Sprains occur when ligaments (the tissues that hold bones
together) are suddenly stretched or torn. Most sprains happen
around joints such as the ankles, knees, or fingers. With rest,
a sprain usually takes 6 to 8 weeks to heal; really bad sprains
may take longer.
Causes
Sprained ligaments usually result
from falling or twisting the joint. You may also get a sprain
if you are in an car accident. The ankle is the most common
site of this kind of injury.
Signs/Symptoms
Symptoms typically include pain,
tenderness, and swelling in the injured area. Movement may be
difficult.
Care
Your doctor may order an x-ray of
the injury to make sure you have not broken a bone. If you have
a severe sprain, you may need a splint to keep the injured area
immobile so it will heal. If you scratched or tore some skin,
you may also need a tetanus shot.
Do's/Don'ts
To prevent sprains and strains,
warm up your muscles and ligaments before you exercise. Gently
stretching your muscles is one good warm-up; your doctor can
show you others. Before heavy exercise, wrap weak joints with
support bandages.
WHAT YOU SHOULD DO
Your doctor will tell you how long to rest the
injured area. Then slowly start using the joint as the pain
allows.
Keep the joint above the level of your heart if
possible. This will reduce swelling.
Apply ice to the injury for 15 to 20 minutes each
hour for the first 1 to 2 days. Put the ice in a plastic
bag and place a towel between the bag of ice and your
skin.
After the first 1 to 2 days, you may put heat on the
injury to help ease the pain. Use a heating pad (set on
low), whirlpool bath, or warm, moist towels for 15 to 20
minutes every hour for 48 hours.
If you are given a splint, keep wearing it until the
doctor says you can remove it.
If you are given an elastic bandage (ace wrap), your
doctor will tell you how long you must wear it. You can
rewrap it if it becomes uncomfortable. Take it off at least
once a day. If you have numbness or tingling below the
injury, the bandage is too tight. Take it off and rewrap it
more loosely.
You can take off the splint or bandage when
bathing.
You may use over-the-counter medicines to relieve the
pain. Take all medications exactly as
directed.
If you are given a tetanus shot, your arm may get
swollen, red, and warm to the touch at the site of the
shot. This is a normal reaction to the
medicine.
Call Your Doctor If...
Bruising, swelling, or pain gets
worse.
You have cold, numb or blue toes or fingers
(depending on the location of the
injury).