What medications and supplements do you take regularly? I don't think the second method would, "Before I read this wikiHow, I didn't know that smoking can slow soft tissue recovery. This article was co-authored by Miguel Cunha, DPM. [7] Copyright 2023 Leaf Group Ltd., all rights reserved. When you get to your toes, work your way back up, covering any bits you missed. Theres never been any doubt about whether or not a study will be successful. Steps for Taping the Achilles with Kinesiology Tape Then, bring the foot that is affected up and onto the knee of your other leg. Wrap a compression bandage in figure-eights, alternating loops between your calf and foot. This helps reduce swelling. ", I was glad to see the exercises and stretches, and now I have a better of idea of just where the Achilles tendon is. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Keep the . Ankle Support Brace Foot Brace for Injured Foot Brace for Achilles Tendonitis Ankle Braces for Men. This helps reduce swelling. Support wikiHow by The pain may also be accompanied by swelling, bruising, redness or warmth around the injury site. Mayo Clinic is a not-for-profit organization. In some cases, your doctor or physical therapist may also advise some type of insert of orthotic. Cut strips of athletic tape and apply them horizontally across your achilles tendon. Protect a strained or sprained Achilles tendon with athletic taping 191,477 views Apr 25, 2012 428 Dislike Share Human Kinetics 12.4K subscribers http://www.HumanKinetics.com The technique in. Start with the wrap rolled up and unwind it as you go. Start above your ankle and wrap the bandage a few times to keep it in place. These are designed by podiatrists to help reduce the amount of stress on your Achilles tendon when moving around, which can also speed up recovery time considerably. ", demonstrated and see if it helps. This article offers information regarding a specific injury, but it does not constitute medical advice. Thank you! With a bit of care, and potentially some other forms of treatment, you can help your Achilles tendon heal quickly and effectively. Dr. Siddharth Tambar, MD is a board certified rheumatologist at Chicago Arthritis and Regenerative Medicine in Chicago, Illinois. other information we have about you. Does wrapping your ankle Help Achilles tendonitis? This will help ensure that the wrap is tight enough to provide compression but not too tight to cause pain. Applying a cold compress to the injury helps reduce blood flow, which can help relieve the pain. Fast, Easy Ways to Heal an Achilles Tendon, An Achilles tendon injury is formally known as Achilles tendonitis, and it is a condition where the Achilles tendon becomes inflamed and painful. If you have chronic pain in this area, compression can also help reduce swelling further to give your body an edge when it comes to healing time. $6.49. Wrap so it fits snug, not too loose or too tight. You can also wrap the middle of the strips around the ankle, so that the vertical strips sit flush with the leg. He earned his MD from State University of New York at Syracuse. According to the Mayo Clinic, this can decrease any swelling over your Achilles tendon. Debridement and repair This operation removes the damaged portion of the Achilles tendon and is usually only for tendons with less than 50% damage. To provide you with the most relevant and helpful information, and understand which Provide compression (or pressure) by applying a gauze bandage, ACE bandage or Coban, or store-bought ankle support. By using this service, some information may be shared with YouTube. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. If several months of more-conservative treatments don't work or if the tendon has torn, your doctor may suggest surgery to repair your Achilles tendon. Typically, it's easiest to get in this position by laying on a table or bed face down with your feet hanging off the end. These tips are backed by scientific research, meaning they work! . Keep the ice on for 15-20 minutes at most. You should rest as much as possible in order to keep weight off your tendon, but can help ease pain and reduce re-injury with proper wrapping. To treat Achilles tendonitis, use RICE. Make sure you tell your doctor about any recently increased physical activity involving your lower legs since this is likely the source of the injury. Unfortunately, running can exacerbate the condition and cause further damage. Take a half of the piece of stretched tape, and with a moderate stretch, place it across the backside of your heel. If you have a little trouble visualizing that, check out this video on how to tape your injured Achilles with athletic tape here: https://www.youtube.com/watch?v=_fQZj1SZkOM&t=221s. There are many ways you can speed up the recovery time from this injury and get back to doing the activities you used to enjoy before suffering from pain. Feelings can be