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Have You Strained or Sprained Your Leg?

4/25/2019

 
A swelling or pain that continuously increases calls for a doctor's attention
Exert Minimum Movement on the Injured Area
In between an exercise session or before halfway through your cycling you let out a loud shout holding the wrist/leg calling for help. It would mostly be that you have sprained/strained your leg. While both words are used interchangeably in practical life each holds a very different meaning from the other. 

Sprain
Quite often after a game of basketball or running we complain of a sprain whose prime areas of occurrence include the wrists, ankles, thumbs and knees. This is nothing but a torn or twisted ligament. Ligaments are tough tissues that act as connecting factors between bones or cartilages located around the joints. The severity of the sprain is directly dependent on the number of tissue fibers affected. Common symptoms include pain, bruise, swelling, inability to move the joint freely or apply weight on the joint. Common causes that can induce a sprain include:
  • Trying to balance a fall with the wrist or hand and landing on it ultimately applying total pressure
  • Injuries from contact sports
  • Sports that require the use of a racquet which might induce a twisted wrist or leg
  • Walking or running especially on an uneven surface

Strain
This is a torn or twisted muscle or tendon mostly occurring in the legs, back, knee and feet. Tendons are tough bands of fibrous tissues that connect muscles to bones. Unlike a sprain that happens suddenly, a strain can happen suddenly or over time. Common symptoms include swelling, bruising, pain, muscle weakness/spasms, muscle cramps and restricted movement in the affected area. A strain that occurs suddenly is called an acute strain while the one that takes time to develop is called a chronic strain each of which has different causes. Causes of acute strain include slipping, jumping, running or lifting a heavy object. Causes of chronic strain include involvement in some sports activity such as tennis, running or rowing (basically any sports that involves repetitive movement) and sitting/standing in odd positions might also trigger a chronic strain at times.

Treatment
Both strain and sprain follow the RICE technique to relieve pain and swelling. This includes:

Rest:Immediately stop the ongoing activity, be it sports or physical exercise, and don’t apply pressure over the affected limb.

Ice: Keep an ice pack over the injured area for a maximum of up to 20 minutes every 2-3 hours. In the absence of ice pack, you can use even a pack of chilled milk or frozen vegetables.

Compression:Decrease swelling by wrapping the affected area with a bandage and if you feel numb/increased pain over time loosen the bandage.

Elevation:Always try to keep the injured area elevated above the chest level whenever possible.
When results are not favorable and if you experience any of these its better to meet a physician:
  1. Swelling and pain increases over time
  2. There is no scope for moving around or standing without experiencing pain
  3. Fever
  4. Numbness around the affected area
  5. Deformation of joint or instability over time

Strains and sprains are inevitable at times, but we too can take precautionary steps to avoid them:
  • Any gym or trainer always advises his/her trainees to warm up before starting to exercise. While you might feel it unnecessary these 5-10 minutes of warming up the muscles increases movement range and helps to avoid trauma and tear to connective tissue.
  • Ensure to wear a comfortable pair of shoes that offers proper support thereby protecting your ankle and knee while exercising
  • If you are exercising in the open, take precaution to know the route well watching out for slippery or uneven surfaces that might cause the individual to fall down. Exercising in a smooth surface place will help you avoid injuries.
  • In between any activity take breaks. Don’t stand, sit or exercise continuously as it can strain the muscles. Stretch your muscles and release them to keep yourself flexible.
  • Do strengthening exercises that strengthen muscles around joints and also help to avoid any mishaps. Read more about the advantages of strengthening exercises from the website www.firsteatright.com.

A strain or sprain should heal within a week while severe ones might take a little longer. Be patient and seek the help of a physical therapist to get back to your normal routine.

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    Dietitian & Nutritionist          Dr. Nafeesa Imteyaz.
    Ex HOD  Fortis Hospital (Dept Of Dietetics & Nutrition)
    ​Managing Director - First Eat Right.
    Fellow - Academy of Nutrition & Dietetics USA. http://www.eatright.org
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