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Ice: The over used modality

‘R.I.C.E.’ Coined in 1978

‘R.I.C.E.’ (rest, ice, compression, elevation) was coined in 1978 by Dr. Gabe Mirkin. Since then, ice has been the standard treatment for injuries and sore muscles. The RICE guidelines have been used for decades, but it now appears that ice and rest may delay healing.

Scientific Articles Don’t Support Ice for Healing

Image of Ice glistening as it melts.

A study from The American Journal of Sports Medicine, June 2013 asked athletes to exercise intensely enough to develop muscle damage that caused extensive muscle soreness. It was found that icing delayed swelling, but did not quicken the healing process.  A summary of 22 scientific articles found little to no evidence supporting that ice and compression facilitate healing over compression alone.

Inflammation

Inflammation is required for healing. Inflammation is a part of our immune system and is essential in the healing process. Inflammatory cells migrate to the injured tissue to start the healing process. Macrophages (inflammatory cells) release a hormone into injured tissues, which helps muscles and other injured tissues heal.  Applying ice to reduce swelling can delay healing by preventing the body from releasing this hormone.

Icing can also prevent healing cells from entering the injured tissues by constricting blood-flow.  It can take hours for the blood vessels to return to their size. Icing can also decrease strength, speed, endurance and coordination.

General Tips for Using Ice

If you’re going to ice, only apply ice for 10-15 minutes at a time.  Utilize ice for the first day of injury.  Seek medical attention from a mechanical physical therapist if the pain is severe or you cannot actively move a body part.

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Medication, surgery or physical therapy?

When it comes to pain you have 3 major options:

Medication, surgery and physical therapy.

Out of the 3 – Physical Therapy is the first road to take.

 

Surgery is not a cure all when it comes to back pain.

Physical therapy restores movement, function and quality of life.

Physical therapy is cost saving over medications and surgery.

Injuries heal quicker with physical therapy.

Medications are just a quick fix.

Over the counter medicines have negative consequences with long term use.

Physical therapy helps manage chronic pain for life.

Physical therapy manages the effects of arthritis.

Physical therapy prevents joint pain and instabilities.

No risk profile for physical therapy.

Physical therapy is totally reversible and no toxicity.

Physical therapy is the most organic holistic approach that exists.

No unknown ingredients.

 

What are your reasons to choose physical therapy?

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Don’t let old injuries stop you from visiting Smith Rock

“While climbing at Smith Rock, I broke my ankle and needed surgery in June.

I first came into this office on crutches, worried I’d never climb again.

In about 6 months, Katie had me back on my feet and back on the climbing wall.

Not only was I given the support I needed to get back to my day-to-day life, but I learned so much about my body and its needs that I didn’t know before.

It has made me a more successful athlete, and better attuned to what my body needs on a given day.

The whole office treated me so kindly throughout this whole experience, and Katie in particular was incredibly compassionate to the mental and emotional impacts of my injury.

(Thank you so much!)”  

Ali

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Is your sleep becoming compromised?

Get your sleep back by calling and scheduling your evaluation at Nick Rinard Physical Therapy today.

“I was not able to walk my usual 2 miles a day and I was having pain all day and night in the thigh.

Because I could not massage it out, I figured it was a spinal referral pain.

Having been “fixed” by the McKenzie Method of lower back pain after a fall in 2014, I asked my provider for a referral here.

I can walk as much as I want now. I can sleep with no pain.”

Tenny

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