similar to that of muscular pain in the calf muscles or tightness in the foot and ankle. You may actually have a torn or ruptured Achilles tendon, which is a far more serious diagnosis. Place three or four strips of tape perpendicular to your tendon starting at the top of your heel and ending about one-third of the way up your calf. Generally, heat will be helpful for pain and inflammation. This video can also show you how to wrap an Achilles tendon with Ace bandages using the Figure Eight technique: https://www.youtube.com/watch?v=ZGFznb-5jTo. But if your signs and symptoms are severe or persistent, your doctor might suggest other treatment options. Waltham, MA: UpToDate Inc. The person that assists you does not need to have any special skills or knowledge of your injury. "Very interesting and clear directions in this article on Achilles tendonitis. What types of shoes do you wear during exercise? However, that doesn't mean you can't strengthen it or work on building up other areas in order to help aid this area. Don't put any tension on them as you apply them but also make sure that they are not loose. Tendon pain to the Achilles usually results from repetitive micro-tears in the tissue that is not allowed time to heal properly before being irritated again with exercise or other activities. (2018). Achilles tendinitis. You can find further instructions for this calf stretch exercise at: As you build strength, you can begin holding weights in order to increase strengthening as you perform this exercise. In treating this injury, it is important to provide support to the tendon while it heals. Enjoy! Although comforting from the pressure an ace bandage supplies to the injury site, this useful bandage does not support the ankle or foot after an injury like a cast or splint would. Tendons are the tissue that attach muscles to bones that make movements possible. Correlation of some predisposing intrinsic conditions with the morphological integrity of the Achilles tendon. If the pain associated with your Achilles tendon is severe or if you experience a sudden disability with the flexion of your foot, then see a doctor immediately. Support wikiHow by These devices go into a shoe to increase support on a specific area of the foot. Secure the area of the wide tape by adding more anchor pieces across your foot and ankle. The Achilles tendon is used when walking, so this injury can make it difficult to perform everyday activities. Thanks to all authors for creating a page that has been read 268,029 times. The condition is most often caused by overuse of the tendon or repetitive stress due to activities like walking, running, and jumping. % of people told us that this article helped them. Dr. Tambar holds a BA in Economics from State University of New York at Buffalo. Check Price at Amazon. 2012;5(1):14-17. There are several things that can increase your risk of developing Achilles tendonitis, which include: Achilles tendonitis is often caused by repetitive stress on the tendon, such as from overuse during sports or exercise. Cut the tape gently until you . If swelling does not reduce, you should see your doctor as soon as possible. To build strength in your tendon, perform gentle exercises like toe stretches or bilateral heel drops. Before treating Achilles tendonitis, visit a doctor for a proper diagnosis and treatment plan. 4. By using our site, you agree to our. You should be able to slide a finger under the wrap. If an Achilles tendon has been damaged as a result of overuse, it may be torn or inflamed due to micro injuries or inflammation. I now realize I. "This article answered every question I had in clear, concise, and easily-understood language. Last Updated: October 2, 2020 He or she will also evaluate the flexibility, alignment, range of motion and reflexes of your foot and ankle. Its function is to raise your heel off the ground to assist with walking, running or jumping. 2015;6(4):380-6. doi:10.5312/wjo.v6.i4.380, Vyas S, Bhalla AS, Ranjan P, Kumar S, Kumar U, Gupta AK. Get immediate medical care if you experience a lot of pain in your Achilles tendon, as this could mean a bad tear. In this position, your feet will naturally fall into the correct position. More common symptoms of Achilles tendonitis that may warrant a trip to the doctor include mild-to-moderate aches in the back of the leg or above the heel, especially after a sports activity or exercise. Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. http://www.uptodate.com/home. Ann Afr Med. Wraps or compressive elastic bandages can help reduce swelling and reduce movement of the tendon. This means that it is tight enough to stay in place while not cutting off the circulation. Avoid any strenuous activity such as running or excessive walking while your Achilles tendon heals. For instance, if you plan on watching TV, lay down in this position while you do it. You can try other activities like swimming or biking until your Achilles tendon has healed. Apply a cold compress to your sore Achilles tendon for 20 minutes at a time. Achilles tendinitis. Additional stress can make your injury more severe. Make a donation. Pull the tape down to your calf by using a slight stretching motion. Next, place a 2-inch section that will act as an anchor on the bottom part of your foot. Fields KB, ed. Call your doctor if your pain persists despite NSAID use. You can talk them through the process of taping and wrapping your Achilles. The increased circulation also helps with the faster removal of waste products like lactic acid, which is often responsible for causing that painful, burning sensation in your muscles after a tough workout. This site complies with the HONcode standard for trustworthy health information: verify here. https://www.aofas.org/footcaremd/conditions/ailments-of-the-ankle/Pages/Achilles-Tendinitis.aspx. For example, swim instead of run. Achilles tendonitis is a painful injury that can be debilitating for those who suffer from it. References. Should you wrap Achilles tendonitis? Include your email address to get a message when this question is answered. "Needed to know how to apply wrap. He completed his Internship, Residency in Internal Medicine, and his Rheumatology Fellowship at Northwestern Memorial Hospital. This will keep your wraps neat but will not put too much restriction on your circulation. If you have Achilles tendonitis, it is important to see a doctor. Your Achilles tendons connect the muscles in your calves to the heel bones in your lower legs. If you are experiencing any of these symptoms, it is important to see a doctor so they can properly diagnose and treat the condition. 6. What a wrap does is increase the core temperature of the muscle and adds some compression. Raise the affected foot above the level of your heart to reduce swelling. [v161376_b01]/. To treat Achilles tendonitis, use RICE. You may opt-out of email communications at any time by clicking on Take the weight off your leg and ankle as soon as possible. Gulati V, Jaggard M, Al-nammari SS, et al. If you fall or twist your ankle, it can put stress on the Achilles tendon and lead to the development of Achilles tendonitis. Check with your sports physician if you think your calf strain may need more serious treatment and/or therapy. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. Keep a small amount of tension on the bandage as you go. Did you know you can get premium answers for this article? You can do them seated or standing and even while you're watching TV at home. Below are the steps you can take to tape and protect the Achilles tendon with athletic tape: If you have a little trouble visualizing that, check out this video on how to tape your injured Achilles with athletic tape here: https://www.youtube.com/watch?v=_fQZj1SZkOM&t=221s, You can watch this video to see how to do it here: youtube.com/watch?v=T5NUbNkB_oA&t=11s. There are 9 references cited in this article, which can be found at the bottom of the page. Gastrocnemius recession This surgery lengthens calf muscles in order to take additional stress off your Achilles tendon. If I wrap tighter to get the support i need it cuts off circulation . If your Achilles tendon has ruptured, you may need to see an orthopedic surgeon. Effectively wrapping the Achilles tendon requires that you pick a type of wrap that is right for you and that the wrap is applied in a way that immobilizes the tendon without cutting off circulation to the area. Treasure Island (FL): StatPearls Publishing. You want the bandage to be medium tight. Therapists often prescribe specific stretching and strengthening exercises to promote healing and strengthening of the Achilles tendon and its supporting structures. Runners Legs vs. Walkers Legs? You should always see your physician regarding and injury and consult a physical therapist before undertaking any rehabilitation regimen. Enjoy! For those with chronic pain or an injury that is not healing properly, you can use athletic wraps and tape to help reduce the stress on your tendon. Free shipping. Debridement with tendon transfer For tendons with more than 50% damage, tendon from the big toe is transferred to the Achilles tendon when the damaged portion is moved in order to keep the tendon strong enough to function. You can repeat this exercise up to twenty times on each foot daily. Miguel Cunha, DPM. How Wide Are The Slimmest Double Jogging Strollers? Step 1: Make sure that the bandage is tightly rolled up. Ice: put an ice pack (or try a bag of frozen peas wrapped in a tea towel) on the tendon for up to 20 minutes every 2 to 3 hours. ", be good for someone who has a very recent injury. It has been estimated that it affects up to 18% of runners. When these strips are secure, they should take the brunt of the pressure when you step and flex your foot, minimizing the pressure put on the