A large majority of injuries in football are soft tissue injuries. The first 48 hours are vital in the effective management of any soft tissue injury. Injuries managed effectively during this period will reduce the time spent on the sidelines.

The immediate management should follow the R.I.C.E.R. regime. This regime should be used for all ligament sprains, muscle strains and muscle bruises (corks, etc) in fact in any bumps or bruises which occur in football.

RICER with no HARM

REST
Place the player in a comfortable position, preferably lying down. The injured part should be immobilised and supported.
Activity will promote bleeding by increasing blood flow.

ICE
The conventional methods are:

• Crushed ice in a wet towel / plastic bag
• Immersion in icy water
• Commercial cold packs wrapped in wet towel
• Cold water from the tap is better than nothing

Apply for 20 minutes every 2 hours for the first 48 hours.

CAUTION

• Do not apply ice directly to skin as ice burns can occur
• Do not apply ice to people who are sensitive to cold or who have circulatory problems
• Children have a low tolerance to ice

Ice Reduces:

• Swelling
• Pain
• Muscle spasm
• Secondary damage to the injured area

COMPRESSION
Apply a firm wide elastic bandage over a large area covering the injured part, as well as above and below the injured part.
Compression:

• Reduces bleeding and swelling
• Provides support for the injured part

ELEVATION
Raise injured area above the level of the heart at all possible times.
Elevation:

• Reduces bleeding and swelling

REFERRAL
Refer to a suitable qualified professional such as a Doctor or Physiotherapist for diagnosis and ongoing care.
Early referral for a definitive diagnosis to ascertain the exact nature of the injury and to gain expert advice on the rehabilitation program required.

Avoid Harm

Remember, with injuries of this kind, you should avoid the HARM factors: