Treatment FAQ

how to administer ice / heat treatment for painful

by Jeromy Hilpert Published 3 years ago Updated 2 years ago
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Soak your feet or hands in ice water to relieve pain and easily switch between hot and cold therapy. ( Image Reference) Immersing the injured area in a bucket, sink, or bathtub of hot or cold water is likely the best way to reap the benefits of hot and cold therapy.

Apply to the painful area for 15-20 minutes several times each day. Whether you use heat or cold, you may notice your skin looks a little pinker after applying the compress. That's normal, but let your skin return to its normal color and temperature before applying fresh ice or heat.Aug 26, 2021

Full Answer

When should I use heat or ice for pain?

When to use a Shoulder TShellz Wrap (HEAT):

  • When the swelling is down (usually after applying cold compression to the injury over 24 to 48 hr period).
  • BEFORE getting out of bed in the morning. ...
  • BEFORE exercise, workouts or activity of any kind to increase elasticity of the ligaments & tendons and decrease chance of re-injury.

More items...

How does heat and ice help treat pain?

When Should I Use Heat or Ice for Pain?

  • When Either Heat Or Cold Will Do. Soothe aches and pains caused by conditions like osteoarthritis, rheumatoid arthritis, back pain, fibromyalgia, and neck pain with either heat or cold.
  • Hydrotherapy. Showers and baths aren't just for mornings. ...
  • Warm Clothes. Want an easier -- and less painful -- start to your day? ...
  • Heat Wraps. ...
  • Heated Wax Therapy. ...

Should I use ice or heat therapy for pain?

Try to use moist heat or ice packs at least twice a day for the best relief from pain and stiffness. According to the American College of Rheumatology, five to 10-minute ice massages applied to a painful area within the first 48 hours of pain onset can provide relief. So can heat, which relaxes the muscles.

When to use heat vs Ice?

Ice and heat therapy can both be effective treatment options for muscle aches and pains. Generally, ice is better for acute or newer injuries, while heat is better for chronic or long-term pain. If your symptoms don’t improve with ice or heat therapy after a certain amount of time, discontinue use and talk to your healthcare provider.

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Do you ice or heat pain first?

Heat can feel warm, cozy and be tempting to toss on an injury,” says primary care sports medicine physician Anne Rex, DO. “But don't be fooled! Ice wins to shut down swelling, inflammation and pain early on where heat may actually make an injury worse.”

Does ice or heat help better with pain?

“Ice is a great choice for the first 72 hours after an injury because it helps reduce swelling, which causes pain. Heat, on the other hand, helps soothe stiff joints and relax muscles. However, neither option should be used for more than 10 to 15 minutes at a time.”

When do you alternate ice and heat?

(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.

Where should ice packs be placed for heat injury?

The current practice is to place two ice packs each on the neck, armpits and groin area. This treatment will be replaced by sticking six large cooling pads across four areas of the body - the chest, abdomen, thighs and the back.

How do you alternate heat and ice for back pain?

3 guidelines to use heat and cold for different types of back painUse cold first and then apply heat for acute back pain. ... Try continuous, low-level heat for subacute or chronic back pain. ... Ice your back immediately after exercise to reduce muscle soreness.

How do you heat and ice an injury?

The tricky part is knowing what situations calls for hot, and which calls for cold. Sometimes a single treatment will even include both. As a general rule of thumb, use ice for acute injuries or pain, along with inflammation and swelling. Use heat for muscle pain or stiffness.

Can you use ice and heat together?

Heat therapy will usually ease the muscle stiffness after the inflammation resolves. 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 do you do heat therapy at home?

A wet dishcloth Place a wet dishcloth in a freezer bag and heat it in a microwave. First, make sure that the bag is microwave safe. Wrap the hot pack in a towel and place it on the affected area for 15–20 minutes at a time.

How do you apply heat to an injury?

Heating tissues can be accomplished using a heating pad or even a hot, wet towel. When using heat treatments, be very careful to use a moderate heat for a limited time to avoid burns. Never leave heating pads or towels on for extended periods of time or while sleeping.

How do you properly ice?

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.

Why do we alternate heat and ice?

