Treatment FAQ

how long after back strain switch from cold to heat treatment

by Delphine Gutmann Published 2 years ago Updated 2 years ago

Initially, treatment will focus on rest, ice, compression, and elevation. After about 48 to 72 hours -- or once the swelling has satisfactorily decreased -- heat can then be used to increase blood flow to the injury and aid your recovery.

Full Answer

How long should you use cold therapy after a lower back injury?

Article continues below. As a general rule, it is best to apply cold therapy to your lower back in the first 24 to 72 hours following your lower back injury. The application of cold therapy can minimize your inflammation and swelling—which in turn may reduce your pain.

How long should I heat my back for lower back pain?

It’s important to apply heat for only a limited amount of time. Fifteen to 20 minutes of moist heat can often provide the temporary relief needed at the moment. For chronic lower back pain, all-day heat wraps are available and can be worn and reheated throughout the day for constant relief.

Is hot or cold therapy better for back pain?

However no matter what kind of injury you’ve sustained, hot and cold therapy for back pain is an important part in beginning the process to alleviate your pain. Hot cold therapy for back pain is a very common home treatment after an injury. Both the ice and heat therapy when used together can drastically diminish pain and speed up recovery.

How long does it take for hot and cold therapy to work?

Hot and cold therapy should be carried out one to two times per day until the injury has healed. If you’re not seeing improvements within two to three days, consult your doctor, as stronger treatments may be necessary.

How long after ice can I apply heat?

Ice & Heat Together As a more advanced treatment, use ice AND heat. To achieve therapeutic results, you must do this in a very specific way. The key is to ice for 20 minutes, causing the vessels to narrow, and then heat for 15 minutes, causing the vessels to dilate.

How do you alternate ice and heat for back pain?

Use cold first and then apply heat for acute back pain. Lowering the body temperature will help constrict the blood vessels, reduce swelling, decrease inflammation, and cause a numbing effect. Once the inflammation has subsided, use heat therapy.

Is heat good for a strained back?

If you are living with chronic pain or discomfort that lasts for more than four weeks, heat may help relax the tissues in the area and decrease pain signals. Heat can also encourage blood vessels in your back to dilate, which can promote healing.

Why do you alternate heat and ice?

But heat and ice can be used together in an alternating pattern to create a “pumping” action in the circulatory system by restricting circulation to reduce swelling and then increasing circulation to a particular area.

How often should you alternate ice and heat?

Duration varies with technique; usually 20 to 30 minutes per session. (See “Options for applying ice.”) Ice may continue to be useful in treatment as long as there is pain, swelling, inflammation, or spasm. There is no need to switch to heat after 48 hours or alternate between ice and heat.

What comes first hot or cold compress?

Use cold therapy for the first 24 to 48 hours after an injury, and then switch to heat therapy to stimulate blood flow and healing.

Does heat make inflammation worse?

Heat can make inflammation significantly worse. Ice can aggravate symptoms of tightness and stiffness; it can also just make any pain worse when it's unwanted. Both ice and heat are pointless or worse when unwanted: icing when you're already shivering, or heating when you're already sweating.

Can heat make back pain worse?

If you have truly pulled or strained your lower back muscles, applying heat will cause inflammation. Heating inflamed tissues will make your pain worse and certainly won't help things get better any time soon. Another scenario when heat therapy is not a good idea is if you are already sweating.

How long does it take for a strained muscle to heal?

For a mild strain, you may be able to return to normal activities within three to six weeks with basic home care. For more severe strains, recovery can take several months. In severe cases, surgical repair and physical therapy may be necessary. With proper treatment, most people recover completely.

How many days should you ice an injury?

Ice is a tried-and-true tool for reducing pain and swelling. Apply an ice pack (covered with a light, absorbent towel to help prevent frostbite) for 15-20 minutes every two to three hours during the first 24 to 48 hours after your injury.

What helps a pulled muscle in your back?

