
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.
Signs and Symptoms
- Pain/tenderness
Swelling and/or bruising - Cold foot or paresthesia (possible neurovascular compromise)
- Muscle spasm
Cause
Physical injuries or trauma.
Fisiopatologia
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.
Diagnosi
- Esame fisico
- Plain radiography
- Stress view radiography
- TAC
- RISONANZA MAGNETICA
- Bone scanning
Trattamenti
Terapia fisica
Strengthening exercises, Proprioception rehabilitation etc
Medicinal therapy
Analgesics, Nonsteroidal anti-inflammatory agents etc
Surgical repair
Immobilisation
Prognosi
The prognosis for isolated and adequately treated ankle sprains is excellent.
Complicazioni
Fratture
Malattie e Ayurveda
Snayugatavaata due to injury
Nidana
Abhighaata – injury
Purvaaroopa
Non menzionato
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
Divisioni
Non menzionato
Prognosi
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
- Murivenna Oil
- Kottamchukkadi Thailam
Marche disponibili
- AVS Kottakal
- AVP Coimbatore
- SNA oushadhasala
- Vaidyaratnam oushadhasala
Home Remedies
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
- Da evitare
I pasti pesanti e gli alimenti difficili da digerire causano indigestione.
Cibi spazzatura: causano disturbi della digestione e riducono la biodisponibilità del farmaco.
Bevande gassate: rendono lo stomaco più acido e disturbano la digestione.
Cibi refrigerati e congelati - causano una digestione debole e lenta indebolendo Agni (fuoco digestivo).
Latte e prodotti lattiero-caseari - aumentano kapha, causano l'ostruzione dei canali e l'obesità.
Cagliata - causa vidaaha e quindi molte altre malattie
- Da aggiungere
Pasti leggeri e alimenti facilmente digeribili
Green gram, soups, honey
Cibo fresco e caldo trattato con semi di cumino, zenzero, pepe nero, ajwain, ecc.
Comportamento:
Protect yourself from extreme climate changes.
È meglio evitare l'esposizione a luce solare eccessiva, pioggia o polvere.
Mantenere un programma alimentare e di sonno regolare.
Evitare di trattenere o forzare gli stimoli come urina, feci, tosse, starnuti ecc.
Avoid sedentary lifestyle. Be active.
lo 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.
L'esercizio fisico regolare aiuta a migliorare la biodisponibilità dei farmaci e degli alimenti ingeriti e porta a una salute positiva.
Lo yoga può mantenere l'armonia all'interno del corpo e con il sistema circostante.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Semplici esercizi per la salute dei polmoni e del cuore
Tutti gli esercizi e gli sforzi fisici devono essere decisi ed eseguiti esclusivamente sotto la supervisione di un medico esperto.
Research Articles
https://pubmed.ncbi.nlm.nih.gov/29514819/
Queste dichiarazioni non sono state valutate dalla Food and Drug Administration degli Stati Uniti. Questo prodotto non è destinato a diagnosticare, trattare, curare o prevenire alcuna malattia. Consultare il proprio medico di famiglia prima dell'assunzione.

Esperto,
Medicina ayurvedica, India
Scrittore:
Il dottor Rajesh Nair, cofondatore e consulente capo di Ayurvedaforall.com, si è laureato presso il prestigioso Vaidyaratnam Ayurveda College (affiliato all'Università di Calicut), in Kerala, India. Inoltre, ha conseguito un diploma post-laurea in Yoga Terapia presso l'Università di Annamalai.
Il Dr. Nair offre consulenze in due cliniche molto frequentate a Haripad e dintorni, Alleppey, Kerala, lo stato meridionale famoso in tutto il mondo per gli autentici trattamenti ayurvedici e per i medici. Oltre a offrire consulenze su tutti gli aspetti dei trattamenti ayurvedici, il Dr. Nair ha un interesse particolare per il Panchkarma, lo Yoga e il Massaggio.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
Il Dr. Nair partecipa regolarmente a conferenze sull'Ayurveda e ha visitato la Germania per diffondere l'Ayurveda. Potete scrivere direttamente a lui
rajesh@ayurvedaforall.com
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