Lateral ankle sprains are the most frequently encountered injuries in sports. An ankle sprain can be a fairly serious injury. Repeatedly, people underestimate injuries like this and is often ignored the effect of an unstable ankle to the whole system. Recovery varies from two to ten months (slow healing of ligaments) but with accurate diagnosis and treatment an ankle sprain can be treated fast and effectively with no residual symptoms
Most of the times an ankle sprain is a twisting movement (picture above) stretching the ligaments on the outside of the foot (talo-fibular, calcaneo-fibular ligament), and compressing the ligaments on the inside of the foot ( deltoid ligament ). Similarly, muscles can get overstretched / inhibited (peroneus / fibularis muscles) or compressed / facilitated (posterior tibialis muscle). Also the motor control center in the cerebellum will create a dysfunctional coordination pattern based on the information it is getting from the ankle and the rest of the body. This dysfunctional pattern will persist until is changed and reprogrammed in the motor control center.
After an ankle sprain it becomes very difficult to put weight on the outside of the injured foot because it's painful, as a result the center of mass is shifted towards the opposite side, placing more weight on the inside of the injured foot . In essence, the sprained ankle is stuck in an everted position because that feels more comfortable. https://www.physiopattern.com/
This foot eversion and the shifting of the centre of mass to the opposite side can create all sort of misalignments in human body, and commonly we find
the ipsilateral adductors,
the contralateral abductors ,
the ipisilateral quadratus lumborum ,
the ipsilateral internal oblique,
the contralateral external oblique
and the contalateral lateral neck flexors
That's not always the case, we might see clients who lean to the contralateral side in lumbar spine instead of leaning to the ipsilateral side , creating the opposite muscle imbalances. Either way the weight shifts more to the opposite side and on the inside of the injured foot.
It becomes clear from the above that they are all connected and all linked together and it is quite obvious that an ankle sprain can cause knee, hip, low back and neck problems. Not addressing all the dysfunctions that mentioned above can jeopardize patient's well-being. Having a global approach to injury is a very important aspect of accurate diagnosis and successful treatment. Treating human body as a whole, we can eliminate chronic pain to a great extent. https://www.physiopattern.com/
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