Bent over! What to do?

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During sports or in everyday life, it can happen once that you fold over with your foot. Often a strong swelling of the ankle and pain during movement are the result. Partly it also leads to a bluish discoloration of the foot. If such symptoms occur after kinking, a ligament stretch or even a ligament tear can be the cause. We will clarify the possible causes of a sore and swollen ankle and tell you how to behave properly after the kinking.

Pain and swelling after kinking

If the foot kinks, in most cases there is a so-called supination trauma. This means that the foot kinks over the outside of the foot. This can lead to stretching of the ligaments (ligament stretch) or tearing of the ligaments (ligament tear). Partially, however, the buckling also remains without consequence.

If there is a ligament injury, typically follow Symptoms like swelling and pain, The pain occurs primarily when moving the injured ankle. The swelling occurs because the tissue on the ankle is injured when it is bent over. This leads to a fluid influx into the tissue and the ankle becomes thick.

Blue and thick ankle

Often, the ankle after bending over not only thick, but also turns blue. This is always the case when it comes to a hemorrhage in the tissue. On the one hand, bleeding occurs when blood vessels in the area of ​​the ankle rupture when they are bent over, but also when a ligament tears. Most bruises on the ankle become visible relatively quickly, as they often lie directly under the skin due to the small space. Whether and how much the ankle turns blue depends on the position and the severity of the injury.

Ligament extension or torn ligament

If pain and swelling occur after the buckling, the cause is usually an extension of the ligament, a ligament tear, or a torn ligament. These injuries are often associated with a violation of the joint capsule (capsule tear). For the layman is usually not recognizable, which type of injury exists. Of course, only a doctor can provide information about the type of injury.

Nevertheless, there are some symptoms that are more likely to indicate one or the other cause: For example, the swelling in a ligament strain is often lower than in a torn ligament. Even a missing bruise may indicate a ligamentous extension. On the other hand, severe pain in combination with a thick swollen ankle is more likely to cause torn ligaments.

Folded: First Aid Tips

If you are bent over, you should always use the PECH Rule apply:

  • P (Pause): Protect the injured joint.
  • e (Ice cream): Cool the injured joint with cold water or a cold pack.
  • C (Compression): Apply a compression bandage to avoid over-swelling of the joint.
  • H (Raise): Store the injured joint.

Whether further treatment is necessary after the buckling depends on the extent of the injury. With moderate swelling, hardly any pain and a small functional impairment of the ankle, the PECH rule usually suffices as a therapy. Give the folded foot a few days break so the injury can heal.

In case of doubt to the orthopedist

If you experience severe symptoms such as marked swelling or severe pain, you should always see a doctor. This is also the case when the functionality of the joint is severely limited - for example, when you can hardly stress the foot. The doctor can determine what injury is present and may recommend further therapy.

This is how it is added heavier ligament injuries often used either an elastic bandage or a solid plastic rail. This ensures that the injured ankle is kept as calm as possible. In addition, ointments - for example, with heparin - can be applied, which ensure that the bruise regresses faster. In addition, anti-inflammatory and analgesic tablets can also be taken.

at slight injuries You should start mobilizing the joint again about two to three days after you have bent over. By gently moving the joint, you can prevent later complications. It would be best to see some suitable exercises from a physiotherapist. Heavy ligament injuries require a longer rest period. It's best to talk to your doctor about when it makes sense to mobilize.

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