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does ice help an injury heal?


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jtski908
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PostPosted: 07/25/05 - 09:01    Post subject: does ice help an injury heal?
ok, heres question i was thinking about the other day (while i was iceing my knee), lol

ice makes my knee stop aching, i love it! lol.

BUT, does it help my knee HEAL? does it help my knee from being injured further while i am running?

i know it keeps swelling down....

Kel
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PostPosted: 07/29/05 - 06:52    Post subject:
icing an injury will keep swelling down cuz the ice restricts blood flow to the injured area. keeping the swelling down will allow the injury to "heal" faster. ice itself does not heal, it helps in the process, as will taking an anti-inflammatory like advil.

ice has an analgesic effect too -- like you say, it makes your knee stop aching.

don't overdo icing. ice on and off in 20 minute intervals.
drwright
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PostPosted: 07/31/05 - 10:01    Post subject: Regarding ice and NSAIDs
I know you didn't ask about NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin, Advil or Motrin (ibuprofen), Tylenol (acetaminophen), etc. You should know that these drugs pose a risk to the stomach, and that they were never intended to be used more than 3 weeks at a time. NSAIDs do NOT help with delayed onset muscle soreness (DOMS), and will actually interfere with recuperation and recovery after a hard workout. For actual injury with inflammation, there is no question that they reduce inflammation and related pain.

For me, ice is a better choice than NSAID medication, given the risk of stomach problems and other serious side effects including death. Ice, if used as ice cubes or frozen ice cups for ice massage, directly applied to the skin, should be used no more than 5 minutes. "Ice" packs (really cold packs) should be used 15-30 minutes with something between the skin and the pack like a paper towel or plastic bag to protect the skin. Warm the injured area up for 15-30 minutes. Some sources say ice for 30, let it warm up 15. Depends on who you read.

The answer to your question is that ice doesn't really "heal" or speed healing as much as it prevents slower healing. So, yes, I guess you could say it "speeds healing time".

Ice helps stop internal bleeding from injured blood vessels and capillaries. Sudden cold causes small blood vessels to contract. This contraction of blood vessels decreases the amount of blood that can collect around the wound. The more blood that collects, the longer the healing time. The inflammatory process is what "heals", but stopping the internal bleeding with ice prevents slowed healing.

Make sure you know whether you're injured or simply have DOMS. It's amazing to me how many of my patients aren't sure of this. If you're injured, don't do any activity that hurts.
drwright
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PostPosted: 07/31/05 - 10:03    Post subject:
What's wrong with your knee? What is the medical diagnosis? Is it sore around the kneecap? Do you have PFS, chondromalacia patella or patellar tendonitis? Or something else?
jtski908
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PostPosted: 03/20/06 - 10:17    Post subject:
ive been to 2 different drs. 1 mri and 1 xray session later they both tell me they can see nothing wrong with me knee. yet the dull achy feeling remains after running. sometimes it is in the lower connective part that connects my knee cap to my shin and sometimes there is also a tightness that seems to be originating BEHIND my leg. meaning above the calf on the backside of the leg (where my leg bends) and runs down into my leg. im not sure what is going on with me knee.

ice helps the front side.....


Kel
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PostPosted: 03/20/06 - 11:36    Post subject:
where does it hurt? Just the back or the front too? Is your knee swelling? Are you still running? does it hurt when you don't run?
jtski908
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PostPosted: 03/20/06 - 14:11    Post subject:
it is an achely feeling at the bottom of the patella. the back where i explained above is achey also; there is a very tight feeling in the back and when i run it blossoms into a sharper pain (which quickly subsides after i stop).

now swelling that i can detect.

it has been acheing even though i have not run for about a week. it is slowly subsiding as time goes by....i have a reserve drill i have to attend and run at to past some physical requirements.....

ice-ing the front does help some. i have been stretching to make the back feel better, however, there is an overall feeling of weakness in my right knee....

Kel
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PostPosted: 03/20/06 - 15:52    Post subject:
jtski908 wrote:
it is an achely feeling at the bottom of the patella. the back where i explained above is achey also; there is a very tight feeling in the back and when i run it blossoms into a sharper pain (which quickly subsides after i stop).

now swelling that i can detect.

it has been acheing even though i have not run for about a week. it is slowly subsiding as time goes by....i have a reserve drill i have to attend and run at to past some physical requirements.....

ice-ing the front does help some. i have been stretching to make the back feel better, however, there is an overall feeling of weakness in my right knee....

Kel


what you describe for the front of the knee could be a trigger point in the medial quad (Vastus medialis). Especially the comment about the knee feeling weak. Does the pain tend to feel like it is more the towards the inside of the leg?



The blue by the knee shows a typical pain pattern for that trigger point. The blue circles in the muscle show where the trigger points are usually located (the lower one is mostly the culprit. Massage that area, if you find it tender, then it is a TP.

the back of the knee could be from the quad, the muscles in the back of the knee itself, the gastroc or the soleus.
jtski908
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PostPosted: 03/20/06 - 19:18    Post subject:
ok RB,

thanks for the info, il experiment and see what happens.


Kel
rybaxter80
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PostPosted: 03/10/13 - 20:20    Post subject: wow
Where to begin?
Icing ONLY relieves pain due to inflammation. Many people fail to realize however, that inflammation following any injury is a normal bodily function that helps repair damaged tissue. People treat this normal function as if it's some kind of mistake Neutral . Let me map out what exactly happens immediately following injury -
1. inflammatory response starts
2. histamines flood area causing all blood vessels (mostly capillaries) to dilate and INCREASE blood flow.
3. increased blood flow to damaged area allows more nutrients (O2) and platelets to repair damaged tissue
IF the damaged area is forced to deal with unnaturally cold temperature, then circulation will not be fluent enough to heal the damaged tissue as quickly. It's common sense. Don't make your body work harder than it needs to.
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