Sprain

Question 0

Def Strain

Answer 0

Stretching or tearing of Muscle and Tendon

Question 1

Def Sprain

Answer 1

Stretching or tearing of ligaments - the fibrous tissue that connect two bones together in your joints. The most commonly sprained location is your ankle.

Sports injuries can be treated as sprain

Question 2

Areas that are easy to sprain

Answer 2

Wrist
Ankle
Knee
Low Back
Neck
Elbow
Hip
Shoulder

Question 3

Whats the easiest area to get a sprain?

Answer 3

Ankle

Question 4

Clinical Features

Answer 4

Swelling
Pain
Limited ROM
Bruise to local area

Question 5

Etiology/Pathology

Answer 5

Over use and Injury
Exercise without warm up
Overstretch
Improper Lifting

Question 6

Whats the “Golden Period”

Answer 6

To treat 1 hour after injury

There’s minimal pain and swelling making it easier to treat

Question 7

Sports Medicine Tx

Answer 7

Restore Energy

Improve performance using St 36 and SI 3

Question 8

Things to Rule out

Answer 8

Dislocation
Bone Fracture
Complete Tears
Encourage patient to get x-ray…Soft tissue damage not seen on X-ray though!

Question 9

Diagnosis

Answer 9

Injury History: Details of what happened
Time
What part of body hit
Where is pain

Check local area for swelling/bruising/bleeding/pain on palpation

Question 10

Differentiation

Answer 10

Fracture- Pain, tender, longitudinal swelling and bruising, complete loss of function, twisted deformity, shock

Dislocation- Injury history, Pain and swelling, loss of function, disformity, elastic fixation (goes back to position)

Question 11

Stages

Answer 11

Early Stage: 
          1-3 Days
           Main pathology blood stasis
           Severe fixed pain
           Red/purple
           Swelling/bruising
           Limited movement
           Warm
           Pain could be causing insomnia
Middle Stage: 
           3 days to 2 weeks
Late Stage: 
          2 Weeks and on
          Can combine with W-C-D - Heavy Sensation
          Still some blood stasis
          Pain not as severe - mild/moderate
          Swelling/bruising
          Aggravated by cold
          Qi Def Signs
          Bruise colour through healing process
          Repetitive kidney Def 

*Repetitive injury treat as you would in late stage

Question 12

POT

Answer 12

Early: Promote blood circulation
Remove Blood Stasis

Late: Tonify Qi and Blood
Nourish Tendon and bones
Remove Blood Stasis

Question 13

Tx

Answer 13

Herbal: Zheng Gu Shui/ Woodlock ~ “Herbal Wash”

Acute: Corresponding Body part - Left Ankle, right hand
Treat Shaoyang foot with hand shaoyang
Moving Needle technique
Avoid Local Area
Bleeding
Bleed Cupping
6 Zones

HEAT Vs. COLD

After 24 hrs First 24 Hrs
Repair Tissue
Remove Blood Stasis

Auricular Acupuncture -Corresponding points, subcortex, shenmen

Chronic: Moxa with ginger 10-15 min with 5-7 units
Internal Herbals for bigger area ~ Yun nan bai yao
~moves blood and stops bleeding

Question 14

Edu

Answer 14

Exercise Reg
Always warm up before activity
Rest injury and fixation if necessary
Elevate
Encourage gradual exercise through injury process...Passive ---> Active

Question 15

Severe fixed pain aggrevated by pressure and movement, obvious swelling, red/purple skin, insomnia

Answer 15

Early Stage

Question 16

Early Stage T and P

Answer 16

T: Thin and white
P: Wiry and tight

Question 17

Mild or moderate fixed pain or soreness and heaviness, recurrent swelling, limited range of motion aggravated by cold, cool and numbness of skin, pale and puffy complexion, lassitude, chills

Answer 17

Late Stage

Question 18

Late Stage T and P

Answer 18

T: Ecchymosis, white and sticky coat

P: Thready and choppy