Ligament: Conservative treatment or surgery?
In a ligament therapy begins immediately after the injury with the initial treatment. It follows the so-called PECH rule: Phousing, eis, Compression, Hochlagern.
Any physical activity should be suspended for a suspected torn ligaments immediately. If the patient is bent over about football and he has pain in the ankle, he was the foot if possible completely relieve.
In addition, it is recommended that the injured joint hochzulagern. This counteracts possible bleeding through injured blood vessels and swelling. a metered cooling the affected joint also inhibits the swelling and also relieves the pain. For this, about so-called ice-lollies or cool packs are suitable. But beware: The cooling should be well dosed, otherwise there is a risk of local frostbite.
If possible, it is advisable to apply a pressure bandage around the affected joint. Compression is important because it comes after cooling to increased blood circulation: the increased blood flow would without the compression the pressure bandage enhance the swelling. Especially recommended is a combination of cooling and compression bandage. For this example, special cooling collars are suitable.
After the doctor has diagnosed torn ligaments him are two treatment methods are available:
The central goal of treatment is to heal the torn ligament and restore stability and resilience of the affected joint.
What course of treatment of sports medicine strikes depends on various factors, among other things:
In the treatment of lateral ligament tear is now the conservative treatment the drug of choice. First aid cooling and lymphatic drainage the decongestion of the injured joint. A stability bar (so-called. Orthosis) also relieves the injured outer bands and makes them quiet.
After a ligament tear it takes, however, some weeks, to sufferers must fully load the joint again. The injured stability splint should if possible about six weeks without interruption wear, including when sleeping. The stability of the ankle joint and fixed rail so preventing re-twisting of the foot. Following physiotherapy exercises are the muscle building and stabilizing the joint.
A surgery an outer band crack can be required in particular when, for example, parts of the bone or the cartilage has been damaged. This also applies to outer band cracks in which the ankle joint is dislocated entirely or partially (so-called. Dislocation).
For a skier's thumb - a torn ligament at the thumb base joint - is the surgery the treatment method of choice. The operator supplied the injured tape by sewing it and eventually reattached to the bone. It came about through the ligament to an outline of the tape from the bone, the physician attaches the tape to a wire or a screw. After that, a cast thumbs up to six weeks calm. The subsequent physical therapy is used to mobilize the joint and muscle strengthening.
An undiagnosed or improperly treated and healed skier's thumb may in the long term to a painful Shaky thumb to lead. The joint remains unstable due to the torn ligament. there is a risk of osteoarthritis in the long run. In such a case, an operation is unavoidable often. The surgeon then replaces the torn or damaged tape by a so-called ligament reconstruction. This is a graft which is obtained from a dispensable tendon of the forearm.
Is this anterior cruciate ligament torn, there is a therapy usually in an operation in the affected band. The surgeon replaces the torn ligament with a tendon graft. He brings the graft during a knee joint Reflection (arthroscopy) in the damaged or destroyed portion of the cruciate ligament and attached to it with screws or by press-fitting to the femur and tibia.
After surgery it takes six to eight months, to the person concerned, the knee must put full weight. During this period he increases using the Krankgengymnastik increasingly stress, strengthens muscles and trained specifically its coordination.
tearing the posterior cruciate ligament, may be sufficient conservative therapy. The injured man receives in this case, a special knee brace, which he must carry at least twelve weeks. If the torn ACL but only months or years later recognized - which often occurs due to the frequent lack of symptoms and complaints - is no way to surgery with the use of a ligament.