No
Support for Ankle Taping Whether you are
watching wrestling, gymnastics, karate, or soccer, you see athletes with their
ankles all taped up. Some are hoping to prevent injury from starting, others
are hoping that their current injuries do not worsen. Both are dreaming if
they think the
ankle taping is going to help them.
What is the purpose
of taping? Its purpose is to support the ankle and limit its motion. Guess
what happens when you limit motion of the ankle? It
weakens the ligaments
and tendons, it also causes decreased muscle contractions that could
actually be predisposing the ankle to injury. In other words, taping will
actually increase the chances of injury. The other consequence of restricting
ankle motion in the athlete is decreased performance. You'll play worse with a
taped ankle! Athletic events that depend on plantar flexion (jumping) are the
most affected by taping.
The main reasons for
taping an ankle or knee given by traditional sports medicine are to prevent
injury or a worsening of the injury. Common sense would dictate that it is
unlikely that the tape would ever function at the same capacity as the actual
knee ligaments themselves. The athlete hopes that the tape will, in essence,
replace the injured ligament and support the ankle. This is good in theory,
but an even better theory is to strengthen the ligament that was injured so
that it is at least as strong as pre-injury or even better. This is why
athletes are turning to Prolotherapy.
What Happens When You Tape an Injury?
What happens after
you tape an ankle? It feels tight. Great, but does the tightness last? Think
about these facts. During a long athletic event an athlete might experience
25,000 impacts to the ground equivalent, on average, of 2.5 times the
athlete's body weight. Landing after a rebound, a basketball player
experiences a force which can exceed five times the body weight under each
leg. The question for an athlete who weighs 180 pounds is, "Can the tape
on the ankle handle a force of 450 pounds (180 x 2.5) during 2,500 impacts (a
shorter sporting event)?" The answer would logically be no it is just a
piece of cloth wrapped around the ankle. The athletic trainer may put some
sticky stuff under the wrap or have some fancy way of weaving it around the
ankle-under the arch, between the toes, whatever-but in actuality, it is a
piece of cloth that must withstand a 450 pound force, 2,500 times in the span
of a couple of hours during a game.
Classic Study at the University of
Wisconsin
In the classic study
on this subject done in 1962, Dr. G. Rarick and associates at the University
of Wisconsin studied the four most common ankle taping methods, namely: the
basket weave, the basket weave and stirrup, the basket weave and heel lock,
and the basket weave with combination stirrup and heel lock. The athletes then
exercised for 10 minutes designed to put the ankles under stress. The program
consisted of running, jumping, pivoting, quick starts, and quick stops. The
study showed that all of the different methods caved in within the 10 minutes
of exercise. The authors noted, "The results clearly demonstrated that as
much as 40 percent of the net supporting strength of the strapping was lost
after 10 minutes of vigorous exercise. Inspection of the strapping following
testing disclosed that almost invariably the supporting strips of tape were
either broken or the anchoring lateral strips were displaced downward. While
some support is given to the ankle joint by current methods of taping, it is
doubtful that the protection is as great as many believe. Most certainly the
stress of exercise quickly loosens the adhesive supports, leaving the ankle
joint with only limited protection. The effectiveness of taping was poor after
10 minutes and minimal after 60 minutes."
Before someone says
"that study was done in 1962," the basket weave taping method in
this study is still the fundamental approach of ankle taping used today.
Taping Increases Injury Risk
So does taping
prevent injuries? Of course not. No matter the sport, whether it is basketball
or football, taping does not prevent injuries. In one study, in over six
sessions of collegiate football, most ankle injuries occurred when the
athletes' ankles were taped. Of note was that of the 24 re-injuries to the
ankle, 23 of them were in taped ankles.
In a similar study
looking at athletic injuries and taping, it was shown that players with
histories of ankle sprains were twice as likely to sustain further sprains of
their uninjured ankles regardless of shoes or external supports (taping).
Should these results
surprise us? No. Taping does not repair the injured ankle. Nothing can take
the place of God-given ligaments to support the ankle or any other joint. Any
athlete with an ankle sprain should fix it with Prolotherapy.
Prolotherapy can
stimulate the athlete's body to repair the damaged ligament. The ankle will
then feel strong because it will be strong. Ankle taping gives the athlete a
false sense of security that the tape is supporting the ankle. Studies have
shown that within 10 minutes of exercise, the taping is supporting the ankle
with 50 percent less strength. For athletes with ankle sprains, taping is a
sure way to get re-injured.
Ross
Hauser, M.D.
is one of the leading experts
in the treatment of chronic pain and
sports injuries
with
Prolotherapy.
Do you
want to discuss this with us?
Ask
Dr. Hauser About Prolotherapy
The information on this website is presented
as information only and not a self-help
guide NOR AS SPECIFIC HEALTH
RECOMMENDATIONS. Never alter or change your
health management or begin any new health
plans without first consulting your personal
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statements on this site regarding the value
of nutritional supplements have not been
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As with any
medical technique,
Prolotherapy may not be effective for every
individual and there are risks involved,
these risks should be discussed with your
physician. Results achieved with some may not be
typical of all. Please consult a physician.
Please read
Prolotherapy Risks
There is no known cure for arthritis.
Prolotherapy
and nutritional supplements can help
alleviate, reverse, or end arthritic pain by
treating an underlying cause that
contributes to degenerative disease,
ligament laxity. Strengthening ligaments and
other connective tissue can help prevent
bone on bone arthritis from developing.
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