A sprain is an injury that damages a ligament. A ligament is a firm, fibrous band of tissue. It connects 2 bones across a joint. There are ligaments crossing all of the joints in the body.
Sprain: Grade 2
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A sprain occurs when a force pushes the bones of a joint apart. If the force is intense enough, the ligament holding the joint together has to give.
Sprains can occur with everyday activities, but they are more common during sports.
Sports with high speeds and risk of collision have an increased risk of sprains. These sports include: BasketballFootballSkiingGymnastics
Factors that may increase your risk of a sprain include: Muscle weaknessLack of flexibilityCoordination and balance difficultiesSudden change in directionImpact with object or other personMisstep that causes a sudden strain at a joint
Symptoms of a sprain may include: Pain immediately after the sprain—without treatment, the pain becomes worse over the next 24 hoursA popping soundLocal swelling, often within minutesBruisingTrouble moving the jointIncreased pain when putting pressure on the injured area
The most common joints involved include: AnkleKneeThumb or finger jointsShoulder
You will be asked about your symptoms and medical history. A physical exam will be done.
Images may be needed of your joint. This will help check for damage to bones or other structures. Images may be taken with: X-rayMRI scan
Sprains are graded according to the amount of injury: Grade 1—Some stretching with micro-tearing of ligamentsGrade 2—Partial tearing of ligamentsGrade 3—Complete tearing of ligaments
Treatment will depend on the joint involved and the extent of the injury. Talk with your doctor about the best treatment plan for you. Options include:
You will need time to heal, but strict rest is rarely necessary. For most, you should continue to move as long as it does not increase pain. Go about your normal activities as much as you can tolerate.
Elevation will help decrease swelling.
Compression of the area with an elastic bandage also helps to control swelling.
Ice may help decrease swelling and pain in the first few days after the injury.
After a couple of days, heat may help loosen tight or injured muscles. Wait for swelling to go away before using heat therapy.
Medication can help to relieve discomfort and swelling. Medications may include: Over-the-counter pain medication, such as aspirin, ibuprofen, or acetaminophenTopical pain medication—creams or patches that are applied to the skinPrescription pain relievers
Aspirin is not recommended for children with a current or recent viral infection. Check with your doctor before giving your child aspirin.
Rehabilitation exercises may be helpful after the sprain heals. Exercises can help to strengthen muscles and increase range of motion. Medical help is often needed at this stage. It is important to strengthen the muscles involving the joint where the ligament is. Those muscles need protection against further injury.
It may be difficult to avoid sprains. Joints are at risk during athletic activities. To reduce your chance of getting a sprain: Use proper techniques to help avoid awkward motions and misstepsParticipate in flexibility, strength, and fitness training
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http://www.ebscohost.com/dynamed. Updated April 10, 2015. Accessed June 22, 2015.
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http://orthoinfo.aaos.org/topic.cfm?topic=A00150. Updated September 2012. Accessed September 6, 2013.
Sprains, strains, and tears. American College of Sports Medicine website. Available at:
http://www.acsm.org/docs/brochures/sprains-strains-and-tears.pdf. Published 2011. Accessed June 22, 2015.
Sprains, strains, and other soft tissue injuries. American Academy of Orthopaedic Surgeons Ortho Info website. Available at:
http://orthoinfo.aaos.org/topic.cfm?topic=A00304. Updated July 2007. Accessed September 6, 2013.
10/26/2010 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: Massey T, Derry S, et al. Topical NSAIDs for acute pain in adults.
Cochrane Database Syst Rev.
Last reviewed June 2015 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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