Ankle injuries: painful and slow to heal
Ankle injuries are one of the most common injuries treated in medicine. They are painful because the weight of the body falls on these lower extremities, preventing them from moving easily.
Fractures or slow healing injuries
Caused by trauma such as a fall, a sprain in sports or a sudden twist of the foot. There is a fracture of one or more of the bones and ligaments that make up the ankle, such as the tibia, fibula or the bones of the foot. Recovery depends on the severity of the injury. It begins with immobilization in an orthopedic boot, plaster or splint, which allows the bones to fuse together again. This is followed by rehabilitation with physiotherapy to restore the strength, mobility and function of the ankle.
Plantar fasciitis
A condition caused by inflammation of the tissue connecting the heel to the toes as a result of repetitive strain or poor technique in athletes. It is common for the pain to increase with the first steps of the day or after a long period of rest. Treatment includes physiotherapy, stretching and icing. Medication for pain and inflammation may also be used.
Sprained or torn ligaments and tendons
The most common situation is a sprain while walking or playing sports. There are three degrees of sprains, the third being the most difficult to heal due to the complete rupture of the ligaments with swelling and loss of function. Treatment ranges from icing, compression and elevation to rehabilitation to achieve stabilization and pain- free mobility.
Achilles tendon injury or chronic tendinitis
It affects the back of the ankle and radiates into the calf muscles due to repetitive strain or aging. Tendinitis is an acute inflammation of the tendon that can be treated with physiotherapy, stretching and strengthening exercises. Chronic tendinosis is characterized by degeneration of the tendon and should be treated with physiotherapy, special insoles or heel cushions, shock wave therapy and medication.
Our therapeutic options
In all cases, depending on the severity of the condition, the acute or chronic nature of the condition, the patient’s baseline condition and medical, toxic or allergic history, whether or not the patient is scheduled for a surgical correction or has already undergone one, and the time elapsed since it was performed, therapeutic options can be proposed to complement conventional treatments, favoring an earlier and more efficient recovery and rehabilitation, with less sequelae and providing tools to generate in many cases, a regenerative effect that may eventually stop or reverse chronic degenerative and inflammatory conditions.
Among these therapeutic options we have the use of platelet-derived growth factors, known as platelet-rich plasma (PRP), which in our case, we enrich with exosomes that are factors produced by stem cells to generate much of its action. Also the use alone or in combination of exosomes, the application of ozone (O3), hyaluronic acid, local anesthetics for the realization of blocks, drugs such as traumeel or zeel t and of course the use of stem cells. These can be used alone or in combination with intravenous infusions of vitamins, minerals and others, depending on the patient’s condition and desire.
Tools such as hyperbaric oxygenation therapy (hyperbaric chamber), infrared sauna and frequency specific microcurrent (FSM) are also available.
All these strategies, depending on the case, could be performed with an ultrasound- guided application, thus improving the precision in the application and therefore its effectiveness and reducing the possibility of adverse effects and/or complications.