May 2010 - Clarksville Family Magazine
May 2010 - Clarksville Family Magazine
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 />
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42 <strong>Clarksville</strong> <strong>Family</strong><br />
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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 />
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lanasdancecentre@yahoo.com<br />
Come dance with us!<br />
Summer classes & camps<br />
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Our Dance Recital is Saturday,<br />
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The public is welcome and tickets will be available<br />
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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