Strains affect a muscle or tendon, while sprains affect a ligament. Both are common with sport, gym training, manual work and everyday tasks, whether it is a sprint at footy training, a slip on a wet step or an awkward lift at work. Early assessment helps clarify what is involved, whether imaging or a medical review is needed, and what level of activity is appropriate right now, so you can progress with a clear plan rather than guessing.
Strains and sprains range from minor to more significant tears, and can occur almost anywhere in the body. Common examples include:
Hamstring strains with sprinting or kicking
Calf strains, often with a sudden push-off at sport or on the tennis court
Groin and adductor strains with changes of direction
Back and neck strains with lifting or sudden movements
Ankle, knee and wrist ligament sprains
What assessment looks at
Your osteopath will ask how the injury happened, what you felt at the time and how it has behaved since. Assessment may include movement, strength and examination of the area, along with checks of nearby joints and, for lower limb injuries, walking and hopping where appropriate. If findings suggest a complete tear, a fracture or another injury that needs imaging or medical review, your osteopath will discuss referral to your GP or an emergency department.
The early days
In the first few days, management usually focuses on protecting the area from further aggravation, managing swelling and keeping comfortable movement going. Complete rest is rarely needed for long, and gradually loading the injured area as symptoms allow is generally part of the plan. Your osteopath will estimate the severity of the injury and explain what is sensible for you at this stage.
Rebuilding strength and capacity
As symptoms settle, the focus shifts to rebuilding strength, flexibility and confidence for the demands of your sport, gym program or job. Because a previous strain or sprain can leave the same area more vulnerable, later stages often include faster, sport- or task-specific drills before a full return.
Progressive strengthening matched to the injured tissue
Running, agility or task-specific progressions
Hands-on care or dry needling where appropriate
Clear milestones for returning to training, matches or full duties
What you can do in the meantime
For the first day or two, avoid the movements that clearly aggravate the injury and keep the rest of your body moving. Elevation and compression can make a lower limb injury more comfortable. Avoid strong stretching of a fresh strain. Gradually reintroduce walking and daily activity as pain allows, and note what you can and cannot do comfortably, as this is useful information for your appointment.
Common questions
Muscle strains and sprains: your questions
For questions about referrals, fees, private health and funding pathways, see our full FAQ.
In the first few days some people find ice more comfortable, while heat is often preferred later for stiffness. Neither is essential; the more important part of management is protecting the area early and then gradually loading it. Your osteopath can talk you through what suits your injury.
It depends on the type and severity of the injury and the demands of your sport. Rather than a set number of weeks, your osteopath will use milestones such as strength, range of movement and sport-specific drills to guide your return, and review them with you as you progress.
Many strains and sprains can be assessed and managed without imaging. A scan may be useful if a complete tear or fracture is suspected, or if you are not progressing as expected. Your osteopath will discuss this with you and, where needed, your GP.
If you have an approved WorkCover or TAC claim, appointments may be available under that claim. Please bring your claim number and details to your appointment. Otherwise, no referral is needed for a private appointment.