Be honest or actively recover after ankle fracture?

Ankle is a particularly vulnerable part. If it is soft, it is relatively easy to recover. If it is a fracture, especially the fibular head fracture, it is relatively difficult to heal. My own personal experience and experience. Want to write it down and share it with more people. I am a sports medicine major, and I work in the hospital rehabilitation department after graduation, so I will describe it objectively according to my major.

I am a female, 36 years old. 2065438+081February 12 took the children to an English class. When I went downstairs, the fallen plastic bag slipped on my left foot, and my right knee fell off late. My ankle is everted because of a rotational stress fracture. Ct showed that the oblique angle fracture at the head of fibula was complete and continuous, and there was a slight fracture at the head of tibia, with residual cartilage falling off. At that time, he was treated conservatively in Shenyang, and went home after plaster cast. According to the doctor's advice, rest for 4 ~ 6 weeks, don't get out of bed, and the affected limb is raised. After two weeks, you can check again to see if it is healed or displaced. If it is displaced, surgery is needed.

Well, tell me my opinion. First, evaluate the severity of fracture after fracture. If there is an open wound and the bone is punctured, surgery is the first choice. In my case, even if there is a risk of displacement, conservative treatment is still the first choice. Because you are hospitalized for surgery without medical insurance reimbursement, accident insurance can solve your financial problems. Surgery itself is trauma, and the resistance to recovery will increase in the future.

On the choice of chinese and western medicine. I think acute treatment still depends on western medicine. I have clear image data. When choosing a treatment plan, if possible, I might as well consult both Chinese and western medicine. Each has its own advantages. Choice is greater than effort. It's up to you. If you choose one, you should give your trust to the doctor, and you should give it to yourself.

About how to move. After fracture, the first is fixed immobilization, with internal and external fixation. Followed by rest, and finally functional exercise. I don't think these three aspects are advancing in chronological order. It is three-dimensional at the same time. It is the most urgent thing to absolutely fix the brakes to protect the injured parts. Secondly, rest, adjust your mentality, and hurt your bones for a hundred days. Treatment is short-lived, and nurturing is what you have to face. Functional exercise, I want to say more about this. As we all know, human organs are exhausted and discarded. You think a person who lies in bed all day doing nothing will eventually be abolished. Being injured and lying still is not a necessary factor. The doctor won't let you move. Perhaps first, this doctor is only responsible for surgery and fixation, especially in big hospitals. He knows nothing else. He can't promise to let you move when you're done. As a result, you will find him responsible in turn. This is the doctor's self-protection. It is understandable that if he doesn't understand, he won't command indiscriminately. Another possibility is that your fracture has healed, but what about muscle atrophy and joint adhesion? Go to the hospital and then spend. Maybe I was a little wrong. Well, as long as you can still move after the fracture, let the good place move as soon as possible. Don't wait for atrophy, adhesion, bedsore, and bad mood.

As I said, fixation, rest and rehabilitation are three dimensions at the same time. If you don't know how to recover after fracture fixation, well, you can consult or ask a professional sports medicine doctor or rehabilitation therapist to give you a professional evaluation and the whole rehabilitation plan. My personal fracture is relatively minor, so except for the immobility of my right ankle, other activities should start on the day after fixation or immediately after the pain is relieved. Step by step.

My treatment experience is that I took the first medicine of promoting blood circulation and removing blood stasis, Sanqi, to relieve swelling and pain. In fact, this medicine is enough in the differentiation stage of hematoma. Western medicine asked me to supplement calcium. Actually, I wasn't short of calcium before. Fracture healing is not the accumulation of calcium. The substances involved are mainly trace elements such as protein, calcium, phosphorus and magnesium, and some transmitters, which are also protein in nature. So there is no rush to supplement calcium. I didn't eat any big bone soup or calcium tablets. I eat liquid food and some vegetables in the morning and evening. Liquid food is cereal flour with a spoonful of protein powder. Homemade yogurt and chicken soup, there will be some dry at noon. Diet is light, so it is necessary to avoid eating. All spicy, greasy and cold should be put an end to, and it is more difficult to recover from eating a bad stomach.

Regarding rehabilitation, I spent five days in unplanned activities, mainly sitting, stretching and core strength exercises. I asked my classmate who was doing sports rehabilitation, and he and I made a rehabilitation plan together. I feel perfect at the moment. I got up on the third day, because I moved early and my body was in good shape, but after I got up, my legs still had to be raised and I couldn't droop. I sit in a wheelchair, my legs will be raised, and my hands can move the wheelchair, which is equivalent to aerobic training. Let me share with you the specific training plan. Basically, I can take care of myself in three days, and now I can do some housework simply. Mentality adjustment is very important. Be sure to find a chaperone who can give you positive energy. My parents didn't know I was broken, but my good friend took care of me. Because of my congenial temperament, my experiences are very similar. We are all strong, self-reliant and self-caring. Everyone regards this fracture as an opportunity to retreat and practice. We laugh and laugh together, and by the way, we can lose weight by strengthening the spleen and eliminating dampness, making Chinese medicine whitening and hydrating mask every day, studying food and learning Chinese medicine. Everything is a mentality, and mentality is very important. On the fifth day of the fracture, the skin was particularly itchy, so we simply opened the plaster and fixed it. Soak feet with hot water, use magic lamp for physical therapy, then apply Chinese medicine powder to reduce swelling and re-bandage. Once every other day, the effect is of course very good. Now my injured feet are basically swollen, the bruises and purple gradually fade away, and there is no pain. Don't lift your legs on the fifth day, it will put too much pressure on your hips. Very uncomfortable. Sleep now, give the sick leg a most comfortable posture, sleep quality is very high, and recovery is of course fast.