Sprains
Overview, Causes, & Risk Factors
A sprain is a stretch or tear of a ligament. A ligament is a band of tissue
that connects two bones. The sprain occurs when the ligament is extended beyond
the normal range for a particular joint.
What are the causes and risks of the injury?
Sprains occur when a joint is knocked out of position by a fall, hard blow, or
other injury. Some common causes of sprains include the following:
falls, particularly falls onto an outstretched arm
motor vehicle accidents
obesity or
overweight
overstretching, such as during an exercise warm-up session
running on an uneven surface
sports injuries
work-related injuries, such as
repetitive stress injuries from overusing a joint or extremity
Symptoms & Signs
What are the signs and symptoms of the injury?
Following are some of the symptoms of a sprain:
bruising
decreased range of motion of the joint
difficulty moving the affected area
fluid within the joint, known as effusion
joint pain
swelling around the joint
Diagnosis & Tests
How is the injury recognized?
The healthcare provider will do a medical history and physical examination, checking
for the slackness that will occur in a sprained joint. An X-ray may be ordered
to check for bone fractures.
Prevention & Expectations
What can be done to prevent the injury?
An individual can lower the risk of sprains by taking the following measures.
Build muscles through a regular conditioning program.
Do daily stretching exercises.
Wear shoes or boots that fit well and are appropriate for the planned
activity.
Eat a healthy diet, following the food guide pyramid.
Follow sports safety guidelines for children,
adolescents, and
adults.
Warm up before sports and planned exercise.
Maintain a healthy weight.
Establish an ergonomic workstation and use good body mechanics.
Wear seat belts in all moving vehicles.
Avoid alcohol or
drugs when driving, operating machinery, exercising, or playing sports.
Treatment & Monitoring
What are the treatments for the injury?
Apply the RICE technique: Rest, Ice, Compression and
Immobilization, and Elevation.
Rest means to restrict movement and weight-bearing in the
injured area. A splint can be used if necessary.
Ice refers to the application of an ice pack or cold compress
to the affected area.
Compression involves placing a bandage lightly around the
injured area to decrease swelling. Immobilization means to avoid unnecessary
activity of the affected area, particularly weight-bearing.
Elevation means to keep the injured area above the heart
if possible.
Medications that reduce pain and inflammation, such
as aspirin or ibuprofen, may be taken. Aspirin should never be given to
children 19 years of age or younger, since it is associated with a disorder
known as Reye's syndrome.
What are the side effects of the treatments?
Pain medications and
anti-inflammatory medications may cause stomach upset or allergic reaction.
What happens after treatment for the injury?
Most sprain injuries take from 4 to 6 weeks to heal. It is important to allow
these areas to heal fully and properly before going back to usual activities.
It is also important that the sprained area be protected for several months
after the injury, since there will be some weakness. Problems may worsen if the
injured area is not protected or if activity is resumed too soon after the
injury. Any new or worsening symptoms should be reported to the healthcare
provider.
Attribution
Author:James Broomfield, MD
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:04/30/01
Reviewer:Eileen McLaughlin, RN, BSN
Date Reviewed:08/09/01