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Чаще всего страдают связки голеностопного, коленного, плечевого и лучезапястного суставов [8](https://www.KrasotaiMedicina.ru/diseases/traumatology/sprain)[9](https://gemotest.ru/info/spravochnik/zabolevaniya/rastyazhenie-svyazok/). \n\n**К какому врачу обращаться**: травматологу [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/)[11](https://www.gmsclinic.ru/diseases/rastyazhenie-svyazok).\n\n\n\n## Причины\nРастяжение связок возникает из-за **резких движений**, которые превышают нормальную амплитуду сустава [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/)[7](https://ketorolgel.ru/articles/pain-and-inflammation/chto-takoe-rastyazhenie-svyazok/). Например: \n* подворачивание ноги на неровной поверхности во время тренировок или бега [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/); \n* падение с опорой на руку [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/); \n* резкий подъём тяжести [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/); \n* удар по суставу [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n\n**Факторы, способствующие повреждению связок**: неудобная обувь, недостаточная разминка перед физическими нагрузками, предыдущие травмы сустава и другие [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/).\n\n## Симптомы\nСила проявления симптомов зависит от степени повреждения связок [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/): \n* **Лёгкая степень (I степень)**: боль — незначительная, ноющая, усиливается только при полной нагрузке на сустав, отёк — может отсутствовать или быть едва заметным, подвижность — сохранена почти в полном объёме [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n* **Средняя степень (II степень)**: боль — острая, выраженная, ограничивающая движения, возникает при стандартной нагрузке, отёк — ярко выражен, появляется быстро, гематома — часто присутствует, подвижность — заметно ограничена из-за боли [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n* **Тяжёлая степень (III степень — разрыв связки)**: боль — может быть интенсивной и даже нестерпимой, отёк — массивный, распространяющийся на окружающие ткани, гематома — обширный кровоподтек, подвижность — сустав нестабилен («разболтан»), невозможно опереться на конечность [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/).\n\n## Диагностика\nВрач проводит осмотр, проверяет болезненность, подвижность сустава, наличие отёка и стабильность соединения [11](https://www.gmsclinic.ru/diseases/rastyazhenie-svyazok). Для уточнения диагноза могут быть назначены: \n* **Рентгенологическое исследование** — позволяет убедиться, что нет перелома кости [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n* **Ультразвуковое исследование (УЗИ) сустава** — помогает оценить состояние связок и определить наличие жидкости в суставе [11](https://www.gmsclinic.ru/diseases/rastyazhenie-svyazok). \n* **Магнитно-резонансная томография (МРТ)** — детально показывает, как выглядят на момент исследования все мягкотканные структуры сустава [11](https://www.gmsclinic.ru/diseases/rastyazhenie-svyazok).\n\n## Лечение\n**Некоторые методы лечения**: \n* **Исключить нагрузку на повреждённую конечность** [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n* **Прикладывать холод** к больному месту на 15–20 минут несколько раз в день в первые трое суток [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n* **Фиксировать сустав** эластичным бинтом или ортезом для ограничения движений [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n* **Держать повреждённую конечность в возвышенном положении**, чтобы уменьшить отёк [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n\n**Медикаментозное лечение**: врач назначает противовоспалительные препараты в форме таблеток, гелей или мазей для уменьшения отёка, болезненности и дискомфорта [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). \n\n**Хирургическое лечение** проводят редко — только при полном разрыве связок [1](https://www.fdoctor.ru/bolezn/rastyazhenie_svyazok/). 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