Can ligament damage be treated with a block injection?

Written by Wang Jing
Pediatric Orthopedics
Updated on January 11, 2025
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After ligament injury, the acute phase management mainly involves protection, elevation, avoiding the use of non-steroidal anti-inflammatory and pain-relieving drugs, compression, and patient education, and, of course, appropriate use of cold compresses. In the subacute phase, when there is no pain, some load can be added appropriately, maintaining an optimistic attitude, engaging in aerobic exercise to improve local blood circulation, and early activity should focus on practice as well as exercise in muscle strength and proprioception. Of course, in severe cases where the ligament injury is completely ruptured, affecting stability, consideration must be given to ligament repair or reconstruction. But for acute cases, there is definitely no need for cortisone injections. For chronic ligament injuries, with long-term chronic pain around the joint, conservative treatment and other methods are ineffective, local injections may be considered. However, it is advisable not to inject the injured ligament itself but rather the synovial sheath or other soft tissues surrounding the ligament, as this can reduce the damage of the injection drugs to the ligament. (Use of specific medications should be under the guidance of a physician.)

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Written by Cheng Bin
Orthopedics
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How to recover from ligament damage

For patients with ligament injuries, it is first necessary to determine the severity of the ligament damage in order to establish an active treatment plan to promote rapid repair of the ligament. If the ligament injury is relatively mild and joint stability is good, it is entirely possible for such patients to choose active conservative treatment. It is necessary to strictly use plaster casts or supportive external fixation. During this period, treatment can include oral non-steroidal anti-inflammatory and pain-relieving medication as well as drugs that promote blood circulation and disperse blood stasis. For those with more severe ligament injuries and poor joint stability, it becomes necessary to actively proceed with surgical treatment, which might involve repairing or reconstructing the damaged ligament. (Please use medication under the guidance of a doctor.)

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Written by Wang Fei
Orthopedics
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How long will it take for a ligament sprain and soft tissue injury to fully heal?

Ligament strains or soft tissue injuries are common in everyday life, and they also typically require grading. Some minor ligament strains or soft tissue injuries generally heal after about three weeks of rest and immobilization. If a ligament strain or soft tissue injury is very severe, such as when the ligament has reached the level of tearing, or if there is significant bleeding, edema, and swelling at the time of the injury, this indicates a very serious soft tissue injury. In such cases, the duration of immobilization might be much longer, possibly around six weeks. The recovery time for such soft tissue injuries or ligament strains can also be very lengthy, sometimes extending up to three months or even six months.

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Written by Wang Jing
Pediatric Orthopedics
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Can a ligament injury cause the knee to make noise?

Whether the knee will make noise after ligament damage depends on the condition of the ligament damage. If it is an anterior cruciate ligament injury, generally the knee will not make noise. However, if the anterior cruciate ligament injury is combined with damage to the meniscus or cartilage, forming loose bodies, popping noises in the knee joint can occur. If there is damage to the medial or lateral collateral ligaments of the knee joint, which causes instability in the knee joint, this can also lead to popping sounds. If instability of the patella is caused by damage to the patellar ligament of the knee joint, changes in the alignment of the patellar joint during movement can also cause popping noises in the knee joint.

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Written by Wang Jing
Pediatric Orthopedics
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Can ligament injuries heal by themselves?

Whether ligament injury can be healed depends on the severity of the injury. Generally, there are four types of ligament injuries. The mildest is a sprain, which is when some fibers of the ligament are torn. The second type is a partial tear of the ligament, the third type is a complete tear of the ligament, and the fourth type is a combined injury, which includes damage to other structures in addition to the ligament injury. If the ligament injury is just a sprain, it can generally heal within two to three weeks with immobilization. However, partial ligament tears that are more severe may require surgical intervention. If the partial ligament injury is not severe and does not affect stability, it can also heal with about three to six weeks of immobilization. However, complete ligament tears or combined injuries often require surgery for suturing or reconstruction in order to heal.

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Written by Na Hong Wei
Orthopedics
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How long does it take for a triangular ligament injury to heal?

The deltoid ligament, as a very important structure on the medial side of the ankle joint, is mainly divided into superficial and deep layers. The superficial layer generally originates from the anterior colliculus of the medial malleolus and is more superficial, making it more susceptible to injury. The deep layer originates from the posterior colliculus of the medial malleolus and is tightly connected with the talus bone, meaning that any injury likely involved significant force. Moreover, once injured, it cannot self-repair except through surgery. So, how long does it take for a deltoid ligament injury to heal? For superficial injuries, with proper immobilization or surgical repair, recovery typically takes about three weeks. For deep injuries, surgical repair can be challenging, and reconstruction is often required, extending the healing time to about six weeks or even three months.