What to do with Rice
(Volume 2 Issue1 March 2002)

What to do with sprains and strains

There is a lot of talk of skiing holidays from patients at the moment, but a walk in the hills or simply navigating the obstacle course left by your kids in the front room can leave you with similar injuries.

If you are unlucky enough to suffer a sprain or strain then there are a number of things you can do immediately which will help speed recovery and allow us to do more for you when you stagger into the practice.

What these two complaints have in common is that they are immediately painful, incapacitating, sometimes frightening and always extremely inconvenient. They both involve local tissue damage causing swelling.

What should you do you?
The answer is RICE.

Rest - The first thing is to get into a comfortable position. If you are lucky someone will be around to help lower you in to a chair. Rest the offending part by taking the weight off it. If it is your back, lie down.

Ice - Hopefully the same kind soul that lowered you in to your seat will also get you an ice pack. If this is not available anything cold will do; a piece of cloth run under the cold tap. Place the cold on the bit that hurts. Keep it there for 3-5 minutes. Repeat this treatment often, every half an hour if you can manage. This is very important as it will bring the swelling down.

Compression - If you have to weight bear on the joint, give it some support by strapping. This is easy with a knee or ankle but not so easy with a back. Holding onto someone or something will ease the strain of walking.

Elevation - If the offending part is amenable to this, raise it up. An ankle can be raised on several cushions so that it is above the hip. This allows drainage away from the joint, again decreasing swelling.

Finally get on the phone to us and get in as soon as possible. The longer these things are left, the harder they are to get better.

What should you not do?

Never put hot on an acute injury. Hot will increase the swelling and the congestion. It may seem comforting but it is not doing you any good at all.

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