People must be sick of me referencing Dr. Tim Watson
but here's goes (he's a great person but I don't think
he's GOD!!).
... his research has found that an application of ice
for 5 mins seems to be sufficient - as after 5 mins
there is an increase in blood supply and temperature -
presumably as a internal defence against further
damage due to excessive cold e.g. frostbite.
Look at the studies and I suppose without definative
decisions available we each have to make up our own
professional minds which study is the most valid/
reliable/ accurate.
Wendy Johnson
--- crm3a <[log in to unmask]> wrote:
> I recently received a copy of the OCPPP journal here
> in the UK and there were a couple of articles
> outlining guidelines for the use of
> cryotherapy(acute soft tissue injury). One
> suggested a maximum of 10 minutes application, one
> 20 minutes and one 30 minutes. All of these
> suggested a barrier (cloth or plastic +/- oil on the
> skin) be used in conjunction with the cold
> pack(crushed ice/peas or whatever). I have
> previously followed the work of Dr. K Knight PhD who
> has done extensive studies with college athletes,
> measuring blood flow, deep tissue temperature
> changes etc and his reccomendations were crushed ice
> directly onto the skin and up to thirty minutes
> application every two hours for the first 24 hours
> and then varying dosages depending on the treatment
> regime/healing stage following this first day. Now,
> coming from an area where we had temperatures down
> to > -30 degrees celcius in mid winter I always
> found the suggestion that 10-20 minutes icing could
> be detrimental (considering the crushed ice warms
> and the room temperature is also warm) a bit funny.
> I usually tend to the more direct longer term
> application both for myself and my patients and I
> have never had or seen problems with a "normal"
> population(excluding patients with abnormal skin
> sensation etc).
>
> What is the experience of others? Has anyone else
> been using similar methods and has anyone seen any
> problems with normal musculo-skeletal
> patients/athletes when cold has been applied? Does
> anyone know of national guidelines outside of the
> UK?
>
> Thanks, Ross
>
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