Guidelines for R.I.C.E.?

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anne28's picture

anne28

Question:

Guidelines for R.I.C.E.?

I've seen a lot of answers as to treating an injury with RICE. I know what this means but I don't know the guidelines surrounding it, as far as how long to rest, how long and often to ice, compress and elevate. Any advice?

physioroute's picture

physioroute

ice / cold compress for the first 24 - 48 hours

Rest means no overexurtion but still if possible to move the limb minimal for 1st 24 - 48 hours

support only when active / in the day NOT at night

Elevate it as much as possible for 1st 24 -48 hours

i.e and ankle - rest, compressional bandage, crutches if nec. ice, and gently move foot up and down

48 hours + increase movement, decrease rest and ice, increase walking

with most basic soft tissue injuries your looking at 6 to 8 weeks before things settle, occationally if it's very bad up to 12 weeks.... and there is nothing you can do to speed this up, all you can do is reduce the long term effect it can have.

If you go on the CSP web page ( chartered Society of physiotherapists)they have answer sheets with this on.

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kmurdie's picture

kmurdie

RICE has been shown to be effective to control the initial inflammatory response which occurs up to 48 hours post injury, although controlled scientific research doesn't prove this.

There is still a huge debate reguarding the length of time to apply ice following an injury as it is largely dependent onthe structures being targeted.
For example, an ankle injury may be quite superficial and therefore the time of application may be significantly shorter than application to a deeper muscular injury to say the hamstrings or the quads.

Prolonged applications may also produce problems related to burning of the skin espectially if applied directly with compression or cellular necrosis (cellular death within the tissues).

Application, therefore, should be considered and monitored carefully.

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