Sprain: First aid (2024)

Overview

A sprain is an injury to a ligament caused by stretching the ligament too far or tearing it. A ligament can tear partway or all the way. Ligaments are tough, elastic-like bands that connect bone to bone. They help hold joints in place.

When to seek emergency help

Seek medical care right away if:

  • You can't put weight on the injured leg, the joint feels unstable or numb, or you can't use the joint. This may mean the ligament was completely torn. On the way to see your healthcare professional, apply a cold pack.
  • You have a change of color or streaks of color that spread out from the injured area. This may mean you have an infection.
  • You have pain directly over the bones of an injured joint.
  • You have re-injured an area that has been injured a few times in the past.
  • You have a severe sprain. Delayed treatment might lead to ongoing pain and the joint not being stable.

Symptoms

Areas of the body most likely to sprain are ankles, knees and wrists. Sprained ligaments often swell quickly, are painful and might cause bruising. Often, the greater the pain and swelling, the worse the injury is. For most minor sprains, you can start treatment yourself.

Treatment

To treat a sprain, try the R.I.C.E. approach — rest, ice, compression, elevation:

  1. Rest the injured area. Your healthcare professional may say not to put weight on the injured area for 48 to 72 hours. You may need to use crutches or not use the sprained area. A splint or brace also may be helpful at first.

    Even with an injury such as an ankle sprain, you can often exercise other muscles to keep from losing strength. For instance, you can use an exercise bicycle that has movable arm handles. This works your arms and the leg that isn't injured.

    You can rest the injured ankle on the footrest. That way, you still can get a good workout while letting the ankle injury heal.

  2. Ice the area. Use a cold pack, a bath of ice and water, or a compression sleeve filled with cold water to keep swelling down after an injury. Ice the area as soon as you can after the injury.

    Ice the area for 15 to 20 minutes, 4 to 8 times a day, for the first 48 hours or until swelling goes down. Don't use ice for more than 20 minutes at a time. Use a dishcloth or thin towel between the ice and your skin. Putting ice right on the skin or icing for too long can damage tissue.

  3. Compress the area with an elastic wrap or bandage. Keeping pressure on the area might keep swelling down.
  4. Elevate the injured area. Keep it raised on a pillow or cushion above your heart whenever possible. This helps keep swelling down.

Sprains can take days to months to heal. As the pain and swelling improve, gently begin using the injured area. It should get better over time. Pain relievers available without a prescription, such as ibuprofen (Advil, Motrin IB, others) and acetaminophen (Tylenol, others), might help ease pain.

Prevention

You must restore strength and stability to the injured area before you go back to sports or fitness activities. A physical therapist or other sports medicine professional can show you exercises to help you heal and help keep you from injuring the area again.

When to call your doctor

The causes of sprains also can result in broken bones and other serious injuries. See your healthcare professional if your sprain doesn't get better after two or three days.

April 03, 2024

  1. Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/sports-injuries. Accessed Sept. 11, 2023.
  2. Physical therapy guide to ankle sprain. American Physical Therapy Association. https://www.choosept.com/guide/physical-therapy-guide-ankle-sprain. Accessed Sept. 11, 2023.
  3. Strains, sprains and tears. American College of Sports Medicine. https://www.acsm.org/education-resources/trending-topics-resources/resource-library/detail?id=507f1a5e-08b0-41d6-b4ba-433cd4f34084. Accessed Sept. 11, 2023.

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Sprain: First aid (2024)

FAQs

What is the first aid step for sprain? ›

First aid for sprains or strains

Rest the injured area. Put icepacks on the area for 20 minutes every 2 waking hours, separated from the skin by wet towelling. Compress or bandage the injured site firmly, extending the wrapping from below to above. Elevate (raise) the injured area above heart height whenever practical.

What is sprain answers? ›

Definition. A sprain is an injury to the ligaments around a joint. Ligaments are strong, flexible fibers that hold bones together. When a ligament is stretched too far or tears, the area around the joint will become painful and swell.

What are the 5 steps for treating a sprain? ›

Treatment
  1. Rest the injured area. Your healthcare professional may say not to put weight on the injured area for 48 to 72 hours. ...
  2. Ice the area. ...
  3. Compress the area with an elastic wrap or bandage. ...
  4. Elevate the injured area.

