1 00:00:07,133 --> 00:00:10,453 Speaker 1: You're listening to the Saturday Morning with Jack team podcast 2 00:00:10,573 --> 00:00:11,453 Speaker 1: from News Talks. 3 00:00:11,453 --> 00:00:14,853 Speaker 2: That'd be doctor Brian Betty is here with us this morning. 4 00:00:14,893 --> 00:00:19,493 Speaker 3: Kilder Brian, oh cure of Jack and congratulations. 5 00:00:18,653 --> 00:00:22,653 Speaker 2: Thank you. I was saying earlier, you know, I'm fortunate 6 00:00:22,653 --> 00:00:24,693 Speaker 2: in life not to actually have heaps of interactions with 7 00:00:24,693 --> 00:00:26,573 Speaker 2: the health system at the stage of life, you know, 8 00:00:27,373 --> 00:00:29,333 Speaker 2: And so this is one of the one of the 9 00:00:29,373 --> 00:00:32,293 Speaker 2: bigger ones I've had this week. And you know, I 10 00:00:32,333 --> 00:00:34,693 Speaker 2: know the system is under huge pressure at the moment, 11 00:00:34,773 --> 00:00:37,093 Speaker 2: but my goodness, it only underscored the kind of respect 12 00:00:37,133 --> 00:00:40,973 Speaker 2: I have for your colleagues, the nurses, the midwives, the doctors. 13 00:00:40,293 --> 00:00:42,413 Speaker 2: That is such a good job. 14 00:00:42,533 --> 00:00:45,413 Speaker 3: Yeah, yeah, look, I think we you know, I agree 15 00:00:45,453 --> 00:00:48,013 Speaker 3: we're under pressure, but we actually have fundamentally a very 16 00:00:48,053 --> 00:00:51,093 Speaker 3: good health system when it's needed. Yeah. Yeah, that's one 17 00:00:51,093 --> 00:00:53,613 Speaker 3: of the things that we sometimes do forget. 18 00:00:53,813 --> 00:00:55,733 Speaker 2: Yeah, I mean, I would say I had a really 19 00:00:55,773 --> 00:00:58,373 Speaker 2: positive experience of the health of the Hathier system, not 20 00:00:58,413 --> 00:01:00,933 Speaker 2: to say, you know, like not say you know, everything 21 00:01:01,013 --> 00:01:03,413 Speaker 2: was perfect, all the kind of facilities that they had 22 00:01:03,413 --> 00:01:05,933 Speaker 2: available to them perfect or anything like that, but I 23 00:01:06,013 --> 00:01:08,653 Speaker 2: just or that did such a good job and my goodness, 24 00:01:08,973 --> 00:01:11,373 Speaker 2: Like I you know, I knew that we had lots 25 00:01:11,413 --> 00:01:14,653 Speaker 2: and lots of migrant people working in the healthcare space, 26 00:01:14,693 --> 00:01:18,053 Speaker 2: but my gosh, it was the people. It was like, 27 00:01:18,133 --> 00:01:19,893 Speaker 2: you know, it was like being in the United Nations. 28 00:01:21,413 --> 00:01:24,133 Speaker 2: It was amazing. Yeah, and it really and again yeah, 29 00:01:24,133 --> 00:01:26,253 Speaker 2: I felt we felt so cared for and yeah, it 30 00:01:26,253 --> 00:01:27,573 Speaker 2: was actually just great to see. 31 00:01:27,373 --> 00:01:29,653 Speaker 3: So really fantastic to hear. 32 00:01:29,893 --> 00:01:30,133 Speaker 2: Yeah. 33 00:01:30,293 --> 00:01:30,493 Speaker 3: Yeah. 34 00:01:30,613 --> 00:01:33,853 Speaker 2: Anyway, this morning, we're focusing on sprained ankles, and they 35 00:01:33,853 --> 00:01:36,573 Speaker 2: are one of the most common injuries that I'm sure 36 00:01:36,613 --> 00:01:38,413 Speaker 2: you see. What what is a sprained ankle? 