Lower Extremity Injuries Ankle Sprains

Ankle sprains account for 36% of all injuries in soccer. The mechanism of this type of injury is most often running or tackling, and 80% of firsttime ankle injuries occur during tackling. In cases in which the injury results from running, there is a high incidence of previous ankle injury.29 An ankle sprain in many cases can be worse than a fracture in terms of the completeness of recovery.31 Very often the injured athlete returns to the sport before he or she has regained sufficient strength and proprioception.

Inversion sprain is the most common type of ankle sprain. The injury involves the anterior talo-fibular ligament and calcaneofibular ligament. The less common eversion sprain involves the strong deltoid ligament on the medial side and often leads to an avulsion fracture of the tibia.31

Dry needling acupuncture is very effective in reducing pain and swelling. The treatment should be provided immediately after the injury. Injured ligaments should be identified and treated. The treatment should be delivered once every day or every other day during the first week after injury. In addition to the ankle area, muscles of the lower extremity and the core system should be treated twice a week. Even after the initial pain and swelling have been greatly reduced, the athlete should continue rehabilitation for some time before returning to the sport.

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