Treatment of foot sprains
Patients will typically present with symptoms of foot sprains that vary from mild, moderate to severe. The foot can be swollen, tender, painful, and bruised. In more severe sprains, the patient may be limping or unable to walk. Proper diagnosis is paramount to make an appropriate treatment plan. It is very important to determine which ligaments, tendons, muscles and bones may be involved. In addition to clinical exam, diagnostic tools such as xray, utrasound, CT and MRI are often used to evaluate the extent of the injury.
For mild midfoot sprains, initial treatment may include recommendation of “RICE therapy”. Rest the foot and limit weight baring, activity and walking. Ice the injured area to reduce swelling and inflammation. Compress the foot with an ace bandage and Elevate the injured area. Your doctor also may suggest that you take over the counter or prescription strength pain or a nonsteroidal anti-inflammatory medications to relieve pain, reduce bruising, inflammation and swelling.
As part of first line treatment, the doctors at City Podiatry may also immobilize the foot in a cast, shoe, brace, boot or crutches. The doctor may also recommend temporarily avoiding bearing weight on the injured foot. As the injury heals, patients can gradually resume weight-bearing and other normal activities.
Physical therapy is also prescribed often times. Physical therapists can aide in helping patients follow special treatment and rehabilitation regimens to ensure that the injured foot heals with a proper balance of flexibility and stability. Therapy facilities also use modalities such as electric stim, laser and ultrasound to help soft tissue injuries heal and feel better.
In chronic or more severe cases surgical intervention may be necessary. These can include repairs, or minimally invasive procedures. The minimally invasive procedures are done on an out-patient basis and are under local anesthesia with sedation for quick recovery. The incisions are percutaneous and are often times very small. These type of procedures include radiofrequency ablation and Tenex, which ultrasonically debrides frayed tendon or ligament fibers and scar tissue. There are also regenerative injections available and are routinely performed in office under local anesthesia. Regenerative injection therapy include amniotic tissue, PRP (platelet rich plasma injections), and stem cell injections. All of these modalities are used by the doctors at City podiatry.
In most cases a full recovery can take a few weeks to several months. Call the doctors at City Podiatry if experiencing these symptoms after a sprain, especially if pain prevents bearing weight or does not subside over a day or two.