Thank you very much Dr. Yang for providing your own personal experience to patients! I read it in a hurry two weeks ago, I was busy with the work delayed by the fracture injury and did not have time to go online, so I have been thinking about writing some feelings, today I read it again, I am still touched by Dr. Yang’s concern and heart for his patients, I understand it very well, and I am grateful for being a patient. I’ve been active since I was young, and my muscles are especially flexible, and I can still bounce off a concrete platform more than a meter high when I’m over 50. Usually, when I am happy to go down a staircase or based on the idea of saving time, I may jump from three steps to two steps. My left ankle has been habitually broken since childhood, but never had any problems, generally when the immediate touch and lightly rubbed it is fine, the heavy ones will be fine in two or three days (so buried in the misconceptions of fracture), I think the ligaments are super good, in January this year, accidentally severely fractured the right foot that has never been broken, despite the pain at that time, holding the ankle half squatting can not move, afterwards swelling inside and outside the ankle and the back of the foot are bruised, completely can not touch the ground, I did not realize what would happen. I didn’t realize there would be any major problems. I was brave enough to bear the pain and later to fear that the pain would regenerate and over seek medical attention, each step has a negative cost! Initially, due to ignorance of the “RICE” principle, I did not do anything to treat the injury, and even jumped on my one foot to do housework, and went out shopping on the third day, and carried my luggage on a plane to a foreign country on the fifth day. The first time I sought treatment was 7 days later at the orthopedic department of a Chinese medicine doctor in a foreign country, taking X-rays without fracture, the doctor let the medicine be applied for a week and then did physical therapy several times, the recovery was very obvious, in time for the Chinese New Year, it was inconvenient to continue to visit the doctor, I thought it was no big deal, so I waited for my own slow recovery. 20 days later, on the way back to Beijing, I felt especially hard to carry the luggage, then the next day I started to have pain in both the inner and outer ankle of my right foot, with hard knots protruding and obvious fluid swelling. Since then, I have been on a long and intermittent road of seeking treatment, from Chinese medicine to Western medicine, from tertiary hospitals to private clinics, back and forth, for more than half a year, and the process has been unbearable. I won’t go into detail. Anyway, when I was able to get a diagnosis from the ankle specialist at Beihang Medical College, it was 4 months after the fracture, missing the best time for treatment. At that time, I had deteriorated from being able to walk to having to walk with a double crutch, and it seemed to be getting worse and worse. Doubt and experience 1: Doubt and helplessness during the period of seeking treatment, different treatment methods and requirements of Chinese and Western medicine conflicted with each other, different hospitals or different doctors of the same hospital made different judgments, and there was no consensus, so who should I listen to and believe? For example, Chinese medicine and massage is the main, do not allow hot feet, Western medicine is absolutely not allowed to massage, but the work with hot medicinal water soak feet. For example, I had an MRI done at a general hospital 2 months after the injury, and the report pointed out that the right anterior talofibular ligament was irregular in shape and direction, uneven in thickness, disorganized and increased in signal, and the triangular ligament at the right inner ankle was irregular in shape and increased in signal heterogeneity in the anterior tibial distance. Fluid high signal was seen in the joint cavity or capsule, and fat suppression was seen in the right outer ankle as a speckled high model. It was concluded that: right ankle MR: partial injury of the talofibular ligament as well as the deltoid ligament; possible contusion of the outer ankle bone; small amount of joint effusion. Subsequently, the rehabilitation specialist diagnosed possible strain of the external ankle and deltoid ligament and cartilage injury. After 2 weeks of washing and soaking with medicine as required, the doctor concluded that there was a deeper problem, and I had to be transferred to the sports department, which had a specialist who looked at the MRI and manipulation tests and thought it was fine to go back to the rehabilitation department. During that time, I was delayed for another month, and only when I found a leading ankle specialist did I learn that the ligaments were torn, and my experience was that not all orthopedic specialists can figure it out, and I had to find the corresponding specialist. The MRI report did not point out the explanation of the ligament rupture: 1) the person who did the MRI was not professional enough to read the film, 2) the person who did the MRI was not professional enough to cut the position may not be the best point. Therefore, the MRI should be done in a specialized hospital for the best results. Doubt and experience two: whether the lateral ligament is broken two or one and a half (and perhaps also coupled?). I guess the only way to find out is to cut open the foot surgically! (Including whether there is synovitis or something else, it seems that we have to open the foot to know!) What is it? Is the ligament already torn when the injury was first sustained? Or was it broken by a private doctor who broke the ligament in the end (second injury)? No one can tell you! Every time I hope to find a famous doctor, a miracle doctor or a famous hospital, the injured ankle is broken and pinched again, most of them are injured again, the pain and swelling increase, and then you have to apply medicine and serve carefully for ten or eight days. Because a rainy day foot pain will be numb and stiff pain, walking a long half limp. Therefore, do not arbitrarily listen to the recommendation and introduction of friends and family to try. Doubt and experience three: in the end ligament rupture is not necessary surgery? I had to do a lot of homework to find out this, and I can’t say whether my subjective choice was wise or not. In any case, different leading ankle specialists eventually decided that I needed surgery to recover from my torn ligaments. I didn’t want to have surgery easily, not that I was afraid of surgery, I could afford this modest surgery but I didn’t have the conditions to nurse it, I already knew how difficult it was to nurse this foot. I was doing pre-operative tests and investigating the pros and cons of surgery and the feasibility of continuing conservative treatment. I sought to exercise my foot strength to allow the strength of other ligaments or related muscles to compensate for the lack of ligaments. This idea received some support through online consultations and discussions with specialists at different hospitals, and ultimately it was Dr. Yang’s personal experience provided by him that was most convincing! I believe our own body has a certain ability to heal itself, as long as we grasp a variety of combined factors and seek proper and moderate medical care and maintenance plus exercise. My deepest experience is that no one is God, you can’t expect doctors to carry you across the river, many of your details are not mastered by doctors, doctors give you a general direction, but you must master the “moderate” yourself. The initial no treatment no treatment: wrong! Different treatment time certainly means different, improper maintenance, too much movement: wrong! Too afraid to move: wrong! I have 9 months after the injury, my healing and exercise method is to keep the foot in a relaxed state as much as possible: sitting for a long time must get up and move (the worst is to sit in front of the computer and not move! I have been writing this article for several days because I can not sit for a long time), walk or stand for a period of time must sit or lie down for a while, I do not necessarily give the doctor’s atlas swollen every movement are 100% to do or get thorough, but can understand the basic principles, I am always adjusting their own movements according to their own time and clinical posture: let the foot in the rest or foot strength exercise, and use the engaged The different activities of the movement itself in the dark exercise. Also, patience is needed. Is this correct and informative for other patients? I hope to warn other patients not to repeat the mistakes I made. I hope to warn other patients not to repeat the mistakes I have made. There may be a slow road to recovery, and I will seek advice as I go along. Thank you for your dedication and love for your patients!