Achilles. This article received 14 testimonials and 86% of readers who voted found it helpful, earning it our reader-approved status. If you have seriously strained or torn it, a doctor can give you critical medical care that will aid in your recovery and they can tell you whether wrapping the area will aid in your recovery. You can also use pre-wrap or athletic tape if needed in order to make the process easier. You'll find six videos with easy-to-follow instructions on how to wrap an ankle, elbow, knee, leg, shoulder or wrist with ACE bandages. Click here for an email preview. This is found to be true because the Ace Bandage does help with the swelling from its pressure but it does not help rest or immobilize the injured area due to its . Approved. Tu P.Heel Pain: Diagnosis and Management. . He has been a writer since 2008. Start by placing a section of under-wrap section over your ankle and back of the foot. An Achilles tendon injury is formally known as Achilles tendonitis, and it is a condition where the Achilles tendon becomes inflamed and painful. Thanks. Lisabetta Divita is a physician whose love for writing flourished while she was exposed to all facets of the medical field during her training. Sometimes, Achilles tendonitis is caused when a bony growth develops on the heel or calcaneus bone, which is at the back of the ankle. Surgery is only recommended in severe cases where other treatments have failed to provide relief. Work your way up by wrapping the bandage several times around your foot and ankle in a figure-eight pattern. For an easy way to stretch and ice at the same time, freeze water in a plastic bottle. According to the Mayo Clinic, serious side effects of use include stomach bleeding, ulcers and stomach pain. He also holds Musculoskeletal Ultrasound Diagnostic and Interventional certifications from the American College of Rheumatology and the American Institute of Ultrasound in Medicine. Step 1: Step 1: Initial Treatment of a Sprained Ankle After injury, apply cold pack to ankle for 24-48 hours to help with pain and will reduce swelling. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. You can buy these from pharmacies. When you exercise, this tendon is prone to trauma and overuse, especially if you take part in activities that frequently stress your calf muscles, such as climbing and running. This can decrease the soreness in your Achilles tendon. You can watch this video to see how to do it here: contain provides stretches you can try in conjunction with taping techniques for a comprehensive Achilles recovery plan: https://www.youtube.com/watch?v=e01Nmo5eQgs&t=2s, https://www.vivehealth.com/blogs/resources/achilles-tendon-stretches. Do not start wrapping from the top towards the bottom. Repeat this for each foot direction, and do this slowly as your Achilles tendon is vulnerable to further injury. ", been almost 2 months now. This will also help hold down the vertical strips of tape. Make sure to keep your foot in the same position, which is not putting pressure on the Achilles, as you are applying these strips. If you are experiencing Achilles tendonitis or any other type of physical discomfort, please consult with a doctor about how best to proceed in order to eliminate stress on the affected area. Orthotic devices more commonly help insertional Achilles tendonitis (lower in the leg where the tendon inserts into the heel) because the area is more likely to be irritated by certain footwear. A physical therapist can provide exercises that help stretch and strengthen the Achilles tendon. Miguel Cunha, DPMBoard Certified Podiatrist By using our site, you agree to our. Some easy ways to do this are to prop the leg up with a pillow or balance it on the arm of a couch while you lay down flat on the couch. To stretch your Achilles tendon, stand with one foot about two feet behind the other. If you think your shoes may be the issue, it may be time for an upgrade. Depending on the severity of the tendonitis, you may need to rest the tendon anywhere from days to months. Medina Pabn MA, Naqvi U. Achilles Tendonitis. information highlighted below and resubmit the form. In this article, we will outline the dos and donts of how to wrap Achilles tendonitis to help alleviate the issues it can cause. By signing up you are agreeing to receive emails according to our privacy policy. Fakoya AOJ, Otohinoyi DA, Fakoya FA. Helps sprained, Provides pain relief for Plantar Fasciitis, Achilles Tendonitis, swollen joints, and more. Next, apply an ice pack to your calf for 15 minutes as needed to reduce pain. Will the Achilles tendon heal by itself by just resting the foot? Get medical treatment immediately if you experience abrupt severe pain in the tendon area or cannot put weight on the affected leg. