Treatment FAQ

is heat or ice treatment recommended for lower back pain - which one is better?

by Gerard Walsh Published 2 years ago Updated 2 years ago

As you can see above both ice and heat are popular and effective treatments for low back pain but which is actually better? It really depends on how the pain feels, if you feel your injury /pain is muscle related or chronic then hot compression is better.

When your back pain is acute (less than a 4-week duration) and/or occurs due to a direct injury, use cold therapy first. 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.

Full Answer

When to use heat vs. when to use ice for lower back pain?

In general, many people feel heat therapy works better to relieve their lower back pain compared to cold. Also, taking oral pain-relieving drugs while using these therapies may have an added effect on the overall pain relief. 2 Read more about Non-Surgical Treatments for Lower Back Pain Learn more: How to Use Ice Massage Therapy for Back Pain

Should I use ice or heat for my lower back pain?

If you are suffering from lower back pain, read on to discover whether you should be using heat or ice. When to Use Ice for Lower Back Pain In most instances, you should use ice on your back for the first 24 to 72 hours following an injury. Cold therapy helps minimize swelling and inflammation. This, in turn, eases your pain.

When to use heat vs Ice?

Jul 01, 2016 · Flexibility is an important part of maintaining a healthy back. For that reason, if you find you have back pain after exercise, you might consider heat therapy before exercise and ice afterward. The heat will relieve muscle tightness, increase elasticity, and warm up muscles before use, and the ice afterward will reduce inflammation.

How to apply ice to relieve back pain?

Mar 05, 2020 · By: Dr. David Oliver, DC and Dr. Shaina McQuilkie, DC, Last Updated: March 5, 2020. 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 …

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 get rid of back pain?

If you do exercises to strengthen your back, you may find that applying heat first helps warm up your muscles and get through your workout with ease. Cold works to ease inflammation and pain following a workout.

When to use heat or ice?

When to Use Heat Vs. When to Use Ice for Lower Back Pain. When to Use Heat Vs. When to Use Ice for Lower Back Pain. Both heat and cold therapy are beneficial and can provide effective relief from lower back pain. If you are like many people, though, you might not know when to use heat vs. when to use ice for lower back pain to achieve ...

How to reduce swelling from ice burn?

Cold therapy may also decrease tissue damage. Whether you use an ice pack, a frozen towel or even a bag of frozen vegetables, place a cloth between your skin and the source of cold to prevent ice burn.

Does cold medicine help with back pain?

Cold works to ease inflammation and pain following a workout. Chronic lower back pain should be assessed by a medical professional. If you suffer from lower back pain, your Denver physical therapist can help you determine the best course of treatment. To learn more, contact Denver Physical Medicine today.

Is it better to use dry heat or moist heat?

When using heat, you can choose between dry heat or moist heat. Dry heat is generally easier to apply, but it may make your skin feel dehydrated. Moist heat penetrates your muscles better and may work better for easing your pain. If you have open wounds, dermatitis or diabetes, avoid heat therapy altogether.

How cold and heat therapy works to relieve back pain

These treatments are based on the physiology of your body’s natural healing processes. After an acute injury, your body’s emergency repair cells rush to the site of the damaged tissue to stop any bleeding if needed, protect against infection, and begin regrowing cells to replace the damaged ones.

When cold can help with back pain due to inflammation

Inflammation and swelling is part of the body’s natural response to injury, but once the threat has been neutralized and healing is underway, inflammation and swelling can actually increase pain. In these cases, ice acts to blunt the inflammatory response, which helps reduce swelling and calms the nerves around the injury site.

When heat can help with back pain

The physiological effects of heat therapy include temporary pain relief, increased blood flow and metabolism, and improved elasticity of connective tissues. [2] Application of heat helps with stretching of soft tissues around the spine and decreases stiffness.

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 .

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 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 ...

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.

Why does heat help with pain?

This allows blood to flow more freely and quickly, delivering proteins, nutrients, and oxygen for improved healing. Heat also stimulates your body’s sensory receptors to block the transmission of pain signals, resulting in a pleasant, relaxing feeling.

How does heat therapy help with chronic pain?

Heat therapy can be especially helpful in cases of chronic pain, by stimulating nutrient flow and inhibiting pain receptors. When using heat, be careful to avoid burns by testing the temperature of your pack before you apply it -- it should be warm to the touch, not hot.

How to reduce swelling in a muscle?

If you have a fresh injury or swelling, try using ice to reduce inflammation in the area. If you feel muscle pain, consider using heat therapy to dilate the vessels to promote blood flow and healing. It’s important not to mix these up.

How long after physical activity can you use heat and cold?

One study even found that if you wait 24 hours after physical activity, both cold and heat therapy work well in reducing muscle tissue damage ( 18 ). Here’s a simple way to remember which therapy does what: ice is for injuries, heat is for muscle pain. Don’t use temperature packs:

What is dry heat?

