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The mkiv Supra Owners Club

Good ankle treatment for BAD injuries?


Sheefa

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Hi guys,

 

I play power leaue football twice a week and have had two pretty bad injuries in the last 7 months, on each ankler.

 

First was a studded boot which was left behind and I went down with foot still under said studded boot - first 2 pics. Happened in May and is a little temperamental still.

 

The second, right ankle, was a slip with some crappy trainers I was wearing. Went right over and snapped my ligament. Pic number 3.

 

They're both OK, but the right one isn't great.

 

I've heard of cortisone injections and ultrasound treatment but anyone know what really works best for healing injuries properly? I'm going to see my GP next Monday and want to have some idea.

 

Thanks ;)

 

Greg

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Me too, mine's all swollen and bruised at the moment.

 

I have a cold gel pad wrapped around mine, I also have a compression bandage to help with support and to get rid of the swelling. Elevating your leg will also help reduce swelling.

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Im a physio and deal with ankle injuries all the time. Avoid the injections, at the end of the day you dont want to be injecting steroids into a joint unless you desperately have to, it WILL cause probs later in your life.

 

Ultrasound will work in the short term, it basically helps the healing process, prevents too much scar tissue build up and helps decrease the swelling. However the most important thing you do is retrain your balance/proprioception (google it for more info as im too tired to type the lot out), basically this is how your foot and ankle automatically correct your posture should you step on something uneven. If it you dont retrain it then you will ankle probs on and off for a long time.

 

Best few exercises i can tell you are to do a lot of standing on one foot (the bad one obviously) and do anything you can to knock yourself off balance, i find the best is standing facing a wall and throw/catch the ball as it bounces of the wall, also passing it round your back/over your head etc etc works, all the while stood on the one leg. To make it even more advanced, do the same but standing on a cusion/pillow to make the surface uneven.

When its feeling a bit better i would do some hopping and skipping as well. For the hopping practise hopping say 10m and back as fast as you can, including the turn. Also see how far you can hop and land on the same foot without stumbling.

 

Id ask your GP for a physio referal as we have the ultrasound and other equipment, plus specialised balance and proprioception equipment. If you were more local to me id gladly have a look for you and show you what to do but i think you a bit far really for you just to "bob" over.

 

Hope the above helps anyway.

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i fell down the steam bay waste water trench last Monday, there was a gap of a few inches in between the iron grills and one had been smashed in half i was guiding a small tank out and one of the lads sprayed the tracks while it was reversing, i stepped back out of his way and fell down the hole and Ive took a nice big chunk out of the side of my leg from my knee to my ankle is bruised will have to get some pics :D

 

its not my ankle but its all bruised

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Sorry for going slightly off-topic and hijacking the thread....

 

Garetheves:

Are you familiar with 'shin splints' in your line of work? I play alot of basketball and football and have the symptons of 'medial tibial stress syndrome' (MTSS).

 

However the most important thing you do is retrain your balance/proprioception

 

Would the above be applicable to shin splints too? ...sounds like it would but thought Id ask :)

 

I've tried the RICE method, used heat rubs, compression bandages, arch supports...I still get shin splints within a couple weeks of training after the symptons have gone.

 

Cheers

Simon

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Thanks guys.

 

Gaz, that's brilliant mate - will do a google search and may have to pay you a visit as I'm finding it hard to find a good physio around here.

 

Angarak - not off topic at all mate, I get shin splints too quite a bit, and that's only since I did my ankles in. So damn annoying.

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OH, and as a side not, I'm hoping to enter the Royal Air Force in July 2007 and this will be my last chance for RAF Regiment Officer as I'm 24 now, the limit for OFF Training is 25.

 

Therefore, I really need this anjkle in tip top shape. Mean't to be doing the Tough Guy challenge in January, but don't think I can as I'm not going to jeapordise my possible career in the RAF.

 

Thanks ;0

 

Greg

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Sorry for going slightly off-topic and hijacking the thread....

 

Garetheves:

Are you familiar with 'shin splints' in your line of work? I play alot of basketball and football and have the symptons of 'medial tibial stress syndrome' (MTSS).

 

 

 

Would the above be applicable to shin splints too? ...sounds like it would but thought Id ask :)

 

I've tried the RICE method, used heat rubs, compression bandages, arch supports...I still get shin splints within a couple weeks of training after the symptons have gone.

