29/10/2025
How to use heat/ice.
As a Sports Massage Therapist I am often asked which is more effective heat or ice, the answer depends on your underlying condition.
Ice (Cryotherapy)
- Reduces inflammation swelling and acute pain.
- Best used immediately after injury (first 24–48 hours).
- Beneficial in inflammatory arthritis conditions such as Rheumatoid Arthritis during flare-ups when joints feel hot, swollen, and painful.
Heat (Thermo therapy)
- Increases circulation, promotes tissue relaxation and reduces joint stiffness.
- Most effective for chronic muscle tightness, joint stiffness or degenerative conditions such as Osteoarthritis, where improved mobility is the goal.
- May also be useful between Rheumatoid Arthritis flare-ups to ease stiffness.
- Always avoid direct skin contact (wrap in a towel), and limit applications to 15–20 minutes at a time.
At times heat OR ice isn’t enough!! This is where Contrast Therapy (alternating heat and cold) can help.
How to use Contrast Therapy.
Step 1- heat for 10 mins (relaxes & loosens).
Step 2- ice for 1–2 mins (calms inflammation).
Step 3- repeat 3–4 times.
End with ice if you’re swollen, or heat if you’re stiff.
Great for-
- Osteoarthritis stiffness
- Muscle recovery
- Managing alternating pain & swelling conditions
Arthritis distinction-
- Osteoarthritis- heat improves comfort and mobility.
- Rheumatoid arthritis- ice during inflammatory phases, heat between flares.
Always limit applications to 15–20 minutes, monitor skin response, and never apply directly to bare skin.
Always listen to your body, if you’re unsure always check with a professional. Send me a message and I can guide you to which therapy is best for you.