- 36-hour rule for sports injuries: If pain or discomfort from a sports-related injury is moderate to severe (above 3-5/10 on a pain scale) and persists beyond 36 hours despite conservative care (anti-inflammatories, ice, rest), further evaluation should be sought.
- Conservative management: Initial treatment includes anti-inflammatory medication, icing, and avoiding sports participation during this 36-hour window to prevent aggravation of injury.
- Parental judgment is important: Parents’ intuition and common sense play a key role—if they suspect something is wrong before or after 36 hours, consulting a healthcare provider is advised.
- Signs for medical attention: Continued or worsening pain, or inability to engage in normal activities, indicates a need for medical consultation.
- Proactive injury management: Early recognition and intervention help prevent escalation of injury and support optimal recovery.
36-Hour Rule for Injury Recovery
Wondering when to see a care provider after your child has a sports-related injury?

Keith Loud, MD, MSc, Pediatrics