Treating a Pulled Back Muscle in 8 StepsApply cold. Cold helps reduce inflammation, which is the primary source of pain in the first few days. ... Use compression. ... Rest. ... Stretch. ... Pain medication. ... Perform strength exercises. ... Get a massage. ... Apply heat.

Are Heating Pads good for back pain?

The main reason heating pads and heat therapy are so effective for back pain is because they increase circulation. When this happens, oxygen and nutrients make their way to the muscles and joints. Not only can better circulation resolve muscle damage, it can also relieve back stiffness and inflammation.

Ice in The First 24 to 72 Hours

As a general rule, it is best to apply cold therapy to your lower back in the first 24 to 72 hours following your lower back injury. The applicatio...

Use Heat to Encourage Healing

After your initial swelling and inflammation has subsided, heat therapy can be utilized to encourage healing in your lower back. The application of...

What About Chronic Lower Back Pain?

All of the above advice addresses when to use heat and ice following the first occurrence of lower back pain after an injury. But what about chroni...

How to keep your lower back warm?

Keep a warming or heated blanket wrapped up around your lower back. Use a commercial adhesive wrap that sticks to the lower back and provides several hours of low-level heat. When using continuous low-level heat, make sure to follow the package instructions carefully to prevent skin damage.

How to treat back pain from exercise?

When you have back pain from exercise or exertion, use cold therapy immediately after the activity to reduce tissue damage, inflammation, and pain. After a 24-hour period, use heat therapy to encourage tissue healing. 4.

How to get rid of a stiff back?

Keep a heat patch near your bed—use it first thing in the morning to warm up your muscles if you wake up with an achy or stiff back. Apply a cold patch before bed if you have exercised or exerted your back. Use heat therapy before sleeping and after waking up if you have chronic back pain.

How to reduce back pain?

1. Use cold first and then apply heat for acute back pain. When your back pain is acute (less than a 4-week duration) and/or occurs due to a direct injury, use cold therapy first. 2 Lowering the body temperature will help constrict the blood vessels, reduce swelling, decrease inflammation, and cause a numbing effect. 1,3.

What is a direct lower back injury?

Direct lower back injury from falls, sprains, sports injuries (twisting injury from swinging a golf club), or collisions 1. Exercise-induced muscle soreness, such as a from trying a new exercise, exercising without an initial period of warming up, or overdoing a specific exercise 1.

How to heal a swollen lower back?

Once the inflammation has subsided, use heat therapy. When you apply heat, it improves the flexibility of soft tissues, movement of muscles, and overall functioning of the back. The local warmth stimulates blood circulation in your lower back, which in turn brings healing nutrients to the injured tissues.

Does ice help lower back pain?

Topical application of ice or heat therapy can bring a surprising level of pain relief for most types of lower back pain—but each treatment is unique and works better in specific situations. Many lower back problems can lead to painful muscle spasms.

How long does it take to warm your back?

A moist heating pad * can also work to provide relief. Other options to warm the back include hot water bottles * or a magnetic heat brace *. Always wait 24-72 hour before considering heat therapy depending on the seriousness of the injury.

How to treat sharp pain in back?

Acute pain, sharp shooting pain, swelling, joint pain. Tips: Use right after an injury or the pain area of the back. Ice at least three times a day for 10-15 minutes a time to reduce inflammation, swelling, and pain. Repeat for 3 hours in a row. Take 2 hours off and repeat as necessary.

How does hot and cold work?

How does hot and cold therapy for back pain work? Hot cold therapy for back pain is a very common home treatment after an injury. Both the ice and heat therapy when used together can drastically diminish pain and speed up recovery.

What is the best treatment for a sprain?

Ice Therapy. Ice is good for headaches, bumps, sprains, and strains that may occur with sports, slips and falls, or lifting. Ice therapy is also helpful in treating some overuse injuries or chronic pain in athletes. Reduces the inflammation, swelling that is causing the pain.

How to treat a tight back muscle?

