Torn ligaments/ligament injuries - Information on therapy (2024)

Torn ligaments/ligament injuries - Information on therapy (1)

A torn ligament is a typical sports injury. In the event of quick changes of direction or abrupt changes in speed, ligaments can tear partially or completely. However, even simply twisting the joint during day-to-day activities can result in a ligament tear.

Symptoms

Causes

Diagnosis

Treatment

Aftercare

FAQs

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Most common injuries

There are three different ligament injuries that can occur.

Lateral ligament rupture is a tear in the outer ligament.The most common type of ligament tear is supination trauma, which occurs when the ankle is twisted over the outer edge of the foot.

Pronation trauma – a tear in the inner ligament – is less common. This injury occurs when the ankle is twisted over the inner edge of the foot.

If the injury is severe, a syndesmotic ligament tear may also occur. This is a tear in the supporting ligament between the tibia and fibula (the syndesmosis ligament).

Symptoms

Typical signs of a torn ligament include swelling, bruising and pain in the affected area. These symptoms of a torn ligament occur immediately after twisting the foot, and are accompanied by a sudden shooting pain. In addition to the above symptoms, the individual will also be unable to bear weight on the affected ankle due to the pain, and they may also experience some instability.

The mobility of the joint must be taken into account, as a strain can have similar symptoms. If the joint is unstable and the injured person feels unsafe to use the joint, a doctor should be consulted immediately.

Causes

Ligament tears can occur during rapid changes of direction, as well as in situations in which an external influence causes the joint to move beyond its normal range of motion.

Typical causes are slipping while walking or an external blow to the joint, such as when playing hockey or in the event of a fall.

Diagnosis

In most cases, doctors are able to diagnose a ligament tear by examining the ankle. The mobility of the joint is tested. There are various methods, such as the drawer test. The drawer test checks whether the ankle bone can be pushed forward against the tibia. This drawer motion is only possible if the outer ligament is torn.

This examination can only be carried out within the first 48hours after the injury occurred.

In addition to the examinations mentioned above, the patient also undergoes an X-ray or ultrasound examination. In complicated cases, magnetic resonance imaging (MRI) can be used to give the medics a comprehensive overview of the ligament structures.

Treatments

A torn ligament in the ankle can be treated conservatively (without surgery) or surgically. Which treatment method is carried out depends on the severity and extent of the injury.

In the first few days, it is important to relieve pressure on the ankle by elevating it. It also needs to be cooled to reduce swelling and alleviate pain.

A special splint called an ‘orthosis’ allows the ankle to roll again when walking and prevents twisting from reoccurring. The splint is worn around the clock, usually for a period of six weeks.

Torn ligament diagnosis: When is surgery required?

In cases where multiple ligaments are torn and the ankle is very unstable, surgery is recommended. For patients who put a lot of strain on their ankle joints (e.g. competitive athletes), surgery is the most common option. During the operation, the torn ligament is sewn up or the ligaments are reconstructed.

Aftercare

After the procedure, the ankle is immobilised for up to six weeks. Normally, a torn ligament takes eight to twelve weeks to heal.

An individual treatment plan is drawn up for the recovery period, which includes immobilisation of the joint using a splint, as well as a tailored course of physiotherapy.

FAQs

Can I do sports again after ankle surgery?

In order to protect yourself from a torn ligament, intensive training of the shin muscles is important. Before sport or exercise, it is advisable to properly warm up and stretch the calf muscles.

How do I prevent ankle osteoarthritis?

If a torn ligament is not properly treated, the ankle may remain unstable forever and the buckling may recur. In the worst case scenario, the imbalanced strain on the joint may lead to osteoarthritis.

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Torn ligaments/ligament injuries - Information on therapy (2024)

FAQs

What is the best treatment for torn ligaments? ›

Doctors have ways to treat ligament and tendon injuries. Less severe ones may recover on their own with rest. Many people also need bracing and medicine to help recover. Some people need surgery to repair a torn or ruptured tendon or ligament.

