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Medial ankle sprain

Keywords Deltoid ligament sprain, medial collateral ankle sprain / strain

Treatment Plan

Acute: start as soon as possible after diagnosis. Daily for 3 days. Then twice a week for three weeks. Then weekly for three weeks or in response to symptoms.

Intention

Stimulate lymph nodes to reduce inflammation

& oedema

Heal injuries and local inflammation

Analgesia

Probe

LED Cluster LED Cluster 810nm 1W laser Cluster

Pulse 2.5Hz 2.5Hz Continuous

Tx Time 1 Min 1 Min 30 seconds

Tx Targets

Ipsilateral inguinal andpopliteal lymph nodes

Area of sprain around the medial malleolus, Treat affected areas of muscle strain if necessary

L4-S1 Spinous processes and ipsilateral nerve root exit

The colours represent which probe to use and where to place it - illustrated for right ankle

version 15.1

Specific Evidence:Stergioulas A. (2004) Low-level laser treatment can reduce edema in second degree ankle sprains. J Clin Laser Med Surg. Apr; 22(2): 125-8.http://www.ncbi.nlm.nih.gov/pubmed/15165387

R. A. de Bie, R. A. Steenbruggen and L. M. Bouter Effect of laser therapy on ankle sprains Neder- lands Tijdschrift voor Qsiotherapie. 1989; 99(special edition):4-7

Bayat M, Delbari A, Almaseyeh MA, Sadeghi Y, Bayat M, Reziae F Low-level laser therapy improves early healing of medial collateral ligament injuries in rats. Photomed Laser Surg 2005 Dec 23(6) 556-60

Ng GY, Fung DT, Leung MC, Guo X Ultrastructural comparison of medial collateral ligament repair after single or multiple applications of GaAlAs laser in rats. Lasers Surg Med 2004 35(4) 317-23

Fung DT, Ng GY, Leung MC, Tay DK Effects of a therapeutic laser on the ultrastructural morphology of repairing medial collateral ligament in a rat model. Lasers Surg Med 2003 32(4) 286-93

General evidence across disease category: Soft tissue injuries

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THOR logo 450 WIDE.pdf 26/9/07 22:55:23