My ankle was stepped on by a teammate wearing a hockey skate, severing my achilles and nearly taking my heal off. 15 years later I'm still running around and playing sports but the swelling is significant at times. This is the exact video I needed!
Dr . Gill , being a retired paramedic in the U.S , all we had to use for ankle strapping was white porous athletic tape . It worked , but your method and kind of tape you use makes more sense .
Just the thing for when you've come off worse in a tussle with the tarsals! Now I know what to try and improvise if there's ever trouble afoot and no help's kicking about. Thanks, Doc!
Greetings from HK. Some Chinese Medicine Practitioners here use micropore tape to stabilise the ankle before applying external use Chinese medicine on the joint. And additional force is added to minimize the lateral movements while wrapping with a bandage holding the herbal paste. Zinc oxide tape is permeable, non-stretch and hypoallergenic. It is perfect for our usual practice. It’s great to learn, from your video, the better way to strape as well as the most suitable material to use in our daily practice. Thanks for your sharing! 🙏 BTW, English is not my mother tongue. So, sorry for my poor English.😅
*my friend screaming in agony* Me: "Shush, I'm watching dr. Gill. Do you want a fixed ankle or not? Cos we can do this fast or we can do it right, your choice."
No way. I tore a ligament in my right foot this weekend and am forced to lay in bed all day. And now my favourite RU-vid Doc posts a video about this topic. Thx Dr. Gill! This was exactly what I needed now 🥹
@@DrJamesGill the hospital gave me a leg splint that I'm supposed to wear for 6 weeks after the X-Ray showed no signs of a fracture. They told me no surgery is needed. But I have to give myself a heparin injection every day. Not my favourite thing to do because of my fear of needles 😅
*Summary* *Introduction and Basics* - 0:00: Introduction with music - 0:11: Intro to the clinical skills session focused on strapping an injured ankle, specifically after an inversion injury affecting the lateral aspect and ligaments of the ankle. *Preparation and Safety Precautions* - 0:36: Emphasizes not to use physio or KT tape for significant ankle injuries. - 1:05: Recommends using white zinc oxide tape for its rigidity and zero stretch properties, which will help limit excess movement. - 1:45: Suggests setting up the patient so that the ankle is free to work on, usually with the patient on a bed. - 2:07: Advises gelling hands before proceeding. - 2:13: Confirms the area of concern on the ankle, mentions the anterior talofibular ligament (ATFL). *Initial Steps and Technique* - 2:28: Starts by creating a locking strap at the top of the ankle to anchor other straps. - 3:02: Highlights the need for a non-constrictive band due to potential swelling. - 3:26: Discusses placing stirrups, emphasizing that the foot should be dorsiflexed. - 4:00: Reiterates the importance of dorsiflexion while taping. - 4:58: Mentions that some people use two or three of these stirrups depending on the severity of the injury. *Advanced Techniques and Tips* - 5:34: Proceeds to apply "figure of sixes" from medial to lateral sides and back. - 6:25: Discusses an additional step, the "heel lock", for better support especially for severe sprains. - 7:53: Adds a final lock but avoids making it circumferential to allow for swelling. *Evaluation and Maintenance* - 8:03: Evaluates the stability of the taped ankle. - 8:27: Recommends replacing the zinc oxide tape every 24 hours for maximal protection. This ensures ongoing support and minimizes the risk of further injury as the tape may lose its effectiveness over time. *Concluding Remarks and Safety Recap* - 8:50: Concludes by comparing the ineffectiveness of KT or physio tape in limiting movement for injured ankles, reaffirms the importance of using zinc oxide tape. - 8:53: Physio tape dressed on an ankle for preparation. - 8:58: Physio tape doesn't provide adequate support for an injured ankle ligament. - 9:08: For suspected ligamentous damage on an ankle, use zinc oxide tape instead. - 9:25: Zinc oxide tape will start to give over time with foot movement. - 9:32: Replace zinc oxide tape every 24 hours to avoid risk of undue movement. - 9:41: Excess movement can lead to fractures due to bones pushing into each other. *Outro and Sign-off* - 9:58: Video concludes, encourages likes and comments for future acute medicine topics. - 10:24: Sign off, "take care and we'll see you in the next one." *Glossary* * Dorsiflexion: The action of raising the foot upwards towards the shin. This is opposite to plantarflexion, where the foot is pointed away from the shin. In the context of ankle strapping, dorsiflexion is often recommended to ensure that the ankle is in a stable position before applying the tape. * Stirrups: In the context of ankle strapping, stirrups refer to U-shaped tape pieces that are applied from one side of the ankle, under the heel, and up to the other side. They provide lateral support to the ankle joint. * Inversion Injury: An injury that occurs when the foot is rolled inward, affecting the lateral (outer) aspects of the ankle. This is a common mechanism for spraining the ankle ligaments. * Anterior Talofibular Ligament (ATFL): A ligament located on the outer side of the ankle that connects the talus bone of the foot to the fibula bone of the leg. It is often the first ligament injured in an inversion injury of the ankle. * Circumferential: Encircling something, usually in a circular manner. In the context of taping, a circumferential tape could restrict swelling, which is why it's generally avoided. * Ligamentous Damage: Injury to the ligaments, which are the fibrous tissues connecting bones to other bones. Disclaimer: This summary was created using the GPT-4 model and serves as a condensed version of the original transcript. The transcript was divided into two segments. I used this prompt: "Summarize as a bullet list. Keep starting timestamp for each bullet point:". The bullet points were subsequently organized into sections with appropriate titles with this prompt: "Split the following bullet list into sections. Create section titles. Keep timestamps.". The glossary was created with the prompt: "write glossary of words that are not clear, e.g. dorsiflex, stirrups and any other words that are similarly uncommon" The text was manually formatted with RU-vid comment markup.
