Treatment Rationale: Ice vs 
     Treatment Rationale: Ice vs 
                 Heat
                 Heat
    Selection of ice or 
    Selection of ice or 
    heat application is 
    heat application is 
    critical
    critical
    Ice should be used 
    Ice should be used 
    for first 48-72 hrs
    for first 48-72 hrs
    If pain and swelling 
    If pain and swelling 
    are still present, 
    are still present, 
    continue to us ice
    continue to us ice
        Application of ICE
        Application of ICE
   Physiological Changes
    Physiological Changes
    – Reduced swelling and inflammation
     Reduced swelling and inflammation
    – Reduced blood flow to the injury site
     Reduced blood flow to the injury site
    – Reduced pain at the injury site
     Reduced pain at the injury site
   Cryotherapy (cold therapy)
   Cryotherapy (cold therapy)
   Cold Packs
    Cold Packs
    – 10-15 min
     10-15 min
    – Keeping ice on too 
     Keeping ice on too 
     long can cause 
     long can cause 
     burning of the skin
     burning of the skin
           Cryotherapy
           Cryotherapy
   Ice Massage
    Ice Massage
    – Rubbing ice over 
     Rubbing ice over 
     injured area
     injured area
    – 5-10 min
     5-10 min
    – Avoid bony areas
     Avoid bony areas
    – Move ice in a 
     Move ice in a 
     continuous circular 
     continuous circular 
     motion
     motion
           Cryotherapy
           Cryotherapy
    Cold 
    Cold 
    Whirlpool/Immersion
    Whirlpool/Immersion
    – 50-65 degrees
     50-65 degrees
    – 5-15 minutes
     5-15 minutes
    – Thermal barriers can be 
     Thermal barriers can be 
     used
     used
    – Disadvantage: injured 
     Disadvantage: injured 
     part is in a non-elevated 
     part is in a non-elevated 
     position
     position
    – Offers a massaging effect
     Offers a massaging effect