<s>[INST] i have been having back muscle sprains for a week or more...started taking signoflam P and myoril but discontinued after three days...then restarted after a day break...is it ok to have a break in between...have taken a refill for two more days as pain is still there... [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have swelling in hands and wrists along with pain . A sprain is a stretching or tearing of ligaments . A sprain occurs when you overextend or tear a ligament while severely stressing a joint. I would suggest you to take proper rest , do icing for 15-20 minutes daily , tie a crape bandage and kee it elevated while lying down . You can take signoflaam . If condition doesn't get well then consult orthopedic surgeon for proper examination . Doctor may order x-ray or MRI to confirm the diagnosis to rule out fracture or more severe injury . Doctor may recommend physical therapy or surgery . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>