12/04/2019
TO ICE OR NOT TO ICE.
Since 1978 the phase RICE - Rest, Ice, Compress & Elevate has been quoted as the best cure for acute injuries. Gabe Mirkin, the doctor who introduced this protocol has revised his theory after years of further research and observations. His results have caused him to reject the use of ice.
For 1000s of years Chinese Medicine has avoided the use of ice, preferring heat to encourage healing.
I have condense his findings below but for those interested in more detailed information click on the article link at the end.
Why Ice Delays Recovery
Healing Requires Inflammation. When you damage tissue through an injury or over use, you heal by using your immunity, the same biological mechanisms that you use to kill germs. This is called inflammation. When germs get into your body, your immunity sends cells and proteins into the infected area to kill the germs. When muscles and other tissues are damaged, your immunity sends the same inflammatory cells to the damaged tissue to promote healing. The response to both infection and tissue damage is the same. Inflammatory cells rush to injured tissue to start the healing process.
Ice Keeps Healing Cells from Entering Injured Tissue
Applying ice to injured tissue causes blood vessels near the injury to constrict and shut off the blood flow that brings in the healing cells of inflammation ( The blood vessels do not open again for many hours after the ice was applied. This decreased blood flow can cause the tissue to die from decreased blood flow and can even cause permanent nerve damage.
Anything That Reduces Inflammation Also Delays Healing.
Anything that reduces your immune response will also delay muscle healing.
Thus, healing is delayed by:
• Cortisone-type drugs,
• Almost all pain-relieving medicines, such as non-steroidal anti-inflammatory drugs like ibuprofen
• Immune suppressants that are often used to treat arthritis, cancer or psoriasis,
• Applying cold packs or ice.
Gabe Mirkin, MD Recommendations (Which as a practitioner of Chinese Medicine I concur with (TS).
If you are injured, stop exercising immediately. If the pain is severe, if you are unable to move or if you are confused or lose even momentary consciousness, you should be checked to see if you require emergency medical attention. Open wounds should be cleaned and checked. If possible, elevate the injured part to use gravity to help minimise swelling. Since applying ice to an injury has been shown to reduce pain, it is acceptable to cool an injured part for short periods soon after the injury occurs. You could apply the ice for up to 10 minutes, remove it for 20 minutes, and repeat the 10 minute application once or twice. There is no reason to apply ice more than six hours after you have injured yourself. If the injury is severe, follow your doctor's advice on rehabilitation.
With minor injuries, you can usually begin rehabilitation the next day. You can move and use the injured part as long as the movement does not increase the pain and discomfort. Get back to your normal routine or sport as soon as you can do so without pain.
And of course have acupuncture to help speed up recovery!
https://www.drmirkin.com/fitness/why-ice-delays-recovery.html?fbclid=IwAR339OOqdRApMpJSxNlHVxLRtmDuMfn9sSXaBM1Pj0KWy1ienn4JFmVySKo