Dr 8a

Lateral Collateral Ligament Sprain - Time off?

Adrian Cighi
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So I was bouldering on this one problem and fell about 20 feet (6meters). My left knee and right ankle started hurting quite a bit - right away. After a week, pain mostly dissapeared and I started climbing again. Pain has now returned - it hurts quite badly. X-Rays show nothing, but doc thinks it's a spain ankle and a LCL sprain or a lateral meniscus problem. I'm using Ace bandage to tape both areas to make it easier to walk. What's that mean as far as time off/ recovery/ rehab? I plan to see an orthopedic doc, but they aren't available for another few weeks. Any advice would be very appreciated. Thank you!
Bjoern Alber
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Hi Adrian The sprained ankle should be "compress bandaged"- put a wad of tissue over the svollen part of the FTL ligament and wind a elastic bandage as tight as you can (the toes should turn white) around the ankle - keep it there for 20 minutes and repeat the process 3 times for three consecutive days. use the ace bandage as support in between. Use a ortosis with lateral support constructuon (ask in a sport shop) to keep stress off the LCL and lateral meniscus. Whitin 2 weeks start doing fairly heavy knee extension in a gym machine - keep the reps at 1-20 , 3 sets and keep it slow going down! Most likely you would benefit from a cortison injection in the kneejoint - on the other hand it would keep you weak longer. The only way to be really sure if you have a meniscus injury is through artroscopy and doing this a good ortopaedic surgeon will be able to repair it. Use a good antiinflammatory prescription drug for three weeks - and calculate this is the minimum time off from high level climbing. If there is a meniscus injury it will take even more time before you can safely perform dropknees etc. Remember - most important - I can only make an educated guess - you should get a sports medicine trained MD to examine and diagnose your injury - this will avoid loosing a lot of time trying remedies for something you actually don't have Best of luck Bjรถrn
Adrian Cighi
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Thank you very much! This is very helpful!