 

Cheers

Simon

 

Sorry been so long replying, yeah shin splints are a pain and can be very stubborn. The best thing for them is rest, but this isnt always ideal, a few other good things that work or nightly massage to the tibia, now this isnt comfortable at all but its worth doing. What you need to do is (its difficult to explain so bare with me) press your index finger and thumb together as if you were pinching a piece of paper then rub the ridge of your tibia (where its painfull) up and down. You will feel small "bubbles" under the skin, try and pop these. That is the kind of pressure you need, it will hurt like i say but it does help. Use an oil or cream so you dont burn the skin. After about 10mins of that get an ice pack on it for about another 10 mins. Repeat on both legs every night and see if that helps.

 

When the pain settles you will need to strengthen your dorsiflexor muscles, the ones on the front of your shin, as well as stretch them. Stretching is easy, you just sit with one leg over the other knee, as if you are sitting cross legged, and just pull your toes down (point them) with your hands. Strengthening is more difficult but any resisted dorsiflexion (pulling your toes up) will do this. Try pressing down with one foot on top of the other while trying to pull the bottom one up. Its called a static contraction, similar to an arm wrestle where you tense the muscle but no movement occurs.

 

Hope that helps.

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in all seriousness, have you had your spine fused?? what levels?? Does it give you any trouble?

 

Sorry for the hijack Greg :D

 

Here is what was done:

 

Antero lateral retro -perotoneal surgical approach was used to carry out a reduction of the fracture complex by removal of part of the damaged verterbral body and insertion of a distraction cage.

A fixation was then performed with an adjustable rod screw device anchored in to the L2 and L4 verterbrae and therfore bridging the fractured level.

Bone graft taken fron the left lilac crest area was packed in to the fracture zone to promote and early union. :D

 

I have a few issues mainly hip flexor groin pain and limied range of movement etc. Siatic neve pain off and on, discomfort when sitting for too long.

 

I have to have an x ray taken of my hip to see if this was damaged or not causing the pain i described above.

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Thanks for the information Gareth - greatly appreciated.

 

I didnt realise your from Wigan, Im from St.Helens - home of the super league champions :)

 

Yeah yeah. tbh im more of a rugby Union fan, played it all my life, but since moving to Wigan (originally from preston) last year im slowly being converted to a Wigan rugby fan by my girlfriend. They were shocking at the start of last season and deserved to get nothing. i only hope that they start next season the way they finished the last one. Saints had an unbelievable season last year, they ran away with it.

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Sorry for the hijack Greg :D

 

Here is what was done:

 

Antero lateral retro -perotoneal surgical approach was used to carry out a reduction of the fracture complex by removal of part of the damaged verterbral body and insertion of a distraction cage.

A fixation was then performed with an adjustable rod screw device anchored in to the L2 and L4 verterbrae and therfore bridging the fractured level.

Bone graft taken fron the left lilac crest area was packed in to the fracture zone to promote and early union. :D

 

I have a few issues mainly hip flexor groin pain and limied range of movement etc. Siatic neve pain off and on, discomfort when sitting for too long.

 

I have to have an x ray taken of my hip to see if this was damaged or not causing the pain i described above.

 

Sounds like fun. So what happened. Im not surprised you get occasional sciatic pain if youve hardly any movement low down in your back, the never will be under a hell of a lot of tension, i can show you a good exercise for your sciatic nerve ifyou want that may help reduce some of that tension. As for your groin...sorry you're on your own there ;)

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No problems Colin - let's setup another physical injury forum hey ;)

 

Gaz - seriously mate, I'd really appreciate that. I would pay you of course, just would like an accurate consultation and advice on which treatment/methods to use to get back into tip-top.

Free in January by any chance one weekend or weekday? Would be good to meet and go on a min-run in the Supre somewhere. I'll buy the lunch and beer mate :)

 

Thanks, Greg.

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No money needed mate honestly, like i said its good to give something back to the forum seeing as i get so much technical help from it.

 

Jan should be fine mate, saturdays are pretty busy as i cover a rugby team but pretty much any sunday should be ok. I can also have a look some weekday evenings but would need to arrange that nearer the time as i never know what im doing. Sunday would prob be the best as like you said, could go for a blast in the supras somewhere. Just let me know when you want to head over and ill keep it free.

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