31–40 of 72 posts
Earlier quoted context omitted.
Does that mean that alternating hot and cold is no longer recommended for long term healing?
He's saying it never was
It's amazing how much medical knowledge we have to unlearn (and sometimes relearn) as time passes. Some of it from experts; much of it folk wisdom. And how much of that knowledge was based on overzealous extrapolation (as appears to be the case here). Heat vs Ice for injuries Fats vs Sugars vs Proteins (and everything else diet-related) Leeches went out of favor, but now see limited use again (for very specific thing…
What exactly do we need to unlearn about Fats vs Sugars vs Proteins?
This is a weird article / statement. RICE, afaik (former doctor here), was never about prolonged use for healing. The intent is to mitigate the harms of the initial excessive inflammation/swelling response (which threatens to compromise tissue at the peak of the injury event), by dampening this response via cooling / constriction of blood vessels. But, absolutely, after this has settled a bit, you're supposed to appl…
Isn’t it possible that promotes healing? The body should know how to heal.
Earlier quoted context omitted.
RICE is widely recommended to athletes to heal injuries by doctors, PTs, etc.
Ice is also widely recommended to aid recovery for athletes, despite it having a negative effect on post-exercise adaptation. People widely recommend incorrect stuff to athletes all the time.
Earlier quoted context omitted.
RICE is widely recommended to athletes to heal injuries by doctors, PTs, etc.
Ice is also widely recommended to aid recovery for athletes, despite it having a negative effect on post-exercise adaptation. People widely recommend incorrect stuff to athletes all the time.
Strenuous here means lifting your one rep max, running 20 miles, breaking a personal best sprint time, that sort of thing.
I can attest from personal experience that ice bath right after exercise works in these cases. I’ve even tested it by icing just one leg and not the other. There is a marked difference in recovery by next day.
Ideally you ice the muscles right after workout then put them in a compression clothing so they’re extra warm for the next several hours.
This is a weird article / statement. RICE, afaik (former doctor here), was never about prolonged use for healing. The intent is to mitigate the harms of the initial excessive inflammation/swelling response (which threatens to compromise tissue at the peak of the injury event), by dampening this response via cooling / constriction of blood vessels. But, absolutely, after this has settled a bit, you're supposed to appl…
I'm no physician, but as a child I did spend many Saturday afternoons watching Dad prepare lecture materials for the med school classes he occasionally taught, so I think that I am probably as qualified as a non-physician can be to massively overestimate my own competence. And I certainly don't know anything about soft tissue injury and inflammation beyond what my physical therapist has told me. But in the classes on research methods that I took in grad school, we loved to pick on the mid-to-late 20th century medical literature and standards of care, and one of the common themes that cropped up was a tendency to over-extrapolate.[1] That might be part of what happened with RICE? A strong acute histamine response might be associated with some secondary cellular damage at the injury site, but that's not necessarily a bad thing for long-term outcomes.
[1]: This tendency was deliciously satirized in https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001541/
It's amazing how much medical knowledge we have to unlearn (and sometimes relearn) as time passes. Some of it from experts; much of it folk wisdom. And how much of that knowledge was based on overzealous extrapolation (as appears to be the case here). Heat vs Ice for injuries Fats vs Sugars vs Proteins (and everything else diet-related) Leeches went out of favor, but now see limited use again (for very specific thing…
What exactly do we need to unlearn about Fats vs Sugars vs Proteins?
I can only summarize it as an ingrained feeling of "Fat is what fat people have". It meant they avoided it like the plague while completely overdoing it on other bad stuff.
This is a weird article / statement. RICE, afaik (former doctor here), was never about prolonged use for healing. The intent is to mitigate the harms of the initial excessive inflammation/swelling response (which threatens to compromise tissue at the peak of the injury event), by dampening this response via cooling / constriction of blood vessels. But, absolutely, after this has settled a bit, you're supposed to appl…
Off topic, why did you stop being a doctor?
It is contraindicated from the parameter of speed of recovery/healing. While that's important in order for someone to get back to work or a sport, the most important parameter should be quality of recovery, in my opinion.