If you are not sure how to ice an injury then here's why you should or should not ice and how to do it safely.
Why ice an injury?
The main reason to ice an injury is to help reduce pain by reducing the swelling and inflammation of an ACUTE soft tissue injury. Acute, means an injury which happened less than 48 hours ago. Typical acute injuries that runners might have could be an ankle sprain or a twisted knee.
When you twist your ankle (for example), the body reacts by sending more blood to the damaged tissues try to combat the trauma. This extra blood in the tissues causes the inflammation and swelling and resulting pain.
Not all inflammation is bad though. The increased blood flow to the area brings cells, proteins and chemicals which are all part of the healing process. So the main reason for icing is not to get rid of all the swelling but to reduce it during the initial phase so that there is less pain and more function in the injured area.
When to ice an injury
Icing should be done within the first 48 hours of the injury. There is no value doing it after that period. Research has shown that if you continue to ice over several days or weeks, the injury in fact takes longer to heal.
Remember, inflammation is you body's way of healing an injury so inflammation is a necessary part of the HEALING process.
How to ice an injury at home
You are not icing to heal the injury but to lessen the swelling and thus the pain. Also icing will numb the area a little so that you are more comfortable.
What to use for ice:
Place a bag of frozen peas or other small frozen veg on the injury. These are great as they can easily mold around the injured area and can be refrozen. However mark the bag well with a big cross as once the vegetables have defrosted you will not want to eat them. I also find that after several uses, the bag starts to smell a bit - maybe the veg starts to turn....
Place crushed ice in a zip-lock bag and then apply it to the injury. You could add a wee bit of water too to make the ice more slushy. Just make sure that the zip-lock is well closed.
In advance, fill small paper cups with water and let them freeze. When you need to ice, take a frozen cup and peel off some of the paper. You can then use the exposed ice to massage the injured area. You can get a bit wet once the ice starts to melt so be prepared.
Use ice packs filled with a freezing gel/liquid bought specifically for treating an injury. They can be reused indefinitely and come in all shapes and sizes. I have several in my freezer which I use for all sorts of things from headaches, migraines, injuries, insect bites and so on. Tip: Buy an ice pack that has some sort of tie or wrap to stop it falling off.
Method of how to ice an injury:
Sit somewhere comfortable and raise your injured limb. Raise it and rest it on a surface as high as you comfortably can.
You may find it more comfortable to place a thin cloth such as a tea towel on your injured area before applying the ice. This will also help prevent frostbite.
Place the ice on the injured area for 10 minutes maximum then have a break from icing for 10 minutes. Repeat this process at least 3 times then have a break for a couple of hours and repeat. Doing 3 sessions a day for the first 2 days following an injury is enough. Going past that could hinder the body's natural healing process and your injury could then take longer to heal.
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