Loosen the tight back muscles. Reduces the inflammation, swelling that is causing the pain. Inhibit your nerve impulses. Instructions: Cold therapy is most commonly done through ice packs or short amounts of time in ice baths. Indications for Use:

How long does it take for a swollen ear to heal?

Most doctors recommend that you begin by using ice to prevent internal bleeding and/or swelling after an injury, and then after 24-72 hours depending on the seriousness of the injury, use heat to promote blood circulation and speed-up healing.

Can cold and hot medicine help with back pain?

Using hot and cold therapy for back pain is helpful in remedying pain, but not the only way to alleviate back pain. Please also remember to always consult your doctor before treatment. *affiliate link.

What is heat therapy?

Heat therapy helps decrease muscle stiffness and spasms. It increases blood flow to the area which helps reduce pain, inflammation, and muscle tightness.

When should you use cold and heat therapies?

Use ice for acute back pain during the first 48-72 hours after the pain starts.

How long should you use cold or heat therapies?

You may use ice or cold packs for 15-20 minutes at a time for acute back pain every 2 hours.

How long does pain last in the back?

Call your doctor if you have any of these symptoms, because they could be signs of a bigger problem: The pain lasts for more than 3 days. It moves from your back to other parts of your body. You also have fever or loss of bladder or bowel control. Share on Facebook Share on Twitter Share on Pinterest Email Print.

What to do when your back goes out?

When your back goes out, make an appointment with a massage therapist. A 2011 study found that this is an effective treatment for chronic low back pain.

How to stop back pain from sitting?

When it hurts to move, rest might seem like the right thing to do. But sitting still for too long might make the problem worse. To keep your back muscles from losing tone: 1 Lie down for no more than a few hours at a time. 2 When lying on your back, put pillows under your knees. 3 If you’re lying on your side, put the pillows between your knees . This will help to relieve pressure. 4 Get back to your normal daily activities as soon as possible.

How to keep your back from losing tone?

To keep your back muscles from losing tone: Lie down for no more than a few hours at a time. When lying on your back, put pillows under your knees. If you’re lying on your side, put the pillows between your knees . This will help to relieve pressure.

How to keep your back straight when smoking?

You can also protect your back by not lifting heavy objects. If you can’t avoid it, be sure lift the right way: Bend your knees and keep your back straight. It will keep you from pulling something or hurting your back. It’s hard to know if or when your back will go out.

How to stop throwing your back out?

You might feel achiness, numbness and tingling in your butt and legs. You can lower your chances of throwing your back out by maintaining a healthy lifestyle. That means getting regular exercise, losing weight, and reducing stress. And if you smoke, you should quit.

How to get rid of low back pain?

Exercise. It helps build muscle strength and can speed up recovery. Stretching and strengthening exercises, like yoga, can ease chronic low back pain. Your doctor may also suggest physical therapy to make your back and abdominal muscles (your “core”) stronger.

How long does it take to warm up a lower back?

It’s important to apply heat for only a limited amount of time. Fifteen to 20 minutes of moist heat can often provide the temporary relief needed at the moment.

How does cold therapy work?

By contrast, cold therapy works through vasoconstriction, or a narrowing of the blood vessels. When this occurs, it flexes the muscles and reduces the inflammation that is causing the pain. Cold therapy is most commonly done through ice packs or short amounts of time in ice baths.

What is the best way to treat back pain?

Heat therapy can be administered through many forms, such as hot water packs, hot stone, or warm towels. Soaking in hot baths is another popular form of heat therapy that is regularly used by back pain sufferers and anyone looking for relaxation.

How to help back pain?

Heat It. When using heat or ice for back pain, it may help to know that moist heat is more effective for back pain relief than dry heat. This can be achieved through a warm bath or shower. A moist heating pad can also work to provide relief.

Why is ice and heat important?

Ice and heat help the injured areas to relax and promote proper blood flow through the veins. Both the ice and heat when used together can drastically slim down or even diminish any pain.

Can you use heat packs on a back injury?

