Heat Vs. Cold (Ice) Pack? Avoid This Common Mistake. Infrared Heat?
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- Опубліковано 28 сер 2017
- "Famous" Physical Therapists Bob Schrupp and Brad Heineck discuss the age-old question- should you use heat or ice on an injury? Heating pad or hot pack versus cold pack or ice pack. They also discuss the advantages of infrared heat.
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You guys are level headed and always have seperate, yet aggreable point of views. Remarkable videos !
Thank you for sharing this. I have had this question in mind for so long while treating muscle injury and this video helps in understanding when to use.
Thank you!! I’m watching this as extra material to prep for my Thermotherapies lecture in PTA school 😊 I love your channel
I liked the video...glad to help keep you guys mentally healthy!
I Love these men....they always hit on topics that concern me and the questions I have.
You guys are great. Thank you for all this free information - a true service to humanity.
Agreed.
I couldn’t get my elderly mother to understand why cold packs are used (she called it new nonsense), until I reminded her that cold water is used on race horse legs straight after they race.... then she got it!
I bought the Thermotex far infrared pad on your recommendation and love it! I have fibro and use it on my arthritic hands, lower back, upper back, feet--whatever hurts. It's made a big difference. Highly recommend.
This is so frickin helpful. I needed this video when I injured my wrist and shoulder playing tennis.
Thanks for these tips!
Good information just like visiting the PT office. These two gentlemen even better than most of the PTs I have been to.
They are funny with sense of humor and excellent teachers who explain everything so well you rarely need any further explanation
I love my Thermotex!!! It is so much better than any other heating pad I have used.
Newly introduced to you guys. Really appreciate all the info you’re sharing across the immense amount of videos you’ve done. Love the daily goal (I can relate because I did 2000 videos on my first channel). Just subscribed!
Thank you guys!
You two are the best...thanks for amazing info! Blessings from Canada
Thanks this was helpful for my child doing a video about how to do first aid on a sprain
Thank you 🙏 😇🌟I had bad pain in neck I put 2 towels in freezer and alternating it was good👍
Thank you !
Really very helpful education to live in good shape
Great advice guys
You guys are so funny thank you ( laughing while screaming at the same time with pain) you've given me hope
😂 you’re right.. I fell down and my back hurts so bad.. but I feel better and hopeful watching these helpful duo while applying cold ice pack. Thank you Sir’s 🤝
I love using blue dawn in plastic freezer bag. Gets really cold and stays flexible. Recyclable too.
Make sure you use good bags though. Not a disaster, but sometimes they leak.
Laura Evenhouse Thanks Laura! Never heard of this before.
Thanks ☺️
I am not on any social media just
on You Tube and I like you alot.
No worries Bob and Brad.
Good idea with the pillow case.
You guys are a saviour. Thank u🙏
than you for all your efforts
Informative video!!
A great thank you from Romania!👍🙏🙏
Infrared directly behind the back.. 😳 is it safe? From what i learnt pt need atleast some distance for the infrared to penetrate effectively to the muscles, joint etc..may i ask for your justification?
I would use ice pack first 48hrs after injury. Then the next 48hrs I would alternate. Once I feel the inflammation has gone down i would use heat pack only
Sir..please explain thoroughly..
I have had an injury on my back now... How offern we should use ic pack within 48 hours... Please clarify...Thanks in advance..
@@spg1643 First 3 days use ice and then heat.
@@dirimdaram3310 if we are not apply heat ,any issue is there?
@@spg1643 Heat brings more blood to the area, create relaxation and heal faster.
@@sonder7971 This is not KEEP CHANGING! between ice and heat.
Can you do a video about accessory navicular bone? I'm struggling so much as I was recently diagnosed but I do not want surgery!!!
Get your facts right! You two are the most famous in the internet in my opinion as well..
A thin towel is bad wrap for an ice pack. It will quickly condense moisture which will freeze, negating the protection. What I found that works better is a terry washcloth or face towel covered with a ziplock plastic bag. The combination keeps out moisture and the nap of the terry allows air to do the heat exchange. ut.
The secondary benefit of initially using cooling is that it numbs the area.
problem with ice is that it inhibit and prevents the healing process. macrophages are inhibited by ice.
