Sharon has 21+ years of experience as a qualified Emergency Care Nurse registered with the Australian Health Practitioner Regulation Agency (APHRA) and 12+ years as a First Aid Trainer.
She takes pride in FirstAidPro making first aid training available, comprehensive and affordable to everybody.
You’ve just twisted your ankle or pulled a muscle, and the pain is setting in. What you do next can make all the difference in your recovery.
Effective treatment for sprains and strains isn’t just about slapping on an ice pack and hoping for the best. There’s a science to it, and knowing the right steps can greatly speed up your healing process.
From immediate care to long-term strategies, these 10 tips will guide you through the best practices for treating your injury.
But before we jump into the details, let’s consider why proper treatment is essential and what’s at stake if you don’t take the right approach.

Key Takeaways
- Implement the RICE protocol: Rest the injured area, apply Ice, use Compression, and Elevate the limb above heart level.
- Manage pain with NSAIDs like ibuprofen and consider topical analgesics for localised discomfort.
- Gradually reintroduce movement with gentle range-of-motion exercises, progressing to strength training as pain subsides.
- Apply cold therapy for the first 48-72 hours, then switch to heat therapy to promote healing.
- Consume anti-inflammatory foods and stay hydrated to support faster recovery and tissue repair.

Immediate RICE Protocol Application
Swiftness in applying the RICE protocol—Rest, Ice, Compression, and Elevation—is vital for effectively managing a sprain or strain immediately after injury.
Begin by resting the affected area to prevent further damage. Avoid putting weight on the injured limb and stop any activity that caused the injury.
Next, apply ice for 15-20 minutes every 2-3 hours but do not use ice directly against the affected area – make sure it’s wrapped in a cloth or towel. This helps reduce swelling and numbs pain. Use a thin cloth between the ice and your skin to prevent ice burn.
Compression is essential for sprain recovery; wrap the injured area with an elastic bandage, starting from the farthest point and moving towards the body. Make sure it’s snug but not too tight to impair circulation.
Elevate the injured limb above heart level whenever possible, especially when resting or sleeping. This helps minimise swelling by allowing fluid to drain away from the injury site.
Maintain the RICE protocol for the first 24-48 hours post-injury. If pain persists or worsens, consultation with your doctor may be necessary.
Gradual Movement and Exercise

Carefully reintroducing movement and exercise is a crucial step in the recovery process for sprains and strains. As your injury begins to heal, you’ll need to gradually increase your activity level to restore flexibility, strength, and function.
Start with gentle range-of-motion exercises, focusing on slow, controlled movements that don’t cause pain.
Once you’ve regained some mobility, incorporate dynamic stretching into your routine. This involves moving parts of your body and gradually increasing reach, speed of movement, or both. Dynamic stretching helps improve blood flow to the injured area and prepares your muscles for more intense activity.
As your pain subsides and flexibility improves, begin introducing light strength training exercises. Start with isometric exercises, which involve contracting muscles without moving the joint. Gradually progress to exercises using resistance bands or light weights. Focus on exercises that target the muscles surrounding the injured area to provide better support and stability.
Remember to listen to your body and avoid pushing too hard too soon. If you experience increased pain or swelling, reduce the intensity or frequency of your exercises.
Always consult with your healthcare provider or physiotherapist before starting any new exercise regimen.
Pain Management Strategies

As you progress through your recovery exercises, it’s equally important to manage pain effectively to support your healing process and maintain comfort. Various pain relief options are available, ranging from over-the-counter medications to physical therapies. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce both pain and inflammation. For localised discomfort, topical analgesics or cold packs may provide targeted relief. Always consult your healthcare provider before starting any new pain management regimen.
Consider these psychological strategies to cope with pain and enhance your recovery:
- Practice mindfulness meditation to reduce stress and pain perception.
- Utilise deep breathing exercises to promote relaxation and pain tolerance.
- Engage in positive visualisation techniques to focus on healing and progress.
- Maintain a pain journal to track patterns and identify effective management strategies.
Choosing Appropriate Support Aids
Selecting the right support aids is essential for proper healing and pain management when dealing with sprains and strains. When choosing support types, consider the severity and location of your injury. For mild sprains, elastic bandages or compression sleeves might suffice, while more severe injuries may require rigid braces or splints. Brace selection should be based on your specific needs and the recommendations of your healthcare provider.
Consider these factors when choosing support aids:
- Comfort: Confirm the aid doesn’t cause additional pain or discomfort.
- Stability: Select a support that provides adequate immobilisation for your injury.
- Adjustability: Look for aids that can be customised to your body and adjusted as swelling changes.
- Breathability: Opt for materials that allow air circulation to prevent skin irritation.
For ankle sprains, ankle braces or lace-up supports are often effective. Knee strains may benefit from hinged braces or compression sleeves. Wrist sprains typically require splints or wrap-around braces.
Cold and Heat Therapy

