Ice Or Heat? What’s Best?

The best answer to this common question is “It depends on your injury”.  

Inflammation is part of the body’s natural healing response and is actually a positive reaction. With any injury, tissues are damaged, and your body adapts by sending more blood to the injury site. With this increased blood supply, inflammatory cells such as leukocytes and macrophages get to work releasing proteins which clean up and heal the injured site. The area is tender and sore, (which is a reminder for you to be gentle using it!) but your body is effectively trying to repair the damaged area. Keep in mind though, inflammation and pain is your body’s way of telling you to stop and take action. The purpose of inflammation needs to be respected because essentially it is a protective response from the body to prevent you from doing further damage to yourself.

When you apply ice to an injury, the blood vessels constrict, temporarily limiting the blood flow to the injured site. The cold temperature inhibits the pain response, so although ice can often provided some pain relief, it can also delay healing.

When you apply heat to an area, the blood flow increases which can help deliver more oxygen and nutrients to a more chronic problem and support healing. However, for this reason, too much heat can also contribute to further inflammation. Applying heat can help with muscle aches, pains and general stiffness but should never be applied to a new injury or an area that is painful or swollen

So what should you do?

Again, it depends on the injury. If you have a new injury such as a strain or sprain, and you feel you need some pain relief, applying an ice pack is a good option to provide temporary relief (certainly what I recommend more than taking a muscle relaxant or ibuprofen) and it will help the healing process.

Keep these tips in mind:

  • Choose a chemical ice pack, bag of frozen vegetables, ziploc bag with ice cubes in it, and protect your skin by placing clothing or towel between you and the pack
  • 10min on/10min off cycles throughout the day (NOT consistently, your body needs breaks to effectively use the therapeutic benefits. When you apply ice to the injured area you will either feel relief or mild discomfort due to the cold. Often the sensations you feel with icing is pain-tingling-numbness. Once the ice is removed at the 10 minute mark, the area should be numb. The body will then react to re-warm the area with gentle blood flow to supply the tissues with oxygen and nutrients. This reaction will not occur if the ice is left on too long.
  • Ideally ice should be applied as soon as possible after injury, and in cycles for the first 72 hours of acute trauma.

Remember, the body knows best! As far as healing goes it’s best to let inflammation run its course.   This will take time, perhaps even longer than you would like, but ultimately you will be rewarded with improved and more complete recovery.

Keep Your Holidays Healthy!

ID-10067023The holiday season is such a time of celebration, but it can also be a time of stress and challenge! I joke that people occasionally develop an acute case of the “overs”. This condition is triggered by overcommitting to social functions, overindulging in sugary, rich foods and alcohol,  and results in general feeling of overwhelmEmotional states can be stressed, but our bodies are also stressed by the foods we eat, minimal exercise and too little sleep.  This all leads to sluggish immune systems and more frequent accidents and injuries. The great news is that this condition is completely preventable!

Consider the following points and make some changes in your life and within your family this holiday season:

Socialize – We all need social connections, but during the holiday season many people are ‘overstimulated’, ‘overcommitted’, and ‘overwhelmed’ with too many events. Be choosy about how you spend your social time. Be assertive and learn to say no to situations that will upset you.  Decline invitations (if you can do so without grossly offending the invitee) that create unnecessary emotional stress, or will simply burden your schedule and shortchange you of sleep. 

Reach out – At the other end of the social spectrum is loneliness.  With changing family dynamics, different living arrangements, and simple geography for some people, many are left alone during the holidays.  If you feel lonely or isolated consider getting involved in different activities, volunteering your time at seniors homes, food banks or other organizations geared towards helping others. The rewards will be far greater than just the social stimulation.

Exercise – Quite simply, physical activity makes every system in your body work better. Instead of taking a break from your exercise routine, keep it up! or consider getting started! It doesn’t have to wait until January and your resolution of getting in shape or losing weight.  The fact is, exercise is simply something most people have to build into their lives, work into their schedules. You will always find something better to do with your time! Exercise helps relieve stress and prevents weight gain.  Moving your body will always give you a boost, even just a some stretching or a brisk walk will rejuvenate your body and mind.

Eat Regularly & Prepare for Outings – If you are going to  a party or dinner, don’t starve yourself all day in anticipation.  Doing so will  slow your metabolism, leave you ravenous and more likely to overeat later in the evening. Instead, eat small meals or snacks throughout the day and you’ll be less likely to overindulge when you are out. If you are planning on consuming alcohol be sure to increase your intake of water to compensate for the dehydrating effects.

Take a Breather – It IS the season for family, friends, and being on ‘holiday’ so don’t forget to take the time to relax and indulge in activities you enjoy! Make time for yourself too, often time alone is what is easily neglected with busy social schedules or family commitments.  Spending just 15 minutes alone, without distractions, may refresh you and change your perspective if you are having a frantic day.  Do something that clears your mind, slows your breathing and restores inner calm, Journal, listen to music, take a brisk walk and look at the lights, read a book, whatever interests YOU and gets you in a quiet place for a small bit of time.

You CAN indulge, celebrate, and still feel good in January! Make good choices for you and your family and you will enjoy the holiday season and start 2016 in good health.