Sprained
A fat lady who thought she had good legs and feet suffered a small blow after experts gave her a drawer experiment . Experts emphasized that foot sprains should not be ignored, as it can cause fractures, amputation and even death! Why does foot sprain have such serious consequences?
The biggest hidden danger of foot sprains
Drawer test
Hold the calf with one hand and pull it back and forth like pulling a drawer with the other hand. If the ankle joint is obviously unstable, it indicates the possibility of sprain.
Aunt Liu is a mountain climbing enthusiast. She has more than 20 years of experience in mountain climbing. She sprained her ankle when going down a step, resulting in three fractures of her ankle joint! This is the most serious situation in ankle fracture . It turned out that there was a big hidden danger in Aunt Liu's body. It was precisely because of this big hidden danger that she suffered such a serious fracture, and her recovery was slower than others.
This big hidden danger is diabetes , which has a great impact on the ankle joint. Not only is it easy to lead to fractures, , but it can also cause diabetic foot , with the risk of amputation and death!
The ankle joint is composed of three main bones: fibula (lateral malleolus), tibia (medial malleolus), talus . Because the lateral ligaments are the most susceptible to damage, lateral malleolus fractures are most common . The drawer test we did at the beginning was also caused by injuries to the lateral collateral ligament, which caused long-term chronic ankle instability in many people, causing ankle pain.
If blood sugar is still high, it will cause the toughness and strength of ligaments to weaken , and the patient will easily sprain his feet. At the same time, diabetes will lead to a large loss of calcium and poor calcium absorption, leading to osteoporosis . Osteoporosis can cause fractures, slow recovery and other problems.
The difference between diabetics and normal people after fractures
Diabetics
⒈ A sprained foot is not easy to recover, and it is easy to fracture, and the recovery time is long
⒉ Diabetic foot
⑴ A broken foot has the risk of amputation and death
⑵ A sprained foot fracture cannot be operated on and is very difficult
⒊A sprained foot that does not heal for three months will turn into ankle arthritis and cartilage damage, and recovery is more difficult
Normal people
⒈A sprained foot will recover easily and is not easy to fracture
⒉ Non-diabetic foot
⒊A sprained foot that does not heal for three months will also turn into ankle arthritis and cartilage damage, but the recovery period is short
Taking a bath almost leads to amputation?
Diabetes also caused a lot of suffering to Uncle Li, a patient in Shanghai. His foot was almost amputated because his skin was broken during a bath. How are bathing and amputation related?
Case: Uncle Li has been suffering from diabetes for 15 years. At that time, he did not know that the sequelae of diabetes were so serious. He could eat whatever he wanted and did not pay much attention to sugar control. As a result, when he was taking a bath, used a bath towel to rub a layer of skin on his feet, leaving some blood. He didn't pay much attention to it and simply bandaged it with gauze. But the wound did not heal, but ulcerated, so he went to the hospital to have it bandaged and started changing the dressing every other day. After three months of treatment, 's skin ulcers became larger and larger, . The endocrinologist told him that if continued to develop, amputation might be necessary! Uncle Li finally found Director Zhang and saved his leg. Now his foot has fully recovered.
According to the "Guidelines for Diagnosis and Treatment of Diabetic Foot" just published in 2019: The incidence rate of diabetic foot among diabetic patients over 150 years old is as high as 8.1%. A diabetic patient has an amputation every 20 seconds around the world. The annual mortality rate for patients with diabetic foot ulcers is as high as 11%, and the annual mortality rate for patients with diabetic foot amputation is as high as 22%.
Therefore, diabetic patients must strictly control their blood sugar. So if unfortunately we get a sprain, how should we deal with it correctly?
Tips for dealing with sprains
How to deal with sprains in the acute stage
◆ Ice compress: Wrap ice cubes in a wet towel and apply it to the affected area, 10-20 minutes each time, more than 3 times a day .
① Ice compress is only applicable within 148 hours after injury
② After 148 hours it becomes hot compress
◆ Pressure: Use an elastic bandage to wrap the injured ankle joint and apply appropriate pressure. Use "8-character principle" to fix and control swelling.
◆Elevation: Elevate the affected limb, is higher than the heart
◆ Do not apply blood-activating and analgesic plasters immediately after a sprained foot
If it still does not improve after treatment, you can go to the hospital for a weight-bearing CT, which can detect minor injuries to our ankles.
After the ankle joints become loose, there are tips for choosing shoes:
※ You must wear high-top shoes . High-top shoes can protect the parts of the ankles that are most susceptible to sprains.
※Choose shoes with shoelaces . The shoelaces can be adjusted to the most comfortable tightness.
※ soles should be anti-slip and , which should be relatively hard.
