Ligament Sprains
A sprain isn’t a break — but it isn’t nothing, either. When the ligaments holding your elbow or wrist together get stretched or torn, you can be left with pain, swelling, and a joint that feels unstable. The good news? Most sprains heal beautifully with the right care. The OrthoArkansas team in Little Rock helps patients across central Arkansas get back to full strength after sprains every day.
What’s Actually Happening with a Sprain?
Ligaments are tough, rope-like bands of tissue that connect bone to bone and keep your joints stable. When a sudden force pushes a joint past its normal range — like rolling your wrist on a fall, or hyperextending your elbow — those ligaments can stretch or even tear.
Sprains are graded by severity:
- Grade 1 (mild): Ligament is stretched but not torn. Some pain, mild swelling, joint still stable.
- Grade 2 (moderate): Partial tear. More pain, noticeable swelling, some loss of stability.
- Grade 3 (severe): Complete tear. Significant pain, swelling, bruising, and an unstable joint.
A specialist can tell you exactly which grade you’re dealing with — and that matters a lot for choosing the right treatment.
What Does a Sprain Feel Like?
You might have a sprain if you notice:
- Pain at the moment of injury — sometimes sharp, sometimes more of a dull ache
- Swelling around the joint
- Bruising in the days that follow
- Difficulty moving the joint normally
- A feeling that the joint is “loose” or unstable
- Tenderness when you press around the joint
If you heard a pop, can’t put weight on the joint, or your joint looks deformed, come in or visit our Urgent Care right away — it could be more than a simple sprain.
Why Do Sprains Happen?
Sprains are usually caused by sudden, unexpected force:
- Falls — catching yourself on an outstretched hand
- Sports injuries — football, basketball, gymnastics, contact sports
- Twisting injuries — landing wrong, getting tangled up
- Direct impact — getting hit or hitting something
- Repetitive overuse — over time, ligaments can become weakened
Athletes, active adults, and anyone in a job that involves lifting or quick movements is at higher risk.
What Happens at Your Visit?
When you come in, our specialists will:
- Listen to how the injury happened
- Examine the joint for swelling, tenderness, and stability
- Test your range of motion and strength
- Order X-rays if a fracture is possible
- Use additional imaging (like MRI) for severe cases
- Build a recovery plan based on the severity of your sprain
The most important thing is knowing exactly what grade of sprain you have — because treating a Grade 3 like a Grade 1 can lead to chronic instability.
Self-Care Basics While You Wait for Your Visit
For mild sprains, the classic approach (RICE) usually helps:
- Rest — give the joint a break
- Ice — 15-20 minutes a few times a day
- Compression — a wrap or brace can reduce swelling
- Elevation — keep it raised when you can
Over-the-counter pain relievers can help with discomfort, but don’t push through pain to get back to activity. That’s how minor sprains turn into bigger problems.
Related Care: Hand & Wrist Care · Elbow Care
On the Mend
Most sprains heal in a few weeks to a few months with the right approach. To stack the odds in your favor:
- Stick with RICE for the first few days
- Don’t rush back to activity — even if it feels better
- Follow your physical therapy plan
- Strengthen the surrounding muscles to support the joint
- Wear a brace during recovery if recommended
Recovery looks different for everyone — we’ll build a plan that fits yours.
Ready to Get Help?
Come see us if:
- The pain or swelling isn’t improving after a few days
- The joint feels unstable or “loose”
- You can’t bear weight or use the joint normally
- You’re seeing significant bruising
- You’ve already had a sprain and the pain came back
Our team will figure out exactly what’s going on and get you on the right track. Schedule a visit today — we’ll take it from there.
Find a Clinic Near You
We have strategically placed our clinics to provide top-quality orthopedic care close to home.
Little Rock - Midtown
800 Fair Park Blvd, Little Rock, AR 72204
Monday – Friday : 8 AM – 5 PM
North Little Rock
3480 Landers Road North Little Rock, AR 72117
Monday – Friday : 8 AM – 5 PM
Heber Springs
301 Southridge Blvd, Suite A Heber Springs, AR 72543
Monday – Friday : 8 AM – 5 PM
Frequently Asked Questions About Ligament Sprains
Simple answer: sprains affect ligaments (which connect bone to bone), and strains affect muscles or tendons (which connect muscle to bone). They feel similar, but they’re treated a little differently. A specialist can tell the difference.
It depends on the grade:
- Grade 1: Usually 1-3 weeks
- Grade 2: A few weeks to a couple months
- Grade 3: Several months, sometimes with surgery
Your specialist will give you a realistic timeline based on your specific injury.
Not for long. Some early rest is helpful, but most sprains actually benefit from gentle, guided movement sooner rather than later. That’s why proper specialist care matters — we’ll tell you exactly when and how to start moving safely.
Surgery is rare for sprains. It’s usually reserved for complete (Grade 3) ligament tears with significant instability. Most sprains heal well with conservative care like rest, bracing, and physical therapy.
Possibly, especially if the joint heals with some lingering looseness. But proper rehabilitation — including strengthening the muscles around the joint — significantly reduces the chance of a repeat injury. That’s why finishing your recovery plan is so important.