When treating a sprain or strain, you’ll need to understand the proper timing for cold and heat therapy.
Begin with cold therapy immediately after injury to reduce swelling and pain, applying ice packs for 15-20 minutes every 2-3 hours for the first 48-72 hours.
After this initial period, you can shift to heat therapy to promote healing and increase blood flow to the affected area.
When to Apply Cold
Cold therapy should be applied immediately after sustaining a sprain or strain to reduce swelling and numb pain. The benefits of cold therapy are most effective within the first 24 to 48 hours following an injury. During this initial period, you’ll want to apply cold for 15 to 20 minutes at a time, which is the ideal cold duration for most cases. Repeat this process every two to three hours while you’re awake.
To maximise the effectiveness of cold therapy, follow these guidelines:
- Act quickly to minimise tissue damage and accelerate healing.
- Use a protective barrier between your skin and the cold source to prevent frostbite.
- Compress the area gently to enhance the cold’s penetration and reduce swelling.
- Elevate the injured limb above heart level to further minimise swelling.
Remember that cold therapy isn’t just limited to ice packs. You can use frozen gel packs, bags of frozen vegetables, or even cold water immersion for larger areas.
Always monitor your skin’s response to cold therapy and discontinue use if you experience numbness, tingling, or increased pain. If your symptoms persist or worsen after 48 hours of cold therapy, consult a healthcare professional for further evaluation and treatment recommendations.
Transitioning to Heat
After the initial cold therapy phase, you’ll need to switch to heat treatment to promote blood flow and accelerate healing in the affected area. Typically, you should shift to heat therapy 48 to 72 hours after the injury, once swelling has subsided. Heat application techniques include using heat pads, warm compresses, or taking warm baths.
The benefits of heat therapy are numerous. It increases blood circulation, relaxes tight muscles, and reduces pain and stiffness. Apply heat for 15 to 20 minutes at a time, several times a day. Make sure the heat source isn’t too hot to avoid skin burns; it should feel comfortably warm.
For deeper heat penetration, you can use moist heat methods like warm, damp towels or hydrotherapy. These techniques are particularly effective for muscle strains. If you’re using an electric heat pad, place a thin towel between your skin and the pad for safety.
Remember to monitor your skin’s reaction and discontinue use if you experience increased pain or discomfort. Combine heat therapy with gentle stretching exercises as recommended by your healthcare provider to maximise the healing process.
Nutrition for Faster Recovery

Proper nutrition plays an equally important role in healing your sprain or strain effectively and efficiently. To promote faster healing, focus on consuming anti-inflammatory foods that can help reduce swelling and pain. Incorporate foods rich in omega-3 fatty acids, such as salmon, walnuts, and flaxseeds, into your diet. Additionally, fruits and vegetables high in antioxidants, like berries, leafy greens, and citrus fruits, can aid in tissue repair.
Don’t underestimate the significance of hydration in the recovery process. Drink plenty of water throughout the day to support proper blood flow and nutrient delivery to the injured area. Aim for at least 8-10 glasses of water daily, and consider electrolyte-rich beverages for intense workouts or hot weather.
Protein is essential for tissue repair, so make sure you’re consuming adequate amounts from sources like lean meats, fish, eggs, and legumes.
Vitamins C and D, as well as minerals like zinc and calcium, also play important roles in the healing process. Consider supplementing your diet with these nutrients if you’re not getting enough from food sources alone.
Preventing Future Injuries
Once you’ve recovered from a sprain or strain, it’s vital to take proactive steps to prevent future injuries and maintain your body’s strength and flexibility. Implementing preventive measures and activity modification can greatly reduce your risk of recurrence.
Proper footwear and supportive equipment are vital components of injury prevention. Verify you’re using appropriate gear for your specific activities.
Frequently Asked Questions
What role does sleep play in recovery from sprains and strains?
Quality sleep is crucial for muscle repair and reducing inflammation. During deep sleep, the body releases growth hormones that aid tissue regeneration. Insufficient rest can prolong recovery and increase the risk of reinjury.
How does stress impact the healing process of a sprain or strain?
Chronic stress can slow down recovery by increasing cortisol levels, which may delay tissue repair and contribute to prolonged inflammation. Managing stress through relaxation techniques can support faster healing.
Can massage therapy help with sprains and strains?
Gentle massage can improve circulation and reduce muscle stiffness after the acute phase of injury. However, it should only be introduced once swelling has subsided to avoid worsening the condition.
Are there any alternative therapies that can aid recovery?
Techniques such as acupuncture, hydrotherapy, and low-level laser therapy have been explored for their potential to reduce pain and promote healing. Always consult a healthcare provider before trying alternative treatments.
How does age affect recovery from sprains and strains?
Younger individuals typically heal faster due to higher collagen production and better circulation. As people age, recovery may take longer, making consistent rehabilitation and proper nutrition even more important.