EXACTLY! It sounds like you used Malin method. Have you used HEM? I did to cure my sprained ankle.
Hmm, I agree mainly on all but that pack being put under entire surface of lower back at around 6:00/01. I would always fold it so it covers mainly spine (bone part) as such and much less muscle area. After being folded it is approx my hand and half in width. And btw, when wrapping ice to ankle or so do not forget it there, I did once and had partially frozen skin and maybe even meat and later big and painful blister for 2 and more weeks if I remember correctly. :-) It was worse then heat burn.
God bless ya. You guys ever wonder why we get injured why this body is so strong but yet so weak. Is just so frustrating I was getting stronger n recently I hurt my rotator cuff been looking n doing the exercises on your videos. Thank you so much. Peace n grace
I've had a lot of surgeries and reconstructive spine surgery and Ice was the only thing that made me feel better the heat generated more pain for me that's how it is
True that ice helps reduce the pain due to helping numb the nerves and of course reduce swelling. However newer info says that heat is better (after swelling)for healing since it increases blood flow to the damaged tissue .
I had ankle surgery July 27th and now I'm still have to elevate my ankle for 6 more weeks until October 20th when I go back to my orthopedic doctor but he said I can start to exercise so what do you prefer how many times a day should I exercise my ankle
The intro tho. Lmfao
Its pretty great xD haha
I Love it 💜💜 and them 😀👍
It's my ringtone
It’s amazing 🎉
Earned a sub for sure 😂
I make cold packs from ice cubes crushed down, put into 2 or even 3 freezer bags. It orurrcts the skin, is completely malleable to the shape of the area where the injury is. Put it back in the freezer on that shape. When you need it again, it's rock hard but easily broken up.
Using heat pack against your back on the recliner will damage the foam on the recliner... same for your bed. I have long term back pain, and used to use heat on the muscles, and melted a few mattresses. Not melted, but over time, that part of the bed becomes mushy.
Just subscribed!!
I have early degeneration of facet joints at L4/L5. The mri says it is mild and due to a tiny synovial cyst which is far from the nerve. I have quite frequent flare ups and they are usually triggered when I overdue at the gym. I also have trochanteric hip bursitis. Atm im exploring exercise modifications with a physio to work around my condition which I would classify as chronic since it creeps up every 4-5 months and takes a few months for the pain to go away. For prevention of future flare ups should I use ice or heat on lower back and hip ? Thanks guys
Hi guys 😊 i use 2 or 3 hot water bottles on my sciatica lumbar pain and my groin and my outter thigh leg. Wraped in a towel. I spread my quilt on my bed and i became crippled with pain in my back and groin i couldnt walk. 7 heated water bottles later for 4 days. Im at last able to stand up straight and walk to the toilet and go up the stairs. I went so stiff and the pain was painful. But now im able to move. Hot water bottles is better.
I'm in winter now with sciatica and I can't do ice it's too freezing so I didn't do anything, 4 days later either have a warm shower in the evening or use a hot water bottle. I feel more comfy and soothed with a hwb. started walking today and it was feeling better so tomorrow I'll walk morning and afternoon and do the stretching before I have breakfast and before bed. For cold I use a clean tea towel. I'll try the compression strap next time.
I’m just here for the jingle
Is there anyone on the planet at this point who is not subscribed to you ?!! I’ve be been here for 10’years atleast I think ! Hahaah 👍🤗🙏 -always love watching you guys -
Thank you for the kind words. Hope you stay Healthy and Pain free. Brad
What about using infrared heat followed by cold? Or would you do ice and follow an hour later with infrared? Or not mix?
Sirs, I do have this question that states... which of these is contraindicated for treating frozen shoulder?
1. Thermal agents
2. Slings
3. Overhead pulleys
Please which one is correct?
I am suffering from groin injury for 3 weeks now. Please should I keep icing or heat the area?
What abput the spinal disc problem? Can we put both at a time? Whenni went to my physio, she put cold pack first on my back newr shoulders. Then she would put muscle massaging machine there and then at the end she put hot pack. Is thay correct? Kindly rep someone.
What do you think of an ice water bath to bring down overall body inflammation/pain or soaking an effected area in ice water. Seems like the cold would penetrate better that way. Might be really uncomfortable, but if you only stay in the water for a short time, it would be safe. I'm just inspired by the idea of winter bathing where folks of all ages take a quick dip in icy sea water each day. Some people swear by the health benefits. What are your thoughts?
