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Sprains - Treatment

Alternative Names

Joint sprain

First Aid:

  1. Apply ice immediately to help reduce swelling. Wrap the ice in cloth -- DO NOT place ice directly on the skin.
  2. Try NOT to move the affected area. To help you do this, bandage the affected area firmly, but not tightly. ACE bandages work well. Use a splint if necessary.
  3. Keep the swollen joint elevated above the level of the heart, even while sleeping.
  4. Rest the affected joint for several days.

Aspirin, ibuprofen, or other pain relievers can help. DO NOT give aspirin to children.

Keep pressure off the injured area until the pain subsides (usually 7-10 days for mild sprains and 3-5 weeks for severe sprains). You may require crutches when walking. Rehabilitation to regain the motion and strength of the joint should begin within one week.

Call immediately for emergency medical assistance if:

Go to the hospital right away or call 911 if:

  • You suspect a broken bone
  • The joint appears to be deformed
  • You have a serious injury or the pain is severe
  • There is an audible popping sound and immediate difficulty using the joint

Call your doctor if:

  • Swelling does not go down within 2 days
  • You have symptoms of infection -- the area becomes redder, more painful, or warm, or you have a fever over 100°F
  • The pain does not go away after several weeks
  • Reviewed last on: 5/6/2007
  • Thomas N. Joseph, MD, Private Practice specializing in Orthopaedics, subspecialty Foot and Ankle, Camden Bone & Joint, Camden, SC. Review provided by VeriMed Healthcare Network.

References

DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 2nd ed. Philadelphia, Pa:Saunders; 2003.

Frontera, WR, Silver JK, eds. Essentials of Physical Medicine and Rehabilitation. 1st ed. Philadelphia, Pa: Hanley & Belfus; 2002.

Marx JA, Hockberger RS, Walls RM, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th ed. St. Louis, Mo: Mosby; 2002.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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