摘要：你是否也曾经或正在经受足踝扭伤的困扰？足踝扭伤往往不仅是一次短暂的痛苦，还可能带来长期的困扰，例如持续疼痛、行走不便、关节不稳和反复扭伤等，严重影响生活质量。尤其对于运动员、舞蹈演员和健身教练等高强度活动者，这种伤害还可能影响职业生涯，进而带来心理压力，并由于

你是否也曾经或正在经受足踝扭伤的困扰？足踝扭伤往往不仅是一次短暂的痛苦，还可能带来长期的困扰，例如持续疼痛、行走不便、关节不稳和反复扭伤等，严重影响生活质量。尤其对于运动员、舞蹈演员和健身教练等高强度活动者，这种伤害还可能影响职业生涯，进而带来心理压力，并由于活动减少影响整体健康。

足踝扭伤是一种极为常见的运动损伤，几乎每个人在生活中都可能遇到。多年来，针对足踝扭伤的处理方法普遍强调“RICE”原则，即休息（Rest）、冰敷（Ice）、压迫（Compression）和抬高（Elevation）。然而，即使严格遵循RICE原则，许多患者依然面临着长达数周甚至数月的痛苦和不便，令人深感挫折。虽然RICE原则在受伤后立即治疗中非常重要，但美国脊骨神经医学（Chiropractic）提供了更深入的解决方法，能够加速康复并减少长期困扰。

足踝扭伤时会发生什么？

足踝扭伤的最常见类型是内翻扭伤，即足踝向内侧翻转，足底朝向对侧足部。在这个过程中，足踝外侧的韧带被拉伸，稳定足踝的肌肉出现抑制或软弱。这就是为什么在足踝扭伤后，不仅会感到疼痛，还会在步行时遇到负重困难的问题。如果肌肉没有抑制，足踝的稳定性会更好，负重也会更加容易。因此，RICE原则主要关注减轻肿胀，却未能解决肌肉抑制，以促进关节稳定和损伤愈合。超声波、微波等传统理疗方法也无法有效激活受抑制的肌肉。

那么，有没有什么是你在足踝扭伤康复过程中忽略的关键呢？

足踝扭伤有效康复的三个关键

1. 早期康复

研究表明，延迟治疗可能会导致软组织愈合不良，受损的韧带和肌肉可能形成瘢痕组织，从而导致关节僵硬和活动受限，增加慢性疼痛和功能障碍的风险。早期康复不仅可以减少肿胀和炎症，还能促进组织的正确愈合。因此，及时进行康复干预对于加速康复和防止长期不适至关重要。

2. 平衡肌肉

足踝扭伤时，稳定足踝的肌肉会受到抑制而变得明显软弱，肌肉失衡会导致足踝失稳。要恢复足踝的稳定性，必须解决肌肉抑制问题。通过功能性肌力测试，可以精确定位受抑制的肌肉。足踝扭伤常见的抑制肌肉包括腓骨肌和胫骨后肌，进而还会引起骨盆部位的外展肌群抑制，从而造成足踝和骨盆失稳。使用干针神经调控或起止点技术等现代脊骨神经疗法，可以快速有效地激活这些受抑制的肌肉，恢复足踝的稳定性，显著加速康复过程。

3. 全面康复

在美国实用运动学（Applied Kinesiology）中强调，足踝扭伤会涉及三种组织损伤：距踝关节偏位、支撑肌肉抑制以及周围韧带受损或撕裂。这些损伤会影响足踝的正常功能，必须全面治疗。仅使用药物和绷带来缓解疼痛是不够的，还需要采取措施消除肌肉抑制、重新排列关节，并提供结构性支撑，否则可能导致慢性足踝问题，造成长期不适，并加速关节退变。

