Ligament injuries can be more painful and take longer to heal than a broken bone. They are common in traumatic injuries like a car crash, fall or sports injury. A ligament is a tough band of white, fibrous, slightly elastic tissue. They are an essential part of the skeletal joints; binding the bone ends together to prevent dislocation and excessive movement that might cause breakage. Some people like to compare ligaments to duct tape; they hold bones together. Another way of seeing this is to compare ligaments with elastic. Have you ever had favorite clothes where the elastic goes and loses its ability to follow and cling to your body? This is how lax ligaments work in your body. Torn ligaments could be compared to a fan belt in your care or a belt in your clothes dryer or vacuum cleaner, once it tears there is no real way to fix the problem because each time the appliance is used it puts pressure on the belt.
Ligaments contain signaling features which tell the bones how much to move. Ligaments also protect the joints and nerves. When these structures are injured, the body works to rebuild them but this is a slow process. A severe ligament tear can take 18 months to heal whereas a broken bone heals in weeks. When the tear is bad and the ligament can’t heal the surrounding muscles work overtime and the nerves do not have the same degree of protection which can lead to chronic pain and atrophy of the surrounding muscles. Severe ligament injuries that can’t heal produce instability in the surrounding structures. When this happens, deep supporting muscles get weak, nerves get irritated (causing more muscle weakness), and joints get inflamed and painful. Ligament injuries may be accompanied by popping and cracking.
Tight muscles and bad posture that come from the strain of chronic pain and injury can also cause cracking and popping however in this case the popping and cracking relieves pain and pressure. When popping and cracking makes you feel worse and produces more pain, numbness, or burning; it may be due to instability. Special x-ray techniques called flexion-extension views could be done to rule-out any type of instability.
Ligament injury can be treated with prolotherapy and adult stem cell treatment. Ligament repair can treat the injured areas as well but surgery is invasive, there is extensive rehabilitation and considerable down time. Targeted physiotherapy can be used to strengthen the area around the ligament to give it the opportunity to heal. Sometimes bracing is used to rest the area to give it time to recover however this is a temporary solution to reduce pain and used long term can make the situation worse because the surrounding support areas weaken with lack of use.
There are some antibiotics such as ciproflaxin which can make hinder ligament repair. Anti-inflammatories can also slow the healing process for ligament injury.
Supplements that promote cell health such as vitamin C, Glucosamine, Fish oil supplements and anti-oxidants can help. It is important to have high quality protein in your diet to promote a healthy balance of amino acids which help your cells increase the building blocks needed to heal. Getting enough sleep and regular exercise is important. Stress slows your body’s ability to heal. Learning stress busting techniques or avoiding stressors promotes health.
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