Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
A sprain is abnormal stretching or tearing of a ligament that supports a joint.
A strain is abnormal stretching or tearing of a muscle or tendon.
Sprains and strains may be caused by repetitive activities or by a single event.
The diagnosis of a sprain or strain usually can be made after the healthcare professional takes a history of the injury and performs a physical examination. Depending upon the situation, X-rays, CAT scan, or MRI scan may be needed to help make or confirm the diagnosis.
RICE (rest, ice, compression, and elevation) are the keys to treatment.
Most sprains and strains resolve with time, but occasionally other treatment, including physical therapy and surgery, may be required.
Anti-inflammatory medications may be helpful in decreasing the pain and inflammation of the injury.
What is the difference between a sprain and a strain?
A sprain is an injury to ligaments, while a strain is an injury to muscle or tendon tissue.
How muscles work
The purpose of muscles is to allow the body to move. A muscle attaches to bone, either directly or by way of a tendon, on each side of a joint. When the muscle contracts, the joint moves through its range of motion. The muscle that you feel underneath your skin is really made up of many smaller bundles of muscle fibers called fascicles. These, in turn, are made up of individual muscle fibers that are crosslinked to allow them to slide back and forth within the fascicle. Sliding together causes the muscle fibers to shorten and the muscle to contract and move the joint. The fibers return to their resting position when the fibers elongate and allow the joint to relax.
The transition of muscle to tendon happens gradually as muscle fibers give way to tendon fibers before the bony attachment occurs. The anatomy of each tendon is different and depending upon their location in the body, the tendon portion may be very short or very long.
A strain is damage caused by an overstretched muscle or tendon, causing their fibers to be pulled apart and lose the ability to contract. The severity of injury depends upon the amount of tissue that is damaged. The muscle fiber may be just stretched, partially torn, or completely torn apart. The most common cause of the injury is overuse, which weakens the muscle. Muscles and joints are forced to perform movements for which they are not prepared or designed. An injury can occur from a single stressful incident, or it may gradually arise after many repetitions of a motion. The damage can occur in three areas: the muscle itself, the muscle tendon intersection where the muscle fibers transition to tendon fibers, or the tendon itself. Strains are described by the severity of damage in three grades:
Grade 1 strains usually cause stretching of a few of the muscle fibers.
Grade 2 injury is more significant damage and some muscle fibers are damaged and torn.
Grade 3 injury is a complete rupture of the muscle.
How joints work
Joints are stabilized by thick bands of tissue called ligaments that allow the joint to move only in specific directions. Some joints move in multiple planes. Therefore, they need more than one group of ligaments to hold the joint in proper alignment. The ligaments are anchored to bone on each side of the joint. If a ligament is stretched or torn, the injury is called a sprain.
The grading system for sprain injury is similar to that of strains.
Grade 1 sprains describe fibers of the ligament that are stretched.
Grade 2 sprains are injuries where part of the ligament is torn.
Grade 3 sprains are when the ligament is completely torn or ruptured.
Reviewed by William C. Shiel Jr., MD, FACP, FACR on 8/24/2012
Medical Author: Melissa Conrad St?ppler, MD
Medical Editor: William C. Shiel Jr., MD, FACP, FACR
Sports injuries refer to the kinds of injury that occur
during sports or exercise. While it is possible to injure any part of the body when playing
sports, the term sports injuries is commonly used to refer to injuries of the
musculoskeletal system.
Some of the most common sports injuries include:
Sprains—tears to the
ligaments that join the ends of bones together. The ankles, knees, and wrists
are commonly affected by sprains.
Strains—pulls or tears
of muscles or tendons (the tissues that attach the muscles to the bones)
"Shin splints"—pain
along the outside front of the lower leg, commonly
seen in runners
Achilles tendonitisor rupture of the Achilles tendon—These injuries involve the large band of tissue that connects the calf muscles
to the heel
Fractures of the bones
Dislocation of joints
Acuteinjuries usually
occur suddenly while participating in sports or exercise. They may result in
sudden and severe pain, the inability to bear weight on a limb, or inability to move the affected part of the body. Chronicinjuries usually result from overuse of one area of the body over a period of
time. Symptoms of chronic injuries include soreness, dull aching pain, and pain
during participation in physical activity.
Muscle cramps are involuntarily and forcibly contracted muscles that do not relax. Extremely common, any muscles that have voluntary control, including
Bursitis of the hip results when the fluid-filled sac (bursa) near the hip becomes inflamed due to localized soft tissue trauma or strain. Symptoms include
Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. Dehydration, doing strenuous exercise in a hot environment,
A broken toe is one of the most common fractures among individuals. There are many causes of a broken toe, whether it is the big toe, middle toes, or little
Foot pain may be caused by injuries (sprains, strains, bruises, and fractures), diseases (diabetes, Hansen disease, and gout), viruses, fungi, and bacteria
The knee joint is composed of three compartments and ligaments which stabilize the joint. Causes of knee pain may include injury, degeneration, infrequently
Ankle pain is commonly due to a sprain or tendinitis. The severity of ankle sprains ranges from mild (which can resolve within 24 hours) to severe (which
Elbow pain is most often the result of tendinitis, which can affect the inner or outer elbow. Treatment includes ice, rest, and medication for inflammation.
There are several bones in the foot, and these bones can be broken (fractured) in a variety of ways. Falling from heights, dropping heavy objects on the
Whiplash is a common injury to a person's neck following a car accident (in most cases). Symptoms include: headache, neck pain, neck and shoulder stiffness,
Myofascial pain syndrome is muscle pain in the body's soft tissues due to injury or strain. Symptoms include muscle pain with tender points and fatigue.
Fractures occur when bone cannot withstand the outside forces applied to the bone. Fractures can be open or closed. Types of fractures include: greenstick,
The time when boys and girls begin the process of sexual maturation is called puberty. During this time, both sexes undergo a series of biological changes
Growth plate fractures and injuries occur in the area growing tissue near the end of the long bones of children and teens. Both boys and girls are susceptible
Knee injuries, especially meniscus tears, are common in contact sports. Symptoms and signs of a torn meniscus include knee pain, swelling, a popping sound,
Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs
