How long swelling lasts after a sprain
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How long swelling lasts after a sprain
Introduction
This section provides clear, practical first aid and prevention advice for people in Canada about common injuries. It focuses on helping you understand how long swelling lasts after a sprain and what you can safely do at home to manage it. This information is not a full medical training manual but aims to guide you in taking the right steps early on.
Sprains happen when ligaments stretch or tear, often causing pain, swelling, and limited movement. Knowing how to respond quickly and safely can reduce discomfort and prevent further injury.
Medically reviewed by SASI Medical Review Board.
What you can do at home
- Rest the injured area and avoid putting weight on it.
- Apply ice packs wrapped in a cloth for 15-20 minutes every 1-2 hours during the first 48 hours.
- Keep the injured limb elevated above heart level to reduce swelling.
- Use a compression bandage if comfortable, but not too tight to cut off circulation.
What to avoid
- Do not apply heat or massage the swollen area in the first 48 hours.
- Avoid activities that cause pain or increase swelling.
- Do not ignore severe pain, numbness, or changes in skin colour.
When to seek urgent care
- Call 911 or go to the emergency department if you experience severe pain, inability to move the joint, or signs of poor circulation such as numbness or bluish skin.
- Visit urgent care if swelling does not improve after a few days or if you suspect a fracture.
Key facts
- How long swelling lasts after a sprain varies but usually improves within a few days to two weeks with proper care.
- Rest, ice, compression, and elevation (RICE) are safe and effective first aid steps to reduce swelling at home.
- Avoid putting weight on the injured joint or using heat in the first 48 hours, as this can increase swelling and delay healing.
- Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain and inflammation safely when used as directed.
- If swelling worsens rapidly, the joint becomes numb, or you cannot move the limb, call 911 or go to the emergency department immediately.
- Seek urgent care if swelling does not improve after two weeks, or if you notice signs of infection such as redness, warmth, or fever.
- Follow-up with a healthcare provider is important to rule out fractures or ligament tears if symptoms persist or worsen.
Recognizing symptoms and danger signs
After a sprain, it is important to understand how long swelling lasts after a sprain and to recognize the symptoms that indicate mild, moderate, or severe injury. This helps you decide what care is safe at home and when to seek urgent medical help.
Mild symptoms
- Minor swelling and tenderness around the joint
- Light bruising or redness
- Mild pain when moving the joint, but some movement is possible
- Swelling usually peaks within 24 to 48 hours and starts to improve after a few days
These symptoms can often be managed safely at home with rest, ice, compression, and elevation.
Moderate symptoms
- Noticeable swelling and bruising
- Moderate pain that limits movement
- Difficulty putting weight on the affected limb
- Swelling may last several days to a week
If symptoms do not improve or worsen after 48 hours, or if you cannot use the joint normally, seek care at an urgent care centre or emergency department.
Severe symptoms and red flags
- Severe swelling, intense pain, or deformity of the joint
- Inability to move or bear weight on the joint
- Numbness, tingling, or loss of sensation in the limb
- Signs of infection such as warmth, redness spreading rapidly, or fever
- Swelling that worsens quickly or does not improve after several days
If you notice any of these signs, call 911 or go to the nearest emergency department immediately. Prompt care is essential to prevent complications.
Immediate first aid steps
When dealing with a sprain, acting quickly and safely can reduce pain and swelling. Knowing how long swelling lasts after a sprain helps you understand what to expect and when to seek further care.
Follow these steps at home or in the community while waiting for professional help if needed:
- Rest: Stop any activity that causes pain. Avoid putting weight on the injured area to prevent further damage.
- Ice: Apply a cold pack or a bag of frozen vegetables wrapped in a towel to the sprain. Do this for 15 to 20 minutes every 1 to 2 hours during the first 48 hours. Do not apply ice directly to the skin.
- Compression: Use an elastic bandage to wrap the injured area snugly but not too tight. This helps reduce swelling and provides support.
- Elevation: Keep the injured limb raised above heart level as much as possible. This reduces blood flow to the area and helps limit swelling.
Do not massage the sprain or apply heat during the first 48 hours, as this can increase swelling and pain.
Swelling usually peaks within 24 to 48 hours and may last several days. If swelling or pain worsens, or if you cannot move the joint or bear weight, seek urgent care or visit the emergency department.
Call 911 immediately if you notice severe deformity, numbness, loss of circulation, or if the injury happened due to a major accident.
What NOT to do
When dealing with a sprain, it is important to avoid actions that can make swelling and pain worse. Understanding what NOT to do helps prevent complications and supports a safer recovery.
Avoid putting weight on the injured area
Do not try to walk or stand on a sprained ankle or wrist before it has been properly rested and supported. Putting weight on the injury too soon can increase swelling and delay healing.
Do not ignore severe symptoms
If you notice intense pain, numbness, inability to move the joint, or if the swelling rapidly worsens, do not wait. Call 911 or go to the nearest emergency department immediately. These signs may indicate a serious injury or complication.
Do not apply heat or massage the injury
Heat and massage can increase blood flow and swelling in the first 48 hours after a sprain. Avoid hot packs, warm baths, or rubbing the injured area during this time.
Do not use alcohol or aspirin to reduce swelling
Alcohol can increase swelling and slow healing. Aspirin may increase bleeding risk. Instead, use cold packs and over-the-counter pain relievers like acetaminophen, following package directions.
Do not expect swelling to disappear immediately
Many people wonder how long swelling lasts after a sprain. Swelling can persist for several days to weeks depending on severity. Avoid rushing recovery by trying unsafe treatments or excessive activity.
