02/02/2018
To use ice for injury or not?
This is an ongoing debate in the field of injury. For years and still mostly today the first reaction for most people when they injury an area of the body, for example the ankle, is to apply ice. This is definitely better than just doing noting. Below is a very brief view and just a few pro's and cons of using ice and my now preferred approach to soft tissue and joints of the body following an acute injury.
Pro's:
- reduce inflammation by reducing blood flow
-reduce bleeding in the area
-can relieve pain
Cons:
-Slows down the body's natural healing process
- Most people won't know how long and often to ice an area for which can lead to further injury to the area
As a lot of people would of heard of the RICE procedure ( rest, ice, compression & elevation) when suffering a sudden acute injury. This is effective and is a great general guide to follow.
What I have been hearing a lot about is a possible substitute for ice. As I have mentioned briefly there are some pro's and cons of using ice. What I as a sports therapist would like to target is reducing the cons to benefit the athlete and start them on road to recovery immediately.
A person who, for example turns badly on their ankle or twists a knee will normally feel pain, and they will immediately look to reduce this pain. Ice can do this by causing a numbing affect to the area.
Pain is the bodies way of telling us that something is wrong. The body will then follow with it's own natural healing process and we see this in inflammation. Inflammation is an important part of the bodies recovery. It is the bodies way of cleaning up this damaged area. Swelling can cause pain which reminds us to be careful of the area and it can restrict the area to protect it from further damage. More often than not we want to stop swelling from happening, when really we should just look to try and control swelling.
To get the same results as ice (pain relief and control swelling) without delaying the bodies natural healing process, I am using analgesic gels such as Cryoderm or Biofreeze. These relieve pain by causing a cooling affect but unlike ice do not cause a reducing in blood flow to the area. What I tend to do now for an immediate acute injury is too apply the gel to the area, lightly compress the area with a wrapping (elastic bandage), elevate and rest. The gel will act as a pain reliever (which is the effect the injured person wants from using ice) without affecting blood flow, the light compression will help control inflammation but not stop it completely (something like clingfilm is useful everyday product to use for this, wrap very light and if too tight after a while re-wrap area lighter again), elevate to aid in pain relief (reduce throbbing feeling) and inflammation control (to much fluid to the area) and finally rest. Rest is needed for the body to recover. Pain free movements should start as soon as possibly so as to reduce loss of mobility in the area.
This was written up from my own research from various articles and also my personal hands on experience with acute injuries. If anyone has any thoughts or comments from there own experiences on this topic feel free to comment.✌