# Sprain and strain It can be difficult to tell whether an injury is a fracture, dislocation, sprain or strain. If in doubt, always treat as a fracture. Signs and symptoms Sprain - intense pain - restricted movement of the injured joint - rapid development of swelling and bruising Strain - sharp, sudden pain in the region of the injury - usually loss of power - muscle tenderness What to do 1 Follow DRSABCD. 2 Follow RICE: - Rest – rest the patient and the injured part - Ice – apply an ice pack or cold pack for 15 minutes every 2 hours for 24 hours, then for 15 minutes every 4 hours for 24 hours - Compression – apply a compression bandage firmly to extend well beyond the injury - Elevation – elevate the injured part. 3 Avoid HARM: - Heat - Alcohol - Running or other exercise of the injured area - Massage. 4 Seek medical aid.