Dr Michael Perlstein, D.A.B.P.O. Podiatrist, Talks about Ankle Injuries
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Male Speaker: One of the most common injuries, kids get a swollen ankle after an injury. Sometimes it's a strain, sometimes it's a sprain. What's the difference between sprain and a strain? Male Speaker: Well, injuries can be classified depending upon the severity of the injury. Sometimes it's actually just something as simple as skin bruise; sometimes it can actually be what we call a sprain. So the ligament is actually injured or stretched or actually torn. The sprain is actually a muscle injury and obviously there could be some injuries to the bones or the growth plates of the child. So it has to be evaluated very properly, very thoroughly. Ultrasound is used sometimes to evaluate the soft tissues injuries, X-Ray are used to evaluate the bone and if sometimes it's necessary, we can even use to CT scan or an MRI, if the injury is not very visible, but we know that there was something there that needs to be addressed. Male Speaker: What's the best way of treated a swollen ankle, they can walk a little bit on to get the swelling to reduce and getting the kid more comfortable, what would be the best way of healing it? Male Speaker: Generally, the first stage treatments that people recommend is to actually ice and elevate and to do a mild compression dressing, something as simple as an ACE bandage, but it obviously should not be applied so tightly that it cause damage to the circulation or nerves. If that does not respond within one or two days of simple treatment, it needs to be looked at to make sure that child is going to have a growth plate injury or it needs to be evaluated with some of the modalities such as an ultrasound to evaluate the soft tissue to make that we are not missing something, neglecting something that will later cause some additional problems. This could all be prevented by catching it early on and treating it perhaps with a splint or a cast, and immobilizing the area. Male Speaker: If you are concerned about having too tight of an elastic bandage on, what would be the signs that you did it too much? Male Speaker: Well, if the bandage is put on to it tightly, the child will complain about numbness or tingling. They would be screaming, crying all the time. So therefore it's best to not put it on too tightly, but rather to put on a thicker bandage, but not tightly. That's going to be the key and never let them put any weight on there.