Thanks for the response! I've got fibromyalgia with all over pain and inflammation, low grade fever--heat therapy feels so good at first but then causes a flare and also makes my POTS worse. Ice soaks seem worth a shot. I'll be careful and use common sense 😊👍🏼
Wim Hoff is well known for ice immersion. I'm challenged with even a partly cold shower. 🚿 Brr
More please
Thanks your great
Thank you for sharing! The information and direction provided gives me much needed direction in dealing with my joint and muscle pain.
@BobandBrad ankle sprain ice or no ice? Just happened?there are those who say ice stops the healing process.
Cold for spasms? New to me. Will try.
Hi, its been more than 5 days my mom fell down , I tried both cold and heat pad at different time on my mom, now she's having pain lower back and its night here so after watching ur video should I apply cold or heat on her now ?
If infrared heating pads penetrate so deeply, it seems like using them anywhere on your torso would be a really bad idea considering that they would heat your organs. Please address this concern in a reply to me and another video.
I love these guys' videos, but this one was just confusing.... I'm still trying to figure out whether to use heat or cold one month into healing my heal bursitis.
Hi doc, is hot compress good for hematoma?
Thank you
What about chronic back pain...every day. Hot or cold?
I use my infrared lamp. Mine is near infrared. I also use NeuroMD electrical stimulation. I try to go back & forth between cold and warm.
Do you use hot/cold pack for 15-20 mins. every hour? Two hours? Longer?
any help video for my tennis elbow.. thanks more power
Sprained my ankle 3 months ago and it don’t hurt anymore but I keep re injuring it by skate boarding. I land with my toes and it feels like a electric shock, it’s not my ankle it feels like the ligaments in the ankle and it’s been a week off my board icing and stuff and i guess I’ll just keep elivating it and icing no hest
Which is better infra heat as to home unit ultra sound
So..... correct me if Im wrong, but you said, first 48 hours use cold ..... after that, its your choice. Is that correct?
Which is best slipped disk, ic bag or hot bag tell me
heat or cold pack for leg and/or foot cramps during the night? how to keep them in place when you are in bed?
I get sharp pain in my right leg, in my buttock and it goes down my Hamstring and the calf becomes heavy chiropractor told me the piriformis muslce is the culprit and you should use cold pack because of severe pain due to only standing and walking a little. I used the cold pack it felt better now when i switched to mild heat the pain became excruciating.
what about massage for knee or ankle sprains? Thanks.
Is getting the inflammation necessary for healing? Cause if it’s just a pain thing then I’d rather tough it out with heat
Ye inflammation is necessary but .in acute stage .their may be over bleeding ..so apply Ice pack for 4_5 menute .to control inflammation
How can physiotherapy help with fibromyalgia?
Where on spine is it safe to use ice ❓❓please answer soon 👍🏻‼️
Link to the sweatpants that Brad is wearing please?
OK, when you sprain a joint it swells up. That seems like it's the body's way of immobilizing the joint. Yet they say to put cold on it to take away the swelling. Seems like you're fighting against what the body wants to do. It seems like taking the swelling away would encourage you to use the joint again, which your body is trying to stop you from doing. Why use cold?
I was thinking about getting a standing desk, i do alot of drawing and graphic design. Are standing desks better for back pain and posture?
Trying To Art was thinking the same thing
Hardus Helm I raised my art board so I could stand and paint, without any bending. Sitting and leaning forward is deadly for my back. It helped a lot with my lower back pain. I put a bed tray on my desk and it was the perfect height. Keep all your paints around you so you don’t have to reach very much. I think a thick rubber mat would help too, for standing on.
What about carpal tunnel syndrome? I've been battling it for 4 years I'm trying to stretch and ice and heat plus electro therapy and acupuncture once a week now should i still be icing it is one of the few things that really relieves the pain
I always sleep with wrist braces and it has helped tremendously. We often bend our wrists when we sleep, this prevents that.
If you can please do meditation. It helps!! My husband had this and meditation really helped him ,now he doesn't have it.
