Dr. Tracie M. Cusimano
Huntington Beach Chiropractor
Call Today: 714-840-2273
One of the most widely used therapies involves the application of various forms of cold, particularly ice. This is referred to as cryotherapy and includes the common ice pack, cold spray, cold whirlpools, and Ice massage. It is almost universally agreed that the application of cold is indicated to treat most acute musculoskeletal injuries such as strains, sprains and contusions. In fact, the traditional rule of treatment for an acute injury is RICE. This includes the application of rest, ice, compression and elevation. Anyone who has played some type of sport or who has watched someone play a sport, has seen an injured athlete on the sidelines with an ice pack on an injured limb. Ice is also use during the acute phase of many inflammatory conditions such as bursitis, tendonitis and capsulitis.
The primary rationale for applying ice is the initial vasoconstriction that accompanies its use. The resulting reduction in blood flow assist in controlling swelling and edema that typifies the acute injury. In addition, ice also is used to reduce pain and muscle spasm. Cold, in the form of ice massage is also used as an adjunct in the treatment of many myofascial pain syndromes (e.g. muscle trigger points).
Physiologic effects of cooling
As stated, the response to cooling is consistent from one patient to another. The primary effects of the application of cold are:
-a local decrease in tissue temperature
-reduction in metabolism
-reduced blood flow
-reduced muscle spasms
Clinical application of cold
Application of ice packs is the most common form of crytherapy. Although there is some disagreement regarding the correct application of ice packs, the following rules provide some useful guidelines
1. Ice should be used during the acute phase (typically the First 48 to 72 hours) following an injury.
2. 15 to 20 minutes is adequate for most therapeutic applications; in fact, longer applications may actually create problems
3. Application should be repeated approximately every 2 hours as needed.
4. Too reduce swelling in a limb, ice should be used in conjunction with compression; in most instances, it is probably more productive to leave a properly applied compressive device on for 24 hours or longer than to remove it to reapply ice.
Meet Dr. Cusimano
Dr. Cusimano is a native of Huntington Beach, California and graduate from Southern California University of Health Sciences. She received the Dean's List honor as well as the Delta Sigma Scholastic Society award. She worked at Cal State...read more
Tracie M. Cusimano, D.C.
7561 Center Ave., Unit 26
Huntington Beach,CA 92647