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Sprain vs Strain: What's The Difference?

man holding ankle with possible sprain vs strain

Muscle and joint injuries are among the most common reasons people seek medical care, especially after a fall, sudden twist, or sports-related mishap. Two terms often used interchangeably are “sprain” and “strain,” but they’re quite different. Understanding the difference between a sprain and a strain can help you determine the right treatment and when to visit an urgent care facility like Midwest Minor Medical, where we offer on-site X-ray services and splinting to quickly evaluate and manage these injuries.

Sprain vs Strain: Key Differences Explained

The main difference between a sprain vs a strain is the type of tissue affected. A sprain is an injury to a ligament, the tough, fibrous bands that connect bones at a joint. These injuries are common after twists, falls, or sudden impacts and are frequently seen in ankles, knees, and wrists.


A strain affects muscles or tendons, the cords that connect muscle to bone. It can result from overstretching, improper lifting, or sudden, forceful movements. The lower back and hamstrings are common areas for strain-related injuries.

Symptoms of a Sprain vs Strain?

While both injuries involve pain and can limit movement, they present slightly differently.

Sprains often cause:


  • Swelling around a joint

  • Bruising

  • Instability

  • A popping sensation at the time of injury


Strains are more likely to involve:


  • Muscle spasms

  • Generalized soreness

  • Limited range of motion

  • Pain that worsens with use

What Parts of the Body Are Most Commonly Affected by Sprains and Strains?

Each injury has its “hot spots,” and understanding which part of the body is affected can help determine whether you’re dealing with a strain or a sprain. Sprains typically occur in joints such as:


  • Ankles

  • Wrists

  • Knees


Strains tend to affect large muscle groups, especially:


  • Lower back

  • Shoulders

  • Hamstrings

Causes of a Strain vs Sprain?

The causes of these injuries also differ slightly:


  • Sprains are usually the result of a sudden twist or impact, like rolling your ankle on uneven ground or catching yourself from a fall.

  • Strains often stem from overuse or improper mechanics, such as lifting something too heavy, working out without warming up, or repetitive motion over time.

When Should You Come To Urgent Care for a Sprain or Strain?

Regardless of your injury, certain warning signs mean it’s time to head to urgent care. If you can’t put weight on the injured area, notice significant swelling, or hear a pop at the time of injury, you should be evaluated by a medical professional. The same goes for pain that’s severe or not improving after a couple of days. Again, Midwest Minor Medical offers on-site X-ray services to rule out fractures or more serious damage, so you won’t have to go elsewhere for answers and you can start feeling better faster. 


We recommend visiting a walk in or urgent care clinic if you have any concerns at all about a ligament or tendon injury. This is because, if left untreated, such injuries can lead to further complications, including:

  1. Chronic Pain: Incomplete healing can cause persistent discomfort, even after the injury seems to have healed.

  2. Weakness and Instability: If ligaments (sprain) or muscles (strain) are not rehabilitated properly, they can remain weak, making the area prone to future injuries.

  3. Recurrent Injuries: A poorly healed injury can increase the risk of re-injury, as the area may not return to its full strength and flexibility.

  4. Joint Dysfunction: In the case of sprains, especially severe ones, improper healing can affect the joint’s range of motion and stability, leading to long-term dysfunction or even arthritis.

  5. Decreased Mobility: Without proper rehabilitation, especially for strains, mobility may be reduced, affecting daily activities.

What Treatments Can Urgent Care Provide for Sprains and Strains?

Treatment for sprains and strains often begins the same way—with rest, ice, compression, and elevation (commonly known as the R.I.C.E. method). Over-the-counter anti-inflammatories can help with swelling and pain. But depending on the severity, you may also need bracing, splinting, or even physical therapy. We can help with all of this right here in our clinic.

Do I Need an X-ray if I Sprain My Ankle or Pull a Muscle?

People often ask us whether they need an X-ray after a sprain or strain. The answer depends on your symptoms. If your injury is accompanied by severe pain, deformity, or inability to bear weight, it’s wise to get imaging done. An X-ray can rule out a break, which sometimes mimics the symptoms of a severe sprain or strain.

How Long Does It Take to Recover From a Sprain or Strain?

Recovery times can vary. A mild strain or sprain might heal in a week or two, while more serious injuries can take six weeks or more. Severe cases may take months to fully resolve, especially if rehabilitation is required. That’s why proper care early on is so important, not just for recovery but also to prevent chronic issues later on, like instability, weakness, or recurring pain.

How Can I Prevent Sprains and Strains in the Future?

Sometimes, a sprain or strain is inevitable. But there are a few things in your control that you can do to avoid these types of injures: 

Warm-Up Properly

  • Always warm up before engaging in physical activity. This helps prepare your muscles and joints for the activity by increasing blood flow and flexibility.

  • A proper warm-up should include light aerobic exercises (like jogging or cycling) followed by dynamic stretches (like leg swings or arm circles).

2. Strengthen Muscles

  • Incorporate strength training into your routine to build muscle strength and stability, which can protect your muscles and joints from injury.

  • Focus on exercises that target the muscles around vulnerable areas (like the ankles, knees, and shoulders) to increase stability.

3. Stretch Regularly

  • Stretch your muscles regularly, especially after exercise, to improve flexibility and reduce muscle tightness that could lead to strains.

  • Incorporate both dynamic stretching before exercise and static stretching after exercise.

4. Use Proper Technique

  • Whether you're lifting weights, running, or playing sports, make sure you use the correct form and technique. Poor posture or improper movements can lead to injury.

  • If you’re unsure of your form, consider consulting a trainer or coach.

5. Wear Proper Footwear

  • Shoes with proper support and cushioning can help prevent sprains, especially in high-impact activities like running or basketball. Make sure they fit well and are designed for the specific activity you're doing.

  • For activities that require a lot of lateral movement (like tennis), shoes with side-to-side support are essential.

6. Avoid Overexertion

  • Don’t push your body too hard, especially if you’re new to an activity or returning after a break. Gradually increase the intensity and duration of your exercises.

  • Listen to your body: if you feel pain or discomfort, stop and rest.

7. Stay Hydrated

  • Proper hydration helps keep muscles flexible and prevents cramping, which can lead to strains. Drink water before, during, and after exercise.

8. Rest and Recover

  • Allow time for rest and recovery between workouts to prevent overuse injuries. Adequate rest helps muscles heal and strengthen.

  • If you’ve had a previous sprain or strain, make sure to fully rehabilitate the injury before resuming activity to avoid re-injury.

9. Use Protective Gear

  • In certain sports, wearing appropriate protective gear (like ankle braces, knee pads, or helmets) can help prevent injuries.

Urgent Care With On-Site X-Ray in Omaha

If you’ve recently injured yourself and aren’t sure whether it’s a sprain or a strain, don’t wait. Let us take a look at Midwest Minor Medical in Omaha. We have the resources to get you a fast diagnosis and treatment so you can get back on your feet and avoid further injury. Walk-ins are always welcome, or you can call to book ahead for added convenience. We look forward to helping you! 

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