While using ice and heat packs on an injured area are helpful in remedying pain, they are not the only way to alleviate back pain. Having the inflamed area examined and treated properly by a professional chiropractic will ensure that the pain subsides and heals in due time.

Can you use ice before heat?

Most physicians recommend using ice before heat. The ice temporarily shocks the muscles to attention while the heat loosens and relaxes. Pain relief ointments, such as Icy Hot, are found in many pharmacies and use this same concept by cooling the area first before applying heat.

How long after a sprained leg can you use heat?

After the inflammatory phase, the first 72 hours, you can start to introduce heat to the situation in most cases. However, in some cases, even after the first 72 hours, it’s still too early for heat. If you continue to have sharp pain, or have pain that radiates down your leg, do not use heat, it’s too early and you should continue to ice ...

How does heat help with inflammation?

Heat. – Encourages blood flow by dilating blood vessels. When you want to decrease inflammation to an area, you want to reduce blood flow and therefore ice should be used. On the other hand, if you want to increase blood flow to an area to encourage healing, you want to use heat.

How to reduce back pain?

The Ultimate Guide. If you suffer from Back pain, applying ice and heat to the area can help to decrease your back pain and speed up your healing. Watch the video to learn when to apply ice or heat for back pain relief: Ice and heat therapy are readily available, affordable and effective for many injuries, which makes them a popular choice ...

Why do you need to apply ice and heat to your injury?

It’s important that you know when and why to apply ice and/or heat to your injury to help improve your condition, and prevent your injury from getting worse .

Why is it important to use ice and heat?

Timing of ice and heat application is critical, because using them at the wrong time can actually worsen your condition. For example, if you suffer an acute lower back injury and fall asleep on a heating pad, you’re likely going to feel increased pain and have difficulty moving.

When to apply ice to a pulled muscle?

You’ll want to apply ice during the acute phase, or inflammatory phase, of a back injury (Or Pulled muscle). Generally speaking, the inflammatory phase is the first 72 hours following an injury. If you suffer an acute injury, your body responds in the following ways: – Increased inflammation. – Increased blood flow to the area.

Can you use ice and heat together?

You can use ice and heat separately, or in some cases, together, which is known as contrast therapy. The key to contrast therapy is to start with heat and finish with ice. This has to do with the dilation and constriction of blood flow to the injured area.

What does it mean when a muscle is pulled?

A pulled muscle is another way to say the muscle has been strained. When a strain occurs in a muscle in the back, the fibers in one or more of the overlapping muscles that support the spine are either overused or overstretched. It may be tempting for our patients with back strain to suffer through it, but it’s important patients understand that if left untreated, a pulled muscle can lead to additional damage like painful tearing which requires a longer recovery.

Can a physical therapist help with back pain?

In most cases, back strain or pulled back muscles can be treated efficiently with physical therapy. One of the benefits to working with a physical therapist, is it offers patients an alternative to oral pain medication and gives them access to information and training to help reduce the risk of recurrent pain and strain.

How does cold treatment help with inflammation?

This helps to reduce inflammation by cooling the skin and soft tissues. Cold treatment slows down blood flow and therefore prevents swelling and pain to that area. It is particularly helpful after exercise or therapy.

How does heat work?

Heat comes in the form of heated packs, warm compresses, or hot baths. Heat treatment warms up the skin and tissue to stimulate blood flow to a certain area. This helps to deliver oxygen and nutrients to those muscles and joints to help improve flexibility and range of motion.

Does cold medicine help with swelling?

Cold treatment slows down blood flow and therefore prevents swelling and pain to that area. It is particularly helpful after exercise or therapy. This also is useful after an injury (such as a sprain, strain, or fracture) and for swelling from arthritis.

Is a heat pack or cold pack effective?

Heat packs or cold packs? This is a question that doctors and therapists often get from patients. Both heat treatments and cold treatments are inexpensive and extremely effective modalities that can help speed up recovery and function when used properly . What is heat treatment?

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