37 00:01:39,253 --> 00:01:42,053 Speaker 3: Yeah, look, so look, it's an injury that occurs when 38 00:01:42,093 --> 00:01:46,413 Speaker 3: you roll or turn your ankle in an awkward way. Now, 39 00:01:46,453 --> 00:01:50,253 Speaker 3: the commonest injury we see is where the foot turns 40 00:01:50,373 --> 00:01:53,293 Speaker 3: inwards and and it strains the outside of the ankle, 41 00:01:53,333 --> 00:01:57,013 Speaker 3: and we call that an aversion inversion injury, and it 42 00:01:57,093 --> 00:02:00,093 Speaker 3: damages the structures on the outside of the ankle. Now, 43 00:02:00,133 --> 00:02:03,853 Speaker 3: the injury itself, when you turn the ankle causes strains 44 00:02:03,973 --> 00:02:06,773 Speaker 3: or tears in what we call the ligaments with the 45 00:02:06,813 --> 00:02:10,573 Speaker 3: little fibrous ropes that hold the ankle together or tendons, 46 00:02:10,613 --> 00:02:14,453 Speaker 3: which are again little fibrous sort of ropes that attach 47 00:02:14,653 --> 00:02:18,613 Speaker 3: muscle too bone, so they stacklize the ankle and they 48 00:02:18,693 --> 00:02:20,813 Speaker 3: fold it in place. So when you when you roll 49 00:02:20,853 --> 00:02:25,013 Speaker 3: the ankle, they get strained or they can tear, and 50 00:02:25,093 --> 00:02:27,973 Speaker 3: it causes sometimes quite a bit of problem. 51 00:02:28,373 --> 00:02:32,373 Speaker 2: Yeah, I mean speak from personal experience. Yeah, they can 52 00:02:32,413 --> 00:02:34,893 Speaker 2: be they can be really really rough. So what are 53 00:02:34,933 --> 00:02:37,493 Speaker 2: the risks of a sprained ankle and the main symptoms 54 00:02:37,493 --> 00:02:38,133 Speaker 2: obviously a bit. 55 00:02:38,053 --> 00:02:41,813 Speaker 3: Of swilling, yeah, look, look, looks. Obviously a big risk 56 00:02:41,933 --> 00:02:46,813 Speaker 3: is often sport, so rugby, soccer, hockey, tennis, that's where 57 00:02:46,813 --> 00:02:49,053 Speaker 3: you get these rolled ankles. You know, someone in the tackle, 58 00:02:49,453 --> 00:02:51,253 Speaker 3: they go over on the ankle and they have to 59 00:02:51,333 --> 00:02:54,173 Speaker 3: limp off the field. So obviously sport is a big 60 00:02:54,253 --> 00:02:56,853 Speaker 3: risk factor, but there's a couple of other hidden ones. 61 00:02:56,933 --> 00:03:01,093 Speaker 3: So often walking on uneven surfaces, if you're not fit, 62 00:03:01,293 --> 00:03:04,253 Speaker 3: you're at a greater risk of a sprained ankle. Wearing 63 00:03:04,333 --> 00:03:07,213 Speaker 3: shoes that don't quite fit that give you a risk. 64 00:03:07,693 --> 00:03:09,693 Speaker 3: And if you land awkwardly, if you jump off a 65 00:03:09,733 --> 00:03:12,373 Speaker 3: step or do something like that will actually cause it. 66 00:03:12,453 --> 00:03:14,653 Speaker 3: And the other one, which is quite interesting is if 67 00:03:14,653 --> 00:03:18,413 Speaker 3: you've had a previous sprained ankle, you're more at risk 68 00:03:18,453 --> 00:03:21,173 Speaker 3: of another sprained ankle occurring because it does weaken the 69 00:03:21,253 --> 00:03:24,133 Speaker 3: joints slightly. So it's just something to be aware of. Now. 70 00:03:24,213 --> 00:03:27,893 Speaker 3: As you said, the big, big symptom is pain. Pain 71 00:03:28,253 --> 00:03:31,013 Speaker 3: straight away after you roll the ankle, and that's