Please click here to visit our sponsor

Which to Use When: Ice or Heat?


Knee pain after running? Wake up with a backache? Twist an ankle?

When aches, pain, strains or swelling take place due to an injury or chronic condition, what is the best course of action: ice or heat? Many people automatically assume heat will ease their discomfort. Think again!

Ice and heat have opposite effects when dealing with inflammation and pain. Both are useful when applied at the correct stage of an injury. Ice constricts blood vessels and decreases blood flow to an injured area, therefore reducing inflammation. It also numbs pain. Heat increases local blood circulation and relaxes tight muscles. When is it appropriate to use each?

The Acute Injury Stage:

Immediately after an injury occurs, inflammation and swelling takes place due to damaged soft tissues and broken blood vessels which leak blood into the affected area. This is considered the acute stage of an injury and lasts about 48 to 72 hours. Pain, stiffness, bruising and tissue tenderness are symptoms of the acute stage. Ice should always be used immediately following an injury because it constricts blood vessels, which will lessen swelling, as well as numb pain and control bleeding. Apply ice no more than 20 minutes at a time. Always protect skin from tissue damage by using a cover over the ice pack. Allow the skin to return to normal temperature before reapplying ice. Heat should not be used during the acute stage. It will increase blood leakage, which increases swelling and possibly pain. Most professionals agree that icing an acute injury will facilitate healing. Applying heat may actually slow healing during the first 72 hours after an injury takes place.

The Chronic Injury Stage:

This is normally the point at which inflammation decreases, approximately 72 hours after the injury. Pain and stiffness may still be present. At this point, both ice and heat can be used to assist in healing. Use ice to control pain and to help with inflammation that might occur after working the injured area, such as a sore knee after running. Use heat to relieve muscle tightness or joint stiffness. Heat is also helpful before a workout to increase blood flow to the injury and warm up the affected area. When applying heat, use moist warmth. Never use a heating device that is too hot nor sleep on a heating pad, which may result in burns. Apply heat only for 20-minute intervals, using the same general guidelines as ice.

An Easy Guide for Ice and Heat:

When to Use Ice:

During Acute Stage (48 to 72 hours immediately after an injury)

  • To decrease swelling and inflammation

  • To numb pain

  • To decrease muscle spasms

  • To treat an acute burn

During Chronic Stage (after inflammation subsides, usually 4 or 5 days after injury)

  • To manage pain and possible swelling

  • After an activity or workout involving an overuse injury to decrease pain and swelling

  • To treat joint swelling due to inflammatory arthritis

When to Use Heat:

During Chronic Stage (after inflammation subsides, usually 4 or 5 days after injury)

  • To warm up stiff joints and aid in joint mobility

  • To decrease chronic muscle spasms

  • To aid in stretching tight muscles

  • Before an activity or workout involving an overuse injury to warm up the affected area

Disclaimer: This information is not intended as a substitute for professional medical treatment or consultation. Always consult with your physician in the event of a serious injury.

About The Author

Louise Roach is the editor of on-line health and fitness newsletter, NewsFlash*SnowPack. She has been instrumental in the development of SnowPack, a patented cold therapy that exhibits the same qualities as ice. Her injury prevention and treatment articles have been published on health and fitness websites. For more information visit: http://www.snowpackusa.com. Visit our free health newsletter at: http://home.netcom.com/~newsflash/

snowpack@ix.netcom.com




Patients Declare Grounds for Medical Skepticism: Alternative ...
American Chronicle, CA - 1 hour ago
Callahan and colleagues (2008) set out to determine whether medical skepticism was associated with the use of complementary and alternative medicine (CAM). ...


Doctors in for a dose of alternative medicine
The Age, Australia - Jul 4, 2008
It gives me a sense that I'm in the right place, somewhere between alternative medicine and Western," he told an interviewer. ...
GP training to include the fringe alternatives The Age
all 5 news articles


The Gazette (Montreal)

Alternative therapies up close
The Gazette (Montreal), Canada - Jul 5, 2008
In Trick or Treatment, British authors Simon Singh and Edzard Ernst expose the false claims and profiteering of alternative medicine while sounding the ...


Irish Independent

Time to stop and smell the roses
Irish Independent, Ireland - 15 hours ago
She firmly believes her frenetic lifestyle had been the catalyst for her illness and that alternative medicine was the answer. "I think stress caused my ...


Communication Key to Blending Eastern and Western Medicine
RedOrbit, TX - Jun 30, 2008
Yet alternative medicine is finding its place in health care. "There are some things that Western medicine just can't fix," Evans said. ...


International Conference in Holguín Promotes Natural Alternative ...
Radio Nuevitas, Cuba - Jun 26, 2008
Sixty academia studies are to be presented at the conference, which takes place near a flagship alternative medicine hospital in Holguín. ...


Telegraph.co.uk

Complementary medicine: seeking out alternatives
Telegraph.co.uk, United Kingdom - Jun 10, 2008
Alternative therapists now outnumber GPs in the UK, universities run courses on alternative medicine and the industry receives £500 million a year from the ...
Alternative therapies put to the test Telegraph.co.uk
all 2 news articles


NewsReleaseWire.com (press release)

Alternative Medicine Solutions Markets Naringenin, Grapefruit ...
NewsReleaseWire.com (press release) - Jun 24, 2008
Lloyd Wright, CEO of AMS Inc. and author of “Triumph Over Hepatitis C: An Alternative Medicine Solution,” is currently the only one in the world marketing a ...


Physician and Patient Attitudes towards Complementary and ...
7thSpace Interactive (press release), NY - Jun 26, 2008
In the US, complementary and alternative medicine (CAM) use is most prevalent among reproductive age, educated women. We sought to determine general ...


The case against cure-alls
Sydney Morning Herald, Australia - Jun 18, 2008
Alternative Medicine On Trial, co-authored with a journalist, Simon Singh. It is a very timely tome, with the Federal Government considering a toughening of ...

alternative medicine - Google News

home | site map

© 2006 www.elearn-university.org