lax-goalie On Injuries (Slashdot)

The poster's exactly right. Applying both ice and heat to an injury manage the circulation to the area.

When you have an acute injury, say, a sprained ankle, you get an inflammatory response -- swelling. That's nature's way of splinting and immobilizing the injury. That problem is that all that swelling later turns to scar tissue, in essence, crippling you afterwards.

What you're trying to do is to use cold to decrease circulation during the acute phase of an injury (to reduce swelling), and to use heat and motion to increase circulation during the chronic phase (to help break up scarring and create new muscle and bone). The rule of thumb is ice for the first three days, then heat, but really, you want to ice as long as there's heat coming off the injury.

Both ice and heat will make you feel better. In my experience, ice is initially less comfortable, but WAY more effective in the end. And, ice combined with Aleve is even better. :-)

As an aside, ultrasound therapy works the same way as heat, albeit in a more focused and comfortable way. You never want to use it acutely, but for things like old hamstring injuries, it's the freaking bomb.

During rehab, (and frankly, if you're playing competitively, you're ALWAYS in rehab) you end up using both heat and cold. Usually, that's heat beforehand (to increase flexibility and circulation) and cold afterwards (to reduce inflamation from the trauma to old injuries). After a while, you just get used to the routine -- although spending a half hour with your balls in an ice whirlpool is never any fun.

No, I'm not a doctor or a physical therapist, but after a broken leg, a blown hamstring, one remaining ligament between two ankles, twenty five years in the cage, and a trip playing in the World Games, you get to know these things...