A few days ago, a young girl limped into the Zhejiang Provincial People’s Hospital Orthopaedic Foot and Ankle Disease Clinic. She was wrapped in a heavy knee-length down jacket and a mask, while her lower body was wearing ankle-baring trousers. The doctor saw that the patient’s upper body was “winter” and the feet were “summer”, and he already understood seven or eight points.
In cold days, more patients come to the hospital’s orthopaedic foot and ankle disease clinic. Among them, there will be young women who like to show their ankles.
To look good, sometimes you have to spell it?
“Doctor, just give me some painkillers or other treatments. Cold is cold, of course, I’m used to it, I can stick to it, and sometimes I have to fight for it to look good!” In front of the doctor, 24-year-old Xiao Liu (pseudonym) was quick and straightforward.
Xiao Liu is a senior with bare ankles, and he liked this kind of skinny beauty when he was still in college four or five years ago. Three months ago, I accidentally injured my ankle while playing badminton. At that time, the pain and swelling of the ankle joint were obvious. Magnetic resonance examination revealed that the lateral ligament of the ankle joint was injured and the ankle joint effusion. After more than 1 month of regular conservative treatment, there is basically no pain, and walking is normal.
After the Spring Festival, Xiao Liu’s love for beauty was rekindled. After being “beautiful” for a while, her ankle started to hurt again, affecting her ability to walk, and she had to seek medical treatment again.
“Treatment is necessary, and keeping warm is also very important, otherwise your feet will not heal for a while, and it is likely to worsen. Little girl, it always relapses and affects walking. That foot doesn’t look like it’s dead. Is it the same?” Gu Xiaohui, an expert and chief physician of the Department of Orthopaedic Foot and Ankle Surgery of Zhejiang Provincial People’s Hospital, persuaded patiently.
Next, Gu Xiaohui took physical therapy, drugs to eliminate aseptic inflammation, brace protection, and local injections, and suggested that Xiao Liu usually wear high-top, well-wrapped sneakers to prevent the infection.
It can provide warmth, support and anti-twist effect on the ankle.
“Some young women like to wear short pants and socks to expose their ankles, but their ankles are often exposed to cold wind, which can easily cause ankle pain.” Gu Xiaohui sighed.
Ankle injuries are best treated in a timely manner
Gu Xiaohui said that in the foot and ankle disease clinic, patients who have not been treated in time for ankle injuries are often encountered.
For example, Sister Ruan, a tea farmer in Anji, is in her 60s. More than 10 years ago, she accidentally stepped on the air while picking tea in the mountains and sprained her ankle. At that time, I was busy picking tea and the pain was bearable, so I didn’t go to the hospital for treatment. In the past 10 years, the pain has been increasing, especially when the temperature changes, the inside of the ankle is particularly painful, and even affects walking. Now it is difficult to climb the mountain.
The local hospital found that her ankle joint was degraded relatively seriously, and she was recommended by Ms. Ruan to see chief physician Gu Xiaohui for treatment. After examination, it was found that her ankle joint had been chronically unstable due to long-term lack of regular diagnosis and treatment, ligament rupture, accompanied by bone spurs and cartilage damage, and she had to be hospitalized for surgery. In the end, Gu Xiaohui used a minimally invasive ankle arthroscopy for treatment, and only performed surgery on her ankle through a few small holes the size of chopsticks. “If it was treated at that time, it would not have developed to the severity it is now.”
Why does the temperature drop cause the ankle to be “injured”?
Chief Physician Gu Xiaohui believes that there are three main factors:
1. The patient has a history of foot and ankle injury, the tendon tissue in the foot and ankle joint cavity and around the joint There is aseptic inflammation, which will secrete inflammatory factors. Inflammatory factors are the main factors that cause pain. When the climate is warm, the blood circulation of the feet and ankles is faster, and the blood flow can take away these inflammatory factors in time without causing pain. Pain occurs; but when the weather is cold, the legs and feet are cold, the blood vessels in the ankles are constricted, the blood circulation becomes slow, and the blood supply is reduced, which will cause local inflammatory factors to stagnate in the joints and around the tendons. Build up, irritate joints and tendons and cause pain.
2. Because the feet and ankles are far from the heart, the local blood supply is relatively small and the blood flow is slow. At the same time, the soft tissue of the ankle is thin, the local subcutaneous fat layer is thin, and the ankle joint is under the thin skin, which has poor cold resistance and warmth. Expose the ankle, the ankle is cold, the blood will not be smooth, and it is easy to cause arthritis.
3. Cold stimulation can also lead to stiffness of the ankle joint and nearby muscles and ligaments, reduced reactivity, inflexibility, and decreased joint stability and coordination, thus making the ankle joint in cold weather. Easily injured and painful.
Gu Xiaohui reminds that patients with repeated ankle pain should not only seek professional foot and ankle surgeons for diagnosis and treatment, but also keep warm in cold seasons to prevent ankle pain; wash their feet with hot water before going to bed every day to relax Foot and ankle muscles, eliminate foot fatigue and cold feet, and promote blood circulation.
Source: City Express