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Start at the foot. You should be able to slide a finger under the wrap. Find many great new & used options and get the best deals for Breathable Ankle Support Brace Foot Guard Sprains Injury Wrap Bandages Strap For at the best online prices at eBay! Easing Achilles tendonitis pain can be a life-saver for those who suffer for it. Each strip should start about one-third of the way up your calf and end in a loop around your foot. Expert Interview. Achilles tendinopathy and tendon rupture. After I completely healed from minor Achilles inflammation, I hope I can resume my treadmill exercises. 3. Warnings Do not rely on athletic tape to heal a severe calf injury. All rights reserved. This article was co-authored by Siddharth Tambar, MD. Circle a length of tape around your lower calf and foot. Start at the base of the fingers and wrap the bandage around the hand between the thumb and index finger. You can care for most cases of Achilles tendinitis at home, but you should still see a doctor regarding the exact steps that are right for your injury. As athletic tape is adhesive, you may wish to shave the area of your leg and foot that you will tape. In addition, custom-molded insoles or orthotics can provide extra cushioning, support and stability. If you've injured your Achilles, it's important to avoid strenuous exercise for at least the first four weeks of healing. You can do this exercise for up to four repetitions at a time and five times a day. Steps for removing athletic tape. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Achilles tendonitis is a painful injury that can be debilitating. There are several things you need to keep in mind when wrapping Achilles tendonitis: Compression wraps are an important part of treating Achilles tendonitis because they help reduce swelling and inflammation. In the case of athletic tape, it creates a foundation that reduces movement, allowing the tendons and tissues adequate time to recover and heal. Older adults are more likely to develop Achilles tendonitis because the tissue becomes less elastic with age. If the pain is a lot more severe and other treatments have been unsuccessful you should seek professional medical attention as soon as possible. Place the end of the bandage against the skin and then wrap the bandage around it several times to keep it in place. Do you have an Achilles tendon injury? Bend your front leg into a lunge until you feel the calf in your back leg stretching. This is usually a short-term step since prolonged use of a boot can weaken calf muscles. Injury. Brought to you by Rocktape UK.. 2017;13(1):12-22. doi:10.12965/jer.1732824.412, Park YH, Jeong SM, Choi GW, Kim HJ. Accessed July 9, 2015. Thanks for the article. It also may be a Haglund's deformity that comes from wearing ill-fitting shoes. For more ways to fix Achilles tendonitis from our Medical reviewer, like the best non-prescription pain relievers, read on! Start off by applying under wrap over the foot and ankle. Hold the stretch for 30 seconds, then relax and repeat on the other side, doing three stretches on each side. 2015;7(1):1-7. doi:10.4055/cios.2015.7.1.1. The strength and flexibility in your tendon may have diminished during your injury. 2017;48(3):776-780. doi:10.1016/j.injury.2017.01.020. Bass E.Tendinopathy: Why the Difference Between Tendinitis and Tendinosis Matters. Leave a little bit of room to pull through on both ends so you will be able to tie it off at the end without too much difficulty. Luckily, there are many ways you can heal your Achilles injury quickly. A physical therapist might suggest some of the following treatment options: Exercises. An Achilles tendon is the thick tendon that connects your calf muscles to the back of your heel. Your Achilles tendon, which runs from your calf muscle to your heel, allows you to walk, run, jump, and flex your foot. You can ice the area for up to twenty minutes, but you should always stop to let the skin warm up if you start to feel the skin go numb. The K-tape has really taken off in recent years, and numerous athletes have utilized it. Looking for products to help reduce your Achilles tendonitis pain? A single copy of these materials may be reprinted for noncommercial personal use only. Remain patient. Always start with bilateral heel drops, and consult your physical therapist before attempting single heel drops since they can potentially cause further damage to the tendon. When your tendon has healed and you are ready to resume normal activity, start slow. Read here to learn about different types of tapes used in sports medicine. Read the package and use as directed. This can happen from a bone spur, infection, or overuse. In fact, there are plenty of things you can do with resistance bands and ankle weights to help strengthen the area. However, no effects were discovered on pain or hip distance when Ktape was tested on patients with tendonitis Achilles. We have compiled a list of these treatments below: You can wrap and protect the affected area with Ace bandages by