Shannon Saunders Physiotherapist

Shannon Saunders Physiotherapist I am an experienced Physiotherapist with a Masters in Clinical Pain Management. I have worked in hospitals, rehabilitation centers and with high-level athletes and sports teams across the world. I strongly believe that physical, mental and emotional health are all connected and that by considering a person holistically, I can help you to achieve the life that you deserve. Among many services, I also offer home visits for those in need. I am passionate about helping people to reach their goals and attain a fulfilled lifestyle."

I am a big fan of the fact not everything works for  everyone. Ice baths included... take a read!
23/11/2025

I am a big fan of the fact not everything works for everyone. Ice baths included... take a read!

Athletes love a trend.

Right now 10 minutes in a bin of ice because some influencer said “it boosts recovery and performance” seems to be all the rage.

This is helped by the multitude of offers and discounts on home units available.

But many are simply sucked in simply by marketing and not real world application of the evidence.

Here’s the uncomfortable truth:

If you use ice baths at the wrong time or in the wrong way, you can literally blunt the training adaptations you’re working so hard for.

This isn’t a vibe. It’s data.

❄️ What ice baths actually do

Short term, cold water immersion (CWI):

Reduces soreness and perceived fatigue after hard sessions

Lowers tissue temperature and blood flow, damping down inflammation and pain

That can be helpful if:

You have to compete again soon (tournaments, multi-stage races, brutal training camps).

You need to feel better tomorrow more than you need maximum adaptation next month.

But that same mechanism is exactly why it can work against you.

Overusing ice baths during individual sessions or frequency can diminish your gains!

As an example, multiple studies and meta-analyses show that jumping into cold water immediately after resistance training can attenuate hypertrophy and strength gains over time.

Why?

Because you’re reducing blood flow and nutrient delivery to the muscle and dampening the anabolic signalling and satellite cell activity that drive growth and strength gains

You may feel “recovered”, but your numbers and muscle adaptations probably say otherwise.

If your goals include lifting heavier and strengthening tendon and connective tissue for performance a post-lift ice bath is often a terrible choice.

Ice baths are great at making you feel better.

That doesn’t automatically mean:
Better adaptation
Lower injury risk
Improved long-term performance

The research is clear: CWI reduces soreness and perceived fatigue, but long-term performance benefits are mixed at best.

Stop confusing less soreness with better recovery If you always chase “I don’t feel sore” you can easily undercut the stimulus your body needs to actually adapt.

There’s some interesting work showing cold can enhance certain mitochondrial and oxidative markers when combined with endurance training.

But The evidence that it improves endurance performance long term is not strong or consistent.

For many endurance athletes, the bigger issue is that heavy strength work (which you should be doing) is being followed by an ice bath that blunts those strength gains.

If you’re a runner/triathlete doing gym work to get more robust, faster and harder to break… and then you sit in 10°C water straight after? You’re partly undoing the thing you just suffered for.

So your ice bath may actually be Potentially interfering with some endurance adaptations that you have worked so hard for!

🔥 Let’s talk influencers

If your recovery plan is based on:

Someone with a discount code and a six-pack

A reel with dramatic music and no nuance

that’s not performance. That’s marketing. I’ve been approached hundreds of times over the years with an affiliate deal or incentive to promote products. I’m old and ugly enough to resist the ones I don’t believe in but many aren’t.

Be careful if you see the Red flag checklist that may include/

“Ice baths supercharge recovery” with no mention of context or trade-offs ❌

“Do this after every session” ❌

“Claims of boosting hormones, immunity, longevity, fat loss – all from a 3-minute reel ❌

If the people you’re listening to never say “it depends on your goals”, they’re not talking to high-performance athletes. They’re talking to an algorithm.

🧊 BUT… ice baths can be useful

There are smart uses for CWI:

Tournament or multi-day racing: when you need to turn around quickly and perform again, and you accept a small trade-off in adaptation to protect performance tomorrow.

Brutal heat & big load blocks: as one of many tools to manage total strain and keep you training.

Mental health / mood: some people genuinely feel calmer, clearer, and more focused with cold exposure – and that absolutely matters. I think we’ve crossed wires on this one big time in recent years!

