Can ankle ligament injuries heal by themselves?

Written by Wang Jing
Pediatric Orthopedics
Updated on September 25, 2024
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Ankle ligament sprains vary in prognosis depending on the severity of the injury. This type of ligament damage generally falls into several categories: the first type is partial fiber damage to the ligament, the second type is partial rupture of the ligament, the third type is complete rupture of the ligament, and the fourth type includes additional injuries. For partial fiber damage and partial ruptures of the ligament, immobilization is often used, and generally after six to eight weeks, the ligament can repair itself. However, if there is a complete rupture of the ligament or additional injuries are involved, surgery is often required for healing.

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Written by Guan Jing Tao
Orthopedics
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Symptoms of ligament rupture

After a ligament rupture, the area will experience pain, swelling, and restricted movement, and it will not be possible to actively extend or bend. Taking the rupture of the finger extensor tendon as an example, after the rupture caused by accidental bumps or other reasons, the site exhibits pain and cannot be straightened. When passively straightened, it will flex on its own after removing the support, unable to actively extend. These are the symptoms of functional limitation after a ligament rupture. Furthermore, some patients may also experience persistent local pain and significant swelling. At this time, it is advisable to combine local hot compresses and physical therapy. For distal finger extensor tendon ruptures, hyperextension fixation can be applied. About four weeks later, if the hyperextension fixation splint or plaster is removed, some patients can heal on their own. However, if some patients cannot heal naturally, surgical anastomosis treatment is required.

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Written by Wang Jing
Pediatric Orthopedics
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What medicine is good for ligament injury?

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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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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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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Written by Cheng Bin
Orthopedics
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Symptoms of femoral head ligament injury

The clinical symptoms of a femoral head ligament injury mainly manifest as significant local pain. Severe cases may affect the patient's joint mobility and normal ability to move about, which are the clinical manifestations of a femoral head ligament injury. Usually, within a recent period, it is necessary to strictly rest in bed to protect the area, reducing local stimulation, which is the best condition for patient recovery. If the patient is not allergic to plasters, topical plasters that invigorate blood and dissolve stasis can be used, along with oral non-steroidal anti-inflammatory and pain-relieving drugs, and drugs that invigorate blood and dissolve stasis for treatment. After 48 hours post-injury, local heat application should be actively performed. Most patients will gradually recover through these active treatment methods. (The use of medications should be under the guidance of a professional doctor.)