Cold Treatment
With any sprain, strain or bruise there is some bleeding into the
underlying tissues. This may cause swelling, pain and delay healing. Cold
treatment may be used in both the immediate treatment of soft tissue
injuries and in later rehabilitation.
During immediate treatment, the aim is to limit the body's response to injury. Ice will:
- Reduce bleeding into the tissues.
- Prevent or reduce swelling.
- Reduce muscle spasm and pain.
- Reduce pain by numbing the area and by limiting the effects of swelling.
These effects all help to prevent the area from becoming stiff by
reducing excess tissue fluid that gathers as a result of injury and
inflammation.
In the later, or rehabilitation, phase of recovery
the aims change to restoring normal function. At this stage the effects
of ice can enhance other treatments such as exercise by reducing pain
and muscle spasm. This then allows better movement. If you have to do
exercises as part of your treatment it can be useful to do them with ice
in place or immediately after it is removed when the area will still be
a little numb. This reduces pain and makes movement around the injury
more comfortable.
What packs should I use?
All Warm Buddy
heat packs and heat wraps are designed to be used for hot or cold treatment.
I always have 2 packs in the freezer, when one warms up during treatment I always have the second as a back up.
How long should cold packs be applied for?
Ideally, ice should be applied within 5-10 minutes of injury for
20-30 minutes. This can be repeated every 2-3 hours or so whilst you are
awake for the next 24-48 hrs.
After the first 48 hours, when
bleeding should have stopped, the aim of treatment changes from
restricting bleeding and swelling to getting the tissues remobilised
with exercise and stretching. Ice helps with pain relief and relaxation
of muscle tissue.
Heat treatment
Do not use heat on a new injury (for example, soaking in a hot bath,
using
heat packs, hot water bottles, deep heat creams, etc). These will
increase bleeding and make the problem worse.
When an injury is
older than 48 hours, heat can be applied in the form of warm buddy heat packs. Heat causes the blood
vessels to dilate (open wide) which brings more blood into the area. It
also has a direct soothing effect and helps to relieve pain and spasm.
If heat is applied to the skin it should not be hot, gentle warmth will
suffice.
Again all Warm Buddy
heat packs and wraps are ideal for the treatment of muscle pain and are approved medical devices for this purpose
Cold packs often gives
better and longer-lasting effect on the circulation than heat provides.
The painkilling properties of ice are also deeper and longer-lasting
than heat.
Qualities:
Recent studies have found that heat wrap therapy proved to be more
effective pain management for muscle pain than oral pain medications
such as ibuprofen and acetaminophen...
more info
Why use heat for pain relief..
see here