Alternating cold and heat Removing the cold causes vasodilation, as the veins expand to overcompensate. As the blood vessels expand, circulation improves, and the incoming flow of blood brings nutrients to help the injured tissues heal. Alternating heat and cold can be useful for: osteoarthritis.

How do you use an ice pack?

Ice pack or cold compressPut ice in a plastic, sealable bag.Fill partially with water.Seal the bag, squeezing the air out of it.Wrap the bag in a damp towel and put it on the affected area.

How Does Heat Therapy Work?

When placing a heated object on the skin, this starts a process called vasodialation, which enlarges the blood vessels and relaxes the muscles. Hea...

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...

Alternating Hot and Cold Therapies

In some cases, choosing either heat or ice for back pain may not provide enough relief. It can be helpful to use heat and ice together. By rotating...

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.

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.

How to heal a swollen vein?

The cold causes the veins to slim and ultimately flex the muscles. This reduces the inflammation causing the pain. Switching between the two can also help to speed up the healing process. Most doctors recommend that you begin by using ice to shock the muscles and veins, and then use the heat to soothe them. For some tips on how to make the best use ...

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.

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.

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.

What to use to cover a sore area?

An electric heating pad. A gel pack that can be microwaved or frozen. A bag of ice or frozen vegetables. A washcloth or small towel soaked in hot or cold water (wring it out, fold it, and apply to the sore area) Whether you use heat or cold, be sure to wrap the pack in a thin towel to help protect your skin.

What is the best treatment for stiffness?

When Either Heat Or Cold Will Do. Hydrotherapy. Warm Clothes. Heated Wax Therapy. Heat boosts the flow of blood and nutrients to an area of the body. It often works best for morning stiffness or to warm up muscles before activity. Cold slows blood flow, reducing swelling and pain.

What are the symptoms of a cold?

Soothe aches and pains caused by conditions like osteoarthritis, rheumatoid arthritis, back pain, fibromyalgia, and neck pain with either heat or cold. Each can give you relief from these symptoms: 1 Muscle aches, spasms, and pains 2 Lower and upper back pain 3 Stiff, swollen, or tender joints 4 Neck stiffness 5 Finger, hand, or wrist pain 6 Knee pain

How to get rid of stiffness in the morning?

Warm your clothes in the dryer for a few minutes before you put them on. The heated garments may help ease morning pain and stiffness. Heated Wax Therapy. Another way to apply heat -- especially to hands, elbows, and feet -- is warm, melted paraffin.

What to do when you're hurting in the shower?

Hydrotherapy. Showers and baths aren't just for mornings. When you're hurting, stand under or settle into warm water for a few minutes to help soothe and relax you. (If you're over 70 or have heart problems, check with your doctor before getting into a hot tub.)

What happens if you put a cold compress on your skin?

Whether you use heat or cold, you may notice your skin looks a little pinker after applying the compress. That’s normal, but let your skin return to its normal color and temperature before applying fresh ice or heat. Call your doctor if you notice any of the following signs after removing the compress.

Can you use a cold compress for neck pain?

Soothe aches and pains caused by conditions like osteoarthritis, rheumatoid arthritis, back pain, fibromyalgia, and neck pain with either heat or cold. Each can give you relief from these symptoms: For short-term pain relief of any of these conditions, apply a hot or cold compress using any of these items:

How long does it take to apply ice and heat?

How to safely apply ice and heat. You can apply ice and heat in lots of ways. Our experts generally recommend up to 20 minutes on and 20 minutes off: Ice packs: Frozen peas or corn, ice cubes in a baggie or frozen gel pack. You can ice beyond 48 hours, until swelling, tenderness or inflammation are gone.

When to use ice for a bruise?

When dealing with injuries, it’s best to predominantly choose ice if the injury is acute (less than 6 weeks old). The chill constricts blood vessels which numbs pain, relieves inflammation and limits bruising. “If you’re sensitive to cold then ice may initially seem uncomfortable or even painful to apply.

What is the inflammation of the tendons in the knee?

Tendinitis. Tendinitis is a painful inflammation issue that affects the tendons, the connective tissues between your muscles and bones. A common cause is repetitive activities so tendons in your elbow, knee, shoulder, hip and even your Achilles tendon are common sites.

