Please HELP(ankle)

[fire_ice]

hello all,
will any one help me with this , i m really poor in ortho. so trying to improve my knowledge , in case of acute ligament injury, when should the assessment be started immediately after injury or wait till the swelling and pain goes down and if wait any specific grade on the pain scale???????
thanks

[linbin]

hi
when a patient presents with acute injury,we limit our assessment based on severity and irritability.thorough subjective history will be collected primarily.the treatment is designed based on this.main line of management is relative/absolute rest to the part.if investigations-i mean ultrasonograpy,MRI then we will get a picture .ligament tests is not done immediately as the pain and spasm wont allow to deduct any relevant info
cheers

[fire_ice]

Thanks Linbin,how long can we wait ,is there any specific grade on pain scale ????,i have read that since granulation tissue formation starts by about 3 day after injury and it is important to mobilize the joint so the the new fibrous tissue is laid along the stress lines which is specific to the role of the ligament and if we dont know what the injury is how and what r we going to mobilize?and are there any specific details in the subjective history that will differentiate muscular injury from the ligament injury????????
regards