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Which One Heat or Ice?

Confused about when to apply heat and when to apply cold? Chances are you are not alone and with so much information available it can be difficult to decipher through it all. This simple chart should help better understand when to use which application and start you on the road to faster recovery and decreased pain.

  Heat Ice
General or Chronic Aches Apply for 20 minutes prior to exercise. Apply for 20 minutes after exercise.
Recent Injury or Ache 48 hours after an acute injury, apply for 20 minutes at a time. Repeat as needed. Within the first 48 hours after an acute injury, apply for 20 minutes at a time. Repeat often. Initial application best if applied within 20 minutes of sustaining an injury.
How to Apply Place heat pack on top of injured area. Do not apply body weight (i.e. do not sit the injured area on top of the heat pack). Place a thin towel over your skin for protection, then wrap the ice pack tightly around the area. Never apply an ice pack directly to skin.
Precautions Do not apply to areas with broken skin or diminshed sensation. Do not apply to areas with diminshed sensation. Avoid if you have Raynaud's disease or former frostbite areas.
In Combination Ice and heat may be used in combination 48 hours after an injury. Either alternate cold and hot packs for 10 minutes, or try a contrast bath. Fill two buckets, one with cold water and some ice, and the other with tolerable hot water. Soak the area in the cold bucket for 2 minutes, then switch to the hot for 2 minutes. By alternating, you keep the swelling down with the cold, while you keep the blood and its nutrients circulating through the injured area with the heat.

By Carol Glasscock, MS,PT

 
     
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