how 72 00:03:31,853 --> 00:03:34,973 Speaker 3: people can play on Often that's really painful to walk 73 00:03:35,013 --> 00:03:37,693 Speaker 3: on the ankle, so and they'll notice them swelling often 74 00:03:37,733 --> 00:03:40,893 Speaker 3: on the outside of the ankle and bruising starting to develop, 75 00:03:40,973 --> 00:03:44,333 Speaker 3: and it's very very painful to touch. So that restricted 76 00:03:44,333 --> 00:03:46,773 Speaker 3: movies sometimes. The other thing that's quite interesting that people 77 00:03:46,813 --> 00:03:50,053 Speaker 3: describe is a bit of a popping sound or a 78 00:03:50,093 --> 00:03:53,653 Speaker 3: sensation of popping when they do it, and that's quite 79 00:03:53,653 --> 00:03:54,413 Speaker 3: common as well. 80 00:03:54,613 --> 00:03:58,253 Speaker 2: Yeah. I had a really rough sprained ankle about eighteen on, 81 00:03:58,373 --> 00:04:01,253 Speaker 2: probably about a year ago. Actually I am playing football. 82 00:04:01,533 --> 00:04:04,933 Speaker 2: I made a heroic tackle, of course, but it was funny. 83 00:04:05,413 --> 00:04:06,933 Speaker 2: It was just a just one of those things where 84 00:04:06,973 --> 00:04:08,973 Speaker 2: I kind of came into contact with the other player 85 00:04:09,413 --> 00:04:12,653 Speaker 2: and I could tell, like I could tell my ankle 86 00:04:12,693 --> 00:04:14,733 Speaker 2: was smashed before I hit the ground, you know, like 87 00:04:14,733 --> 00:04:20,253 Speaker 2: you have those ses, Yeah, you treat them. 88 00:04:21,493 --> 00:04:25,253 Speaker 3: Yeah. Look, the immediate treatment is something called rice r C. 89 00:04:26,173 --> 00:04:29,013 Speaker 3: Now that is rest, So you need to stay off 90 00:04:29,013 --> 00:04:32,373 Speaker 3: the ankle for the first forty eight hours. Ice is 91 00:04:32,493 --> 00:04:35,853 Speaker 3: really really important because ice reduces are swelling. So generally 92 00:04:35,893 --> 00:04:39,453 Speaker 3: we advise getting some ice onto the sore part of 93 00:04:39,493 --> 00:04:42,653 Speaker 3: the ankle for about twenty minutes every two hours, and 94 00:04:42,693 --> 00:04:45,133 Speaker 3: you do that over a two day period. Now you 95 00:04:45,173 --> 00:04:47,973 Speaker 3: can use p's out of a freezer, it's fine, a 96 00:04:48,013 --> 00:04:50,493 Speaker 3: pack of peas, an ice pack, whatever you got, just 97 00:04:50,573 --> 00:04:52,733 Speaker 3: slap it on for twenty minutes for a couple of hours. 98 00:04:53,413 --> 00:04:56,133 Speaker 3: Bandage around the ankle is really good because that compresses it. 99 00:04:56,413 --> 00:04:58,533 Speaker 3: Because what you're trying to do is stop swelling in 100 00:04:58,573 --> 00:05:01,173 Speaker 3: the ankle and to elevate and stay off it, so 101 00:05:01,333 --> 00:05:03,533 Speaker 3: keep the ankle up. So those four things are really 102 00:05:03,533 --> 00:05:07,493 Speaker 3: really important. Plus you can use some power acetamol or 103 00:05:07,573 --> 00:05:10,493 Speaker 3: panel just for the pain. Now, look if it's generally 104 00:05:10,493 --> 00:05:12,693 Speaker 3: if it's not set or settling in the next fourt 105 00:05:12,733 --> 00:05:15,693 Speaker 3: out hours, generally you need to see your doctor. We 106 00:05:15,813 --> 00:05:18,973 Speaker 3: may order an X ray because sometimes you can get 107 00:05:19,013 --> 00:05:21,693 Speaker 3: small fractures off the bone on the outside of the ankle. 