Sheldon Marne, DPM
Location and Office HoursABC Podiatry Center
704 Oakland St
Hendersonville, NC 28791
- BlueCross BlueShield
- BlueCross BlueShield of North Carolina
- Coventry Health Care
- First Health
- Great-West Healthcare Cigna
- Tricare/Humana Military Healthcare
- United Healthcare
- Margaret R Pardee Memorial Hospital
- Mission Health Memorial Campus
- Mission Health St Joseph Campus
- St Joseph's Hospital
- Transylvania Community Hospital
How is osteochondritis dissecans treated?
Treatment of osteochondritis dissecans (OCD) depends on the age of the patient, the circumstances of the injury and the type of bone damage. A simple bone contusion (bruise) would be treated differently from a detached bone fragment. In most cases, OCD lesions in children and young teens will heal on their own, especially when the body still has a great deal of growing to do. Treatment options may vary from simply being on crutches and being casted to having surgery.
How should my son treat his sprained ankle?
The acronym PRICE is your answer: Protect, Rest, Ice, Compress, Elevate. Protect and rest the area by having your son take a break from his sport for a few days. His body needs time to heal, and this healing is most efficient when he is not participating in his sport. Next, ice the injury at least three times per day, 20 minutes at a time, for the first three to five days. Use an ace wrap to compress the area to reduce swelling. Begin wrapping at the toes, with the wrap being tighter at the toes, and getting looser as you move up the leg. Make sure the compression wrap is snug but not too tight. Elevate the area above the heart several times as often as possible throughout the day to assist in the removal of swelling.
Once the swelling and pain have lessened, have your son move the ankle in pain-free directions to increase range of motion. The more he moves, the faster he will be back on the field of competition. Movement facilitates the removal of swelling and helps to build strength. Balancing is an important exercise in the rehabilitation of an ankle sprain. Have your son stand on his injured leg, with the knee slightly bent. Have him balance on one leg for 30 seconds. Once he is able to balance easily on level ground for 30 seconds, begin throwing a ball for him to catch while balancing or have him close his eyes. This balancing will help him in the future be able to correct motion that could result in an ankle sprain. Performing calf raises, walking on his heels and toes and stretching the Achilles tendon are all important exercises to incorporate into the rehabilitation as well.
Should any of these exercises cause more pain, seek medical attention from a physician to rule out a fracture. Once a fracture has been ruled out, the physician may also refer you to an appropriate healthcare provider, such as an athletic trainer, to assist you with a progressive rehabilitation program.
(This answer provided for NATA by the King College Athletic Training Education Program.)
What is a first-degree ankle sprain?
First-degree ankle sprains are the most minor of ankle sprains. Return to sport depends on the pain tolerance of the athlete. As long as there is minimal swelling and the athlete has most of the motion back in the ankle, he or she can play as tolerated. Taping or bracing the ankle will provide additional support to prevent further injury.
(This answer provided for NATA by the King College Athletic Training Education Program.)Helpful? 1 person found this helpful.
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