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More Great Information on Pain Back:
Heat or Ice for Neck and Back Pain? A Rocky River Ohio Chiropractor Explains When to Use Heat or Ice
Should I use ice or heat? This is one of the most common questions asked by Chiropractic patients. Whether you are suffering from neck pain, back pain, an older injury, or a sprained ankle, heat or ice can be just the answer for reducing your pain and speeding your healing and recovery. These two treatments are affordable, extremely easy, and effective. Make the incorrect choice in the ice versus heat decision, however, and you'll actually make your pain and condition worse. With that in mind let's discuss what situations call for the use of ice and when heat should be applied.
Whether to choose heat or ice usually depends on three major factors: the type of the pain and injury, the age of the injury, and your specific goals for treatment. The presence of some other underlying health conditions also plays an important role in determining which treatment is most acceptable, but the three major factors are usually the ones described above. Let’s briefly discuss the main types of pain and injury.
There are two main pain and injury categories: acute and chronic. Acute injuries are those that have occurred very recently. In general, an injury that occurred within the past 72 hours is considered an acute injury. Acute pain is pain that began suddenly, recently, and usually with a well known cause. For example, imagine you injured your back while cleaning your basement or you twisted your knee while playing basketball. These are acute type injuries. Acute injuries typically involve swelling and the area may slightly red and tender due to inflammation. Mild acute injury and pain are normally short lived and resolve fairly quickly.
In contrast, chronic pain and injuries occur much more slowly over time. With chronic conditions a patient usually cannot pinpoint a specific cause for the condition. For example, you may have noticed an unexplained dull knee pain or backache that slowly appeared with no obvious cause. Chronic pain normally involves less swelling and inflammation when compared to the acute type. Chronic pain is often more persistent and long lasting than acute pain and injury. Ice and cold therapy are the treatment of choice for acute injuries and pain that have occurred in the past three days. If you have a recent injury, swelling, or bruising, ice is the best alternative. may You may be wondering what ice does to help an acute injury, so let’s examine some of the effects of applying ice to an injury.
Ice sedates the nerves that transmit pain signals and thus creates a numbing effect to reduce or eliminate pain. Ice can also calm the muscle spasms commonly associated with acute injuries. Cold therapy also causes vasoconstriction, or a narrowing of blood vessels. This vasoconstriction slows blood and fluid flow which helps control any microscopic bleeding and also reduces any swelling and inflammation.
What is the proper method to apply ice? The best ice pack is one that is soft, flexible, and easily conforms to the shape of the body area involved. Many commercial ice packs are available but one of the most affordable and effective solutions is most likely already sitting in your home freezer. A bag of frozen peas or a small plastic bag partially filled with crushed ice make ideal ice packs. Wrap the ice pack in a towel or similar barrier for greater comfort and in order to prevent frostbite. Ice should be applied to the involved area for about 10 to 15 minutes and then removed. Next, allow the skin to return to normal room temperature without help (a process that can take about one hour) before reapplying ice. This entire process can be repeated several times daily for about 3 or 4 days.
Ice is usually considered the safest choice if you are unsure of whether to use heat or ice. A helpful phrase to help you remember this general rule is “ice is nice”. When in doubt, play it safe and use ice. You stand much less chance of causing further harm and injury if you incorrectly use ice versus heat. Now that we have discussed when to use ice, let’s explore when heat should be used.
Heat is the best choice for most chronic conditions. Heat can also be used for injuries older than about four days as long as inflammation and swelling have subsided. Persistent stiffness, long term muscle pains and aches, and chronic muscle spasms usually respond very well to heat.
What exactly does heat do? Heat raises tissue temperature which increases soft tissue flexibility and improves joint range of motion. Heat can also cause vasodilation, or a widening of blood vessels. This leads to increased circulation to an injured area. Increased circulation brings more oxygen and vital nutrients to the injured area and also speeds removal of waste products. Although this helps to speed healing and recovery, it also leads to increased inflammation and swelling. This is one of the reasons heat should not be used on an acute injury or in an area where swelling is present.
What is the best technique for applying heat? Moist heat is normally the best choice. Moist heat is penetrates deeper than dry heat. It also prevents dehydration of the skin which can often occur with application of dry heat. Although many commercial moist heat sources are available, a simple warm bath or shower are fantastic ways to apply moist heat to an area. Damp and hot towels are yet another convenient and effective moist heat source. A towel or similar barrier should always be used between the heat source and skin to prevent burns. Treatment temperatures should be warm but tolerable. Moist heat can be applied for about fifteen to twenty minutes at a time. The heat source should then be removed for about a half before reapplying. This process can be repeated several times daily.
Unless specifically directed by your Chiropractor or health care provider, heat should not be applied for more than about twenty minutes per application. Never sleep on a heating pad or other heating source since doing so can lead to burns or other injuries.
The benefits of ice and heat can often be combined to treat some conditions. For example, if you suffer with chronic shoulder stiffness and pain you can apply heat to the area before activity. The heat will increase range of motion and flexibility in the shoulder to better prepare it for the activity to come. After exercise or activity you could then ice the shoulder to limit pain and inflammation.
To conclude, ice and heat are easy, affordable, and effective sources of Pain Relief for back pain, neck pain, and more. Choosing the right therapy for your specific condition is vitally important to avoid making your pain and symptoms worse. Ice is best for acute injuries that have occurred within the past 72 hours and for swollen and inflamed areas. Ice packs should be wrapped in a towel and applied for ten to fifteen minutes and then removed for sixty minutes. This process can be repeated several times daily for up to three days.
Heat is most effective for chronic pain and stiffness. Moist heat is superior to dry heat because it penetrates more deeply and prevents drying of the skin. Heat can be applied for 15 to 20 minutes and then should be removed for about one hour before reapplying. The heating process can be repeated three to four times daily.
ABOUT THE AUTHOR:
Dr. Laura Vernallis is a Doctor of Chiropractic and currently practices with her husband, Dr. Bradley Vernallis, at River Chiropractic Wellness Center in Rocky River, Ohio. She is a 2002 graduate of the prestigious Palmer College of Chiropractic, the school known as the Fountainhead of the Chiropractic profession.
Dr. Vernallis can be contacted directly at River Chiropractic & Wellness Center at (440) 409-0909. River Chiropractic and Wellness Center is located at 20525 Center Ridge Road Westgate Towers, Suite 148 in Rocky River, OH 44116. Interested parties are invited to visit the
River Chiropractic and Wellness Center Website
for more information.
River Chiropractic & Wellness Center offers a wide variety of Chiropractic treatment techniques and therapies to assist patients with neck pain, back pain, and many other conditions. In addition to the Rocky River, Ohio community, River Chiropractic and Wellness Center also serves patients in the surrounding areas of Cleveland, Lakewood, Westlake and Fairview Park.