A problem to be taken seriously according to the High Authority for Health – Liberation
« I hurt but it will go ». A sentence that many probably pronounced after having twisted the ankle. However, for the High Authority for Health (HAS)it doesn’t happen. The ankle sprains are too often trivialized while they can cause lasting problems if they are poorly treated, warned public authority this Thursday, May 15 in new recommendations, notably advocating a systematic consultation within 24 hours.
« The ankle sprain is often trivialized by a large majority of the population who ignores the risks of recurrence and chronic instability, in the absence of appropriate care »judge the health entity, updating recommendations dating back to 2006. « A significant number of people live, in the months and years following the spraining episode, persistent symptoms, in particular residual symptoms of instability, and activity limitations such as sports and sports and /or the activities of daily life ”specifies the authority in the body of these recommendations.
« It was thus estimated that up to 40 % of people who have undergone a first sprained episode of the lateral collateral ligament of ankle (external ligament, weakest, editor’s note) will develop chronic instability « underlines the has. It now recommends systematically consulting a general practitioner or a physiotherapist within 24 hours of a sprain, if it gives rise to any symptoms: pain, edema, difficulty moving…. « This consultation aims to assess the need to provide, or not, a rehabilitation – particularly in order to prevent the risks of recurrence and chronic ankle instability – and to provide advice for lack of rehabilitation, if applicable »explains the has.
If rehabilitation is deemed necessary, it must first last between five and seven days, then give rise to a reassessment of the situation: either the patient can resume a normal activity, or he continues his rehabilitation. HAS refrains from setting a standard number of sessions, deeming necessary to individualize the situation: « The current literature does not make it possible to define a minimum or maximum number of sessions for the treatment of sprains of the lateral collateral ligament »she concludes.
The recommendation of a rapid use of a masseur-physiotherapistincluding without medical prescription, brand « An important political stage, defended for many years by the Order of Masseurs-physiotherapists »praised the National Council of this order in a press release. « It is now necessary to go to the end of this logic: to generalize direct access to all physiotherapists, whatever their place and mode of exercise »pleaded the order, for which « It is a good sense measure, which meets patient expectations, clarifies the care path and facilitates the organization of work in the field ».
