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May 2010 - Clarksville Family Magazine

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is a severe ankle sprain, you most<br />

likely will do the RICE approach<br />

first to manage the pain and<br />

swelling. After that, you may be<br />

on crutches to take weight off the<br />

foot. You may even be put in a<br />

brace or boot to limit motion and<br />

allow healing. Because it hurts,<br />

you most likely won’t move it and<br />

you can forget about walking<br />

normally.<br />

The body is healing itself<br />

all this time though. Because<br />

minimal to no stress is being<br />

placed on the injured ligaments,<br />

scar tissue is laying down kind<br />

of like cooked spaghetti in a pot.<br />

Scar tissue lies down along the<br />

lines of stress — when there is<br />

no stress and the joint isn’t being<br />

moved, scar tissue can become<br />

very disorganized. As healing<br />

continues and the joint is moved<br />

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and strengthened, the scar tissue<br />

that lies down starts to look<br />

more and more like uncooked<br />

spaghetti in a box. This is what<br />

we want it to look like. We want it<br />

to be strong, moveable, and in a<br />

direction consistent with how the<br />

joint is going to be moved.<br />

But what about that underlying<br />

scar? Did the patient start<br />

rehabilitating the injury at a<br />

key time to form a nice, strong<br />

scar that will be able to handle<br />

the next big stress? Or are we<br />

looking at a John Candy injury?<br />

As a physical therapist, these<br />

are tough patients to treat.<br />

They get in a cycle of reinjury<br />

and have an increasing lack of<br />

response to treatment. These<br />

patients tell me that they have<br />

a “bad ankle” or have had<br />

tendinitis “for years” and that<br />

J. Jason James, DO<br />

662 Sango Road, Suite C<br />

WeightLoss<strong>Clarksville</strong>.com<br />

931.245.1500 877.672.9020<br />

42 <strong>Clarksville</strong> <strong>Family</strong><br />

Ballet • Tap • Jazz• Pointe • Lyrical • Boys Hip Hop • Boys Tap • Contemporary • Country Western • Zumba • Ballroom Latin • Progressions • Modern • Tumbling • Hip Hop • Creative Movement/Mommy & Me • Competitive Dance Team • Praise Dance Team • Praise Dance Team<br />

m • Praise Dance Te<br />

they’ve just learned to live with<br />

it. Most of them continue their<br />

normal activities and simply deal<br />

with the pain OR they stop the<br />

irritating activity forever (so sad<br />

when it is something they love<br />

doing). Many of them have tried<br />

multiple types of treatment with<br />

no success and they have simply<br />

given up.<br />

So here’s my beef. I hate not<br />

being able to help my patients.<br />

I know that there are patients<br />

that simply won’t get better<br />

no matter what I do. But some<br />

of my favorite patients to treat<br />

are the ones who’ve tried other<br />

treatments without success and<br />

are looking to me as a last resort.<br />

I wish I could see everyone<br />

within days of their injury, but<br />

Lana’s Dance Centre<br />

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lanasdancecentre@yahoo.com<br />

Come dance with us!<br />

Summer classes & camps<br />

are enrolling now for June!<br />

Our Dance Recital is Saturday,<br />

June 12th, at 6pm @ APSU<br />

The public is welcome and tickets will be available<br />

at both studios the end of <strong>May</strong>.<br />

Now with TWO locations to serve you better!<br />

41-A Bypass<br />

1808 Ashland City Rd.<br />

<strong>Clarksville</strong>, TN.<br />

(931) 503-8050<br />

1919 Tiny Town Rd.<br />

(exit 1, by Great Escape<br />

Movie Theater)<br />

<strong>Clarksville</strong>, TN.<br />

(931) 494-5312<br />

ry ry ry Western • Zumb

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