First Aid for Sprain

A sprain happens when you pull, stretch too far, or tear a ligament. Ligaments are strong, flexible bands that connect bones at a joint and help keep joints stable. A strain injures muscles or tendons, which connect muscles to bones.

Both injuries can happen during sports, heavy lifting, or suddenly twisting a joint. Sprains and strains commonly affect the ankles, wrists, or knees. These injuries often cause pain and can stop regular activities until you heal.

Signs That Require Fast Medical Help

Sometimes a sprain or strain can be serious and needs urgent care. Watch out for:

  • You can’t put any weight on the injured leg or joint.
  • The joint feels loose, numb, or useless.
  • The skin changes color, or red lines spread away from the injury (could mean infection).
  • Pain is right over the bone at the injured area.
  • The same area gets hurt again after healing.
  • The injury is severe (large swelling, bone looks out of shape, severe weakness).

If any of these happen, use a cold compress and get help right away.

SymptomWhat to Do
Can’t move/use jointGet emergency help
Numbness or tinglingGet emergency help
Severe swellingSee a doctor
Spreading redness/linesSee a doctor (risk of infection)

Main Signs of Sprains and Strains

These signs often appear soon after the injury:

  • Pain at the spot where you got hurt.
  • Swelling that may happen fast.
  • Tenderness when you press on the joint or muscle.
  • Bruising around the injured area.
  • Trouble moving the joint or muscle.
  • Weakness in the limb.

A more severe injury may cause more swelling, pain, or a changed shape of the joint.

Commonly Affected Areas

  • Ankles
  • Wrists
  • Knees

If you see serious bruising or can’t use the limb, it could mean the injury is worse, like a broken bone or dislocation.

Best Ways to Manage These Injuries

Acting quickly can help recovery. Use the R.I.C.E. method:

  1. Rest: Stay off the injured area. Avoid activities and, if needed, use crutches or a brace. For serious pain, keep pressure off the joint for at least 48 hours.
  2. Ice: Put an ice pack on the area as soon as you can, using a thin cloth. Keep it on for 15-20 minutes, several times a day for the first two days. Don’t put ice right on the skin.
  3. Compression: Wrap the area with an elastic bandage to reduce swelling. Make sure it’s not too tight.
  4. Elevation: Raise the injured area above your heart with pillows to help with swelling.

Other Tips

  • You can take over-the-counter pain medicine, like acetaminophen or ibuprofen, to help with pain.
  • Start gentle movement as pain allows.
  • For serious injuries, you might need a splint, cast, or surgery.
  • Physical therapy can help you regain movement and avoid getting hurt again.

Ways to Lower the Chance of Getting Hurt Again

You can help prevent more injuries by:

  • Warming up before sports or exercise.
  • Wearing proper shoes and protective gear.
  • Doing balance and strength exercises to steady your joints.
  • Avoiding exercise when you’re tired.
  • Stretching after activities to keep muscles flexible.

Pay attention to your body and stop if you feel pain to keep a small injury from getting worse.

When Is It Time to Contact a Healthcare Provider?

A sprain or strain might seem minor, but sometimes you need professional help:

  • If pain and swelling do not get better after 2–3 days of home care.
  • If symptoms get worse or you have trouble moving the injured limb.
  • If you are concerned about a child’s injury.
  • If you notice signs that could mean a more serious problem (fever, infection, bone pain, or obvious joint changes).

If you think there might be a break, loss of use, or dislocation, do not wait to get care. See a healthcare provider to find out if you need an X-ray, a cast, or other treatment. Getting help early can prevent lasting problems with joints, muscles, or tendons.