Abdominal Pain - Female
Abdominal Pain - Male
Acne
Animal or Human Bite
Antibiotics: When Do They Help
Arm Injury
Arm Pain
Asthma Attack
Athlete's Foot
Back Pain
Bed Bug Bite
Bee or Yellow Jacket Sting
Blisters
Bottle-Feeding Formula Questions
Breast-Feeding Questions
Bruise
Burn
Chest Pain
Chickenpox
Circumcision Problems
Colds
Constipation
Cough
Coughs: Meds or Home Remedies
Cracked or Dry Skin
Cradle Cap
Croup
Crying Baby - Before 3 Months Old
Crying Child - 3 Months and Older
Cut, Scrape, or Bruise
Diaper Rash
Diarrhea
Diarrhea Diseases From Travel
Dizziness
Drinking Fluids - Decreased
Dry Skin
Ear - Congestion
Ear - Discharge
Ear - Injury
Ear - Pulling At or Rubbing
Ear - Swimmer's
Ear Infection Questions
Earache
Earwax Buildup
Ebola Exposure
Eczema
Emergency Symptoms Not to Miss
Eye - Allergy
Eye - Foreign Body or Object
Eye - Injury
Eye - Pus or Discharge
Eye - Red Without Pus
Eye - Swelling
Fever
Fever - How to Take the Temperature
Fever - Myths Versus Facts
Fifth Disease
Finger Injury
Fire Ant Sting
Flu
Fluid Intake Decreased
Food Allergy
Foreskin Care Questions
Frostbite
Genital Injury - Female
Genital Injury - Male
Hair Loss
Hand-Foot-And-Mouth Disease HFMD
Hay Fever
Head Injury
Headache
Heat Exposure and Reactions
Heat Rash
Hives
Human or Animal Bite
Immunization Reactions
Impetigo - Infected Sores
Infection Exposure Questions
Influenza - Seasonal
Influenza Exposure
Insect Bite
Jaundiced Newborn
Jellyfish Sting
Leg Injury
Leg Pain
Lice - Head
Lymph Nodes - Swollen
Medication - Refusal to Take
Mental Health Problems
Molluscum
Mosquito Bite
Mosquito-Borne Diseases from Travel
Motion Sickness
Mouth Injury
Mouth Ulcers
Neck Pain or Stiffness
Newborn Appearance Questions
Newborn Illness - How to Recognize
Newborn Rashes and Birthmarks
Newborn Reflexes and Behavior
Nose Allergy Hay Fever
Nose Injury
Nosebleed
Penis-Scrotum Symptoms
Pinworms
Poison Ivy - Oak - Sumac
Puncture Wound
Rash or Redness - Localized
Rash or Redness - Widespread
Reflux Spitting Up
Ringworm
Roseola
Scabies
Scrape
Sinus Pain or Congestion
Skin Foreign Body or Object
Skin Injury
Skin Lump
Sliver or Splinter
Sore Throat
Spider Bite
Spitting Up - Reflux
Stomach Pain - Female
Stomach Pain - Male
Stools - Blood In
Stools - Unusual Color
Strep Throat Exposure
Strep Throat Infection
Sty
Sunburn
Suture Questions
Swallowed Foreign Body or Object
Swallowed Harmless Substance
Swimmer's Itch - Lakes and Oceans
Tear Duct - Blocked
Teething
Thrush
Tick Bite
Toe Injury
Toenail - Ingrown
Tooth Injury
Toothache
Umbilical Cord Symptoms
Urinary Tract Infection - Female
Urination Pain - Female
Urination Pain - Male
Vaginal Symptoms
Vomiting With Diarrhea
Vomiting Without Diarrhea
Warts
Wheezing Other Than Asthma
Wound Infection

Resources

Is Your Child Sick?TM


Leg Injury

Is this your child's symptom?

  • Injuries to the leg (hip to foot)
  • Injuries to a bone, muscle, joint or ligament
  • Muscle pain caused by too much exercise or work (overuse). Overuse is covered in Leg Pain.

