Hot, Cold, and Compression Therapy for Injuries
The modalities of hot, cold and compression have a very appropriate
role in the treatment of most injuries. The immediate result of almost
all injuries involving the soft tissues (muscles tendons and ligaments)
includes pain, possible bleeding, and a leakage of fluid from damaged
tissues into the area. Afterwards, there is a migration of white blood
cells into the region of the injury. For this reason it is common to
have inflammation, swelling and stiffness following an injury.
The
healing process requires increased blood flow into the area of an injury to support the process of cellular growth. As long as swelling persists and circulation is congested, the healing process is delayed or retarded.
The swelling must be reduced before full recovery can occur.
Many first-aid authorities recommend the simultaneous use of cold and compression therapy, often identified as
R.I.C.E. therapy.
R =
Rest. Avoid over-exertion or weight bearing on the injured body part.
I =
Ice. Apply cold to the injury as described below.
C =
Compression. Apply compression with an elastic bandage.
E =
Elevation. Elevate the injured
area above the level of the heart (about even with the lower portion of
the breast) to help drain the area of excessive fluid accumulation.
Once swelling has subsided (about 2-3 days or so), the application of
heat will help reduce pain and promote healing. Heat can be used to
provide effective relief from the aches and pain associated with sore
muscles and stiff joints.
1. Cold therapy:
It has been found that cold applications (ice packs, cold compresses,
frozen gel packs, frozen bag of peas, etc.) to the surface of the body
will cause a contraction of the small blood vessels in that area. This
will have an immediate effect on reducing the flow of blood and other
fluids through that area, and therefore help to reduce local swelling.
An addition, a cold application will also help relieve any pain in
the area by reducing the sensitivity of local nerve endings. The
following specific problems respond especially well to cold therapy.
- Bruises: apply cold to the bruised area to
temporarily relieve pain, minimize swelling and reduce black-and-blue
marks. If the skin has been broken, be sure to apply a sterile dressing
to the area before applying cold.
- Toothaches: apply cold to the cheek or jaw to help temporarily relieve discomfort.
- Simple Headache: apply cold to the painful area to help relieve the discomfort.
- Insect Bites: apply cold to the bitten area to help relieve itching and reduce swelling.
- Muscle Spasms: applying cold to the spastic area will help temporarily relieve discomfort.
Be careful not to apply an excessively cold product directly to the
skin surface. At the very least, place a paper towel on the skin before
applying cold and then wrap the cold product in place with an elastic
bandage. Leave the cold product in place for approximately 15-25 minutes
and elevate the involved joint or limb to about heart level if
possible.
Cold therapy can be applied every two hours during the initial 72
hours after an injury. If the injury is somewhat severe, the cold can be
applied 2-3 times in a row for 15-20 minutes each with a 30-minute rest
between applications. This type of treatment can be repeated several
times a day.
When used properly, cold therapy can help reduce the severity of symptoms and the time required for recovery.
Cold and compression are medically recommended therapies for the
first 72 hours after an injury to help reduce local pain and swelling.
More importantly, by containing the severity of swelling, the
application of cold and compression can have a significant impact on
helping to promote healing and speed recovery from that injury.
Many first-aid authorities recommend the simultaneous use of cold and compression therapy, often identified as R.I.C.E. therapy.
Which cold pack is best? For years,
doctors and medical
professionals have recommended using a bag of frozen peas or sweet corn
instead of a gel pack or ice. Why? Because the frozen vegetables are
able to more easily conform to your injured body part. However, frozen
vegetables have a tendency to leak and the packaging was not designed
for reuse.
Some like it HOT
Sore, stiff muscles are best treated with Hot Therapy because the heat
helps to relax and loosen tired muscles. Heat can also be used before exercise to improve mobility by loosening muscles and increasing joint elasticity.
2. Heat Therapy
Heat Therapy (hot compress, microwaved gel pack, heating pad, etc.)
promotes blood flow and enhances healing. Moist heat will penetrate more
deeply than dry heat.
To aid recuperation from an injury, heat should only be used after
swelling has subsided and after cold therapy has already been used. One
should limit the application of heat to no more than 20 to 30 minutes at
a time four times daily. Do not fall asleep on a heating pad!
People with nerve or circulatory problems (such as advanced diabetes)
should not use heat unless otherwise prescribed by a physician. Do not
apply heat to broken and/or sensitive skin. One should not sit, lean or
bear weight on the hot compress.
Proper use of heat can…
- Relieve muscle aches and pain.
- Temporarily relieve discomfort from arthritis.
- Relieve sore and stiff joints.
- Relieve the discomfort of muscle tension and cramping.
Notice: This article is not a substitute for Medical Professional Help. For any injury consult your medical professional.