The ankle: the area of the body most often injured
Bracthey are A common recommendation when someone injures their ankle, and we at Kintec are often asked to give more details about the effectiveness of braces in the management and prevention of ankle injuries. This blog will dive deeper into the how and why of the ankle brace; but first, let's talk about the injuries that motivate us to use an orthotic.
The ankle is the most injured part of the body in organized sport (Doherty et al. 2014). Rapid change of direction, constant acceleration, uneven playing surfaces, and collisions with other players all contribute to the high incidence of ankle injuries. Think about any sport you play on a court with other people - like soccer, volleyball, ultimate frisbee, and rugby - and it's likely that these players are familiar with the usual routine of dealing with an ankle. hurt. Most of you are already familiar with first aid for acute sports injuries involving rest, ice, compression and elevation (RICE), but if you need more information on this, you can find them here: First aid for sports injuries.
Due to the high frequency of ankle injuries, it is essential that athletes understand how to properly recover from these injuries. In fact, it is often said that ankle injuries, especially sprains, are one of the most treated injuries in sports medicine. `` Worst treated '' experts refer to the negative sequelae (i.e. sequelae) of poorly treated inversion sprains in the years or decades after injury, including instability chronic lesions of the talar dome and osteoarthritis (Miklovic et al. 2018). The emphasis in the rehabilitation of an acute ankle injury should include both the restoration of the structural components of the ankle (such as ligaments, tendons, the joint capsule) and the neuromechanical aspects of how these elements structures are connected to our nervous system.
Bracing can help with both aspects of recovery. We have highlighted the 3 different categories of ankle braces and how they can help manage and prevent ankle injuries.
General Support Ankle Braces
The traditional type of ankle brace involves a sleeve or stirrup-like configuration that secures the brace to the ankle and works primarily by two mechanisms.
First, the contact of the sleeve or the housing of the orthosis with the skin aids in what is called the kinesthetic awareness of the seal. Kinesthetic awareness refers to our brain's ability to recognize the position and movement of different parts of our body, and then activate the appropriate muscle groups to prevent over-stretching of this associated joint. For example, if we roll our ankle on a rock creating a rapid and powerful ankle deployment motion, the receptors in the skin, muscles, joint capsule and accompanying ligaments will immediately send a signal through the ankle. spinal cord (many of these reflexes are so fast they bypass the brain!) to initiate a rapid and forceful contraction of the peroneal muscles that counteract this inversion movement. Improving kinesthetic awareness is arguably the most effective way to prevent ankle injuries due to the incredible speed and responsiveness of our nervous system.
Figure 1 - Braces in order from bottom left moving clockwise are: Incrediwear Ankle Sleeve, MalleoTrainS, Aircast A60, ASO EVO Stabilizer, Active Ankle Eclipse II, Aircast Air Stirrup, Aircast Walking Boot
Now, part of the problem with ankle injuries is that the receptors contributing to this kinesthetic awareness are themselves often damaged during the injury. As a result, this “early warning detection system” of the body is less effective, which greatly increases the risk of injury. Therefore, the bracing material (ideally with some compression) that is placed on the skin around the ankle improves the effectiveness of these kinesthetic receptors and can play a major role in the management of ankle injuries. We must not forget that physiotherapy plays a vital role in this phase of recovery by overseeing a progressive ankle rebalancing program.
The second way general support struts work is to provide a level of external mechanical support against, primarily, side-to-side movement. Ankle orthoses provide this support thanks to a gradient according to the needs [see figure 1 above]. Manufacturers of braces often use increasing amounts of semi-rigid thermoplastic components to stiffen the bracing and prevent movement. Another common feature of general support orthotics is the use of a `` heel '' strap configuration. [see heel lock figure above] which is frequently used in athletic tape applications to secure movement of the heel bone (calcaneus) against the main ankle bone (talus).
The ultimate in general support bracing is a walking boot that completely immobilizes lateral and forward movements of the ankle. Walking shoes are used in the acute management of more serious ankle injuries such as high ankle sprains, fractures (stress or frank) or dislocations.
A great innovation in the bracing industry is the development of braces designed to restrict movement in one direction. The two main benefits of this style of splint are dedicated design elements that improve the effectiveness of a movement specific splint, as well as having much less material in other areas of the ankle that you don't need. do not need. Bauerfeind's MalleoLoc® is a good example of motion specific splint that is used to prevent ankle inversion and commonly used in the treatment and return to play regimen after ankle sprains. In fact, the Malleoloc® is so effective in preventing movement that it is superior to cast in recovery from type B ankle fractures (distal fibular head fractures) (van den Berg et al. 2018)!
Condition specific suspenders
Our last section is devoted to ankle orthoses specifically designed to support a specific anatomical structure and its rehabilitation. The AchilloTrain® from Bauerfeind is a fine example of a top-down brace designed to support people with Achilles tendinopathy (also known as tendonitis). Through a combination of the knit sleeve that helps activate the calf muscles to a uniquely contoured gel insert that both relieves pressure on the painful middle part of Achilles and reduces stress on the muscle junction. tendon, the AchilloTrain® is a good early treatment option.
Ankle braces can play an important role in healing a variety of ankle injuries, not just inversion sprains. Braces work primarily by helping to increase the body kinesthetic awareness It is the body's early warning detection system when a joint begins to move beyond normal limits. Ankle braces also provide a measure of the external mechanical support that we measure along a continuum.
