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Ankle sprains: a runner's rehab checklist.


a runner's ankles are vulnerable to sprains in part because the ankles are required to withstand the same force as hips and knees, but these latter joints have about four and a half times more contact area over which to distribute it.

When that inevitable ankle sprain ankle sprain Orthopedics A stretching of the ankle ligaments and/or muscles with swelling  occurs, the road to recovery begins with knowing the importance of proper rehabilitation rehabilitation: see physical therapy. . Without rest, followed by gradual movement and then strengthening exercise, odds are you'll injure To interfere with the legally protected interest of another or to inflict harm on someone, for which an action may be brought. To damage or impair.

The term injure is comprehensive and can apply to an injury to a person or property. Cross-references

Tort Law.
 your ankle again, and maybe worse. More severe sprains can require seven to ten days in a cast, followed by four to six weeks in an ankle stirrup stirrup, foot support for the rider of a horse in mounting and while riding. It is a ring with a horizontal bar to receive the foot and is attached by a strap to the saddle. . Whatever the degree of sprain sprain, stretching or wrenching of the ligaments and tendons of a joint, often with rupture of the tissues but without dislocation. Sprains occur most commonly at the ankle, knee, or wrist joints, causing pain, swelling, and difficulty in moving the involved joint. , however, a period of immobilization Immobilization Definition

Immobilization refers to the process of holding a joint or bone in place with a splint, cast, or brace. This is done to prevent an injured area from moving while it heals.
 is essential, and skipping rehab steps will spell disaster.

So when are you ready to hit the road? The following guide may help. This is not a substitute for regular doctor's visits, of course; follow your therapist's prescribed exercise plan carefully and let him/her know if you're feeling pain in any healing stage. Still, you may find it useful to check off each statement as it becomes true, moving through the four phases of rehab until you're ready to run again:

Phase One: Ready to Start Rehab

* I am wearing the brace or wrap my doctor prescribed.

* I can stand on the injured leg without pain.

* Pain and swelling have gone down.

Phase Two: Beginning

* I can draw the letters of the alphabet in the air with my toes.

* My calf and ankle muscle strength is back to normal.

* My doctor has helped me recognize when I need a brace and I know how to apply it.

* Low-impact aerobic exercise aerobic exercise,
n sustained repetitive physical activity, such as walking, dancing, cycling, and swimming, that elevates the heart rate and increases oxygen consumption resulting in improved functioning of cardio-vascular and respiratory systems.
 and weightlifting do not cause pain/swelling.

Phase Three: Intermediate

* My balance when standing on the injured leg is as good as when standing on my uninjured leg.

* Increased low-impact exercise does not cause pain/swelling.

* My general strength is back to pre-injury level.

Phase Four: Advanced

* I am incorporating short and easy runs without pain/limitation.

* I can cut, turn and pivot without pain/limitation.

* I've discussed my special needs with my doctor as I gradually return to pre-injury mileage and intensity, and I'm aware of my long-term needs to prevent future injury.

Finally, it's advisable to keep track of how many days each phase of your healing took, and then calculate and keep a record of your total days spent recovering from the injury.

(Phys. Sportsmed., 2002, Vol. 30, No. 12, pp. 39-40; Biomechanics The study of the anatomical principles of movement. Biomechanical applications on the computer employ stick modeling to analyze the movement of athletes as well as racing horses.
Biomechanics 
, 2003, Vol. 10, No. 1, pp. 51-61)
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Copyright 2004, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Title Annotation:Enduring Injury
Publication:Running & FitNews
Date:Jan 1, 2004
Words:416
Previous Article:Is the sports community playing it safe?(Enduring Injury)
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