Initial management of ankle sprains consists of rest, ice, compression, and elevation. As pain and swelling subside, active range of motion, strengthening, and proprioceptive training are advanced until the ankle regains normal function. Most ankle sprains improve significantly by 6 weeks. Ankle arthroscopy has become the treatment of choice for management of ankle sprains that continue to be symptomatic beyond 6 months.1 Careful assessment of the articular cartilage should be made at the time of arthroscopy since approximately one in four patients will have an associated chondral lesion of the talus.
Posteromedial impingement lesions likely represent a small percentage of soft-tissue lesions following inversion ankle injuries but should be considered in the setting of a characteristic physical examination and a positive bone scan. Patients who fail to improve with a trial of conservative management should be considered for surgery. The lesion may be difficult to visualize with the arthroscope, and open excision of the lesion can be performed through a posteromedial approach with an arthro-tomy through the base of the tibialis posterior tendon sheath.7
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.