
Whatever be the age, gender or race, injuries are a part of human life and development. Bone fractures and injury to the internal organs are considered as emergency situations which can be fatal or disabling for the lifetime. But there are less serious injuries which may go unnoticed at the time of trauma but can be severe and disabling as the time goes by. There are many examples like sprain, a hairline fracture or a stress fracture etc. These will not cause immediate & serious signs like unbearable pain, discolouration or huge swelling like in the fractured bones. But if not diagnosed, managed & immobilised in a proper way, these can cause serious health problems of locomotor system in the long run. A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in the joints. The most common location for a sprain is in the ankle.
Signos y síntomas
- Pain/tenderness
Swelling and/or bruising - Cold foot or paresthesia (possible neurovascular compromise)
- Muscle spasm
Causas
Physical injuries or trauma.
Fisiopatología
The lateral ankle complex, which is composed of the anterior talofibular, calcaneofibular, and posterior talofibular ligaments, is the most commonly injured site. Approximately 85% of such sprains are inversion sprains of the lateral ligaments, 5% are eversion sprains of the deltoid or medial ligament, and 10% are syndesmotic injuries. The ATFL is the most likely component of the lateral ankle complex to be injured in a lateral ankle sprain. Osteochondral or chondral injuries of the talar dome should be considered when diagnosing an ankle injury.
During forced dorsiflexion, the PTFL can rupture. With forced internal rotation, ATFL rupture is followed by injury to the PTFL. Extreme external rotation disrupts the deep deltoid ligament on the medial side, and adduction in neutral and dorsiflexed positions can disrupt the CFL. In plantarflexion, the ATFL can be injured.
Diagnóstico
- Physical examination
- Plain radiography
- Stress view radiography
- CT scan
- IRM
- Bone scanning
Tratamientos
Physical therapy
Strengthening exercises, Proprioception rehabilitation etc
Medicinal therapy
Analgesics, Nonsteroidal anti-inflammatory agents etc
Surgical repair
Immobilisation
Pronóstico
The prognosis for isolated and adequately treated ankle sprains is excellent.
Complicaciones
Fracturas
Disease & Ayurveda
Snayugatavaata due to injury
Nidana
Abhighaata – injury
Purvaaroopa
Not mentioned
Samprapti
Due to abhighata, doshas (mainly Vaata) get vitiated at the sites, affect the muscular tissue and produce the disease.
Lakshana
Pain and swelling of the area
Restricted movements
Divisions
Not mentioned
Pronóstico
Saadhya in new cases with complete rest & immobilisation
Kricchrasadhya in chronic & complicated cases
Chikithsa
All the treatments for sprain include complete immobilisation. Ayurveda treatment involves sothahara (reducing the swelling & inflammation) and ballya ( strengthening therapies)
Samana
- Lepanam with Rookshana dravyas
- Snehana
- Swedanam
- Mardanam
- Upanaham
- Bandhanam
Sodhana
Agnikarma
Commonly used Medicines
- Mustadi marmakashayam
- Karutha vatt gulika
- Nagaradi lepachoornam
- Murivenna
- Muscle & Joint Rub
- Aceite de Murivenna
- Kottamchukkadi Thailam
Marcas disponibles
- AVS Kottakal
- AVP Coimbatore
- SNA oushadhasala
- Vaidyaratnam oushadhasala
Remedios caseros
To treat a sprained ankle or leg at home, remember the acronym RICE:
- Rest. Stay off your ankle or leg until you can get to the doctor or until the swelling goes away.
- Ice. Put ice on the swollen area as soon as you can for 15 to 20 minutes. Then repeat every three to four hours.
- Compression. Wrap your ankle or leg snugly, but be sure not to cut off circulation. Support stockings may be an option.
- Elevation. Raise your ankle or leg above your heart (or as far above your heart as possible). Two pillows will usually give you the correct elevation. This encourages fluid to move away from your leg & prevent swelling.
Dieta
- A evitar
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases
- Por añadir
Comidas ligeras y alimentos fáciles de digerir
Green gram, soups, honey
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Comportamiento:
Protect yourself from extreme climate changes.
Es mejor evitar la exposición a la luz solar excesiva, la lluvia o el polvo.
Maintain a regular food and sleep schedule.
Evite aguantar o forzar las ganas de orinar, defecar, toser, estornudar, etc.
Avoid sedentary lifestyle. Be active.
posturas de Yoga
No movement is allowed in cases of sprain.
Regular stretching and mild cardio exercises are advised after healing. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
El yoga puede mantener la armonía dentro del cuerpo y con el sistema circundante.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Simple exercises for lungs and heart health
Todos los ejercicios y esfuerzos físicos deben decidirse y realizarse únicamente bajo la supervisión de un experto médico.
Research Articles
https://pubmed.ncbi.nlm.nih.gov/29514819/
Estas afirmaciones no han sido evaluadas por la Food and Drug Administration, Estados Unidos. Este producto no está destinado a diagnosticar, tratar, curar o prevenir ninguna enfermedad. Por favor, consulte a su médico de cabecera antes de la ingesta.

Experto,
Medicina Ayurveda, India
Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.
El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.
A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.
El Dr. Nair es ponente habitual en conferencias relacionadas con el Ayurveda y ha visitado Alemania para propagar el Ayurveda. Puede escribirle directamente
rajesh@ayurvedaforall.com
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