Tuesday, December 1

Why a sprain may “never” heal

Sprains that occur in the ankles are very common and their diagnosis can be perform with ease. However, there are details that can be overlooked, and these are what could cause these types of injuries become complicated and last several months or even years to heal.

There are several treatments that can be followed, such as massages or physiotherapy, but to know which is the best option, it is always advisable to visit your trusted doctor.

How sprains occur

In essence, this type of injury occurs due to a poor joint movement. When we make a sudden movement, like a forced plantar flexion, which is the movement that occurs when the foot stays hooked under the buttocks, tighten various muscles and tendons.

A bad movement in the joint could cause a serious injury. Source: Pixabay

Now when they are tense, there is a Defense mechanism, to call it somehow, to prevent tension damage tendons, even though the sprain.

When the injury becomes chronic

The protective mechanism that is activated is the one that can cause the injury. This is due to the fact that there are some receivers called muscle spindle.

In tendons, on the other hand, are the golgi catchers. When the ankle is twisted, especially when the foot is flexed and it remains hooked, a mechanism called tibialis anterior inhibition.

When there is a stretching tension, the receptors found in the tendons, the golgi receptors are activated and send signals to the brain indicating that if the stretch continues, the tendon could break.

Thus, the brain will send a signal to the muscle receptors of the muscle spindle so that these stop contracting when trying to carry the foot to its natural position. If they don’t, the tendon will break.

Thus, as the physiotherapist David Nogueiras in Fisioonline, this protection mechanism leads to the muscle stop working at that moment. However, it could happen that stop working permanently, producing the inhibition of the tibialis anterior.

In this way, a injury which, in essence not serious, could last for long time if the correct cause is not found.

How to Identify a Chronic Sprain

sprain pain
It is important that the possible injury is reviewed by a specialist. Source: Unsplash

To identify this type of sprain, only a strength test known as tibialis anterior strength.

To perform this test, you must raise the tip of the foot towards the eyes and you have to resist the climb. Yes, compared to the other foot little or no force, then we probably have this injury.

Of course, to have a certainty regarding that, it is most recommended that this test be carried out by a physiotherapist. It is important to perform this test to avoid that he pain or the inconvenience prolong.


Once the problem is identified, it can be solved with several physiotherapy sessions. Although they can be done individually, it is better than a specialist accompany the exercises.

Especially since it is necessary to do a series of massages on the tibialis anterior. Then you have to do a series of simple exercises, well they must stretch the legs and feet by bending them back, as if pointing his fingers towards his eyes.

Then it is advisable to have a medical check to assess how the injury continues and determine what other treatments could be followed.

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