What is the best way to relieve pain from a swollen ear?

Besides the usual measures to alleviate the pain — rest, pausing of activities that cause pains, OTC pain relievers — ice is the preferred method here as it can ease the inflammation and help numb the pain.

How to get rid of a sprained ankle?

Whether you’ve pulled a muscle in your calf or back doing yardwork or sprained your ankle playing basketball, it’s best to start either off with ice to ease inflammation (including swelling, redness or tenderness of the injury) and numb the pain.

How long can you ice a swollen elbow?

You can ice beyond 48 hours, until swelling, tenderness or inflammation are gone. Ice massage: Freeze water in a Dixie cup, peel back the top, and massage the tender area until it’s numb. (Best for targeted icing after injury or for areas too awkward for ice packs, like the elbow or heel).

How to improve range of motion in joints?

This is especially helpful to improve range of motion on a joint that maybe isn’t moving as well. Use heat before stretching or doing a home exercise program.

How does the hot and cold therapy system work?

Contrast therapy uses a perfectly balanced mix of ice and heat for treating soreness and pains. But if we talk about the overall process, cold and hot treatments work differently. They work on separate mechanisms and have different effects. Let’s have a quick overview of their work!

Contrast therapy timing

Are you interested in contrast therapy? The first thing you need to know is that it should be done carefully, considering the time durations. You can pick the delivery methods as per your preference. But don’t forget to keep a clock or stopwatch with you to keep an eye on the time.

Alternating heat and ice for a sprained ankle

Alternating heat and ice for sprained ankles is a good option, but it is recommended to apply ice first. If it doesn’t work out and you feel no change in pain or swelling, you can opt for contrast therapy.

Hot and cold therapy for shoulder pain

For Frozen Shoulder – Use a simple ice pack to minimize the local inflammation and swelling. Keep icing your shoulder for at least 10 minutes and do it daily before hitting the bed.

Precautions

Never apply ice or heat packs directly to the skin. Always keep a thin fabric between the source and skin.

How long do you alternate heat and ice?

It depends on the intensity of the pain. We can opt for ice therapy in the initial phases for 72 hours or up to 4 days. After that, the patient can safely switch to heat therapy that would help increase the circulation to the targeted or damaged area.

Conclusion

Ice can worsen muscle tension, cramps, and spasms, while heat can increase swelling and inflammation. Cold therapy seems to help in vasoconstriction, but heating supports vasodilation – absolutely opposite! But the point to ponder is “BOTH ARE EQUALLY EFFECTIVE.”

Why is ice good for injury?

It is effective because it causes vasoconstriction, or narrowing of the blood vessels. The muscles contract, inflammation is lowered, and pain signals are reduced.

How to get rid of a swollen foot?

Soak your feet or hands in ice water to relieve pain and easily switch between hot and cold therapy. ( Image Reference) Immersing the injured area in a bucket, sink, or bathtub of hot or cold water is likely the best way to reap the benefits of hot and cold therapy.

How long does it take for pain to go away after contrast?

It’s normal for the pain to return several hours after using contrast therapy, especially in the early days of the treatment. In time, the pain should be less severe and slower to return.

Does contrast therapy help with pain?

Sometimes, choosing one over the other simply may not provide enough relief, which is where contrast therapy comes in. With this gentle method, you can simultaneously reduce inflammation, stimulate circulation, and loosen tight muscles, thereby easing your pain.

Is cold or hot therapy good for recovery?

Hot and cold therapy may be effective in aiding recovery by reducing levels of both lactic acid and muscle soreness. It may be particularly beneficial for those who have a second workout planned for later in the day, as it doesn’t shut the body down in the way pure ice therapy does.

Can you use contrast therapy on hips?

Although the hip joint causes problems for many, it is not usually the best candidate for contrast therapy due to its size and the fact that it is often padded with fat. However, given the simplicity and cost effectiveness of hot and cold therapy, it’s worth trying contrast therapy for many conditions that cause pain.

Do you need a clock for contrast therapy?

Once you have decided on a method of contrast therapy, you should prepare your delivery methods of choice. You’ll also require a clock or stopwatch to time each application, although you don’t need to be too precise.

