Get the facts straight!
It may be time to sit down and hold on to your seat. Yes, there is something we need to talk about and it may shock you! Well, it is not going to be an, it’s me not you conversation. This talk is about the decades old rule about icing injuries. It may be time to stop icing as new information contradicts what we believed to be true. After an injury we may need to manage our healing a little differently. I wrote a blog on RICE, which is an acronym for rest, ice, compression and elevation. The blog was an excellent experience for me to write. I got to research many new thoughts on RICE and healing. There is a whole new school of thought regarding how to manage an acute injury.
The thought behind limiting ice during an injury also applies to compression and elevation. Before, it was thought that ice should be applied to limit the amount of swelling to an area. Inflammation was thought to be an overzealous event that may have caused too much scar tissue to be produced. The outcome would be too much scar tissue causing limited range of motion and continued pain. Subsequently, with improper healing without RICE re injury would be a high probability.
We were taught to do the basics and now the basics are incorrect. Be flexible and always update yourself on the latest sports therapies. Your North Vancouver Sports Chiropractor at Vancityprochiropractic will be to up to date with the latest research and techniques. Call now for an appointment.
Our bodies have a system to deliver healing factors to the site of injury. The heart, artery and veins work with the lymphatic system to deliver and remove fluid to injury sites. Icing causes vasoconstriction of the circulatory system, but causes increased permeability of lymphatic tissue. The lymphatic system normally works as a scavenger system to remove access fluid and waste back into the circulatory system through lymphatic trunks near the neck. When ice is applied to the area of injury, permeability of lymphatic tissue in the area of injury increases and fluid reserves flow back into the site of injury.
Unfortunately the lymphatic system does not have a pump (heart), which works to circulate white blood cells and excess fluid back into the circulatory system. The lymphatic system works by contractions of the lymphatic vessels and skeletal muscle. Thus our mindset has to change regarding RICE. Not just about ice, but about compression and elevation.
Maybe the body is designed to perfectly remove waste and heal desired areas. Compression and elevation may reduce the flow of lymphatic tissue and blood flow to an area. What we may want is to use passive and active range of motion to help the lymphatic system work. We should be weary as new research on recovery and rehabilitation comes out all the time. But a little common sense goes a long way. It may be to our advantage to still use ice in moderation. Ice has analgesic properties and fewer side effects then taking OTC’s. Compression and elevation should also be used in moderation.
North Vancouver Sports Chiropractor – Let Us Heal You
As a North Vancouver Sports Chiropractor I have invested in the best tools to help with acute and chronic injuries. Interferential therapy is an effective form of therapy to reduce pain and inflammation. As well, passive range of motion applied to the patient is effective to help the lymphatic system and align collagen fibers to soft tissues parallel to the existing fibers. Active release therapy is an excellent adjunct to healing as light active release passes to the soft tissue can help with the lymphatic system and align collagen fibers parallel.