Search the DIY Joint Pain Relief channel. Great for carpul tunnel
How is your carpal tunnel now? You need to get it cured completely or else you will be prone to more injury. Do you still need more help?
What do you do for chronic pain daily from fibromyalgia.
Go to EO Nutrition on UA-cam. Look for Benfotiamine (b1). I’ve Had fibromyalgia for 35 years plus and if you go to the max with Benfotiamine and magnesium glycinate, your pain will be gone. I started in June and slowly worked my way up to the max dose. I also took a b complex for a month. By August I was 100% pain free. This really works. I’m 72 and thought I would have fibromyalgia for the rest of my life.
What abt knee swelling but without any injury. Should i use cold or hot pack?
Use a cold pack for 15 mins, 3x a day. It’ll help the swelling and inflammation go down.
Why some docs say... that we shouldn't ice an acute injury.., coz icing stops the blood flow to the area n therefore the healing.
What are ur thoughts on it??
Sareeka Katkuri the only way to completely stop the blood flow to an area is a tourniquet, which is NEVER indicated for soft tissue injuries. The ice will reduce the swelling, and therefore the pain. That's why any time you have an acute injury (sudden and quickly developing into possible further complications), you ALWAYS use cold first, then heat to relax the muscles. Any contrary opinion is NOT teaching to International Red Cross standards.
I was told that the real benefit of icing is when the ice is removed and the blood flows back the injured area..thus carrying off inflammation. Is that for real?
The RICE method is easy to remember when I get an injury-R-restI-iceC-compressionE-elevate
We can use at a time cold Nd heat.? Back fr cold pack Nd stamach fr hot. Pls ansr
With severe lower back pain, I have been icing my back for 30 minutes and sometimes 40 minutes. Please say something about the risks of leaving a cold pack on too long, if there are any.
Slows down blood flow
Nerve damage?
Mistake I was making I was using heat pad and heat cream all night and made my butt cheek worse first night doing cold pack so much better now!
I always put ice directly on, I never listen 😆
Cotton handkerchief or bandanna works well under the cold pack.
With gratitude in my heart I wanna say a very big thank you to drudoka on UA-cam for helping me eradicate herpes virus
Thanks guys. Very informative and useful. Quick ?: What is "cool laser" treatment?
I am also interested in the answer, especially how it compares with the IR heating pad mentioned in this video.
I can't get any effect unless cold pack is directly applied. Tooth ache. Better accompanied with asprin
Liked Video but you did not say how long you should keep ice on a lower back for sciatica pain. Ice feels good but I know I can not keep it long for a long time. (HOW LONG) ?
15-20 min for ice
good as usual - a fan from wisconsin ---m,k
Are you supposed to lie down when applying heat? I have one of those heating belts that you can stand/sit or walk around in. I was told by my massage therapist that heat is good for bulging & herniated disk, but when I apply heat it hurts MORE after 10 minutes not less.
best way to get a long term patient! Ice, cold, ice, ice ice!
How about a gout and the ankle is swelling for already 2 weeks? Please i need your advice.
Cherry juice and an ice pack.
What about chronic back pain? Heat or ice?
B Metz no answers yet?🤦🏻♂️
Yeah, I used to wake up with my back just killing me, lol, then I slept in my recliner….never slept in a bed again.
Sir how much the temperature of ice pack
Confused!
Would like to see a video about your thoughts on becoming PT today. I've been thinking about it but am not sure the loans of DPT school outweigh the modest salary that most PTs make starting their careers. Thanks guys!
Lou Anthony that depends on the setting. If you go outpatient then yes. But SNF, Acute, home care you'll probably start at 80k and in home care some places 90k+. Alot of DPT students come out with 100k-200k in debt. If you really wanted to pay it off asap you can look into working weekends PRN and you can make an extra 20k-30k a year. It's just a lot of work
Do it and love it, become a blessing for others by helping them to live happy lives!
Hi to everybody.I am a "physical therapist" inRussia,but i graduated a medical univercity- i was studing for 8 years , now i work in ICU at the regional stroke center. my salary with outpatient is about 600 $ a month.and yes,we have a lot of hard work. i
Lou Anthony, if you can see yourself doing this job, then nothing should stop you. The other reply about adding extra hours to pay off debt is smart. At the pet place I go to, there are college students there working as techs.