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First: immobilize and ice

  1. 1Do NOT move the injured area
  2. 2Apply ice wrapped in cloth for 15-20 minutes
  3. 3Elevate the injured limb above heart level if possible
  4. 4Give ibuprofen for pain and swelling

Assess the injury

Answer these questions to find out if it needs an X-ray.

Signs That Need Immediate Care

Go to the ER or call 911 if you see any of these

  • Visible deformity (bent, twisted, or shortened limb)
  • Bone visible through skin (open fracture)
  • Cannot bear weight or use the limb at all
  • Numbness, tingling, or cold/pale fingers/toes
  • Rapid severe swelling (within minutes)
  • Heard a snap or crack at the time of injury
  • Pain when pressing directly on the bone

Likely a Sprain - Try RICE First

These suggest a minor injury that may heal with home care

  • Can still move and bear some weight (with pain)
  • Swelling develops gradually over hours
  • Pain is around a joint, not along the bone
  • No visible deformity - looks normal but swollen
  • Can wiggle fingers or toes normally

Frequently Asked Questions

My child can move it - does that mean it is not broken?

No. Children can sometimes move a broken bone, especially with buckle fractures (common in wrists). The ability to move does not rule out a fracture. If there is significant pain, swelling, or they are not using the limb normally, get an X-ray.

Should I use heat or ice?

Use ICE for the first 48-72 hours - it reduces swelling and pain. After 48-72 hours, you can alternate ice and gentle heat. Never apply ice directly to skin - always wrap it in a cloth.

When can my child return to sports?

This depends on the injury. Mild sprains: 1-2 weeks. Moderate sprains: 2-6 weeks. Fractures: 4-8 weeks (your doctor will advise). Return too early and re-injury is common. Your child should have full range of motion and no pain before returning.

Do I need to go to the ER or can I wait for my doctor?

Go to the ER if: there is an obvious deformity, bone is visible, fingers/toes are numb or cold, or the child is in severe pain. Otherwise, your pediatrician or urgent care can evaluate and order X-rays during office hours.

This guide is for quick reference and does not replace professional medical advice. When in doubt, call your pediatrician or go to the ER.