In the “six mysteries of orthopedics” exclusively released by healthlive · offline activity, the question “will running cause ‘habitual sprain'” ranked fourth. 44.53% of the netizens chose to be interested in this question, and wanted to know whether it was true and what to do. We invite Li Chunde, a famous orthopedic expert in China, director, chief physician, professor and doctoral supervisor of the first hospital of Peking University, and Zhang Lewei, a sports medicine expert, leader of the first protection expert group, director of the Sports Medicine Department of the sports Hospital of the Sports Medicine Research Institute of the State Sports Administration, and medical expert of the national swimming team and the National Taekwondo team, to talk about this topic with us.
the so-called “habitual sprain” is that there was no sharp rope and no protection in place before.
Director Zhang Lewei said: in a strict sense, running does not cause habitual sprains, and people with “habitual sprains” usually have the experience of ankle sprains in the past, but they were not properly treated and completely cured at that time, and the later rehabilitation training was not done in place. The muscle strength around the joints was not strong, and the proprioception was not fully recovered, Then in this case, if he wants to continue running or perform other sports that require greater bearing capacity of his feet and ankles, he may sprain his foot again.
People with a history of sprained feet must pay special attention to the exercise of muscle strength around the ankle joint and the exercise of ankle stability (proprioception exercise). They can also do some binding protection to the joint, such as using muscle patches and self-adhesive bandages to provide external force support to the ankle joint. Then, when they run, there will be no wrong habitual movements of this joint, so as to avoid being injured again, In other words, the “magic spell” of “habitual sprain” can be avoided.
“rice original” vs “policy principle”
Director Zhang Lewei also emphasized one point, that is, the principle of treatment after acute ankle sprain or strain – rice principle: Rice: rest, ice, compression, elevation.
It is understood that the rice principle is regarded as the standard strategy for the treatment of ankle sprains or strains in the official websites of orthopedic authorities, such as AAOS and the American Association of sports medicine, and most classic teaching books. Zhang Lewei said that if everyone understood this principle, could apply good ice compress (some called cold compress, to avoid frostbite of ice cubes, it is recommended to use ice water mixture) at the first time, and handled it properly, a lot of subsequent pain could be avoided.
Professor Li Chunde supports the new scientific research and believes that the treatment of acute sprains should follow the principle of policy: Protection (test), optimal loading, ice, compression, and elevation. This is a strong recommendation in the review article published in the British Journal of sports medicine in 2012, The author believes that the current rice principle for ankle injury treatment should be replaced by the policy principle.
The author of this paper suggests that rest after ankle injury should be limited to the initial stage of ankle injury, and the rest time should be as short as possible. There is potential damage to the joint if the ankle is not loaded for a long time, and it can lead to negative changes in the biomechanics and morphology of joint tissue.
The change of this concept is derived from the analysis of previous studies, which found that reasonable load stimulation is a good solution to replace rest. The proposal of this concept is an update of the modern rehabilitation concept.
Director Zhang Lewei and Professor Li Chunde said that these two principles are still controversial academically and have been used clinically. In fact, the focus of the dispute is whether to “rest” or “optimal loading”.
The progress of academic and clinical technology in controversy has made orthopedics and rehabilitation disciplines vigorous. No matter which treatment principle is selected, it should be conducted under the guidance of professionals, and blind self-treatment is not allowed.
Scientific sports concepts and scientific protection and rehabilitation techniques can help runners get injured, run farther and faster.
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