108 00:05:21,733 --> 00:05:26,813 Speaker 3: We call those abulsion fractures or something more significant. And 109 00:05:26,893 --> 00:05:29,613 Speaker 3: sometimes we'll get obviously a physio involved because they can 110 00:05:29,653 --> 00:05:33,573 Speaker 3: do exercises to strengthen the ankle, mobilize the ankle, and 111 00:05:33,653 --> 00:05:36,533 Speaker 3: actually help with pain with with some of the techniques 112 00:05:36,573 --> 00:05:40,573 Speaker 3: they use now, be realistic. It takes up to six 113 00:05:40,653 --> 00:05:43,773 Speaker 3: weeks to heal, so sometimes it can go on quite 114 00:05:43,813 --> 00:05:45,973 Speaker 3: a long time, and you need to be realistic. And 115 00:05:46,013 --> 00:05:48,733 Speaker 3: the only other thing to note. If it's very severe, 116 00:05:49,173 --> 00:05:51,333 Speaker 3: we may use what's called a moon boot, which is 117 00:05:51,413 --> 00:05:53,693 Speaker 3: like a plastic cast that you can take off and on. 118 00:05:54,093 --> 00:05:56,373 Speaker 3: Means you can walk a little bit, but keeps the 119 00:05:56,413 --> 00:05:58,813 Speaker 3: ankle sort of in position and sort of acts like 120 00:05:58,853 --> 00:06:01,013 Speaker 3: a cast and helps with the swelling and pain. 121 00:06:01,173 --> 00:06:03,373 Speaker 2: And what about prevention? How do we stop getting a 122 00:06:03,413 --> 00:06:04,533 Speaker 2: spangle in the first place? 123 00:06:04,733 --> 00:06:12,013 Speaker 3: Keep and don't play rugby or soccer. Yeah, yeah, look 124 00:06:12,133 --> 00:06:15,933 Speaker 3: really important before you play sport. Warm up, Okay, we 125 00:06:16,013 --> 00:06:21,213 Speaker 3: know that actually reduces the risk of injury. Gooden shoes 126 00:06:21,293 --> 00:06:25,013 Speaker 3: are important. And yeah, you've actually mentioned stiletto so high 127 00:06:25,053 --> 00:06:27,213 Speaker 3: heels are actually a risk for roll in the ankle. 128 00:06:27,213 --> 00:06:31,333 Speaker 3: And we do see that it looks staying fit and 129 00:06:31,533 --> 00:06:35,133 Speaker 3: practicing balancing exercises so often as you get older, things 130 00:06:35,173 --> 00:06:37,613 Speaker 3: like tye chen that are really really important because actually 131 00:06:37,653 --> 00:06:39,773 Speaker 3: strengthen the ankle and may help with balance and that 132 00:06:39,853 --> 00:06:43,173 Speaker 3: can reduce the risk of sprain or turned ankles. So yeah, 133 00:06:43,173 --> 00:06:45,933 Speaker 3: there's a couple of basic things you can do to 134 00:06:46,013 --> 00:06:46,853 Speaker 3: try and prevent them. 135 00:06:46,933 --> 00:06:48,893 Speaker 2: Yeah, very good. Hey, thanks so much, Brian. We will 136 00:06:48,933 --> 00:06:50,693 Speaker 2: catch you again in a couple of weeks. Doctor Brian 137 00:06:50,733 --> 00:06:53,213 Speaker 2: Betty there with his tips for rest for. 138 00:06:53,253 --> 00:06:56,293 Speaker 1: More from Saturday Morning with Jack Tame. Listen live to 139 00:06:56,413 --> 00:06:59,533 Speaker 1: News Talks b from nine am Saturday, or follow the 140 00:06:59,573 --> 00:07:01,053 Speaker 1: podcast on iHeartRadio.