Can physical therapy fix a torn ligament? ›

For most partial tears (grades 1 or 2), surgery is not needed and a full recovery can be gained through personalized physical therapy. Treatment focuses on strengthening of the quadriceps, hamstring and gluteal muscles, while restoring normal mobility as the ligament heals.

What is the recovery time for torn ligaments? ›

For minor tears with microscopic damage, it may take up to 6 weeks for a full recovery as long as you don't do anything to perpetuate the injury (i.e., like exercising before your doctor clears you to do so). Obviously, the more severe the tear, the longer it will take to recover, especially if surgery is required.

How bad does a torn ligament hurt? ›

A torn ligament can result in varying degrees of pain and discomfort, depending on the extent of the injury. It may produce heat, extensive inflammation, popping or cracking noises, severe pain, instability within the joint and an inability to put weight or pressure on the joint.

Is walking good for torn ligaments? ›

In case of ligament sprain or rupture, doctors generally will recommend using the knee normally. Walking should not cause any more damage. However, make sure to walk with your heel down first. In the case of recovering patients, gradually increase the activity duration.

What heals ligaments the fastest? ›

Rest. The generally accepted wisdom on how to initially treat a ligament injury can be summed up in one acronym: RICE, which stands for Rest, Ice, Compression, and Elevation.

How long should I not walk on a torn ligament? ›

Long-term prognosis after tearing a ligament

Level 1 and level 2 sprains will often be fully recovered within three to eight weeks, meaning you should be able to return to your normal activities and have full mobility in that time.

Do ligaments ever fully heal? ›

A fully torn ligament, or grade 3 tear, can cause chronic pain and joint instability. Complete tears rarely heal naturally. Since there's a disconnect between the tissue and any chance of blood supply, surgery is needed. Surgery also helps the joint heal correctly and reduces the chances of re-injury.

Which medicine is best for ligament repair? ›

Tendotrex forte is ideal for tendonitis, arthritis (osteoarthritis and Rheumatoid arthritis), bursitis, ACL tear and ligament injury. The Tendotrex Forte advanced formula helps reduce pain, improves healing of injured fibres and improves joint lubrication, flexibility and mobility. Key Ingredients: L-Arginine.

What is the most painful ligament to tear? ›

As a physical therapist, I am often asked by patients, what is the worst ligament to tear? The quick answer is that the ACL (Anterior Cruciate Ligament) is most likely to be considered the worst ligament in the knee to tear.

How do you know if a torn ligament is serious? ›

See a doctor right away if any of these things happen:
  1. The pain and swelling don't start to ease within 24 to 72 hours.
  2. You cannot bear weight.
  3. Your symptoms get worse.
  4. You feel a popping sensation when you move a joint.
  5. You can't move an injured muscle at all.
Feb 26, 2024

Is tearing a ligament worse than a break? ›

So with that said, if you had to choose an injury, breaking a bone is a pretty good one to have. It's a lot better than tearing a ligament (just ask Rondo, Brady, or Welker). Bone is one of two tissues in the body that heals without leaving a scar.

Can a completely torn ligament heal on its own? ›

Can A Ligament Tear Heal Itself? Grade 1 and 2 tears have the potential to heal themselves as the ligament is still intact. Because a grade 3 ligament tear is a complete rupture then the capacity to heal itself is much less.

What not to do with a torn ligament? ›

Rest: Don't put weight on the injured area for 24 to 48 hours. This includes not lifting with an affected wrist or elbow. If you physically cannot put weight on an injured knee or ankle, see your doctor.

What do doctors prescribe for torn ligaments? ›

In addition to the RICE method, your doctor may prescribe anti-inflammatory medication to help mitigate the swelling and discomfort. Depending on the extent of the injury, your primary care physician also may recommend physical therapy to strengthen the area and help safely restore range of motion.

How do you heal a torn ligament fast? ›

Early medical treatment for knee ligament injury may include:
  1. Rest.
  2. Ice packs (to reduce swelling that happens within hours of the injury)
  3. Compression (from an elastic bandage or brace)
  4. Elevation (keeping it raised)
  5. Pain relievers.

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