For decades, the standard and also recommended solution to an hurt muscle, tendon or ligament was to “apply RICE,” an acronym that stands for a protocol the rest, ice, compression and elevation.

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Yet these days, according to Prosper physical therapist Kristin Duckworth, the applications of RICE together a treatment for this sports-type soft-tissue injuries isn’t 100 percent sustained by science.

“Multiple studies have actually come the end over the years that question the wisdom behind our reliance the RICE as a treatment for injuries, especially as the relates to rest and the application of ice cream to the hurt area,” stated Duckworth, clinic director of Vista Physical therapy in Prosper. “Because that this, the role of RICE has changed in recent years.”

RICE to be coined in 1978 by Gabe Mirkin M.D., a legend sports physician who presented the procedure as writer of “The Sports medicine Book.” Four years later, RICE proceeds to be a go-to treatment for sprains, strains and bruises. The protocol includes:

Rest: avoiding use the the hurt area.Ice: The application of ice or a cold pack to the ill or injured area, despite not directly to the skin.Compression: wrapping the hurt area to carry out support, minimize blood flow and reduce swelling.Elevation: raising the injured area or limb above the level that the heart to minimize swelling.

Most recently, however – and also based on more recent research and evidence – Mirkin has actually stepped back from the suggestion that rest and ice wake up healing.

In act so, he pointed come multiple studies, including one published in “The American journal of sporting activities Medicine” which uncovered no evidence that ice increased healing and also recovery. Additional research has discovered that icing an hurt area have the right to actually delay the heal process.

This, along with added evidence suggesting active recovery is far better than remainder for healing and recovery, has numerous in the physics therapy ar reevaluating the wisdom behind the RICE protocol.

“Rest and ice seem for this reason ingrained in the method we think around treating injuries it might be surprising to hear the both have the right to actually delay healing,” Duckworth said. “Over the years, we’ve learned that soft-tissue injuries heal much better with mindful, active recovery.”

In various other words, soft-tissue injuries benefit from the usage of low-intensity movements and exercises the stimulate recovery and repair – practice guided by pain and also movement limitations. Such recovery procedures work best when led through a clinical professional, such as a physics therapist.

See more: Which Of The Following Is A Site For A Muscle Or Ligament Attachment? ?

Does this average RICE no longer has actually a function in dealing with soft-tissue and sports injuries? no necessarily, Duckworth says.

“While RICE isn’t the optimal means to treat and also cure many soft-tissue injuries, it have the right to still it is in used efficiently as a first-aid treatment,” Duckworth said. “It can help the injured person bear the brunt that the initial tide a pain until the severity of the injury is determined. At that point, if movement is difficult or that or that can’t put weight top top the injury, visiting a physics therapist because that evaluation and also treatment might be necessary.”