When to call 911 or seek urgent care
Knowing when to call 911 or visit urgent care can prevent complications after an injury. If you are unsure, it is safer to seek immediate help.
Call 911 immediately if you notice:
- Severe pain that does not improve with rest or over-the-counter pain relief
- Deformity or obvious bone misalignment
- Inability to move the affected joint or limb
- Signs of poor circulation such as numbness, coldness, or bluish skin
- Rapid swelling or severe bleeding
- Loss of consciousness or confusion after the injury
Go to the emergency department if you have:
- Swelling that worsens quickly or does not improve within 48 hours
- Severe bruising or large areas of skin discoloration
- Persistent numbness or tingling in the injured area
- Signs of infection such as redness, warmth, or pus
- Questions about how long swelling lasts after a sprain and symptoms that do not improve
Visit a walk-in clinic or family doctor when:
- Swelling and pain are mild to moderate and improving with rest and ice
- You can move the joint or limb without severe pain
- You need advice on ongoing care or rehabilitation
Always avoid trying to realign bones or joints yourself. If in doubt, seek professional medical assessment promptly.
Ongoing care and follow-up
After the initial treatment of a sprain, it is important to monitor your condition closely. Knowing how long swelling lasts after a sprain can help you understand your recovery progress and when to seek further care.
Monitoring and self-care at home
Swelling usually peaks within 24 to 48 hours and gradually decreases over the next one to two weeks. To support healing, continue to rest the injured area and avoid putting weight on it if possible. Use ice packs for 15 to 20 minutes every few hours during the first 48 hours to reduce swelling. Elevate the injured limb above heart level when resting.
Gentle movement and stretching may be introduced as pain allows, but avoid activities that cause increased pain or swelling. Over-the-counter pain relievers can help manage discomfort, but follow the label directions carefully.
When to avoid certain actions
- Do not apply heat during the first 48 hours, as it can increase swelling.
- Avoid massaging the injured area early on, which may worsen inflammation.
- Do not ignore worsening pain, numbness, or changes in skin colour.
When to seek medical care
Book a follow-up appointment with your doctor if swelling or pain does not improve after two weeks, or if you have difficulty moving the joint. Immediate medical attention is necessary if you experience severe pain, inability to move the limb, numbness, or signs of infection such as redness, warmth, or fever.
Call 911 or your local emergency services if you notice rapidly increasing swelling, severe deformity, or loss of sensation in the injured area.
Prevention tips
Preventing sprains and managing swelling early can reduce pain and speed recovery. Knowing how long swelling lasts after a sprain helps you stay alert to changes and avoid complications.
At home
- Keep floors clear of clutter and cords to prevent trips and falls.
- Wear supportive, well-fitting shoes, especially during physical activity.
- Use ice packs wrapped in a cloth immediately after a minor injury to reduce swelling safely.
- Rest the injured area and avoid putting weight on it until swelling decreases.
At work and school
- Use handrails on stairs and avoid rushing in hallways.
- Wear appropriate protective gear for sports or physical tasks.
- Take regular breaks to stretch and avoid muscle fatigue.
In the community
- Choose well-maintained walking paths and avoid uneven surfaces.
- Encourage safe play areas for children with soft ground coverings.
- Promote awareness about injury prevention in local groups or schools.
Avoid applying heat or massage to a swollen sprain in the first 48 hours, as this can worsen swelling. If swelling increases rapidly, the pain is severe, or you cannot move the joint, call 911 or go to the nearest emergency department immediately.
FAQs
How long does swelling last after a sprain?
Swelling after a sprain usually lasts from a few days up to two weeks. It depends on the sprain’s severity and how well you care for it. Rest, ice, compression, and elevation (RICE) can help reduce swelling safely at home. See also: [sprain recovery tips]
What should I do if the swelling gets worse or pain increases?
If swelling or pain worsens rapidly, or if you notice numbness, severe bruising, or inability to move the joint, seek urgent medical care immediately. Call 911 or go to the nearest emergency department. See also: [when to seek emergency care]
Can I use heat to reduce swelling?
Avoid heat during the first 48 hours after a sprain, as it can increase swelling. Use ice packs wrapped in a cloth for 15-20 minutes every 2-3 hours instead. After swelling decreases, gentle heat may help with stiffness. See also: [cold vs heat therapy]
When is it safe to start moving the injured joint?
Begin gentle movement once swelling and pain start to improve, usually after a few days. Avoid putting full weight or strain on the joint until a healthcare provider confirms it is safe. See also: [rehabilitation after sprains]
Should I take pain medication for a sprain?
Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain and reduce inflammation. Follow the label instructions and do not exceed the recommended dose.
Summary
How long swelling lasts after a sprain can vary, but most mild to moderate sprains improve within a few days to a couple of weeks. At home, it is safe to rest the injured area, apply ice for 15 to 20 minutes every two to three hours, compress with an elastic bandage, and elevate the limb above heart level. These steps help reduce swelling and support healing.
Avoid putting weight on the injured joint too soon or using heat during the first 48 hours, as this can increase swelling. Do not massage the swollen area, as this may worsen the injury.
Seek urgent medical care if swelling worsens rapidly, if you experience severe pain, numbness, or inability to move the joint. Call 911 immediately if you notice signs of a serious problem such as severe bleeding, deformity, loss of consciousness, or difficulty breathing.
When swelling persists beyond two weeks or if you have concerns about the injury, visit an emergency department or urgent care centre for assessment. Early evaluation can prevent complications and ensure proper treatment.
- Health Canada
- Mayo Clinic – Sprains and Strains
- World Health Organization – Injuries and Violence
- Canadian Red Cross – Injury First Aid
Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice or emergency care. Always call 911 or your local emergency number in a medical emergency.