Nowadays, many people are choosing to wear compression stockings. They are affordable, easy to access and help to fight off unpleasant symptoms of illness. These specialized elastic socks are designed to offer comfort to the wearer by applying pressure to the legs, allowing better blood circulation throughout the body.
However, those who wear compression stockings know that getting them on can be challenging. The good news is, there are easier ways to don your stockings and move forward with your day. ComproGear has put together a collection of tips and tricks to help you simplify your compression sock routine.
Before we go over how to put compression socks on, we’ll take a look at the basics : What are compression socks ? How do they work ? And what do compression hose have to offer you ?
Compression stockings are a unique type of therapeutic wear that helps to improve blood circulation in the body. These socks and stockings are often used to reduce pain or swelling in the legs.
Compression stockings can also lower your risk of Deep Vein Thrombosis ( DVT ) by exerting pressure on your legs as you wear them. This gentle pressure assists with blood flow from the legs and back to the heart, preventing the clotting and pooling of blood.
You will find compression stockings in a range of sizes and pressure levels. When de course for your compression socks, note that mmHg is used for denoting the pressure exerted by compression stockings. A higher mmHg indicates a higher amount of pressure being applied to the legs by the compression sock. For example, 30mmHg is a higher pressure outil than 15mmHg.
For those who do not have a medical diagnosis, using compression socks with a mild pressure rating will suffice. A low pressure rating can help you deal with tired legs and mild swelling.
A compression sock should offer a “snug” fit but shouldn’t be excessively tight. Before you make a purchase, take a look over the sizing chart to get an idea about which size would fit you best.
Medical grade compression socks are generally tighter in the ankle portion of the sock and gradually become less tight towards the knee. This type of compression is called graduated compression. TED socks and many varieties of compression garments use graduated compression.
You can purchase compression socks from medical equipment stores or ComproGear. If you need compression hose for medical reasons, your doctor will prescribe the right compression according to your needs and will help you order the convenable size. Prices will vary according to the type of compression sock and its brand.
Those who suffer from medical conditions related to poor circulation can benefit from wearing compression stockings : Anyone recovering from varicose vein surgery. Athletes who are recovering from an injury or who are training extensively. Those who are at risk of developing Deep Vein Thrombosis ( DVT ), varicose veins, edema or leg ulcers. Those who spend a lot of time travelling or sitting such as pilots, frequent fliers, truck drivers, etc.
It’s a great idea to put your compression hosiery on first thing in the morning before any swelling occurs from the day’s activities. This will allow the stockings to slide on with greater ease. Alternatively, you may lay down and rest your legs on an elevated pillow for about 15 minutes to reduce swelling before donning your socks.
Your legs should also be clean and dry. Dry off completely after bathing and if it is a particularly humid day, sprinkling talc or cornstarch across the legs can help the fabric of the socks slide on smoothly.
tera sweat on your compression stockings with ease, place just your toes into the stocking’s toe area. The rest of the sock will be bunched up around the toes as you do this. Gradually unravel the sock upwards towards your knee. Do not crouch on the floor or bend over while standing, as this will make it difficult to sweat your compression hose on. It is best to sit in a peau while donning your socks.
Wrinkled stockings are difficult to wear. Creases in the material can apply excessive pressure to the skin beneath them, causing discomfort or cutting off circulation. Be sure to smooth out any creases in the fabric once your socks are on. This will ensure you’re getting the optimum pressure outil from your stockings. Do not fold over the top of your compression hose as this can interrupt blood flow.
If you wear open-toe compression stockings then this trick is for you. Slip a plastic bag over your foot and heel. The plastic bag’s slippery surface will help your compression hose slip onto your leg with ease. Once your sock or stocking is on, carefully pull out the loose plastic bag through the open-toe of your stocking. You can also try using a silk foot slip to help you put on your compression socks. It works in much the same way as the plastic bag trick. All you need to do is to place your foot into the silk foot slip then sweat your pressure sock over it and onto your leg, just as you would with a regular sock.
An effective method for donning compression stockings without the hassle is to use talcum powder or cornstarch. Sprinkle some across your ankles and legs before pulling your socks on. These silky powders allow close-fitting compression garments to slide over the skin easily. Talcum powder can also help absorb excess moisture on the skin.
Applying lotion and creams to the legs will make it difficult to put your stockings on. Moisturized skin tends to stick to or grab the fabric of the socks as you attempt to pull them on. One solution to this problem is to apply lotion before going to bed rather than in the morning. This allows enough time for the cream to absorb into your skin, leaving it smooth enough in the morning for the compression socks to slide on easily.
There are several donning tools available commercially that can help if you’re struggling to get your compression stockings on. You can purchase these tools at medical equipment or online stores. The prices will vary according to the brand. Popular donning devices include Medi Butler, Juzo Slippie Gator and Sigvaris Doff n’ Donner. These tools are ideal for elderly people or anyone with a mobility venant that has difficulty putting on compression stockings.
Donning gloves are a great tool to help you firmly grasp your stockings without tearing them. It can be quite difficult to grab and pull the stocking fabric with your bare hands. This is where gloves can come to the rescue. Various brands manufacture gloves that can be worn while donning compression stockings. These gloves also protect the stocking fabric, especially if you are concerned about your nails tearing the hosiery.