How do you tell if a bone is fractured or sprained?

If you can walk with soreness, it is unlikely that it is broken. Is there significant swelling? If the injured area experiences immediate and severe swelling, that could be a sign of a broken bone or fracture. However, if the swelling is mild and develops gradually, it is likely a sprain or strain.
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How do you know if sprain or fracture?

A sprain may occur silently, or in severe cases there may be a popping sound. With a fracture, you might hear a crack. Is your ankle misshapen? While swelling is a symptom of both injuries, if your ankle looks clearly “off,” it's most likely because a bone is broken.
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What does a sprained bone feel like?

Some signs of a sprain are: Pain that is in the soft, "squishy" tissue over a bone rather than directly on the bone itself. You can usually put weight on it, even if it's painful. Swelling and bruising around the area.
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Can you fracture a bone and still walk on it?

Without an X-ray, it can be difficult to tell if an individual has a fracture, or broken bone. In fact, some people may even be able to walk on a fractured leg depending on where their injury is. 1 While all fractures cause pain, there are other signs to look out for that may indicate that a bone is broken.
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What are the three main symptoms of a fractured bone?

What Are the Symptoms of a Broken Bone?
  • Swelling or bruising over a bone.
  • Deformity of an arm or leg.
  • Pain in the injured area that gets worse when the area is moved or pressure is applied.
  • An inability to bear weight on the affected foot, ankle, or leg.
  • Loss of function in the injured area.
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Broken Bone or Sprain; How to Know the Difference



How do you check for fractures?

you may hear or feel a snap or a grinding noise as the injury happens. there may be swelling, bruising or tenderness around the injured area. you may feel pain when you put weight on the injury, touch it, press it, or move it.
...
The 3 most common signs of a broken bone (also known as a fracture) are:
  1. pain.
  2. swelling.
  3. deformity.
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Do fractures swell immediately?

When a bone breaks, it's common for the area to begin to swell. This is due to fluids and blood leaking into your muscles, skin, and fat (caused by the accident).
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Can you walk on a hairline fracture?

Many people continue their regular day-to-day schedules with a stress fracture because the pain isn't unbearable like it is with other fractures. For instance, a hairline fracture in your foot may cause difficulty walking, but not so much so that it alerts you to see Dr. Scheffel.
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How painful is a bone bruise?

While bone bruises are less severe than bone fractures, they can make the bone more vulnerable to fracture. In some cases, a bone bruise can be excruciatingly painful, severely limit movements, and take several months to heal.
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How do you tell if a bone is bruised?

Signs of a bone bruise include:
  1. Pain and tenderness under your skin.
  2. Swelling around the area of the injury, including the soft tissue.
  3. A hard lump under your skin.
  4. Visible bruising on the outside of your skin‌
  5. Swelling and stiffness in a nearby joint‌
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When should I go to the doctor for a sprain?

People with a more severe ankle sprain — characterized by extreme bruising or swelling and an inability to bear weight on the foot without significant pain, or when there doesn't seem to be any improvement over the first several days after the injury — should seek medical attention, Drs. SooHoo and Williams say.
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When should you get a sprain checked out?

Check if you have a sprain or strain
  1. you have pain, tenderness or weakness – often around your ankle, foot, wrist, thumb, knee, leg or back.
  2. the injured area is swollen or bruised.
  3. you cannot put weight on the injury or use it normally.
  4. you have muscle spasms or cramping – where your muscles painfully tighten on their own.
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Why are sprains more painful than fractures?

Sometimes, a sprain can be even more painful than a break. A sprain is caused by trauma that overstretches ligaments and puts stress on a joint. A mild sprain is where the ligaments are stretched but the joint remains stable, while a moderate sprain is where the ligaments are slightly torn, making the joint unstable.
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Is a sprain worse than a break?

Higher grade injuries can result in chronic joint instability and pain which may require surgical repair. A fracture is an injury to a bone when the tissue of the bone is broken. Many fractures will as strong as it was originally therefore, higher grade sprains can be worse than a fracture.
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How long does bruising occur after a fracture?

Within one or two days of your injury, the blood that has collected at the injury site turns a bluish or dark purple color. After 5 to 10 days, the bruise turns a green or yellow color. This is a sign that healing is taking place. After 10 or 14 days, the bruise's color will be more of a yellow-brown or light brown.
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Does massaging a bone bruise help?

Soft tissue massage can often work well to help with the inflammation and swelling. Another option is Kinesio taping, which can help promote faster healing and remove all of the excess fluid from the area. Never take a chance when you have an injury.
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Can you walk on a fractured leg?

You usually will not be able to walk on it. If it's a severe fracture, the leg may be an odd shape and the bone may even be poking out of the skin. There may have been a "crack" sound when the leg was broken, and the shock and pain of breaking your leg may cause you to feel faint, dizzy or sick.
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Should you compress a bone bruise?

Wrap the bruised area in an elastic bandage. This will squeeze the tissues and help prevent blood vessels from leaking. Using compression can lessen the severity of the bruise and help to reduce pain and swelling.
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Do you put ice or heat on a fracture?

With a fresh injury, ice is typically helpful to manage inflammation, swelling, and pain. Later in the recovery process, heat may be helpful to increase mobility and motion.
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How painful are hairline fractures?

Hairline fractures can occur from overuse or repetitive activity. They can be hard to notice, but a dull pain often develops over time. Feelings of pain from light to moderate pressure can indicate a hairline fracture. Pain may be reduced using common painkillers, such as paracetamol.
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Does a stress fracture bruise?

The soft tissue around a stress fracture may become swollen and tender to the touch. Bruising may also be present, though this is rare for most stress fractures until they become severe. Localized pain at night.
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What are the symptoms of a simple fracture?

What are the symptoms of a fracture?
  • Sudden pain.
  • Trouble using or moving the injured area or nearby joints.
  • Unable to bear weight.
  • Swelling.
  • Obvious deformity.
  • Warmth, bruising, or redness.
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Why do fractures hurt more at night?

During the night, there is a drop in the stress hormone cortisol which has an anti-inflammatory response. There is less inflammation, less healing, so the damage to bone due to the above conditions accelerates in the night, with pain as the side-effect.
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How can you tell if you have a hairline fracture?

MRI: The best imaging test for determining hairline fractures is an MRI. This test uses magnets and radio waves to provide images of your bones. An MRI will determine a fracture before an X-ray can. It'll do a better job of determining the type of fracture as well.
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Can a fracture heal on its own?

Provided that the conditions are right for the break to heal completely, a broken bone or fracture can actually repair itself. After a fracture, a blood clot forms around the break. Then, bone cells begin to form on the sides of the fracture line, moving towards the center of the break, until the break heals.
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