When managing pain and injuries, choosing heat and ice therapy can make a big difference in your recovery. Both therapies have unique benefits, but knowing when to use each is key to feeling better and healing faster. Let’s break it down in simple terms to help you decide what’s best for your situation.
When to Use Ice Therapy
Ice therapy is your go-to choice for fresh injuries like sprains, strains, or swelling. Ice helps by reducing blood flow to the injured area. This limits swelling and can ease the pain by numbing the nerves.
Ice can also be helpful for other problems like migraine headaches or flare-ups from conditions like gout.
However, it’s important not to overdo it. Prolonged use of ice, significantly beyond the first 6–12 hours after an injury, can slow healing by interfering with the natural inflammation process your body needs to repair itself.
When to Use Heat Therapy
Heat therapy is suitable for non-acute injuries or ongoing aches and pains. Heat can improve blood flow, relax muscles, and increase flexibility if you have stiff muscles or chronic back pain.
Heat is also helpful for conditions like delayed-onset muscle soreness (DOMS) after exercise or arthritis-related pain. It’s great for loosening up tight areas, such as your neck or shoulders, after a long day at the computer.
Choosing the Right Therapy for You
If you’re unsure which therapy to use, here’s a simple rule: use ice for brand-new injuries and heat for stiffness or chronic pain. Both therapies are powerful tools but work best when applied at the right time. Check out this helpful infographic for more information. When in doubt, call us for personalized advice to make the most of your recovery.
Early or Repeated Diagnostic Imaging Does Not Improve Outcomes
While the total number and frequency of x-rays and MRI’s for low back pain continues to rise, the resulting improvement in treatment outcomes does not. A recent research study shows another example of how over utilized or repeated studies performed can actually hinder successful outcomes. The study showed how follow up MRI’s (for patients that already have an MRI from a previous episode) did not show any new relevant data or findings that changed the course of care.
The research has routinely shown that over reliance on diagnostic imaging, especially early on in treatment, will result in fewer people getting better. Often times, people don’t realize how frequent and common age-related changes are seen on people with “normal” imaging or that don’t have pain.
In our office, we recognize when imaging is important. If there has been significant trauma, neurological weakness, or show a lack of response to a brief conservative course of care, we routinely refer our patients out for advanced imaging. We just want our patients to realize that getting an x-ray or an MRI may not only not be necessary, but may also negatively impact someone’s care.
Tomé-Bermejo F, Otero-Romero D, Javier-Martínez E, Sutil-Blanco Á, de la Rosa-Zabala KL, Avilés-Morente C, Oliveros-Escudero B, Núñez-Torrealba AA, Moreno-Mateo F, Cervera-Irimia J, Mengis-Palleck CL, Garzón-Márquez F, Plais N, Guerra-Gutiérrez F, Álvarez-Galovich L. How much does an MRI change over a period of up to 2 years in patients with chronic low back pain? Is a repeated MRI really necessary in the follow-up of patients with chronic low back pain? Eur Spine J. 2024 Dec;33(12):4563-4571. doi: 10.1007/s00586-024-08416-1. Epub 2024 Oct 11. PMID: 39394387.
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