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admin | Category: Male Dysfunction Treatment 2016 | 26.08.2014
Swollen feet and ankles should be held above the level of the heart for about 30 minutes several times a day, according to the Mayo Clinic. People with swollen feet and ankles should avoid very hot and cold temperatures, which can make the problem worse, according to the Mayo Clinic.
Massaging the feet and ankles with firm pressure can help move excess fluid out of the affected area, the Mayo Clinic notes. Painless swelling of the feet and ankles is a common problem, especially among older people. Abnormal buildup of fluid in the ankles, feet, and legs can cause swelling.
Your provider will take a medical history and do a thorough physical examination, paying special attention to your heart, lungs, abdomen, lymph nodes, legs, and feet. Your provider will ask questions like the following: What body parts swell? Total knee surgery takes a large toll on the body, and for this reason, you cannot expect to resume your regular daily activities within four or five days after the surgery.
After the first week of your recovery, be active in short spurts and rest for longer periods in between.
If an ice machine or compression bags are not available, we suggest getting five to ten gel packs and keeping them in the freezer. After your knee surgery, your orthopedic surgeon will most likely have you on narcotic pain medication.
Weeks after the surgery, you may still need pain pills even though you are getting back to normal activities.
It is important to remember that sometimes pain can persist in one form or another for many weeks. Lastly, if you do get a sharp pain that you haven’t had before, especially after exercise or physical therapy, there may be an inflammation in one of your muscles or ligaments. As you continue with the workouts, your muscles will grow and your true body will start to show through.
While working out or performing new exercises that your body hasnt adjusted to yet, it is possible to hurt yourself. After a few days the injury will begin to heal, when much of the swelling has subsided, gentle stretching should be done.
Heat will be helpful once the injury moves out of the acute phase and swelling or bleeding has stopped. Recent PostsLV-1 workout, the Brazil New things for IKFit in 2013 Additional stretches Basic Stretches Lv-1 Beginners full body Feel better in 30 minutes GROCERIES LIST CHALLENGE – ABS SUPPLEMENTS HEALTHY FOOD TASTES GOOD TOO? A structured rehabilitation program is important for optimum recovery from an ankle sprain. We strongly recommend seeking professional advice for a more effective rehabilitation program and the following is for information purposes only. Home treatment starts by applying the PRICE principles to reduce pain, reduce inflammation and promote healing. Protection of the damaged tissue is vital to prevent further damage and enable the healing process to start efficiently and effectively. Ice therapy, also known as cryotherapy, is one of the most widely known and used treatment modalities for acute sports injuries. Compression - applying compression to an injured area minimises the amount of swelling that forms after an injury in two ways and should be applied for the first 24 to 72 hours from the onset of injury.
Elevation of the injured limb is the final principle of PRICE but is equally as important as the other 4. Taping plays an important role in the treatment of ankle sprains both in the early stages and in the later rehabilitation stages. As mentioned above, for the most effective treatment and rehabilitation program we recommend you see a professional therapist.
One of the treatments that a therapist may choose to use is electrotherapy, such as ultrasound may be applied. If you do consult your GP following an ankle injury they will usually refer you to a therapist and may prescribe anti-inflammatory medication e.g.
Sports massage may be beneficial for treating a sprained ankle, particularly in the latter stages or for injuries that seem to take a long time to recover from. Compression will help reduce and prevent swelling and can be applied immediately after injury at pitch side but only for 10 minutes at a time to avoid cutting of circulation to the area. If the pain is settling and the ankle is feeling comfortable then start some of the Ankle mobility exercises very gently, 3-5 times a day.
Electrotherapy such as ultrasound may be used at this stage and can be beneficial in reducing swelling and relaxing the muscle – always performed by a professional therapist).
Begin more advanced strengthening exercises such as resisted eccentric inversion and calf raises. More advanced proprioception exercises such as standing on an unstable surface (link) and hopping (link) can be commenced. Progress from jogging to sprinting in straight lines as long as the ankle remains pain free and does not swell up.

