Wrist sprains often occur as the result of a fall. Grade 1 or mild sprains occur when the ligaments are stretched but not torn. In Grade 2 or moderate sprains, torn ligaments may lead to some loss of function. A Grade 3 or severe sprain means the ligament is completely torn and may require medical or surgical care. According to the Rothman Institute Orthopaedics website, the first 24 to 48 hours following injury are key to recovery from a wrist sprain. The commonly accepted treatment for sprains is called "RICE:" rest, ice, compress and elevate.
Rest
Rest not only your wrist but your entire body after your injury to help initiate healing. Wait at least a day or two before resuming your normal routine. Avoid any activity that causes pain in your wrist, but try to move the wrist as much as you are able.
Ice
Ice your wrist with an ice pack, ice cubes wrapped in a towel or a package of frozen vegetables. Do not place ice directly on the skin, and apply it for no more than about 20 minutes at a time. Too much icing can cause tissue damage.
Compression
Use an elastic bandage to wrap your wrist for the first day or so following your injury. Wrap the bandage from the base of your fingers to just under your elbow. The bandage should be snug, but not so tight that it cuts off your circulation.
Elevation
Position yourself so that your wrist is higher than your heart, whenever possible. Prop your wrist on pillows to keep it elevated while you sleep.
Pain Relief
Use aspirin or ibuprofen as needed to control your pain and swelling and help you rest. If pain and swelling remain a problem after 48 hours, you should consult your doctor.
Strengthening
Strengthen your wrist to restore your range of motion and help prevent future injuries, once your sprain has fully healed. Depending on the severity of your injury, recovery from a wrist sprain may take from two to 10 weeks, according to the American Academy of Orthopaedic Surgeons. Severe wrist sprains may require a period of rehabilitation to regain strength and mobility of the joint fully.
Warning Signs
Watch for warning signs of more serious injury, warns the Sports Doctor website. Indications that you should consult an orthopedic specialist include: pain between the tendons at the base of the wrist; a clicking sound in the wrist; pain during lateral or sideways wrist movement; and pain that lasts longer than a month after injury. A moderate sprain may require that you immobilize your wrist with a sprint for seven to 10 days, while severe sprains may call for surgery to repair torn ligaments.