Which first aid measures for a sprain or strain can best be remembered by the acronym RICE? ›

How do you use RICE (Rest, Ice, Compression, and Elevation)? As soon as possible after an injury, such as a knee or ankle sprain, you can relieve pain and swelling and promote healing and flexibility with RICE—Rest, Ice, Compression, and Elevation.

How long does a sprain take to heal? ›

How long it takes for a sprain or strain to heal. After 2 weeks, most sprains and strains will feel better. Avoid strenuous exercise such as running for up to 8 weeks, as there's a risk of further damage. Severe sprains and strains can take months to get back to normal.

How do you walk with a sprain? ›

Put only as much weight on your foot as is comfortable at first. Slowly work your way up to your full weight. If your ankle begins to hurt, stop and rest.

What is the first aid for a sprained ankle? ›

Rest: Rest the injured part until it's less painful. Ice: Wrap an icepack or cold compress in a towel and place over the injured part immediately. Continue for no more than 20 minutes at a time, four to eight times a day. Compression: Support the injured part with an elastic compression bandage for at least 2 days.

Does sprain heal on its own? ›

A sprained ankle is a common injury that occurs when the ankle ligaments are torn or stretched too far, often after a fall, or if you roll or twist your ankle. The majority of sprains heal on their own but treatment to strengthen the injured muscles can prevent future sprains.

What is strain in first aid? ›

A strain is when a muscle is stretched too much and part of it tears. It is also called a pulled muscle. A strain is a painful injury. It can be caused by an accident, overusing a muscle, or using a muscle in the wrong way.

What is the fastest way to treat a sprain? ›

For immediate self-care of a sprain, try the R.I.C.E. approach — rest, ice, compression, elevation: Rest. Avoid activities that cause pain, swelling or discomfort.

What is the first aid treatment for muscle sprain? ›

Rest the patient and the injury. Apply an icepack (cold compress) wrapped in a wet cloth to the injury for 15 minutes every 2 hours for 24 hours and then for 15 minutes every 4 hours for 24 hours. Apply a compression elastic bandage firmly to the injury that extends well beyond the injury.

How to tell how bad a sprain is? ›

3 Grades of Ankle Sprains
  1. Grade 1: Your ankle will probably feel sore and may be slightly swollen. In this case, the ligament has been overstretched but not torn.
  2. Grade 2: You have a partial tear in the ligament. This causes prolonged pain and swelling. ...
  3. Grade 3: This is a full tear of the ankle ligament.
Sep 11, 2023

What is the best first aid method for injury treatment? ›

RICER first aid: Rest, Ice, Compression, Elevation, Referral

Too much swelling can cause more damage. Use RICER first aid for up to 72 hours after a sprain, strain or fracture. It can limit swelling and speed up recovery.

Is RICE still recommended for sprains? ›

The RICE method still seems to be the standard, recommended approach for self-care after a minor injury such as a sprain, strain, or pulled muscle. But there are many doctors and other health professionals who advise against using the RICE method.

How long should you ice an injury for? ›

Start by applying ice for 15 to 20 minutes. Do not ice for more than 20 minutes at a time. Over-icing can lead to stiffness and poor circulation. Allow 30 to 40 minutes between each time you ice your injury.

What is the first step taken when treating a sprained ankle? ›

Self-care
  1. Rest. Avoid activities that cause pain, swelling or discomfort.
  2. Ice. Use an ice pack or ice slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. ...
  3. Compression. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. ...
  4. Elevation.
Aug 11, 2022

What is the first step in bandaging a sprain? ›

Start where your toes meet the body of your foot. Hold the loose end of the bandage at the side of your foot. Wrap the bandage around the ball of your foot once, keeping it somewhat taut with a light pull. After this, slowly start circling your way around the arch of the foot.

What is the first aid for a sprained wrist? ›

Treatment for a sprained wrist includes a mix of rest and restoration of the ligament's range of motion. Typically, the RICE approach—rest, ice, compression, and elevation—is advised in the first 24 hours following an injury to reduce swelling and protect the ligaments from further damage.

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