following these three simple steps: This video can also show you how to wrap an Achilles tendon with Ace bandages using the Figure Eight technique: https://www.youtube.com/watch?v=ZGFznb-5jTo. // Leaf Group Lifestyle, How to Increase Flexibility in My Big Toes, How to Wrap a Pulled Quad With Athletic Tape, Foot Health Facts: Achilles Tendon Rupture, MedicineNet.com: Ankle Pain and Tendinitis, FamilyDoctor.org: Ankle Sprains -- Healing and Preventing Injury. The calf and leg bones muscle fibres are connected by the Achilles tendon. Siddharth Tambar, MD. Similarities, Differences, Recommendations. The taping technique is similar for both. If over-the-counter pain medications such as ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve) aren't enough, your doctor might prescribe stronger medications to reduce inflammation and relieve pain. privacy practices. Starting at the back of the calf, over the anchor strip, lay one piece of wide athletic tape down to extend to the anchor piece on the bottom of the foot. Ace wraps are commonly used in treating ankle sprains. He also spends time writing about his true passions in life. [6] 3 Ice your calf to reduce pain. wikiHow is where trusted research and expert knowledge come together. Advertising revenue supports our not-for-profit mission. The Coldest Foot Ankle Achilles Pain Relief Ice Wrap with 2 Cold Gel Packs | Best for Achilles Tendon Injuries, Plantar Fasciitis, Bursitis & Sore Feet Built for Cold Therapy (Black XS-XL) 3 Piece Set 4,315 $3399 ($33.99/Count) 5% off promotion available FREE delivery Thu, Feb 16 Or fastest delivery Mon, Feb 13 FSA or HSA eligible You can apply an ice pack to your the painful tendon. Sudden, forceful movements such as those in sports may stress the Achilles tendon and make it stretch too far, causing a partial tear or rupture. The tape should make figure-eights, alternating loops between your calf and foot. For more tips from our Medical co-author, including how to reduce inflammation in your Achilles tendon, read on. Start by wrapping the tape twice around the ball of your foot below the toes. 1 May 2020. information and will only use or disclose that information as set forth in our notice of Maughan KL, Boggess BR. Brian Richards is an attorney whose work has appeared in law and philosophy journals and online in legal blogs and article repositories. How to Wrap a Wrist To use a compression bandage on a wrist: 2 Roll up the bandage if it isn't already rolled up. Dr. Cunha is a foot and ankle surgeon with experience treating a wide array of foot and ankle conditions from minor problems to complex reconstructive foot and ankle surgery. According to the American Academy of Orthopedic Surgeons, the Achilles tendon is a fibrous band in the back of your heel that connects your leg muscles to bone. Compression. The best way to ice your achilles tendon is to freeze water in a plastic cup. To wrap your Achilles tendon, you can use a compression bandage. wikiHow is where trusted research and expert knowledge come together. Wrap from the bottom of the foot up information submitted for this request. I'm glad I quit smoking, it's. Use a pair of bandage scissors (scissors with blunt ends and an extra blunt edge on the side) to slide the scissors under the tape. Both of these types are common in running especially when using the wrong shoes. Wrap your entire ankle in an Ace bandage and use claw clips to secure it. Ace bandages are a popular option because they are easy to use and can be found at most stores. : You'll likely first bring your symptoms to the attention of your family doctor. Achilles Tendon Rupture, American College of Foot and Ankle Surgeons, accessed 4/2/2016. Place three or four strips of tape perpendicular to your tendon starting at the top of your heel and ending about one-third of the way up your calf. Kinesiology tape, on the other hand, works a little differently. the unsubscribe link in the e-mail. Failing to get proper treatment could threaten your mobility in the future, limiting your ability to walk or play sports. You can also perform single heel drops, which are basically the same exercise but on one leg only. Continuing the activity can cause more damage to the tendon. Tip: Rocker bottom shoes have been shown to reduce the load on the Achilles tendon making them a great fit for people who suffer from this condition. This will help reduce inflammation and give the tissue a chance to heal. With over 19 years of experience, Dr. Tambar specializes in Regenerative Medicine and Rheumatology, with a focus on platelet rich plasma and bone marrow derived stem cell treatments for arthritis, tendinitis, injuries, and back pain. Wrap tightly, but not so tight as to cut off circulation. It is commonly referred to as an overuse injury and can sometimes be confused with conditions like ankle sprains or general muscular pain.

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