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Breaks, Sprains & Strains

Symptoms

Breaks, sprains, and strains are common injuries that can occur in children. Here are the symptoms to look out for:

  • Breaks (fractures): Signs of a possible fracture include severe pain, swelling, bruising, tenderness, deformity (e.g., the affected area looks misshapen), inability to move or bear weight on the injured area, or a bone protruding through the skin.
  • Sprains: Symptoms of a sprain may include pain, swelling, bruising, tenderness, difficulty moving the joint, or a popping sound at the time of injury. Common locations for sprains in children are ankles and wrists.
  • Strains: Strains are injuries to muscles or tendons. Symptoms can include pain, swelling, muscle spasms, weakness in the affected area, difficulty moving the muscle or joint, or a noticeable lump or knot in the muscle.


If your child experiences any of these symptoms after an injury, it is advisable to seek medical attention for a proper diagnosis and appropriate treatment.

Causes

Breaks, sprains, and strains are common injuries that can occur in children. Here are some of the common causes for each:

  • Breaks (fractures): Fractures can be caused by falls, sports-related injuries, accidents, or direct blows to the bone. Children who participate in high-impact activities like contact sports or gymnastics are at a higher risk.
  • Sprains: Sprains occur when ligaments, the tough bands of tissue that connect bones together, are stretched or torn. Common causes of sprains in children include landing forcefully on an outstretched hand or twisting an ankle during physical activities.
  • Strains: Strains happen when muscle fibers or tendons (tissues that connect muscles to bones) are overstretched or torn. This can be caused by activities that involve repetitive movements, sudden forceful movements, or lifting heavy objects improperly.


Other factors that can contribute to these injuries include poor conditioning and strength, inadequate warm-up or stretching exercises before physical activity, improper footwear, and unsafe play environments.

It’s important for parents and caregivers to encourage proper safety measures like wearing protective gear, teaching children how to fall safely, providing adequate supervision during play, promoting regular exercise and conditioning, and ensuring a safe play environment.

Treatments

The treatments for breaks, sprains, and strains in children may vary depending on the severity of the injury. Here are some common treatment options:

  • Rest: It is important to rest the affected area to allow it to heal. This may involve avoiding activities that could further strain or worsen the injury.
  • Ice: Applying ice to the injured area can help reduce swelling and alleviate pain. Use an ice pack or a bag of frozen vegetables wrapped in a cloth and apply it for about 15-20 minutes at a time, several times a day.
  • Compression: Applying compression using an elastic bandage can help reduce swelling and provide support to the injured area. Make sure not to wrap it too tightly, as it can restrict blood flow.
  • Elevation: Elevating the injured area above heart level can help reduce swelling by allowing excess fluid to drain away from the injury site.
  • Pain relief: Over-the-counter pain medications such as acetaminophen or ibuprofen can be used to alleviate pain and reduce inflammation. However, always consult a healthcare professional before giving any medication to children.
  • Splints or casts: In more severe cases, a doctor may recommend immobilizing the affected area with a splint or cast to promote healing and prevent further injury.


Seek medical attention for fractures (broken bones) or severe sprains and strains, as they may require more specialized treatment such as realignment or surgery.

Breaks, sprains and strains in children