Can ligament injuries heal by themselves?

Written by Wang Jing
Pediatric Orthopedics
Updated on September 13, 2024
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Whether ligament injury can be healed depends on the severity of the injury. Generally, there are four types of ligament injuries. The mildest is a sprain, which is when some fibers of the ligament are torn. The second type is a partial tear of the ligament, the third type is a complete tear of the ligament, and the fourth type is a combined injury, which includes damage to other structures in addition to the ligament injury. If the ligament injury is just a sprain, it can generally heal within two to three weeks with immobilization. However, partial ligament tears that are more severe may require surgical intervention. If the partial ligament injury is not severe and does not affect stability, it can also heal with about three to six weeks of immobilization. However, complete ligament tears or combined injuries often require surgery for suturing or reconstruction in order to heal.

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Written by Wang Jing
Pediatric Orthopedics
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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.

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Written by Wang Cheng Lin
Orthopedics
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Symptoms of fibular ligament injury

The symptoms of fibular ligament damage include, first, pain, especially noticeable tenderness or pain around the fibula when bearing weight, which can further affect weight-bearing walking. Second, swelling can occur, particularly after prolonged weight-bearing walking, leading to localized swelling that gradually subsides with rest. Third, joint instability can also occur as the stability of the entire joint deteriorates after ligament damage, resulting in instability during prolonged weight-bearing activities, and in severe cases, affecting joint mobility and damaging the joint cartilage.

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Written by Wang Jing
Pediatric Orthopedics
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Can a ligament injury cause the knee to make noise?

Whether the knee will make noise after ligament damage depends on the condition of the ligament damage. If it is an anterior cruciate ligament injury, generally the knee will not make noise. However, if the anterior cruciate ligament injury is combined with damage to the meniscus or cartilage, forming loose bodies, popping noises in the knee joint can occur. If there is damage to the medial or lateral collateral ligaments of the knee joint, which causes instability in the knee joint, this can also lead to popping sounds. If instability of the patella is caused by damage to the patellar ligament of the knee joint, changes in the alignment of the patellar joint during movement can also cause popping noises in the knee joint.

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Written by Wang Jing
Pediatric Orthopedics
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Can ligament damage be treated with a block injection?

After ligament injury, the acute phase management mainly involves protection, elevation, avoiding the use of non-steroidal anti-inflammatory and pain-relieving drugs, compression, and patient education, and, of course, appropriate use of cold compresses. In the subacute phase, when there is no pain, some load can be added appropriately, maintaining an optimistic attitude, engaging in aerobic exercise to improve local blood circulation, and early activity should focus on practice as well as exercise in muscle strength and proprioception. Of course, in severe cases where the ligament injury is completely ruptured, affecting stability, consideration must be given to ligament repair or reconstruction. But for acute cases, there is definitely no need for cortisone injections. For chronic ligament injuries, with long-term chronic pain around the joint, conservative treatment and other methods are ineffective, local injections may be considered. However, it is advisable not to inject the injured ligament itself but rather the synovial sheath or other soft tissues surrounding the ligament, as this can reduce the damage of the injection drugs to the ligament. (Use of specific medications should be under the guidance of a physician.)

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Written by Wang Jing
Pediatric Orthopedics
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Can ligament injuries heal by themselves?

Whether ligament injury can be healed depends on the severity of the injury. Generally, there are four types of ligament injuries. The mildest is a sprain, which is when some fibers of the ligament are torn. The second type is a partial tear of the ligament, the third type is a complete tear of the ligament, and the fourth type is a combined injury, which includes damage to other structures in addition to the ligament injury. If the ligament injury is just a sprain, it can generally heal within two to three weeks with immobilization. However, partial ligament tears that are more severe may require surgical intervention. If the partial ligament injury is not severe and does not affect stability, it can also heal with about three to six weeks of immobilization. However, complete ligament tears or combined injuries often require surgery for suturing or reconstruction in order to heal.