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I have heard from Tom Bisio ( Tooth from the Tiger's Mouth ), and some other sources relating to eastern medicine that icing injuries to reduce inflammation is bad for the long term health of your soft tissue, and can add pain and stiffness to the injury years after it heals. The types of injuries that Bisio talks about ice being no good for are tears, sprains, pulls, etc. Would love to hear some responses from both sides ( pro-ice, ant-ice ).

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I was thinking about this the other day. Why immediately curtail your body's natural reaction? – Rick Oct 13 2010 at 23:02

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After reading a lot about this subject, I think people's confusion has to do with when they are icing. Icing is not bad for you. It is only bad if you ice for more than 20 minutes at a time, or put ice directly on your skin. Ice is not meant to heal the injury but to provide immediate relief from pain and swelling.

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I've been using heat after reading those studies. It is definitely making my wrist feel better, but I honestly don't know if it is helping it to heal. I would assume so because heat increases blood flow.

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New study about this released this month: http://www.themedguru.com/20101027/newsfeature/ice-prevents-healing-case-injury-study-86141266.html

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I have wondered about this myself. I have tried the icing of injuries. As best as I can tell, I never notice any improvement or benefit from icing vs doing nothing. I have often wondered what research is behind it and how much it really helps, if any. Here is an interesting synopsis of current research that seems to suggest that not much decent reearch has really looked at the main issue which is, does icing (cryotherapy) really speed overall recovery? http://www.ncbi.nlm.nih.gov/pmc/articles/PMC522152/

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After knee replacement surgery my husband got relief from icing and I couldn't stand it- warmth gave me relief. maybe it is an individual reaction. – henny Oct 18 2010 at 3:43
Perhaps part of the relief of ice is the numbing effect? – Paleolady Oct 28 2010 at 20:09
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From what I understand, you are supposed to ice it when the injury first occurs, for no more than 20 minutes at a time. The length of time you keep ice on it is what will damage the skin tissue. After the first couple days, you want to use heat because the injury needs blood to heal. Again, only heat for about 20 minutes at a time.

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Icing actually increases blood flow to the area because the body wants to restore normal temperature. – David Csonka Oct 14 2010 at 0:18
Applying cold therapy to a tissue injury, limits the inflammatory response by causing the blood vessels to constrict (vasoconstriction). This limits the blood flow to the injured site, moderating the release of the vasoactive substances and thus minimizes the pain and swelling in the afflicted area. – Bkluffy Oct 14 2010 at 0:32
And here is this, too: prevention.com/health/fitness/tips-for-success/… – Bkluffy Oct 14 2010 at 0:35

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