Compression will help reduce and prevent swelling and can be applied immediately after injury at pitch side but only for 10 minutes at a time to avoid stopping the circulation. Prolonged standing, long rides in cars or airplanes, being overweight or pregnancy are among the causes of swelling in the feet, ankles and legs, according to Medline Plus. Bending and stretching the feet vigorously up and down about 30 times pumps fluid back to the heart. The stockings keep pressure on the legs so that fluids don't collect in the ankles and feet, the Mayo Clinic says. Post-operative knee replacement patients want to know what their life will be like after their surgery, how much discomfort they will have, and how many narcotics or other medications they will have to take.
Think of it this way, the damage caused to your knee joints happened over time; your healing and recovery will also need to happen over time. Don’t expect to be able to do housework or gardening for at least 2-4 weeks depending how quickly you recover.
Ice can reduce pain in combination with medication, and with less severe pain, it can be used on its own. Pain causes swelling, which can interfere with your physical therapy, your healing, and your progress.
Allowing injured muscles, tendons and ligaments to rest will protect the damaged tissue from further injury. Never apply ice directly to the skin, place a piece of cloth between your skin and the cold compress.
Working the whole range of motion of the injured joint or muscle, just be very careful not to force a stretch or risk re-injuring the area.
We outline an example of a sprained ankle rehab schedule below for grade 1, 2 and 3 injuries. This is then followed by mobilising exercises to regain movement and then strengthening the muscles to help support the ankle.
The acronym stands stands for Protection, Rest, Ice, Compression and Elevation and should be applied as early as possible and continued for at least the first 24-72 hours.
Ice should only be applied for 15 minutes maximum and should always be wrapped in a cold towel to prevent ice burn.
Our resident expert Neal Reynolds teaches you how to tape your own ankle - ankle taping techniques video. During the first few days, compression bandages (link to neoprene ankle support) and ankle taping can be combined with the aim of reducing swelling and providing protection and support to the injured structures.
This transmits high frequency sound waves into the tissues, which in the early stages can help with pain relief and to reduce swelling.
We have interviewed a soft tissue expert to demonstrate some simple self-help cross friction massage techniques that may be used to help align scar tissue on the ligaments for effective healing. An ankle support or ankle taping may be beneficial to prevent unwanted rolling of the ankle in the early stages whilst walking.Resting the ankle from dynamic activities such as playing sport or running is essential in this stage to allow healing to commence. Apply ice for 15 minutes every hour initially for the first day then reduce this to 4 to 5 times a day from then on as required.
A tube grip or elastic ankle support can provide mild compression throughout the healing process to help reduce swelling. If the ankle is still swollen or painful after this length of time, then we definitely recommend seeking a professional opinion. A tube grip or elastic ankle support can provide mild compression throughout the healing process to help reduce swelling.Elevation by raising the leg will help swelling drain away from the site of the injury.
The swelling may also indicate serious underlying conditions, such as a blood clot or an infection. Women who are pregnant should also prop up their feet when sitting and avoid crossing their legs.
This is especially true for pregnant women, who are at an increased risk for swollen ankles and feet, according the website KidsHealth. Pregnant women are advised to put on maternity stockings that go up to the waist each morning, according to KidsHealth.
But do keep the feet and ankles warm while dressing to go outside when it's cold, the Mayo Clinic advises.
Educating yourself about pain before you are in pain can significantly reduce fears and help you manage your expectations. For knee replacement patients, we recommend an ice machine with special wrap-around compression bags. As with all narcotics, there are side effects, but we recommend that you follow the instructions exactly as they are given to you. If you’re on a recliner, put a couple pillows on the leg rest to keep your legs propped up. Long exposure to cold can damage skin so, using a cold compress 20 min on and 20 min off is a preferred method of application.

If the wrap feels tight or throbbing occurs, remove the bandage and re-wrap area a little looser. For example, if your ankle is injured, try lying in your bed with your foot propped up on a couple of pillows.
The material on this site is for informational purposes only and is not a substitute for medical advice, diagnosis or treatment provided by a qualified healthcare provider. Balance exercises (or “Proprioception” as it is known) are vital to ensure the ankle heals effectively and minimises the risk of re-injury.
During the rehabilitation stages taping is useful to support the injured structures in addition to “firing” up the muscles around the ankle (proprioception). In the later stages of rehabilitation, the ultrasound waves cause a micro massaging effect which can help stimulate blood flow into the muscle.
Do not take ibuprofen if you have asthma and always speak to a pharmacist or doctor before taking medications. Elevating the ankle onto a cushion whilst laying down can help swelling drain away from the site of the injury and ideally, we advise elevating the leg and icing the ankle together.
Strengthening exercises including the resisted plantar flexion and dorsiflexion and isometric eversion and inversion.
Basic proprioception exercises can begin – standing on one leg (eyes open and eyes closed, arms out and in). He is the author of "The Complete Guide to Trust and Estate Management" from Atlantic Publishing. More severe swelling during pregnancy may be a sign of preeclampsia, a serious condition that includes high blood pressure and swelling. We recommend patients follow a simple mantra when practicing pain management for total knee surgery: Rest, Ice, Medicate, Elevate. In the case where the prescription by your surgeon does not adequately manage your pain levels, remember that you can contact your primary physician.
However, the more the pain is permitted to build up, the longer the drug takes to become effective.
You can prepare yourself for this pain with a dose of medication about an hour before your physical therapy sessions.
Soft tissue damage may bruise, swell or bleed (externally or internally) and become swollen.To prevent complications and get you healed as quickly as possible Immediate first aid treatment must be used. Finally, taping of ankles can be useful in those that are recurrently injured by providing additional support whilst playing sport.
Taking medications is not the only answer to treating ankle sprains and caution is required. Your provider may prescribe diuretics to reduce the swelling, but these can have side effects. There is some evidence that anti-inflammatories can impair healing so do not take them for more than a few days at the beginning of the injury. However, doing too much exercise or putting too much stress on the healing ligament in the early stages can be detrimental so this needs to be finely balanced. In these conditions, there is too much fluid in the body. Certain medicines may also cause your legs to swell.
Using this method will protect and assist in the healing process, not using it will almost certainly cause further damage. Also, taking medication can sometimes "mask" any pain and may therefore be detrimental to the healing process. Ice should not be used for longer than 15 minutes as prolonged cooling has the reverse effect of increasing blood flow and long periods of cooling can also cause nerve injury. Ice therapy should be used throughout the rehabilitation process to control inflammation, but only in 15 minute sessions each time.
Rehabilitation is both an art and a Science.• Continue with PRICE and plantar and dorsiflexion mobility exercises. If the ankle is still swollen or painful after this length of time, then we definitely recommend seeking a professional opinion.Grade 3 injuryThis is very severe injury of the ankle and are often associated with other injuries (complication link).
We strongly advise you seek a professional opinion before rehabilitating this severity of injury.Stop playing and rest immediately.
If you are concerned that there may be an associated injury, go straight to a Doctor or Hospital.
Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA.

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