Sprains and strains

    Sprains and strains are common injuries affecting the muscles and ligaments. Most can be treated at home without seeing a GP.


    Symptoms

    It's likely to be a sprain or strain if:

    • you have pain, tenderness or weakness – often around your ankle, foot, wrist, thumb, knee, leg or back
    • the injured area is swollen or bruised
    • you cannot put weight on the injury or use it normally
    • you have muscle spasms or cramping – where your muscles painfully tighten on their own

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    Is it a sprain or a strain?

    Sprains Strains
    Torn or twisted ligament (tissue that connects the joints) Overstretched or torn muscle (also known as a pulled muscle)
    Most common in: wrists, ankles, thumbs, knees Most common in: knees, feet, legs, back

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    Things you can try

    For the first couple of days, follow the 4 steps known as RICE therapy to help bring down swelling and support the injury:

    1. Rest – stop any exercise or activities and try not to put any weight on the injury.
    2. Ice – apply an ice pack (or a bag of frozen vegetables wrapped in a tea towel) to the injury for up to 20 minutes every 2 to 3 hours.
    3. Compression – wrap a bandage around the injury to support it.
    4. Elevate – keep it raised on a pillow as much as possible.

    To help prevent swelling, try to avoid heat (such as hot baths and heat packs), alcohol and massages for the first couple of days.

    When you can move the injured area without pain stopping you, try to keep moving it so the joint or muscle does not become stiff.

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    A pharmacist can help with sprains and strains

    Speak to a pharmacist about the best treatment for you. They might suggest tablets, or a cream or gel you rub on the skin.

    Painkillers like paracetamol will ease the pain and ibuprofen will bring down swelling.

    But you should not take ibuprofen for 48 hours after your injury as it may slow down healing.

    Find a pharmacy

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    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.

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    Prevention

    Sprains and strains happen when you overstretch or twist a muscle.

    Not warming up before exercising, tired muscles and playing sport are common causes.

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    When to get medical help

    Get advice from 111 now if:

    • the injury is not feeling any better after treating it yourself
    • the pain or swelling is getting worse
    • you also have a very high temperature or feel hot and shivery – this could be an infection

    111 will tell you what to do. They can tell you the right place to get help if you need to see someone.

    Go to 111.nhs.uk or call 111.

    Other ways to get help

    Go to an urgent treatment centre

    Urgent treatment centres are places you can go if you need to see someone now.

    They're also called walk-in centres or minor injuries units.

    You may be seen quicker than you would at A&E.

    Find an urgent treatment centre

    Treatment at a minor injuries unit

    You may be given self-care advice or prescribed a stronger painkiller.

    If you need an X-ray, it might be possible to have one at the unit, or you may be referred to hospital.

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    If you have a sprain or strain that's taking longer than usual to get better, your GP may be able to refer you to a physiotherapist.

    Physiotherapy from the NHS might not be available everywhere and waiting times can be long. You can also get it privately.

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    Go to A&E or call 999 if:

    • you heard a crack when you had your injury
    • the injured body part has changed shape
    • the injury is numb, discoloured or cold to touch

    You may have broken a bone and will need an X-ray.

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