2. Ice vs. Heat Mrs. Marr

3. Topics of Discussion Ice vs. Heat Therapy (Cryo vs. Thermo)

4. Terminology  Acute Injury –Characterized by rapid onset and resulting from a traumatic event.  Chronic Injury –Characterized by slow onset, implying gradual development of structural damage.  Inflammation –Heat, redness, swelling, and pain that accompany injuries; occurs when tissue is crushed, torn, or stretched.  Cryotherapy  Thermotherapy  P.R.I.C.E

5. Injury Classification Injuries are classified 2 ways: Acute or Chronic 1. Acute a. Occurring suddenly b. First time injury 1. Sprains Stretching or tearing of ligaments 2. Strains Stretching/ tearing of muscles or tendons

6. 2. Chronic a. Prolonged or gradually occurring b. Occurring repeatedly 1. Tendonitis 2. Faciitis

7. ICE vs. HEAT What is the best choice?

8. ICE (CRYOTHERAPY) Indications 1. Acute Sprains 2. Acute Strains 3. Contusions aka “Bruising” 4. Muscle Spasms

9. ICE (CRYOTHERAPY) Length of Treatment –Apply to injured area for 20-30 minutes –Wait approximately 60-90 minutes between applications –Use ice for the first 48-72 hours after an acute injury

10. Ways to Apply Ice Cryotherapy Application 1. Ice Pack 2. Ice Massage 3. Chemical Cold Packs 4. Flexible Gel Cold packs 5. Cold Water immersion 6. Vapocoolant Sprays

11. P.R.I.C.E. : Protection Rest Ice Compression Elevation

12. HEAT (THERMOTHERAPY)  Heat has the opposite effect of Ice

13. HEAT (THERMOTHERAPY)  A safe guideline for the progression to Heat is to avoid until the swelling has ceased. –This should be approximately 72 hours post acute injury. –The injured area should have a pain free range of motion –The area should not be acutely painful. –The injured area should have no signs of heat or swelling.

14. HEAT (THERMOTHERAPY) If any of these signs or symptoms are still present DO NOT START heat as a treatment.

15. Indications for Thermotherapy INDICATION 1. Chronic Sprains 2. Chronic Strains 3. Chronic Tendonitis 4. Loosen tight muscles 5. Improving circulation

16. Ways to Apply Heat Methods of Heat Application  Whirlpool Bath  Hydrocollator Packs  Paraffin Baths  Heating pads  Fluidotherapy  Analgesic Balms Biofreeze Biofreeze Bengay Bengay

17. Wait a Minute… IS ICE the best??   experts are now questioning the R.I.C.E. method: EBP! –https://www.carespot.com/news- item.php?id=109&utm_campaign=Athletic_Trainer_Weekly_7&utm_medium=email& utm_source=Athletic%252BTrainer%252BWeekly https://www.carespot.com/news- item.php?id=109&utm_campaign=Athletic_Trainer_Weekly_7&utm_medium=email& utm_source=Athletic%252BTrainer%252BWeeklyhttps://www.carespot.com/news- item.php?id=109&utm_campaign=Athletic_Trainer_Weekly_7&utm_medium=email& utm_source=Athletic%252BTrainer%252BWeekly

18. QUESTIONS / COMMENTS?