The point isn’t “never ice bath”.

The point is: stop using it blindly.

✅ What I Recommend

If you’re an athlete who wants performance and long-term progress, here’s the nuance.

1️⃣ After strength or power sessions (or tendon rehab)l Avoid ice baths for at least 4–6 hours after lifting, and ideally skip them completely on key strength days if muscle/tendon adaptation is a priority. You can’t buy adaptation with cold water. You earn it by letting your body do the inflammatory work.

2️⃣ After key endurance workouts

Ask yourself: “Do I need to be better tomorrow, or better in 6–12 weeks?”

If it’s a heavy training block and adaptation is king → use ice baths sparingly, not after every big session.

If it’s competition, a camp, or back-to-back hard days where tomorrow’s performance is critical → an ice bath can be an intentional trade-off.

3️⃣ How often and how cold?

Based on current evidence and expert guidance:

Temperature: around 10–15°C (50–59°F) often I see it much much colder! Or not checked at all!

Duration: roughly 8–15 minutes total (can be split into short bouts) often I see it much much longer or not enough!

You do not get extra benefit from “colder, longer, more suffering”. You just increase risk.

Frequency:

Think 1–2x per week, strategically placed, not “every single session because recovery”.

4️⃣ Using cold for mood / stress

If you love the mental reset:

Put cold plunges on rest days, easy days, or mornings away from hard strength work, rather than straight after your key lift or intense session.

Shorter exposures (cold showers, brief immersions) can still give a psychological lift without constantly hammering your post-training signalling.

5️⃣ Who should be cautious?

Anyone with:

Cardiovascular disease
Uncontrolled high blood pressure
History of cardiac events, Raynaud’s, or significant circulatory problems

You really should talk to a medical professional first. Cold shock is real, not “mindset”.

Final thought

Ice baths are a tool, not a personality.

Used well: they can help you turn around faster and cope with big blocks.

Used blindly: they can quietly rob you of the adaptations you’re training for.

Thanks for taking the time to read.

This incorrect fact puts so much fear into many of my patients thoughts. This truth needs to be educated and past on to ...
17/10/2025

This incorrect fact puts so much fear into many of my patients thoughts. This truth needs to be educated and past on to all, to assist understanding better and in turn assist their recovery better.

It’s nearly 2026… and people are still saying “slipped disc.”
There are 75 days left until 2026, and somehow this myth still won’t die. Discs don’t slip. They never have, and they never will.

The discs sit firmly attached between the vertebrae — they’re part of the spine’s structure, not little hockey pucks floating around waiting to “slip out.” Each disc is anchored by tough outer fibres (the annulus fibrosus) that fuse directly to the vertebral bodies above and below.

What actually happens is that the soft inner material (the nucleus pulposus) can bulge or herniate through weakened fibres and sometimes press on a nearby nerve. That can cause pain, but the disc itself hasn’t “slipped.” It’s still right where it belongs.

And for the inevitable nitpickers — yes, I already know what you’re about to type: “What about spondylolisthesis then?”
That’s a completely different condition. Spondylolisthesis is when one vertebra moves slightly forward or backward relative to the one below it — not the disc. The disc isn’t slipping; the bone is shifting position due to a defect or fracture in the vertebral arch.

So please, as we head into another year, let’s leave “slipped disc” in the past where it belongs. The correct term is disc bulge or herniation, not “slip.”

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31 Lynn Avenue GlenAshley
Durban North
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My Story

I am a Durban based Physiotherapy practice (Morningside and Durban North), that considers all aspects of health in order to help you achieve the pain-free life that you deserve. I believe physical, mental and emotional health are all connected.

I am an experienced physiotherapist, having worked in hospitals, rehabilitation centres and with high-level athletes and sports teams across the world. I have an interest in child development and community work and am currently doing my masters in Pain and Pain management via The University of Edinburgh. Among many services, I also offer home visits for those in need. I am very passionate about helping people to reach their goals and attain a fulfilled lifestyle. I strongly believe in education and understanding when it comes to your problems and i would love to even just advise you where needed. please feel free to contact me