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Sprains

Common injuries often seen with active lifestyles, whether during weekend sporting activities, or neighborhood league play, include sprains and strains. A sprain is simply the tearing of ligament tissue. Ligaments connect bone to bone. When you "sprain" your ankle, you have torn some of the ligament tissue in your ankle. This can vary from minor (only a very small tear) to severe (most of the ligament torn). A "turned" ankle is the same as a sprain.  Ankle Sprain Brochure

Strains

A strain is the tearing of muscle or tendinous tissue. Muscles provide us with a means of movement and stabilization of our joints. Tendons connect muscles to bones. A strain is the same as a "pulled" muscle. Strains, like sprains, can vary from minor to severe. 

see more information on strains to the right

Generally, sprains and strains are managed the same for the first 48 to 72 hours. There are some good things that should be done, and some bad things that should never be done during this critical time period.

DO:

  • Place ice on the injured part as soon as possible.
  • Place compression (usually an ace bandage) on the injured part.
  • Elevate the injured part above the heart when possible.
  • Consult a physician if the injury does not improve within 2-3 days.
  • Seek advanced medical care (EMS and/or the ER) if the injury is severe and a fracture is suspected.


DO NOT:

  • Place heat on the injury for at least 4 days. Heat applied sooner than 4 days will increase the pain and swelling.
  • Walk with a limp. If you are limping, you need crutches to assist your walking.
  • Sit in a hot tub or hot bath to "soak" the injury. This will increase the swelling.

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Dr. Andrew Gregory invited to Tromso, Norway for the 2nd World Congress on Sports Injury Prevention in June 2008

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Copyright © 2005 Vanderbilt University Medical Center
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Modified: Wednesday, 3 November 2004
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