hey I have a pinched nerve in my neck and didn't see a video for it. might be something to cover? I was standing perfectly still holding my baby and suddenly my neck stung like it was stabbed and it locked up,. I know it will go away over time but it was very confusing and a bit frightening.
Hey Doc, I know this isn't exactly the optimal place for this but I was wondering if you could help me? I have this pain in my left knee that hurts when I move it too much. I've had for a couple of weeks now ever since I accidentally stepped on one of my cats toys and twisted my leg around.
Oh I should also mention that it's affected my walking cause when I try to lift my left foot up onto the pavement sometimes, it just feels like my leg locks and won't move so I have to switch to my right.
but but but but doesn't it hurt when you remove it on the parts where there are hairs? I had to put the band aid + cello tape like plaster thing and when they were removing it it hurt like hell, my hairs came off & the nurses where like this is as same as doing wax removal on legs.
When I was in sports med way back in high school, sometimes we used a thin material between our skin and the tape. I forget what it was though and I don’t know if that affects the effectiveness of the tape. Maybe if it was a real sprain, the area could be shaved to prevent pulling the hairs?
@@DrJamesGill I don’t remember. It might have been just for training. It may have been similar to what you used for the “why we don’t use x material” comparison. It had stretch and was only adhesive to itself so we just wrapped it around the circumference of the entire area we were working on. I do remember instructions about leaving almost but not quite loose at the proximal starting point and as we got more distal it could be a little compressing. Maybe it was just a compression wrap? 😂 I really wish I could remember better rn
Hey Dr. Gill I have a question. I suffered a trimalleolar fracture in my right ankle a little over a year ago. I’ve got good mobility in it again, and it feels normal to walk on. I’ve been compressing it, icing it, and elevating it when I can, but it still swells even a year later. Is that normal? Everywhere I’ve looked says it shouldn’t swell for more than a few months. Is there something I’m missing or something I could be doing to prevent my ankle from healing? Thanks.
2 months ago I sprained my ankle fairly hard that I heard a crack-ish sound. Could it be that one of the ligaments got damaged/ruptured? the pain is gone by now but still wondering as it happened on holiday and didn't visit a professional 🤦
Hi, I love the videos, I just have a question about the wrapping. At the beginning, leaving the gap made sense but isn’t that negated once you make the figures of six?
God bless you amd World y a los que amamos el mundo entero bendiciones gracias por tanto amor por mas añitos aqui en la tierra y algún dia por la eternidad amén gracias por tanto amor bendiciones ❤
Bet Mr leg regretted not shaving his leg this day. Bet that tape is murder to remove. Do wonder if flatfoot would cause issues with strapping an ankle.. sounds weird but just imagine a someone eith foot issues like flatfoot wouldn't have as much movement in their feet already or somerhing?
you have a decoloration in your wrist, a brighter ring of skin and i though that was because your watch BUT!!! it seems that you have a similar mark in your right arm. The curiosity is killing me right now 🤣
From an old sports physio and now aspiring medic somewhat later in life ❤… not a bad job doc but just a few too many creases in the tape! 😁..k tape argument rolls on and dreadful stuff…only vaguely and I mean vaguely proprioceptive in nature and studies pretty much useless across the board. Utterly placebo…Not for anything vaguely therapeutic and just a pretty coloureds fad! A tape that has fooled a profession IMHO… one addition I would add to you technique would be adding small degree of eversion as well as dorsiflexion so when take stretches as it’s on for a while it gives a little extra support. Once weight bearing this stuff stretches a lot. Also stirrups always medial to lateral to accentuate where you want the support to have bias.. that’s just a physio nit picking though 🤣🤣..having spent a lifetime strapping ankles in pro sport have to say this is a nice easy tech and provides simple and easy support. ❤
9:05- Did anyone else hear what sounds like the guy’s ankle cracking? I assume the patient didn’t actually have a sprained ankle, but hearing that sound made my stomach turn a little. 😮
