The majority of sprains are mild, causing minor swelling and bruising that can be resolved with conservative treatment, typically summarized as RICE: rest, ice, compression, elevation.
[7] Acute sprains typically occur when the joint is abruptly forced beyond its functional range of motion, often in the setting of trauma or sports injuries.
[13] In some instances, particularly if the healing process is prolonged or a more serious injury is suspected, magnetic resonance imaging (MRI) is performed to look at the surrounding soft tissue and ligaments.
Although most sprains can be managed without surgery, severe injuries may require tendon grafting or ligament repair based on the individual's circumstances.
[34] The components of an effective rehabilitation program for all sprain injuries include increasing the range of motion of the affected joint and progressive muscle strengthening exercises.
[35] After implementing conservative measures to reduce swelling and pain, mobilizing the limb within 48–72 hours following injury has been shown to promote healing by stimulating growth factors in musculoskeletal tissues linked to cellular division and matrix remodeling.
[36] Although prolonged immobilization can have a negative effect on recovery, a study in 1996 suggest that the use of bracing can improve healing by alleviating pain and stabilizing the injury to prevent further damage to the ligament or re-injury.
[38] Ultimately, the goal of functional rehabilitation is to return the patient to full daily activities while minimizing the risk of re-injury.