If NOT, try one of these:


Types of Leg Injuries

  • Fracture. This is the medical name for a broken bone. The most common broken bone in the leg is the tibia. The tibia is the largest bone in the lower part of the leg. Children with a fracture are not able to bear weight or walk.
  • Dislocation. This happens when a bone is pulled out of its joint. The most common one in the leg is a dislocated kneecap (patella).
  • Sprains. Sprains are stretches and tears of ligaments. A sprained ankle is the most common ligament injury of the leg. It's usually caused by turning the ankle inward. Also, called a "twisted ankle." The main symptoms are pain and swelling of the outside of the ankle.
  • Strains. Strains are stretches and tears of muscles (a pulled muscle)
  • Muscle Overuse. Muscle pain can occur without an injury. There is no fall or direct blow. Muscle overuse injuries are from sports or exercise. Shin splints of the lower leg are often from running up hills.
  • Muscle Bruise from a direct blow. Bleeding into the quad (thigh muscles) is very painful.
  • Bone Bruise from a direct blow (like on the hip). Called a "hip pointer."
  • Skin Injury. Examples are a cut, scratch, scrape or bruise. All are common with leg injuries.

Pain Scale

  • Mild: Your child feels pain and tells you about it. But, the pain does not keep your child from any normal activities. School, play and sleep are not changed.
  • Moderate: The pain keeps your child from doing some normal activities. It may wake him or her up from sleep.
  • Severe: The pain is very bad. It keeps your child from doing all normal activities.

When to Call for Leg Injury

Call 911 Now

  • Major bleeding that can't be stopped.
  • Serious injury with many broken bones
  • Bone is sticking through the skin
  • Looks like a dislocated joint (hip, knee or ankle)
  • You think your child has a life-threatening emergency

Call Doctor Now or Go to ER

  • Skin is split open or gaping and may need stitches
  • Age under 1 year old
  • Severe pain and not better 2 hours after taking pain medicine
  • Can't move hip, knee or ankle normally
  • Knee injury with a "snap" or "pop" felt at the time of impact
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • Has a limp when walking
  • Very large bruise
  • Large swelling
  • Pain not better after 3 days
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Injury limits sports or school work
  • Dirty cut and no tetanus shot in over 5 years
  • Clean cut and no tetanus shot in over 10 years
  • Pain lasts more than 2 weeks
  • You have other questions or concerns

Self Care at Home

  • Bruised muscle or bone from direct blow
  • Pain in muscle from minor pulled muscle
  • Pain around joint from minor stretched ligament

Call 911 Now

  • Major bleeding that can't be stopped.
  • Serious injury with many broken bones
  • Bone is sticking through the skin
  • Looks like a dislocated joint (hip, knee or ankle)
  • You think your child has a life-threatening emergency

Call Doctor Now or Go to ER

  • Skin is split open or gaping and may need stitches
  • Age under 1 year old
  • Severe pain and not better 2 hours after taking pain medicine
  • Can't move hip, knee or ankle normally
  • Knee injury with a "snap" or "pop" felt at the time of impact
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • Has a limp when walking
  • Very large bruise
  • Large swelling
  • Pain not better after 3 days
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Injury limits sports or school work
  • Dirty cut and no tetanus shot in over 5 years
  • Clean cut and no tetanus shot in over 10 years
  • Pain lasts more than 2 weeks
  • You have other questions or concerns

Self Care at Home

  • Bruised muscle or bone from direct blow
  • Pain in muscle from minor pulled muscle
  • Pain around joint from minor stretched ligament

