What is the recommended treatment for a minor sprain or strain?

• A. RICE: Rest, Ice, Compression, Elevation; avoid using the joint; seek medical care if symptoms worsen.
• B. Exercise the joint vigorously immediately.
• C. Massage and apply heat first.
• D. Immobilize with a cast always.

Answer: (A)

The best approach focuses on controlling swelling and protecting the injured tissues right after the injury. For a minor sprain or strain, use the RICE approach: Rest the injured joint to prevent further damage, apply ice to reduce swelling and numb pain (15–20 minutes at a time, several times a day for the first day or two, with a cloth between the ice and skin), compress with an elastic wrap to limit swelling (not so tight it cuts off circulation), and keep the limb elevated above heart level whenever possible. Avoid using the joint for vigorous activity, and skip heat or deep massage early on since they can increase swelling. If symptoms worsen or you notice severe swelling, numbness, deformity, or an inability to move the joint, seek medical care. As swelling goes down, gradually reintroduce gentle movement and progressive activity.