那么，如果你也有足踝扭伤的困扰，你会希望得到怎样科学系统有效的康复治疗呢？

精准康复五步法

绝地疼痛康复医生采用美国脊骨神经医学和实用运动学的前沿康复理念和技术，通过系统化、科学化和精准化的五步综合康复方法，帮助患者有效加速康复进程，恢复足踝的正常功能，避免长期困扰。

1. 精准化功能评估

首先，需要详细的病史采集和辅助检查，排除器质性损伤以及确定足踝扭伤的原因、阶段和程度。然后，使用实用运动学中的功能性肌力测试方法，帮助确定存在肌肉抑制的部位和功能障碍的可能原因。

2.消除抑制肌肉

在确定了受抑制的肌肉后，接下来是激活和恢复这些肌肉的功能。通过干针神经调控直接刺激运动点，可以有效激活肌肉。干针神经调控是一种现代功能性针刺技术，而非传统的穴位针刺。它通过将细针精确定位到肌腹内的神经肌肉连接处，并通过低频（1-4 Hz）电刺激快速激活肌肉。此外，也可通过起止点等神经学手法激活这些受抑制的肌肉，恢复其正常功能，增强足踝的稳定性。

3. 矫正关节偏位

足踝内翻扭伤、肌肉软弱或步态异常，都会导致关节偏位。矫正关节偏位是确保关节正常活动的关键方法。使用精确的关节矫正技术来重新排列足踝部骨骼，从而恢复足踝的正常活动。

4. 结构性支撑

足踝扭伤非常容易损伤韧带，从而降低了关节的稳定性。通过使用绷带、贴布和支具等提供适当的结构性支撑，可以有效减少再次受伤的风险，帮助患者更快愈合并恢复正常活动。

5. 居家康复指导

在消除肌肉抑制后，可以进行康复性运动，如平衡板练习和肌力增强训练。但需要注意这些训练只有在肌力测试肌肉功能正常后才能进行，否则往往徒劳无功，甚至可能造成新的损伤。还建议患者进行营养补充，以促进愈合，例如锰元素有助于韧带恢复，维生素C和E有助于组织修复和抗氧化，磷酸钙有助于损伤肌肉恢复等。

Say Goodbye to Ankle Sprain Troubles: Effective and Scientific Strategies for Quick Recovery

Have you ever experienced or are currently suffering from an ankle sprain? Ankle sprains are not just a momentary pain but can lead to long-term issues such as persistent pain, difficulty walking, joint instability, and recurrent sprains, severely impacting your quality of life. This is especially true for high-intensity activity individuals like athletes, dancers, and fitness instructors, where such injuries can affect their careers, cause psychological stress, and reduce overall health due to decreased activity.

Ankle sprains are an extremely common sports injury that almost everyone might encounter in their lifetime. For many years, the treatment for ankle sprains has emphasized the "RICE" principle: Rest, Ice, Compression, and Elevation. However, even with strict adherence to the RICE principle, many patients still face weeks or even months of pain and inconvenience, leading to frustration. While the RICE principle is crucial for immediate post-injury treatment, chiropractic care in the U.S. offers more comprehensive solutions that can expedite recovery and alleviate long-term issues.

What Happens During an Ankle Sprain?

The most common type of ankle sprain is an inversion sprain, where the ankle rolls inward and the sole of the foot turns towards the opposite foot. During this process, the ligaments on the outside of the ankle are stretched, and the muscles that stabilize the ankle become inhibited or weakened. This is why, after an ankle sprain, you not only feel pain but also have difficulty bearing weight while walking. If the Muscles are not inhibited, the stability of the ankle is better, and bearing weight becomes easier. Therefore, the RICE principle primarily focuses on reducing swelling but does not address muscle inhibition to improve joint stability and injury healing. Traditional physical therapies like ultrasound and microwaves also cannot effectively activate inhibited muscles.

So, what crucial aspects might you be overlooking in your ankle sprain recovery process?

