What medicine is good for ligament injury?

Written by Wang Jing
Pediatric Orthopedics
Updated on September 11, 2024
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Ligament injuries first require assessment of whether the damage is acute or chronic before considering medications. For acute ligament injuries, there are key principles to follow. First, the injured area must rest and the joint should no longer be active. Second, immediately apply cold compresses. The temperature of the ice-water mixture touching the skin should be between 4℃ to 10℃. Apply the cold compress for about 10 to 15 minutes, generally not exceeding 20 minutes. If there is severe swelling, you can continue to apply cold compresses two hours later. Then, elevate the patient's limb and apply compression bandaging to the injured site, which forms the treatment principles for acute ligament injuries. For chronic ligament injuries, different situations require different approaches. For ligament injuries that do not affect joint stability, some topical medications can be used. This can include traditional Chinese medicines or anti-inflammatory and analgesic patches, which mainly improve local blood circulation and reduce local chronic inflammation. (Please use medications under the guidance of a doctor.)

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How long does it take for a triangular ligament injury to heal?

The deltoid ligament, as a very important structure on the medial side of the ankle joint, is mainly divided into superficial and deep layers. The superficial layer generally originates from the anterior colliculus of the medial malleolus and is more superficial, making it more susceptible to injury. The deep layer originates from the posterior colliculus of the medial malleolus and is tightly connected with the talus bone, meaning that any injury likely involved significant force. Moreover, once injured, it cannot self-repair except through surgery. So, how long does it take for a deltoid ligament injury to heal? For superficial injuries, with proper immobilization or surgical repair, recovery typically takes about three weeks. For deep injuries, surgical repair can be challenging, and reconstruction is often required, extending the healing time to about six weeks or even three months.

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Post-symptoms of knee ligament injury

The knee joint has four crucial ligaments: the anterior and posterior cruciate ligaments, and the medial and lateral collateral ligaments. They act like four pillars, firmly anchoring the knee joint in a very stable and normal position. If any of these ligaments rupture, this balance is disrupted, causing the knee to move abnormally in a certain direction, leading to increased local wear and tear or compensatory wear in other parts. Therefore, if ligament damage is not repaired, and the balance is disrupted, it can lead to many complications or sequelae. The first is traumatic arthritis. The second is patellar chondromalacia. The third is meniscus damage. The fourth is damage to other ligaments, or even rupture. The fifth is knee arthritis, also known as OA, or degenerative changes. The sixth is knee effusion and synovitis. Thus, the sequelae of knee ligament injuries are numerous and troublesome.

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Symptoms of knee ligament injury

The ligaments in the knee joint are quite complex, often resulting from trauma, strain injuries, or lateral impacts. Symptoms such as reluctance to move the knee, pain, and worsened pain after movement usually necessitate a hospital examination. Lateral stress tests examine the medial and lateral collateral ligaments, drawer tests check the anterior and posterior cruciate ligaments, and pivot shift tests or squat walking tests assess the meniscus. If necessary, an MRI is performed for diagnosis. Early detection and treatment are crucial. If trauma is frequent, or instability after injury occurs, one should seek hospital examination. Ligament damage often heals slowly, typically taking around a month to fully recover.

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Written by Wang Jing
Pediatric Orthopedics
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How to operate on ligament damage

Ligament injuries that affect joint stability require surgery, and different locations necessitate different surgical methods. Generally, for ligaments within a joint, such as the anterior cruciate ligament or the posterior cruciate ligament of the knee, reconstruction is performed using either autografts, allografts, or synthetic tendons to replace the original damaged ligaments. For ligaments outside of a joint, such as the medial collateral ligament, lateral collateral ligament of the knee, or the anterior talofibular ligament of the ankle, if the joint stability is compromised, suturing is generally performed during the acute phase. For chronic, long-standing injuries that affect joint stability, reconstruction is usually necessary, also using autografts, allografts, or synthetic tendons to substitute their function.

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Is it necessary to get an MRI for a ligament injury?

After ligament injuries, the common imaging examinations usually include standard X-rays, CT scans, and MRI. X-rays are mainly used to observe the overall shape of the bones and the alignment, CT scans are primarily for examining the condition of the bones at the injury site, especially the form of the bones, while MRI mainly uses the hydrogen atom content, or water content, to determine if there is an injury. When a ligament is injured, there won't be bleeding, which leads to an increase in water content; thus, an MRI can easily reveal the increased water content and help diagnose the injury. Therefore, the best method to diagnose ligament injuries is through MRI. Of course, X-rays are used for general overview and alignment, which are the most basic and common examinations, followed by CT scans. Generally, CT scans are not necessary unless there is a special circumstance.