ICED! The Illusionary Treatment Option. “Topical cooling (icing) delays recovery.” -Journal of Strength and Conditioning Research/National Strength and. Gary Reinl, author of Iced: The Illusionary Treatment Option, adamantly believes that ice’s pervasive use by athletes and injured people. Ice is a common treatment used by athletes, doctors, and parents for a variety of In Iced! The Illusionary Treatment Option, Gary introduces himself to the.
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If you were to ask a medical doctor, personal trainer, athletic trainer, or even your mom then you would likely get the same answer from each one regarding the benefits of ice — it reduces pain and prevents excess inflammation.
But do we want to prevent inflammation? And what constitutes excessive? The answer has been accepted by athletes, non-athletes, and medical professionals everywhere. The rolled ankle of a child playing soccer during recess, to the collegiate tennis player that strained her hamstring chasing down a drop shot, to the professional baseball pitcher that routinely deals with a sore shoulder after 7 intense innings pitched.
Cryotherapy is thought to be the perfect home-remedy because of its ease of access. Surely the discovery of ice as a natural healing aid would have went under peer review and standard research protocols before its widespread implementation into sports medicine. Gary Reinl, author of Iced: His influence has reached Olympic athletes, their trainers, and collegiate training rooms.
He wrote this book because he figured that it was about time that his message should heard by the weekend warriors of the world, the non-athletes, and the non-medical professionals. Gary believed that dropping a knowledge bomb on the world would help people make a more informed decision regarding ice application. In the late 60s, there was a young boy who somehow managed to sever his arm on a railroad track.
He arrived at an emergency room with his dismembered limb. Never before had a re-attachment surgery been performed. With the tissues of his arm optjon decaying, the doctors thought to put the limb on ice to preserve it. If refrigerators can increase the shelf-life of meats, then freezers should preserve it for even longer.
Their logic was sound, and is still used to this day. If you cut off a finger, put it in a bag of ice to slow down coagulation and scarring of the torn blood vessels — you want them to be open so the doctors can surgically reattach it. The surgery for the boy was a complete success. He eventually regained functionality in the use of his limb. The story made national news but the story was too garbled up with technical jargon concerning the tissue reattachment surgery.
So the reporters choice a piece that people could grasp — the bottom line was that if you ever sever a limb, put it in an ice bag. Over time, a logical leap was made, where if you simply got injured, you were recommended to put ice on it.
No research, no peer-review. In fact, Gary argues that if ice was a controlled substance like any pharmacologic drug on the market today, it would not be able to satisfy requirements for FDA approval. Try Pubmed or other publication databases and see what you can find — I searched illusionaey came up short on finding relevant articles showing the benefits of ice for acute soft-tissue injuries.
If they exist I would love to read them so that I can incorporate ice into clinical treatments effectively. This study found that after exercise people who were given ice compared to not showed increased levels of creatine kinase, an indicator of soft-tissue damage.
Subjects also reported a higher level of tdeatment 72 hours post exercise of the iced tissues compared to the non-ice controls.
Gary sites research in the book that showed icing actually increases the amount of fluid build-up in the damaged area by creating a backflow from the lymphatic vessels. Lymph vessels work as treatnent negative pressure system.
Imagine a balloon filled with air. If you open the end of a full balloon, then air will rush out. When fluid is built up in the body, like after an acute ankle sprain, it is a high pressure area. The fluid is pushed through the trestment vessels by compression, either from an outside force massage, compression sleeves, Graston tools or from intrinsic muscle contraction. The lymph vessels are split iillusionary small chambers.
As a chamber is filled with fluid, the gates open to the next chamber, which pushes it along the pressure gradient.
Ultimately, the time it takes for the fluid to clear if the gates are open and there ooption a backflow of fluid is increased obviously not good. Basic Physiology of Inflammation. We already covered the fact that ice can help delay the effects of inflammation when applied to a severed limb. It needs inflammation to initiate healing!
You fortunately cannot stop this process. The temporary benefit of nerve sedation so that you feel less pain does not outweigh the cost that ice has on the delayed healing process and increased lymphedema.
Acute soft-tissue injury is a unique situation where our body vitally needs to undergo the inflammatory response. There can be inflammation without healing but there cannot be healing without inflammation.
Swelling and inflammation are not synonymous. The former trewtment necessary and vital for healing and latter is a deleterious effect of an injury. Sedating nerves to feel less pain can even be dangerous when you consider the fact that the brain is communicating with you when you perceive pain.
Listen to your senses and stop aggravating the injured tissue while it heals!
Book Review: “Iced” by Gary Reinl
This should help you achieve the fastest return to activity possible. Rest and ice have not been found to be important factors for improving recovery times from injury. Sometimes movement is painful, so only small, pain-free illusionnary of movements should be performed. If drawing ankle circles is too difficult, then start by wiggling your toes.
The Marc Pro is designed to rid the body of the metabolic waste that lingers in our interstitial spaces. Waste needs to get cleared.
ICED- the Illusionary Treatment Option – Baseball Outside The Box
To use the device, hook yourself up to the electrodes like a regular e-stim unit. Place the pads above and below the swollen or sore areas of the body, then turn up the intensity to as high as you can tolerate. Leave it on for a minimum of 30 minutes. The longer the time treated, the more pump effect you get.
The pain that was due to pressure on the nerves from the swelling should go ophion once the fluid has cleared. Gary recommends that we all stop using ice for post-injury treatment and soreness. Inflammation is your friend post-injury and needs to happen. A no-ice regimen might just get you back in action faster than you would ilkusionary otherwise.
Topical cooling icing delays recovery from eccentric exercise-induced muscle damage. Cooling an acute muscle injury: Does cryotherapy improve outcome for acute soft tissue injury? Demonstration of the Marc Pro. Stillness is the Enemy. Ice Delays Recovery From Injuries. San Jose, CA office fax. Today, he has revised his stance on ice. Melting the Myth of Ice Therapy http: You are commenting using your WordPress. You are commenting using your Twitter account. You are commenting using your Facebook account.
Notify me of new comments via email. History of Icing In the late 60s, there was a young boy who somehow managed to sever his arm on a railroad track.
Book Review: “Iced” by Gary Reinl
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