as you mention Khalid, it's a reflex, and the general population will never stop icing no matter what we recommend lol. But I love that you are sharing the PEACE and LOVE principles, which I do too. I think it's soothing for patients, and as long as it's not THE only thing they do, I think it's fine. Love from CANADA
I'm guessing the elevation and compression are to facilitate waste product and deoxygenated blood drainage, whereas Ice just promotes vasoconstriction and facilitates nothing. I'd be interested to hear his response though as mine is just a guess having not read any of the referenced literature.
Hey Bob! Yes indeed interesting that the study came to the conclusions that it did! We have put a link for the article in the description if you wanted to read it
I am kinda split on this. I know my evidence is anecdotal but I have found that for my own injuries ice has been a vital part of comfort in recovery. In a perfect world peace & love does sound great and is probably the optimal recovery pathway, however if you have an injury on Sunday and need to work on Monday, ice allows that intermediate functionality (the proverbial weekend warrior). From an holistic approach, that return to work (while avoiding high load situations) is less damaging than missing a day of pay, particularly in the current cost of living crisis. I have found that ice is an incredibly important part of recovery from and prevention of DOMS, would you be able to do a video on that topic? Basically I find it almost impossible to walk down stairs the day after a sporting activity, and say if the match was a Sunday it can be Thursday before I am 100% pain free. However if I ice my quads within 30 mins of that activity ending, I'm able to skip downstairs the next day with no issue. I'm aware that DOMS and structural damage are different, however does the potential placebo effect of ice actually contribute to the healing process?
I had a wrist/thumb area injury after from tennis serving, every night it tightened up and gave me jolts of pain if I moved my thumb (felt like at the sheath) and nothing worked for 4 months with no sports activity and including some wrist flexion and pronation exercises until I got a cortisone injection where there was fluid and less than 1 day it was better.
Disrupting re-vascularisation and inflammatory processes by how much ? If eventually like taking extra few days , the healing will still happen … I think temporarily taking the pain away with ice or even using anti- inflammatory and allow better movement is not a bad move
Hi Chris! Thank you so much for your comments! Yes I appreciate your points, I suppose that’s the key thing with guidelines that they take all these things into account when making the decision to advise for or against it … so I can only think it is suggested that it has enough or a negative effect to advise against it
what about tendon areas that don't seem to get much blood flow. i've had injuries that last for months with no improvement after stopping the activity.
So reassuring to hear this as its EXACTLY my advice to my patients 🥳
🙏🏼🙏🏼🙏🏼
as you mention Khalid, it's a reflex, and the general population will never stop icing no matter what we recommend lol. But I love that you are sharing the PEACE and LOVE principles, which I do too. I think it's soothing for patients, and as long as it's not THE only thing they do, I think it's fine. Love from CANADA
Thank you so much Paulina! Appreciate your kind words and great thoughts
Question - Why do we want to avoid decreasing swelling with use of ice but still want to compress and elevate?
I'm guessing the elevation and compression are to facilitate waste product and deoxygenated blood drainage, whereas Ice just promotes vasoconstriction and facilitates nothing. I'd be interested to hear his response though as mine is just a guess having not read any of the referenced literature.
It would totally agree with you @yonners33! Great thinking!
Why A? Why does this not recommend Anti Inflammatories?
Hey Bob! Yes indeed interesting that the study came to the conclusions that it did! We have put a link for the article in the description if you wanted to read it
I am kinda split on this. I know my evidence is anecdotal but I have found that for my own injuries ice has been a vital part of comfort in recovery. In a perfect world peace & love does sound great and is probably the optimal recovery pathway, however if you have an injury on Sunday and need to work on Monday, ice allows that intermediate functionality (the proverbial weekend warrior). From an holistic approach, that return to work (while avoiding high load situations) is less damaging than missing a day of pay, particularly in the current cost of living crisis.
I have found that ice is an incredibly important part of recovery from and prevention of DOMS, would you be able to do a video on that topic? Basically I find it almost impossible to walk down stairs the day after a sporting activity, and say if the match was a Sunday it can be Thursday before I am 100% pain free. However if I ice my quads within 30 mins of that activity ending, I'm able to skip downstairs the next day with no issue. I'm aware that DOMS and structural damage are different, however does the potential placebo effect of ice actually contribute to the healing process?
I had a wrist/thumb area injury after from tennis serving, every night it tightened up and gave me jolts of pain if I moved my thumb (felt like at the sheath) and nothing worked for 4 months with no sports activity and including some wrist flexion and pronation exercises until I got a cortisone injection where there was fluid and less than 1 day it was better.
Glad to hear you found improvement!
Thank you ..
You’re very welcome!
You’re very welcome!
Disrupting re-vascularisation and inflammatory processes by how much ? If eventually like taking extra few days , the healing will still happen … I think temporarily taking the pain away with ice or even using anti- inflammatory and allow better movement is not a bad move
Hi Chris! Thank you so much for your comments! Yes I appreciate your points, I suppose that’s the key thing with guidelines that they take all these things into account when making the decision to advise for or against it … so I can only think it is suggested that it has enough or a negative effect to advise against it
what about tendon areas that don't seem to get much blood flow. i've had injuries that last for months with no improvement after stopping the activity.
Similar story when it comes to ice I’m afraid, not much evidence to suggest it will have a dramatic effect!
Khalid, have you ever dealt with patients with a entrapment of the suprapatellar plica?
Hi Imy - the honest answer is that I haven’t
Now waiting for my uni proffesors to stop teaching and presching same methods for last 50 years😅
🙏🏼🙏🏼🙏🏼