ÔDO I APPLY HEAT OR COLD?Õ
Hardly a day goes by that
someone doesnÕt ask me this simple question. The answer depends on who you ask.
I for one was struck by the photo of Michael Jackson following the Bulls third
championship win sitting in his hotel bathroom, one knee in a bucket of ice and
one knee over the bathtub with hot water running on it.
Chiropractors, many
physicians and physical therapists for the most part prefer cold.
Massotherapists and other natural healers feel heat is the best therapy. So
whoÕs right?
Hot and cold therapy is one
of the oldest and most valuable of therapies available and should not be
overlooked as part of treatment for injury or ailment. The basics of anatomy
and physiology shed light on why and how they each work and when to use them.
Cold forces blood circulation away from the skin and into deeper organs and
tissues including injured joints and muscles bringing much needed nutrients for
healing, relief from swelling, inflammation and pain. Opponents of cold therapy
say you only numb the nerves temporarily and may starve the tissue of much
needed circulation, and cause pain to return in a rebound effect to say nothing
of the tight muscles and joints caused by too much cold.
Heat on the other hand allows
for relaxation of the muscles and joints, relieves pain without rebound
effects, helps the body shed toxins such as lactic acid through the skin and
brings much needed circulation to the effected areas.
Here is what I have
discovered over the ten years of listening to clients, doing massage and
watching and waiting for results with hot and cold therapy. The only hard fast
rule I know to be true regarding hot versus cold is initial injury. The first
48 hours following a burse, break or any kind of blunt injury the application
should be cold after which you may try heat.
For a sore back, stiff neck,
and or otherwise cranky muscles and joints I tell my clients to use what feels
good. Given that, I have found that for most of my clients if the complaint
turns out to be one of neurological disorder such as a slipped or bulging disc,
sciatic pain, diabetic involvement in the feet with numbness and tingling heat
does not help nor does it feel good but cold does. If the complaint is one that
arises from sore over used healthy muscles and tendons or involvement with
arthritis or fibromyalgia cold is almost painful and heat works.
My advice, listen to your
body and it will tell you which to use and when. There are some cautions to be
aware of with both, the heat thatÕs obvious. Cold can be just as damaging
numbing to the point that pain signals are ignored and further damage occurs
without medical treatment. If you canÕt decide which to use try both
alternating from hot to cold every fifteen minutes. Hey, it obviously worked
for Michael. Till next time, Rebecca