How does heat therapy help with pain?

The goal of heat therapy is to increase blood flow to an area , helping relax stiff muscles and reduce joint stiffness.

How to treat a soft tissue injury with ice?

Fill each cup with water and freeze. Once the ice is frozen, the paper rim can be peeled away to expose a small amount of the ice, which can be gently massaged onto the soft tissue injury for a short duration. Keep peeling the paper cup to expose more ice as needed.

Why is ice therapy important?

Ice therapy can be an important intervention for soothing injuries that are accompanied by pain and swelling. Mild to moderate injuries can often be managed at home when the trauma only affects soft tissues. Icing an injury is often combined with other therapies depending on the type and severity of the injury.

How long does it take for ice to reduce swelling?

Using ice therapy within the first 2–3 days of injury is recommended for the reduction of swelling. The application of cold temperature at the site of injury temporarily numbs the nerves in the area, reduces blood flow to the site, and slows down the signals that promote inflammation beneath the skin’s surface.

How to make an ice pack?

Advertisements. You can do any of the following: Place a handful of ice cubes or crushed ice in a plastic bag and then wrap it with a thin towel or cloth.

What is ice therapy?

Ice therapy is typically used in the treatment of sudden traumatic injuries, sports injuries, overuse injuries, and muscle spasms. Ice therapy has also been used in the treatment of some types of chronic injuries. Repetitive motions and high-impact exercise can expose certain areas of the body to repetitive stress.

How to protect skin from frostbite?

Forgetting to protect the skin: Directly applying ice to one area of skin for too long can lead to skin damage or frostbite. Thus, always wrap the ice in a thin towel or cloth to protect the skin from direct exposure. Restarting activity too soon: Resting the area can play an important role in recovery.

Ice Treatment

Ice treatment is most commonly used for acute injuries. If you have a recent injury (within the last 48 hours) where swelling is a problem, you should be using an ice treatment. Ice packs can help minimize swelling around the injury, reduce bleeding into the tissues, and reduce muscle spasms and pain.

Heat Treatment

Heat treatments should be used for chronic conditions to help relax tight muscles and relieve aching joints. This is especially helpful to improve range of motion on a joint that maybe isn’t moving as well. For inflammation of joints caused by arthritis, using moist heat, like a soak in a tub or shower helps.

Arthritis

The inflammation of joints or pain caused by arthritis can cause pain and stiffness in places like your elbows, knees, shoulders and fingers. For these instances, using moist heat, like a soak in a tub or shower helps.

Muscle Strains and Sprains

Muscle strains and sprains usually benefit from a combo of both ice and heat when they occur. Whether you’ve pulled a muscle in your back doing yardwork or sprained your ankle playing basketball, it’s best to start off with ice to ease inflammation (including swelling, redness or tenderness of the injury).

Tendonitis

Tendonitis, a painful inflammation issue caused by repetitive activities, affects the tendons, the connective tissues between your muscles and bones. To alleviate the pain, rest, over-the-counter pain relievers and ice are recommended. Ice is preferred to ease the inflammation and help numb the pain.

How long after injury can you alternate ice and heat?

However, ice and heat can decrease muscle soreness and speed your recovery. While both treatments are beneficial, they are best suited for different situations. Ice and heat may also be alternated as soon as 3 days after injury.

How to reduce swelling in sore muscles?

Contrast baths may decrease pain and swelling in your sore muscles. They work best for areas that can be easily submerged in water. Alternating immersion in warm and cold water helps flush excess fluid out of the area as your blood vessels expand and contract.

How to treat sore muscles after a sprain?

Following the first 3 days after injury, you can alternate the use of ice and heat to treat your sore muscles. Apply heat if you're feeling stiff -- for example, in the morning after you get out of bed. Apply ice to decrease pain after activities.

What happens to muscles after injury?

Immediately after injury, muscle soreness occurs as tissues are overstretched or torn. Bleeding and swelling often occur inside and around your muscle. Ice application after an injury constricts your blood vessels, decreasing blood flow to the area and limiting swelling. Nerve activity is decreased by cold, which diminishes your pain.

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