Ice to treat soft-tissue injuries contraindicated by creator of protocol
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Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#2It'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 things, not blanket "release the bad humours!" quackery.
Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#3And here I thought the ice was intended to be a pain reliever, not a way to induce healing.
Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#4one wonders how it ever even seemed like common sense to disrupt the body's evolved immune response to acute, traumatic soft-tissue injury, never mind good conventional medical advice.
ice to preserve a detached structure? sure. quelling the inflammation of organs or the brain? yeah, those types of inflammation can turn into a cascading collection of responses, often (but not always) having distinct non-traumatic root causes.
but disrupting increased (life)blood flow to the site of acute, traumatic soft-tissue injury? seems like some otherwise logical lines crossed there, not to mention just a bad idea on its face.
Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#5And here I thought the ice was intended to be a pain reliever, not a way to induce healing.
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Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#6This 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 apply warmth, not heat, to encourage increased perfusion to the area and promote healing.
So, apples/oranges. There's nothing in the statement above to say that RICE is contraindicated as an initial management, and the implication that RICE was meant to be applied past initial management simply isn't true in the first place (afaik).
I could be wrong as to how others used it, however. I wouldn't put it past a hospital to mindlessly make it a protocol that would then be followed blindly, I guess...
Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#7I suppose it's related, that for athletes, ice baths after exercising are to be avoided because they hinder hypertrophy.
Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#8This 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…
Does that mean that alternating hot and cold is no longer recommended for long term healing?
Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#9This 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…
How is the initial swelling dangerous / compromising?
Re: Ice to treat soft-tissue injuries contraindicated by creator of protocol
#10This 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…
How is the initial swelling dangerous / compromising?
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