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Heat vs. Ice

Welcome to Doctor’s Corner, a new regular feature on Outsports. This feature is designed to give athletes--whether competitive or weekend warriors--practical advice on staying healthy and staving off injury. If you have any questions, suggestions or other concerns please feel free to Dr. Gloin directly

By Dr. Matthew Gloin
Outsports.com

When it comes to bumps, bruises and other aches and pains, a common question that I am asked is “when should I use ice and when should I use heat?” The answer to this depends on a number of things.

Take a moment and learn what you may want to do for your next ache and/or pain.

What is:
1. Superficial heat?
2. Cryotherapy?

Superficial heat is hot packs, warm moist towels, heating pads, water bottles, and infrared lamps are often used to help raise the temperature of soft tissues directly below the surface of the skin.
 Cryotherapy is a term that describes the application of ice, cold towels, ice massage, and compresses to reduce the temperature of tissues directly on or below the surface of the skin.

How does it work?
Heat applied to the surface of the skin enlarges blood vessels below the surface, relaxing tissues and can temporarily relieve painful symptoms.

Surface cooling constricts blood vessels, numbs painful areas, and helps relax muscle spasms. Cold temperatures reduce nerve transmission of painful symptoms and provide temporary relief.

When should it be used?
Heat is usually recommended for the relaxation of tissues in spasm and temporary relief of the symptoms associated with chronic (old) pain and muscle tightness. Local heat should be applied when symptoms are present. (Apply heat for a duration of 10-15 minutes maximum and discontinue if the pain increases or the complaint seems to be worsening).

Ice is often used to manage acute (new) or recent eruptions of chronic conditions i.e. re-injuring a knee. Cooling-affected tissues is effective in reducing and preventing posttraumatic swelling. Local cooling should be applied several times a day during the initial stages of an injury. (Apply for 10-15 minutes maximum and discontinue if the pain increases or the complaint seems to be worsening. Do not apply ice directly onto skin. Always cover the ice/ice pack with a thin towel).

Why is it used?
Using heat to calm tissues suffering from long-term spasm or irritation is an easy way to increase flexibility, range of motion and to promote increased circulation to speed the healing process.

Cryotherapy is inexpensive, readily available and an easy way to reduce local swelling of inflamed tissues.
 

Heat helps increase circulation, relaxes muscle tension, reduces joint stiffness, prepares tissues for rehabilitation, widely available and inexpensive. Ice helps reduce swelling and inflammation, numbs affected area to reduce pain, reduces muscle spasms, inexpensive and can be self-applied.

Consult your doctor before the self-administration of any therapy.   

If you have any questions, suggestions or other concerns please feel free to contact me directly.


Matthew Gloin is a chiropractor in Beverly Hills, Calif., who specializes in spinal  biomechanics and sports injuries He graduated from the Southern California University of Health Sciences, Summa Cum Laude, and holds an Honors Bachelor of Science degree in Human Biology and Physiology. In each article he will highlight a specific topic and will also answer any reader questions.

Other health columns: Stretching myths and facts

Photos by Brent Mullins / Outsports.com