Since 1978, R.I.C.E. has been standard of care for sprained joints and soft tissue injuries like contusions. Published in a sports medicine book at that time, this treatment regimen was based on no meaningful research whatsoever, but was quickly adopted by doctors, therapists, and trainers.
Soft tissue injuries, sprains, and strains are injuries that mammals have been dealing with for many millions of years. During that time, mammals developed a very complex, elegant process of acute inflammation, proliferation, and maturation to heal the injury. This process occurs in all mammals, even humans.
Not only does R.I.C.E. plus NSAID’s NOT help the healing process, research shows they can actually hamper the healing process, and increase the risk of an acute injury becoming a long-term, chronic process.
Ice delays muscle regen:
RICE Inventor comes clean:
-very proud of Dr. Mirkin for this!-
Ice can cause cold injury or necrosis:
NSAID dangers: kidney:
NSAIDs delay healing:
NSAIDs slow healing:
Swelling/Inflammation speeds healing:
Conservative movement improves healing:
Ice slows Healing:
Inflammation is Good:
Ice slows healing:
Elevation doesn’t do anything:
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Ken D Berry, MD, FAAFP, is a Board Certified Family Physician and Fellow in The American Academy of Family Physicians. He has been practicing Family Medicine in rural Tennessee for over a decade, having seen over 20,000 patients in his career so far.
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