Jose Bautista Day-To-Day
Jose Bautista of the Toronto Blue Jays is having a great year. He is leading MLB in home runs. Yesterday, in the game against the Yankees, he twisted his right ankle and sprained his ankle. He is now day to day.
Ankle sprains are very common injuries. In the US alone, approximately 25,000 ankle sprains occur every day. Not all of these individuals seek medical care. Most walk it off and resume life with little or no consequences. The question is when should you be concerned that you have a serious ankle sprain or something worse and see a doctor. I will get to this question later in the blog.
Most people sprain their ankle with an inversion type injury. This is where the foot rolls in and the ankle rolls out. This stretches and may tear the ligaments on the outer part of the ankle. Outer ligaments of the ankle are always injured in the common ankle sprain.
However, in severe cases, the ligaments on the inner part of the ankle (medial ankle sprain) or between the ankle bones (high ankle sprain) can be injured. The medial and high ankle sprains will be topics for future blogs.
When an ankle is sprained, one may experience pain, swelling, bruising, weakness and even a black and blue mark. Usually people have some level of pain with motion of the ankle. Rest, ice, elevation, an ace wrap and antiinflammatories can help relieve some of these symptoms. But when these symptoms last for more than a week, it is probably best to see a physician to make sure that you do not have a more serious injury.
Some of the serious injuries that can be associated with an ankle sprain include: tearing or dislocating a tendon on the outer back part of the ankle, breaking a bone in the ankle or foot, tearing more than one ligament in the ankle, or having a medial or high ankle sprain. If you are concerned that you have one of these injuries, you should see a physician.
Finally, some people roll their ankles and are not able to put any weight on the ankle due to pain. These individuals should also see a doctor.
Initially, after a routine ankle sprain, rest, ice, elevation, an ace wrap and antiinflammatories can help relieve some of these symptoms. For many people, physical therapy is eventually necessary to help regain range of motion and strength of the ankle. Physical therapy has been shown in the medical literature to be very beneficial in preventing what is known as “chronic ankle pain”. Some physicians may want you to use an ankle brace for a short period of time, while others may not want you to use one at all. Rarely is surgery needed.
Most individuals with routine ankle sprains are able to return to their lifestyles and activities fairly quickly, with little or no long term disabilities.
With only a mild ankle sprain, Bautista should be back within a week.
To see a video animation, hit the education section of the website, click orthopaedics, foot and ankle, and then conditions. You will find an ankle sprain video here.
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