and pain. Such conditions require medical assistance to diagnose. 7. Due to strain Due to the large amount of activity, the joints can not bear, resulting in strain on the muscles and other soft tissues around the joints, which can cause illness, especially periarthritis of the shoulder, tennis elbow, etc. are most common.
The essence of a sprain is a partial or complete tear of the ligament. Sprains can occur when joints move beyond normal limits. Severe sprains are often accompanied by fractures or subluxation. Once you suspect a serious sprain, you should seek medical help and take X-rays. Muscle strain is damage caused by excessive contraction of muscles or tendons during exercise, which usually occurs at the junction of muscles and tendons. Because the blood supply of muscle tendon and ligament is different, blood supply: muscle is greater than tendon is greater than ligament recovery speed: muscle is greater than tendon is greater than ligament. Because there are fewer blood vessels at the ligament, recovery is often slower. This is because the lack of blood transport makes it difficult for nutrients to be sent to the damaged location. At the same time, metabolic waste is more difficult to discharge. Compared with a sprain, a sprain has a slower swelling phenomenon. It usually takes a few hours for a sprain to appear and a strain only takes a few minutes.
We often say that the three joints of the hips, knees, and ankles of the lower limbs are a whole. When one problem occurs, it often affects the other joints. I believe that some people will have this experience-after a few days of rest, it seems to be okay to rest for a few days, but after a while, there is knee discomfort. Is there a relationship between them? Today we will talk about how the ankle sprain affects the lower limb force line, which in turn causes knee injury. Ankle sprain affects the lower limb force line 01 sprain ◆ & nbsp. Ankle sprain is one of the most common sports injuries. Ankle sprain accounts for 10% -34% of all sports injuries, most of which are varus sprains. Common inversion sprain. ◆ & nbsp. Basketball is one of the high incidence of ankle sprains. A single basketball has contributed more than 40% of sports ankle sprains. ◆ & nbsp. The sprained ankle ligaments reinforce the lateral ligaments of the ankle joint. There are three main ligaments: the anterior fibular ligament, the calcaneal fibular ligament and the posterior calf ligament. Inversion sprains may tear or even break these ligaments. The most prone to tear in an inversion sprain is the anterior calf ligament, followed by the calcaneus ligament. 02 Causes of poor lower limb force lines ◆ & nbsp. & Nbsp. Pain avoidance gait When we kick the foot and then perform inversion of the foot during the acute phase, it will stretch the ligament that stimulates the lateral injury and cause pain. Due to the instinct to avoid pain, many people will subconsciously use the inner side of the foot to increase the valgus angle of the foot after a serious kick to reduce the traction of the injured ligament. This pain avoidance gait can really make you less painful in the short term, but in the long run, when the body is accustomed to this gait, the foot valgus angle increases, and the knee joint is buckled, which causes poor lower limb force lines. . ◆ & nbsp. In addition, the anterior talofibular ligament we mentioned earlier, in addition to preventing varus sprain, also has an important function-limit the forward movement of the talus. Some people feel that their ankles are stuck in front of their ankles and cannot squat down completely. This is probably due to the limited dorsiflexion angle caused by the forward movement of the talus. ◆ & nbsp. Dorsal flexion angle In the normal walking gait cycle, starting from the entire sole of the foot completely touching the ground, the dorsiflexion angle of the foot gradually increases, reaching the maximum between the heel off the ground and the toe off the ground. If the dorsiflexion angle is insufficient, it will cause valgus compensation, and it will also cause the above-mentioned lower limb force line problems. 03 The impact of poor lower limb force lines Ankle is the “foundation” of the lower limbs. Ankle causing poor lower limb force lines will increase the risk of knee problems in daily life and sports, such as patella softening, patella tendinopathy, meniscus injury, etc. Waiting, and even up will even affect the pelvis and spine, can be described as pulling the whole body. Since a sprained ankle may cause so many bad results, let’s take a quick look at how to deal with it! How to deal with ankle sprains in the acute stage of 01 We previously introduced to you the principle of general treatment of acute closed sports injuries-the PRICE principle. Studies have shown that the POLICE principle works better for ankle sprains. ◆ & nbsp. & Nbsp.POLICE principle P (Protection): protection OL (Optimal Loading): proper load I (Ice): ice compress C (Compression): compression dressing E (Elevation): raise the affected limb POLICE principle will be the principle of PRICE R (Rest) rest replacement In order to carry proper weight, encourage no longer negative rest in the early stage, but let the affected side carry proper weight, which is beneficial to prevent muscle strength decline, proprioception decline, gait changes, and can promote your more Early recovery. In the acute phase, care must be taken to prevent painful gait from excessive valgus to avoid subsequent problems. 02 Do n’t panic if you have already generated the wrong force line, let ’s take a look at what kind of rehabilitation training should be done! ◆ & nbsp. Excessive foot valgus is first of all a problem of excessive foot valgus. Walking for a long time like this, the varus muscles, fibula long and short muscles become more and more tense, and the inversion muscles, tibia and posterior muscles, etc. are in a state of being excessively elongated for a long time, which will Muscles suppress the decline in muscle strength and produce functional flat feet. Therefore, we have to relax the long and short fibula muscles on the outside of the lower leg, and at the same time do foot varus training and foot arch exercises. (Fibular long and short myofascial bar relax) (elastic band foot inversion) (grass towel) (foot arch) ◆ & nbsp. Talar advancement leads to dorsiflexion and talar advancement leads to dorsiflexion guy