中醫師用調整筋膜來治療我扭傷的腳踝

去太浩湖爬山滑倒, 扭傷左腳踝 (後來才發現左手腕也受傷疼痛), 網路上查詢處理方式, 多半出現西醫方式的 Rest, Ice, Compression, and Elevation (RICE), 但根據上面這個影片表示, 當初發明 R.I.C.E.的醫生, 後來又推翻他自己推崇的方式, 而將方法做更正, 但是大家的記性一下子轉不過來.

隔天我馬上去找簡中醫師 (Ray Chien) 求救,他才告訴我以中醫角度,會建議如果剛受傷,還沒經過筋膜調整,建議冷敷 (不冰敷),只需要讓傷口冷靜,而不要讓筋膜過度繃緊,造成後續處理時的麻煩。

他說: 如果沒有骨折、骨裂等問題,會先將筋膜張力,連帶腳掌、足弓、跟踝之間關係平順,再將骨頭對位,肌肉連結狀態重新檢查,這樣應該馬上就能單腳受力,走路就會自然一點。 回家後會建議還是要走動,注意健康的腳先上樓,受傷的腳先下樓,行走過程儘量避免過度活動腳踝。腫漲的部份,如果不太在意疼痛,會建議熱敷,幫助消腫。 除非有骨折或骨裂,否則只會將骨對位,而不需要穿戴固定腳踝的東西 (Tapping or wear brace), 因為希望腳的運作可以接近原本的方式,因為皮膜、骨跟骨關係都相對對位,消腫的速度其實很快,所以不太需要讓患者抬高腳。

他用調整筋膜的方式,把我從頭到尾檢查一遍。他說,你會受傷的地方,通常是本來就有問題,或是比較弱的地方,但不會只有那地方有問題,所以要追根究底。

所以滑倒扭傷還是老天的好意?要我趁機把沒注意的身體問題一併處理?

Ray 花了好多時間,從頭到尾按壓,被他按到的每一處都會痛,比X光還準啊!他很想一次就讓我好,但我的身體其他地方的狀況比他的預期要複雜困難些,但是他幫我把筋膜調整到,原先我是小步一拐一拐走進去診所,第一次治療後可以略大步的方式走出去。消腫許多,瘀青也被揉出來,氣血通了是好事,每天晚上睡覺前貼上另一位中醫師 Jennifer Hu的私人秘方的膏藥貼布睡覺,相信會縮短復原時間!
這是一週內腳傷的變化, 以及總共11小時的治療進展照片. 我現在走路比較輕鬆, 雖然某些角度和姿勢還是會有點刺痛, 但是已經可以上下樓梯, 站著穿褲子, 蹲下站起, 盤腿, 我自己覺得是恢復神速了! (後來有去Kaiser照 X光, 一切正常, 所以就是給它時間修復).
以下是用KT Tape (肌貼) for Lateral Ankle Sprain (復健/保護用), 有些人是用Ankle Brace (護套), 用意差不多, 但我自己覺得用肌貼比護套舒服. 不過中醫是認為不需要, 所以你們自己決定.

吃含膠原蛋白高的食物來降低發炎和增強關節健康

  • 骨頭湯
  • 有機的瘦肉或魚 – Eat at least 3-5 ounces per meal
  • 綠葉蔬菜 – Kale, broccoli, spinach and other greens are high in antioxidants, vitamin K and many minerals, which are essential for healing.
  • 含維他命C的蔬菜水果 – citrus fruit, bell peppers, strawberries and broccoli.
  • 含鋅的食物 – beef, pumpkin seeds and spinach
  • 含防氧化的食物 – berries, greens, sea vegetables, cocoa, green teas, fresh herbs and other superfoods.

需要避免的食物 – 含酒精的飲料, 高鹽, 高糖, 精緻穀類, 氫化油, 炸物, 咖啡因.

補充營養品來修復組織 – 以下七種健康食品可以幫助修復扭傷的腳踝, 

  • Bromelain (500 mg 3x daily). Bromelain is an enzyme found in pineapple, helps with healing and has an anti-inflammatory effect.
  • Collagen (take as directed depending on specific product dosage). Tendons and ligaments are made of collagen, so this can help with healing.
  • Omega-3 fats (4g daily). EPA and DHA found in fish oil are necessary for wound healing and reduce inflammation caused by an acute injury.
  • Green superfood powder (follow package instructions). Look for a powder that contains nutrient-rich sea vegetables and essential minerals that support rebuilding of ligaments and tissues.
  • MSM (1000 mg 3x daily). MSM has an anti-inflammatory effect and is a source of sulfur, necessary for tendon health.

使用精油來消腫和止痛

To reduce inflammation and increase circulation to the painful ankle you can apply cypress essential oil. To reduce bruising and decrease inflammation also try applying frankincense oil and peppermint oil. Mix 2 drops of each oil together with 1/2 tsp of coconut oil. Apply to the sprained area 3-5x daily. Then put a warm compress over the area for 2 minutes. You may also use this homemade muscle rub on the area after the first 24 hours when pain is likely to be at its worst.

歡迎各位有中醫需求的朋友來innerTREAT Wellness Center 立善中醫診所找中醫治療,他們每個人都各有所長喔!

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