23/02/2020
There is currently HOT DEBATE regarding Acute management of Soft Tissue Injuries (Ligament, Muscle, Tendon), particularly whether to 'Ice' or 'Not to Ice', with some evidence that ice, while providing some pain relief, has little effect on healing or swelling.
The Association of Chartered Physiotherapists in Sports Medicine (ACPSM) have produced extensive evidence based guidelines to investigate effectiveness of the traditional 'PRICE' regime (Protection, Rest, Ice, Compression, Elevation). The full guideline is available athttps://www.physiosinsport.org/media/wysiwyg/ACPSM_Physio_Price_A4.pdf
To aid decision making in acute management of your injury and to optimise your recovery, I have summarised the ACPSM evidence and current recommendations in the poster attached. Please note, this guidance is for management of 'minor' CLOSED soft tissue injuries (sprains/strains). Ice should not be applied over areas without sensation, open wounds, areas of poor circulation or obvious fracture. If you suspect you have a more serious injury, including fracture, you are advised to attend your local minor injuries or accident and emergency unity for further investigation and management advice.
Alternative proposals are to use the 'M**H' approach - Movement, Elevation, Traction, Heat, during your rehabilitation. Further research is required to determine whether this should follow, be used alongside, or replace the 'PRICE' regime'. I have provided a link to an online article should you wish to read more about the reasoning behind this approach. There is no current information to indicate that the Chartered Society of Physiotherapy endorse this approach.
https://www.synctherapy.ca/2016/01/14/meth-method-for-injuries/
If you require guidance regarding management of your injury and return to function (including work, sport), you may benefit from seeking assessment with a qualified healthcare professional.