The answer is A. A tear of ligament.
Sprains and strains are common injuries and have common sign and symptoms such as pain, swelling and limited movement of affected part. These two are occur in different parts of the body. A sprain is a stretching or tearing of ligament, a connective tissue that connects two bones. Whereas, strain is tearing of muscle or tenon. Tendon a connective tissue that connects muscles to bone.
This is called speculation.
Opiates
Offtopic=(if you want something tasty make lemon poppy seed muffins, like OMG so good)
Drugs abuse causes you to go crackhead crazy which makes your body start shutting down and also hallucinate so maybe you see scary stuff that keeps you awake like monsters or bugs.