Skręcenie stawu skokowego to uraz, który może przydarzyć się każdemu, niezależnie od tego czy uprawia sport. Wystarczy złe ułożenie stopy przy stawianiu na podłoże, aby łatwo narazić się na kontuzję i jej dokuczliwe konsekwencje. Dlatego warto wiedzieć, jakie są objawy skręcenia i jak postępować w jego przypadku.

Do skręcenia kostki prowadzi przekroczenie bariery fizjologicznej stawu w wyniku m.in. pominięcia rozgrzewki przed treningiem, złego ustawienia stopy na ziemi czy też nieprawidłowego wylądowania po wyskoku. Następstwem skręcenia jest destabilizacja stawu skokowego oraz naruszenie więzadeł i torebki stawowej, co prowadzi do obrzęku i silnego bólu. Niekiedy wymaga czasowego odstawienia sportu i ulubionych butów na obcasie. Może się przytrafić każdemu z nas – skręcenie kostki to jeden z najbardziej powszechnych urazów.

Istnieją trzy stopnie skręcenia, od których w dużej mierze zależy sposób leczenia:

  • skręcenie I stopnia – charakteryzuje się nieznacznym uszkodzeniem więzadła i ograniczeniem funkcji ruchowych stawu skokowego. Pojawia się niewielki ból, krwiak i obrzęk;
  • skręcenie II stopnia – w tym przypadku mamy do czynienia z niezupełnym naruszeniem więzadła, a także silniejszym niż przy skręceniu I stopnia bólem i obrzękiem;
  • skręcenie III stopnia – często przejawia się zupełnym uszkodzeniem więzadła, wysoką destabilizacją stawu i silnym bólem.

Skręcenie nie jest tak niepozornym urazem, jakim może się wydawać. Zaniechanie leczenia może doprowadzić do trwałego uszkodzenia i narastającego z biegiem lat bólu. W przypadku skręcenia ważna jest konsultacja ze specjalistą, szczególnie w przypadku urazów II i III stopnia. Przy diagnostyce skręcenia ortopeda może wykonać badanie USG, aby określić stopień urazu i czas rekonwalescencji, a także zdjęcie rentgenowskie w celu sprawdzenia, czy dodatkowo nie wystąpiło np. złamanie (odłamanie kawałków kości może powodować przewlekłe bóle). Na jakiś czas trzeba zrezygnować z uprawiania sportu, a okres ten zależy od zaawansowania urazu.

Przy łagodnym skręceniu z większością procesu leczenia możemy poradzić sobie w domu. Na obrzęk i opuchliznę receptą będzie chłodzenie uszkodzonej kostki przy pomocy np. zimnych okładów w postaci woreczków z lodem. Pomoże również maść chłodząca, np. Maść Niedźwiedzia Polarny Lód, zawierająca kojącą miętę chińską i arnikę, które zapewnią silne chłodzenie w miejscu skręcenia, złagodzą ból i zmniejszą obrzęk. Stosowanie preparatów na bazie mięty, znajduje zastosowanie jako środek przeciwbólowy oraz wykazuje właściwości chłodzące i ogranicza stany obrzękowe. Arnika Montana przyczynia się do złagodzenia bólów i rozluźnienia, a także przyśpiesza wchłanianie się siniaków. Wskazane mogą być również środki przeciwzapalne czy unieruchomienie stawu np. opaską elastyczną. Dodatkowo lekarz może zalecić fizjoterapię, aby zwiększyć skuteczność leczenia.

Jeśli uraz jest poważniejszy, wymagane jest unieruchomienie stawu skokowego, aby nie doprowadzić do pogorszenia kontuzji. W przypadku skręceń II stopnia do standardowego postępowania należy usztywnienie stawu skokowego przy pomocy stabilizatora lub w trudniejszych przypadkach – gipsu, chłodzenie obrzęku przy pomocy maści lub okładów oraz stosowanie żeli przeciwzapalnych. Skręcenie III stopnia wymaga usztywnienia gipsowego. Niekiedy uraz jest na tyle skomplikowany, że musi być leczony na stole operacyjnym. W przypadku skręceń II i III stopnia konieczna jest rehabilitacja uszkodzonej kostki. Pomocne mogą okazać się zabiegi fizjoterapeutyczne, które zaleci specjalista.

Nieleczone skręcenie kostki może skutkować znacznie poważniejszymi konsekwencjami. Nawet przy prawidłowym leczeniu taki uraz może powodować przewlekłą niestabilność stawu skokowego, czyniąc go bardziej podatnym na kolejne urazy i szybszą eksploatację. Zlekceważenie skręcenia może doprowadzić do trwałego upośledzenia stawu, dlatego nie warto zwlekać z wizytą u specjalisty, jeśli przytrafi nam się kontuzja kostki.


dostarczył infoWire.pl

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