Three Key Factors for Effective Ankle Sprain Recovery

1. Early Rehabilitation

Studies show that delayed treatment can lead to poor soft tissue healing, with damaged ligaments and muscles potentially forming scar tissue, resulting in joint stiffness and limited mobility, increasing the risk of chronic pain and functional impairments. Early rehabilitation can not only reduce swelling and inflammation but also promote proper tissue healing. Therefore, timely intervention is crucial for speeding up recovery and preventing long-term discomfort.

2. Balancing Muscles

During an ankle sprain, the muscles that stabilize the ankle can become inhibited and significantly weakened, leading to muscle imbalance and ankle instability. To restore ankle stability, it is essential to address muscle inhibition. Through functional muscle testing, the inhibited muscles can be accurately identified. Commonly inhibited muscles in ankle sprains include the peroneal muscles and the posterior tibialis muscle, which can further cause inhibition of the hip abductors, leading to instability in both the ankle and pelvis. Modern chiropractic techniques such as dry needling neuromodulationn and origin-insertion techniques can quickly and effectively activate these inhibited muscles, restore ankle stability, and significantly speed up the recovery process.

3. Comprehensive Rehabilitation

Applied Kinesiology in the U.S. emphasizes that ankle sprains involve three types of tissue damage: subtalar joint misalignment, supporting muscle inhibition, and surrounding ligament damage or tears. These injuries affect the normal function of the ankle and must be treated comprehensively. Simply using medication and bandages to relieve pain is not enough; steps must be taken to eliminate muscle inhibition, realign the joints, and provide structural support. Otherwise, chronic ankle problems, long-term discomfort, and accelerated joint degeneration may occur.

So, if you are also troubled by ankle sprain, what kind of scientific, systematic, and effective rehabilitation treatment would you hope for?

Five-Step Precision Rehabilitation Method

Our pain rehabilitation expert adopts advanced chiropractic and Applied Kinesiology concepts and techniques from the U.S., using a systematic, scientific, and precise five-step comprehensive rehabilitation method to help patients accelerate their recovery process, restore normal ankle function, and avoid long-term issues.

1. Precise Functional Assessment

First, a detailed medical history and examinations are necessary to rule out pathological injuries, and determine the cause, stage and severity of the ankle sprain. Then, using functional muscle testing from Applied Kinesiology, the inhibited muscles and potential causes of dysfunctions can be identified.

2. Eliminating Muscle Inhibition

Once the inhibited muscles are identified, the next step is to activate and restore their function. Dry needling neurostimulation can be used to directly stimulate the motor points, effectively activating the muscles. Dry needling neurostimulation is a modern functional needling technique, distinct from traditional acupuncture. It involves precisely placing fine needles at the neuromuscular junctions within the muscle belly and using low-frequency (1-4 Hz) electrical stimulation to quickly activate the muscles. Additionally, neurological manual techniques such as origin-insertion can also be used to activate these inhibited muscles, restoring their normal function and enhancing ankle stability.

3. Correcting Joint Misalignment

Inversion ankle sprains, muscle weakness, or abnormal gait can all lead to joint misalignment. Correcting joint misalignment is crucial for ensuring normal joint movement. Using precise joint adjustment techniques, the ankle bones can be realigned to restore normal ankle movement.

4. Structural Support

Ankle sprains are prone to ligament damage, which reduces joint stability. Providing appropriate structural support through the use of bandages, tapes, and braces can effectively reduce the risk of re-injury, helping patients heal faster and return to normal activities.

5. Home Rehabilitation Guidance

After eliminating muscle inhibition, rehabilitation exercises such as balance board exercises and muscle strengthening training can be conducted. It is essential to note that these exercises should only be performed after muscle function has been tested and normalized; otherwise, they may be ineffective or even cause new injuries. Additionally, patients are advised to take nutritional supplements to promote healing, such as manganese for ligament recovery, vitamin C and E for tissue repair and antioxidant effects, and calcium phosphate for muscle recovery.

来源：绝地大师一点号