The heat used in this therapy comes in two forms: dry heat and moist heat. Dry heat is heat from rubber hot water bottle, dry heating packs, and heat pads.

What to do if you have a cold and you are in pain?

Supplement the ice pack with other treatments. When using the cold compress, follow the standard RICE (rest, ice, compression, and elevation) method. If the pain persists throughout the day, consider painkillers like Tylenol or Advil. If the pain continues for more than a few days, talk to a doctor.

Can you use heat therapy after exercise?

Do not use heat therapy after exercise or an activity. Heat should not be used if the skin is red, hot, or inflamed, if there is an open wound, or if you have dermatitis. When applying a heat compress to skin, make sure the temperature of the compress does not burn you, by testing it with the back of your hand.

How to treat back pain from cold?

Hot or cold for back pain? 1 Research health conditions 2 Check your symptoms 3 Prepare for a doctor's visit or test 4 Find the best treatments and procedures for you 5 Explore options for better nutrition and exercise

Does heat or cold help with pain?

Nerve fibers that carry pain sensation also sense change in temperature. As a result, stimulating the nerv es with either heat or cold can diminish your discomfort, so you can choose which one to try. Both may ease your pain. To continue reading this article, you must log in.

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 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 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.

How to get rid of a burning burn on the skin?

Apply Heat. Studies show that it can provide short-term pain relief. A hot shower, bath or heating pad can help relax tense muscles and reduce inflammation. But if you use a heating pad, be careful. Don’t set it on “high” or fall asleep with it on your skin. It could cause serious burns.

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 does heat therapy help the lumbar spine?

Heat therapy dilates the blood vessels of the muscles surrounding the lumbar spine. This process increases the flow of oxygen and nutrients to the muscles, helping to heal the damaged tissue. Heat stimulates the sensory receptors in the skin, which means that applying heat to the lower back will decrease transmissions of pain signals to ...

Why does my lower back hurt?

Many episodes of lower back muscle strain result from strains and over-exertions, creating tension in the muscles and soft tissues around the lower spine. As a result, this restricts proper circulation and sends pain signals to the brain. See Pulled Back Muscle Treatment.

Is heat therapy free?

Compared to most therapies, heat therapy is quite inexpensive (and in many circumstances, it’s free - such as taking a hot bath). Heat therapy is also easy to do - it can be done at home while relaxing, and portable heat wraps also make it an option while at work or in the car.

Can you use heat packs for lower back pain?

In addition, heat therapy for lower back pain - in the form of heating pads, heat wraps, hot baths, warm gel packs, etc. - is both inexpensive and easy to do. It's possible to make a moist heat pack with common household items.

Is heat therapy good for back pain?

Relative to most medical treatments available, heat therapy is appealing to many people because it is a non-invasive and non-pharmaceutical form of lower back pain relief.

Does heat therapy help lower back pain?

Benefits of Heat Therapy for Lower Back Pain. While the overall qualities of warmth and heat have long been associated with comfort and relaxation, heat therapy goes a step further and can provide both pain relief and healing benefits for many types of lower back pain.

How to treat a cold and heat?

Cold can be applied with an ice pack, while heat can be administered by taking a hot bath or by using a heating pad. You may have to experiment until you find the treatment best for you, but keep in mind you may need to seek medical treatment. Also, discontinue one or both if they cause you discomfort or pain.

How to reduce swelling from pinched nerve?

When the area around a pinched nerve gets inflamed, it can cause your pain to get worse by compressing it even more. To promote circulation and relieve swelling, consider hydrotherapy. Hydrotherapy is a method that utilizes both heat and ice. First ice is applied up to four times daily to reduce swelling.

What is the best medicine for pinched nerves?

Several over-the-counter medications like aspirin and ibuprofen are good for both pain relief and reducing inflammation. They can help heat or ice for pinched nerve treatment methods work more efficiently.

How to treat a pinched nerve?

One of the most recommended treatment options for a pinched nerve is hot and cold therapy, which actually requires you alternate between heat and cold so that both the swelling and muscle tension is addressed. Cold treatment can reduce inflammation, while heat can relax your muscles. Both can provide comfort for a pinched nerve.

What to do if you don't have calcium?

If you lack in calcium, you increase your chances of suffering a pinched nerve. Calcium promotes nerve health and good overall well-being. Incorporate nutrient-rich foods like yogurt, cheese, milk, kale and spinach. When shopping for groceries, look for calcium-fortified foods.

Can you massage a pinched nerve?

While heat or ice for pinched nerve provides relief, some find comfort through massage. Using heated oil enhances the treatment method, allowing for greater relief of muscle tension. Olive oil is often used as it contains several healing properties. The key is to heat the oil as much as you can and still be able to handle it comfortably. Too hot and you can burn yourself or promote inflammation instead of relieving it.

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