Care Advice for Minor Leg Injuries

  1. What You Should Know About Minor Leg Injuries:
    • During sports, muscles and bones get bruised.
    • Muscles get stretched.
    • These injuries can be treated at home.
    • Here is some care advice that should help.
  2. Pulled Muscle, Bruised Muscle or Bruised Bone Treatment:
    • Pain Medicine. To help with the pain, give an acetaminophen product (such as Tylenol). Another choice is an ibuprofen product (such as Advil). Use as needed. Ibuprofen works better for this type of pain.
    • Cold Pack. For pain or swelling, use a cold pack. You can also use ice wrapped in a wet cloth. Put it on the sore muscles for 20 minutes. Repeat 4 times on the first day, then as needed. Reason: Helps with the pain and helps stop any bleeding. Caution: Avoid frostbite.
    • Heat Pack. If pain lasts over 2 days, put heat on the sore muscle. Use a heat pack, heating pad or warm wet washcloth. Do this for 10 minutes, then as needed. Caution: Avoid burns. For stiffness all over, use a hot bath instead. Move the sore leg muscles under the warm water.
    • Rest. Rest the injured part as much as possible for 48 hours.
    • Stretching. For pulled muscles, teach your youngster about stretching and strength training.
  3. Mild Sprains (stretched ligaments) of Ankle or Knee Treatment:
    • First Aid: Apply ice now to reduce bleeding, swelling, and pain. Wrap with an elastic bandage.
    • Treat with R.I.C.E. (rest, ice, compression, and elevation) for the first 24 to 48 hours.
    • Apply compression with a snug, elastic bandage for 48 hours. Numbness, tingling, or increased pain means the bandage is too tight.
    • Cold Pack: For pain or swelling, use a cold pack. You can also use ice wrapped in a wet cloth. Put it on the ankle or knee for 20 minutes. Repeat 4 times on the first day, then as needed. Reason: Helps with the pain and helps stop any bleeding. Caution: Avoid frostbite.
    • To help with the pain, give an acetaminophen product (such as Tylenol). Another choice is an ibuprofen product (such as Advil). Use as needed. Continue for at least 48 hours.
    • Keep the injured ankle or knee elevated and at rest for 24 hours.
    • After 24 hours, allow any activity that doesn't cause pain.
  4. What to Expect:
    • Pain and swelling usually peak on day 2 or 3.
    • Most often, swelling is gone in 7 days.
    • Pain may take 2 weeks to fully go away.
  5. Call Your Doctor If:
    • Pain becomes severe
    • Pain is not better after 3 days
    • Pain lasts more than 2 weeks
    • You think your child needs to be seen
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

Ankle Sprain

This ankle sprain occurred while playing basketball. There is visible swelling of the outside (lateral aspect) of the left ankle.

First Aid Care Advice for Ankle Sprain:

  • Wrap with a snug elastic bandage.
  • Apply an ice pack (crushed ice in a plastic bag covered with a towel) to reduce swelling and pain.
First Aid - Bleeding Leg
  • Apply direct pressure to the entire wound with a sterile gauze dressing or a clean cloth.
First Aid - R.I.C.E.

RICE is an acronym for how to take care of a sprain, strain, or bruise. There are four things you should do:

  • REST the injured part of your body for 24 hours. Can return to normal activity after 24 hours of rest if the activity does not cause severe pain.
  • Apply a cold pack or an ICE bag (wrapped in a moist towel) to the area for 20 minutes. Repeat in 1 hour, then every 4 hours while awake.
  • Apply COMPRESSION by wrapping the injured part with a snug, elastic bandage for 48 hours. If numbness, tingling, or increased pain occurs in the injured part, the bandage may be too tight. Loosen the bandage wrap.
  • Keep the injured part of the body ELEVATED and at rest for 24 hours. For example, for an injured ankle, place that leg up on a pillow and stay off the feet as much as possible.
First Aid - Cold Pack for Minor Leg Injury
  • Apply a cold pack or an ice bag (wrapped in a moist towel) to the area for 20 minutes. Repeat in 1 hour, then every 4 hours while awake.
First Aid - Splint for Ankle Injury
  • Wrap a large soft pillow around ankle and foot (Reason: to support ankle and foot and keep bones from moving around).
  • Use tape to hold the pillow in place.

Select from over 100 symptoms to learn about managing your child's illness.