Cryotherapy: Difference between revisions

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Its worldwide use spread because of its effectiveness, convenience, low cost and ease of transportation.<br>Ice is believed to control pain by instigating local anaesthesia. It also decreases oedema, nerve conduction velocities, cellular metabolism and local blood flow.  
Its worldwide use spread because of its effectiveness, convenience, low cost and ease of transportation.<br>Ice is believed to control pain by instigating local anaesthesia. It also decreases oedema, nerve conduction velocities, cellular metabolism and local blood flow.  


The effect of the cryotherapy depends on the method, the duration, temperature of the ice and the depth of the subcutaneous fat. <ref name="aa">Bleakley C, McDonough S, MacAuley D. [https://www.ncbi.nlm.nih.gov/pubmed/14754753 The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials.] The American journal of sports medicine. 2004 Jan;32(1):251-61.</ref><ref name="ab">Dykstra JH, Hill HM, Miller MG, Cheatham CC, Michael TJ, Baker RJ. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657028/ Comparisons of cubed ice, crushed ice, and wetted ice on intramuscular and surface temperature changes.] Journal of athletic training. 2009 Mar;44(2):136-41.</ref><br>
The effect of the cryotherapy depends on the method, the duration, temperature of the ice and the depth of the subcutaneous fat. <ref name="aa">Bleakley C, McDonough S, MacAuley D. [https://www.ncbi.nlm.nih.gov/pubmed/14754753 The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials.] The American journal of sports medicine. 2004 Jan;32(1):251-61.</ref><ref name="ab">Dykstra JH, Hill HM, Miller MG, Cheatham CC, Michael TJ, Baker RJ. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657028/ Comparisons of cubed ice, crushed ice, and wetted ice on intramuscular and surface temperature changes.] Journal of athletic training. 2009 Mar;44(2):136-41.</ref>
[[File:Ice-pack-calf180.jpg|thumb|Ice pack being used for calf strain]]
[[File:Ice-pack-calf180.jpg|thumb|Ice pack being used for calf strain]]


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There are different types of ice used in ice packs. The most common types are ice packs made with cubed, crushed and wetted ice.<ref name="ab" /><br>It was discovered that wetted ice is better to lower surface temperature during treatment and maintaining the lower temperature during recovery. It is also more effective in lowering the intramuscular temperature during treatment.<ref name="ab" />
There are different types of ice used in ice packs. The most common types are ice packs made with cubed, crushed and wetted ice.<ref name="ab" /><br>It was discovered that wetted ice is better to lower surface temperature during treatment and maintaining the lower temperature during recovery. It is also more effective in lowering the intramuscular temperature during treatment.<ref name="ab" />
A cooling effect can also be produced by icing spray such as Deep Heat for a similar effect.<ref name=":1">Galiuto L. [https://www.jscimedcentral.com/SportsMedicine/sportsmedicine-3-1060.pdf The use of cryotherapy in acute sports injuries.] Annals of Sports Medicine and Research. 2016;3(2):1060.</ref>


== Conditions treated ==
== Conditions treated ==
* Acute soft tissue injuries e.g. ankle sprain, muscular strain
* Acute soft tissue injuries e.g. ankle sprain, muscular strain
* Post orthopaedic surgery e.g. [[Total knee arthroplasty|TKR,]] [[ACL Reconstruction|ACL reconstruction]], arthroscopic shoulder surgery.
* Post orthopaedic surgery e.g. [[Total knee arthroplasty|TKR,]] [[ACL Reconstruction|ACL reconstruction]], arthroscopic shoulder surgery.
* Acute sports injuries
* [[Delayed onset muscle soreness (DOMS)|DOMS]]<ref name=":1" />


== '''Benefits''' ==
== '''Benefits''' ==
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* Little evidence regarding duration and frequency of treatment to be effective<ref name=":0" />
* Little evidence regarding duration and frequency of treatment to be effective<ref name=":0" />
* Compression has been shown to be more effective post operatively<ref name=":0" />
* Compression has been shown to be more effective post operatively<ref name=":0" />
* In rare cases braycardia and frostbite symptoms have been observed. <ref name=":1" />
<div class="researchbox"></div>
<div class="researchbox"></div>



Revision as of 13:02, 28 November 2018

Definition/Description[edit | edit source]

Cryotherapy, also known as ice application, is the simplest and oldest way to treat injuries.

Its worldwide use spread because of its effectiveness, convenience, low cost and ease of transportation.
Ice is believed to control pain by instigating local anaesthesia. It also decreases oedema, nerve conduction velocities, cellular metabolism and local blood flow.

The effect of the cryotherapy depends on the method, the duration, temperature of the ice and the depth of the subcutaneous fat. [1][2]

Ice pack being used for calf strain

Application Methods[edit | edit source]

The most common method of cryotherapy is the use of ice packs.

There are different types of ice used in ice packs. The most common types are ice packs made with cubed, crushed and wetted ice.[2]
It was discovered that wetted ice is better to lower surface temperature during treatment and maintaining the lower temperature during recovery. It is also more effective in lowering the intramuscular temperature during treatment.[2]

A cooling effect can also be produced by icing spray such as Deep Heat for a similar effect.[3]

Conditions treated[edit | edit source]

  • Acute soft tissue injuries e.g. ankle sprain, muscular strain
  • Post orthopaedic surgery e.g. TKR, ACL reconstruction, arthroscopic shoulder surgery.
  • Acute sports injuries
  • DOMS[3]

Benefits[edit | edit source]

  • Pain relief[4]
  • Swelling reduction[4]
  • Decreased surface temperature
  • Effective on a wide range of soft tissue injuries

Negatives[edit | edit source]

  • Little evidence regarding duration and frequency of treatment to be effective[4]
  • Compression has been shown to be more effective post operatively[4]
  • In rare cases braycardia and frostbite symptoms have been observed. [3]

Resources[edit | edit source]

  1. Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. The American journal of sports medicine. 2004 Jan;32(1):251-61.
  2. 2.0 2.1 2.2 Dykstra JH, Hill HM, Miller MG, Cheatham CC, Michael TJ, Baker RJ. Comparisons of cubed ice, crushed ice, and wetted ice on intramuscular and surface temperature changes. Journal of athletic training. 2009 Mar;44(2):136-41.
  3. 3.0 3.1 3.2 Galiuto L. The use of cryotherapy in acute sports injuries. Annals of Sports Medicine and Research. 2016;3(2):1060.
  4. 4.0 4.1 4.2 4.3 Hubbard TJ, Denegar CR. Does cryotherapy improve outcomes with soft tissue injury?. Journal of athletic training. 2004 Jul;39(3):278.