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  Common symptoms include pain and stiffness in the muscle, usually reaching its peak 24 hours after injury. Involuntary tightening of the muscle group or muscle spasms are common. This symptom is occasionally referred to as a "charlie-horse." Severe strains may be accompanied by mild swelling (hematoma) or bruising at the site. Any attempt to use the muscle results in pain. Severe muscle sprains have the muscle torn and possibly severed. There may be internal bleeding, swelling, bruising, and the muscle itself may be non functioning. With a severe sprain there is dire need for treatment. To treat muscle sprains there should be no heat applied if there is swelling, at least for the first few days. Cold presses can be applied as they will prevent inflammation of the muscle. You should avoid activity while healing so as not to over extend the injured muscle.

  Treatment includes cold compresses for the first 24-48 hours. Rest and elevation of the site is suggested when possible. Anti-inflammatory (ibuprofen), acetaminophen, or aspirin can help reduce pain.

When you get home, remember RICE. We're not talking about the food. RICE is a way to remember how to take care of your injury. It stands for Rest, Ice, Compression, and Elevation.

• Rest the injured part of the body.
• Apply ice or cold packs to the injury. This helps bring down swelling, so the injured area will be less puffy.
• Wear an elastic compression (say: kum-preh-shun) bandage or splint. Compression means to apply or press something together. When an injury is wrapped firmly, the pressure prevents swelling (puffiness).
• Elevate, or raise, the injured part so it's higher than your heart. You can use pillows to raise it up. This also prevents swelling.