Sprain or strain

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Counseling

Most sprains, strains, and bruises improve over 1-3 weeks. Recommended supportive care with tylenol or motrin as needed for pain, with an emphasis on ice, rest from activities that hurt, and a gradual return as pain allows. Return precautions given including pain or swelling that is getting worse, numbness or tingling, a cold or pale hand or foot, not able to use the limb, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Sprain or strain
• No bony tenderness, deformity, effusion, or neurovascular concern
• Rest, ice, compression, elevation, and activity modification as tolerated
• Gradual return to activity as pain and function improve
• Follow up if not improving in 1-2 weeks

Most sprains, strains, and bruises improve over 1-3 weeks. Recommended supportive care with tylenol or motrin as needed for pain, with an emphasis on ice, rest from activities that hurt, and a gradual return as pain allows. Return precautions given including pain or swelling that is getting worse, numbness or tingling, a cold or pale hand or foot, not able to use the limb, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Type (sprain, strain, contusion) as the title
Laterality and location (generous list)
Reassuring exam vs focal bony tenderness
RICE, activity modification, gradual return
Wrap, sling, buddy tape, crutches

Return precautions in the template

pain or swelling that is getting worsenumbness or tinglinga cold or pale hand or footnot able to use the limb

Sources

Sport-Related Concussion in Children and Adolescents. Clinical Report. Pediatrics 2018;142(6):e20183074. (newest AAP concussion CR found; also Early Childhood…
Overuse Injuries, Overtraining, and Burnout in Young Athletes. Clinical Report. Pediatrics 2024;153(2):e2023065129. (replaces earlier report)

Few formal guidelines cover this topic, so the template also leans on expert opinion.