Can you have a bad wrist sprain without swelling?

While swelling is often a common symptom of a wrist sprain, it is not always present. Sometimes, a wrist sprain can be mild enough that there is no swelling or it may be barely noticeable. In these cases, other symptoms of a wrist sprain may be present such as pain, tenderness, bruising, difficulty moving the wrist, and reduced grip strength. If you have concerns about a possible wrist sprain, it is always best to see a doctor for evaluation and treatment.