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Signs and Symptoms:

  • Sprains - A sprain happens when you overstretch or tear a ligament (fibrous tissue that connects bones). A joint is affected, but there is no dislocation or fracture. Symptoms are rapid pain, swelling, bruishin, and a warm feeling at the injured site.
  • Strains - A strain is an injury to the muscles or tendons (tissues that connect muscles to bones), usually from overstretch or overexert a muscle or tendon. Symptoms are pain, tenderness, swelling, and bruising.
  • Sport injuries
    • Achilles tendon pain is caused by a stretch or tear or irritation to the tendon that connects the calf muscles to the back of the heel.
    • Blisters are due to friction, such as from poor fitting shoes or socks.
    • Muscle soreness occurs when you have worked out too hard and too long.
    • Shinsplints are mild to severe aches in front of the lower leg.
    • Stress fractures are microfractures which usually involve the bones of the feet and legs. They are usually caused by a sudden increase in the amount of weight bearing exercise.
    • Dislocation or broke bones

[Go to Self-Care Prevention]


1. Is a head, neck, or spinal injury suspected by any of the following symptoms?

  • Paralysis
  • Inability to open and close the fingers or move the toes
  • Feelings of numbness in the legs, arms, shoulders, or any other part of the body
  • Appearance that the head, neck, or back is in an odd position
  • Immediate neck pain (note: if any of the above symptoms exist, tell the victim to lie still and not move his or her head, neck, back, etc. Place rolled towels, articles of clothing, etc. on both sides of the neck and/or body. Tie and wrap in place, but don't interfere with the victim's breathing. If necessary, use both of your hands, one on each side of the victim's head, to keep the head from moving. Call 911)

If yes to one of these symptoms described above, please get immediate care.

If no, continue on to the next question.

2. Are any of these signs present?

  • A bone sticks out or bones in the injured part make a grating sound.
  • An injured body part looks crooked or misshapen.
  • A loss of feeling occurs in the injured body part.
  • You are unable to move or put weight on the injured part.

If yes to one of these symptoms described above, please get immediate care.

If no, continue on to the next question.

3. Are any of these signs present?

  • The skin around the injury turns blue and/or feels cold and numb.
  • Bad pain and swelling occur or the pain gets worse.
  • Pain is felt when you press along the bone near the injury.

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question.

4. Does the sprain or strain not improve after using self-care measures for 4 days?

If yes to one of these symptoms described above, please see your doctor.

If no to all questions, use self-care prevention.

Self-Care Prevention

To Prevent Serious Injuries during Contact Sports:

  • Wear the right protective gear and clothing for the sport. Items to wear include a helmet, shoulder, knee, and wrist pads, a mouth guard, etc.
  • Train in the sport so you learn how to avoid injury. "Weekend athletes" are prone to injury.
  • Follow the rules that apply to the sport.

General Prevention:

  • Ease into any exercise program. Start off with things that are easy for you. Build up gradually.
  • Do warm-up stretching exercises before the activity. Stretch and hold for at least 30 seconds. Don't bounce.
  • Wear proper-fitting shoes that provide shock absorption and stability.
  • Avoid running on hard surfaces like asphalt and concrete. Run on flat surfaces instead of uphill. Running uphill aggravates the stress put on the Achilles tendon.
  • Use the softest surface available when you exercise.
  • Wear shoes and socks that fit well. The widest area of your foot should match the widest area of your foot should match the widest area of the shoe. You should also be able to wiggle your toes with the shoe on, in both a sitting and standing position. The inner seams of the shoe should not rub against areas of your feet.
  • Avoid locking your knees. When jumping, land with your knees bent.
  • Don't overdo it. Stop if you feel pain.
  • Don't resume the activity until you can do it without pain.
  • Cool down after exercise. Do the activity at a slower pace for 5 minutes.

To Treat a Sprain, Strain, or Sports Injury:

  • If the injury does not appear serious, stop what you are doing and use R.I.C.E.:
    • Rest - Rest the injured area as