Jose S. Santiago M.D.

Ankle Sprain Sprain- joint injury caused by the over- stretching of ligaments

Ankle Sprain Ankle Sprain- twisting of ankle joint that causes pain and disability

FIRST AID FOR SPRAINS Immediate rest Immobilization in a cast or splint Ice or cold compress Injured part should be elevated to decrease swelling

Treatments for Ankle Sprain 1. Pain-relievers 2. Physiotherapy 3. Ultrasound Therapy- use of high frequency sound waves to relieve the pain

Case 3: Ankle Sprain A 35 year-old man comes to the Physical Therapy Department with an ankle sprain. He got sprained a month ago. Now, he complains of pain and limited range of motion in his ankle joint.

M: Man T: Therapist T: ________. How can I _____ you? M: _______. I got an ________ a month ago. I got treatment for it. Now, I removed my dressings but I still have _____. So I _____ the orthopedic doctor and he ______ me to ______ physical therapy treatment.

M: Man T: Therapist T: Okay. Let me _______ your chart. You had the dressing for a long time, so there is ____ and limited range. Now, you need a treatment to ______ your ______ and then some exercises to _______ your ______. M: Okay. What kind of treatment is that?

M: Man T: Therapist T: It is _______ therapy. It reduces the pain. It is good for ______ injury. M: How long is the treatment? T: Just ______ minutes. In this treatment you may not feel any heat. M: Okay. For how many days do I need to ___ the treatment?

M: Man T: Therapist T: For one week. Then you may continue the _______ at home. Shall we ______ the treatment now? Please lie down on the ____ with your leg on the pillow. Keep your treatment area at the top. M: Yeah. Am I lying correctly?

M: Man T: Therapist T: Yes, you are ______. I will apply a gel on the ankle now. It will ____ cold. M: Okay sir. T: Don’t move during the treatment. If you feel any discomfort please _____ me. M: Okay sir. I will let you know.

M: Man T: Therapist T: The treatment is _____. You can get down from the bed. I will ____ you the exercises. Please follow me. Sit down on the chair and keep your foot on the floor. Now _____ your toes up with heel in contact with the floor. Then lower it down. M: Is this okay?

M: Man T: Therapist T: Yes. Now _____ your heel up with toes in contact with the floor. This is one set of exercise. M: Okay, I got it. You can go to the next one.

M: Man T: Therapist T: Now sit in a crossed leg sitting position and ____ to move the ankle joint upwards, downwards and try to rotate it. Do you ____ any pain? M: I don’t ____ pain when I move upwards and downwards but I have pain when I _______ my foot.

M: Man T: Therapist T: Do the exercise within the pain range first. M: Okay. Then any other exercise? T: Try to do the same ______ in other positions like ________. M: Yeah. Sure.

M: Man T: Therapist T: Do these exercises regularly at home also. You may _________ in a few days, I think so. M: Thanks a lot sir. T: You are welcome. See you tomorrow.

Questions: 1. How old is the patient? 2. What are the patient’s problems? 3. What was the doctor’s advice? 4. What were the treatments done by the therapist? 5. How are the exercises done?