Treatment Rationale: Ice vs Heat
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Transcript Treatment Rationale: Ice vs Heat
Treatment Rationale
Sports Medicine I
Treatment Rationale: Ice vs Heat
Selection of ice or
heat application is
critical
Ice should be used for
first 48-72 hrs
If pain and swelling
are still present,
continue to us ice
Application of ICE
Physiological Changes
– Reduced swelling and inflammation
– Reduced blood flow to the injury site
– Reduced pain at the injury site
Cryotherapy (cold therapy)
Cold Packs
– 10-15 min
– Keeping ice on too
long can cause
burning of the skin
Cryotherapy
Ice Massage
– Rubbing ice over
injured area
– 5-10 min
– Avoid bony areas
– Move ice in a
continuous circular
motion
Cryotherapy
Cold Whirlpool/Immersion
– 50-65 degrees
– 5-15 minutes
– Thermal barriers can be
used
– Disadvantage: injured part
is in a non-elevated position
– Offers a massaging effect
Cryotherapy
Cold Spray (ethyl chloride)
Apply no longer than 10
seconds
Not as effective as cold
treatments
Only cools skin surface
Application of Heat
Physiological Effects
– Increased blood flow
to the injured site
– Reduced muscle
stiffness
– Muscular relaxation
Hot Packs
Apply moist heat
Towels protect from
burning
Heat penetration is
limited
Hot Whirlpool
Temp 95-104
Massaging effects
Later stages of
healing
Contrast Bath
Combines hot and
cold
Increased amount of
swelling responds to
the alternation
Provides pumping
action to remove
swelling
Exercise
Overlooked as
treatment
Increases circulation
at deeper level
Increases strength
Regain ROM
Additional Modalities
Ultrasound
Electrical Stimulating Currents
Shortwave
Diathermy
Ultraviolet Therapy
Laser
Massage
Joint Mobilizations
Acute vs Chronic
Acute
Quick, onset, short
duration
Basic initial treatment is
PRICES
–
–
–
–
–
–
Protection
Rest
Ice
Compression
Elevation
Support
Chronic
– Recurring injuries that
respond little to treatment
– Characterized by
continuous use of PRICES
– Injuries can be challenging
– Mix of exercise, heat, and
contrast bath
– Return to play w/o chronic
pain and disability is
important