riCe
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Hello,
With regards to the well known injury first aid protocol RICE how relevant is the 'Compression' component these days? Recent experience with firends who have attended A&E with significant ankle injuries have all left the hospital without the ankle being compressed, i.e. Taped, strapped or bandaged, they have neither been advised to do so! I am just wondering if the RICE protocol has had it's day or whether the emergency services know something that I don't? I can't find anything to support non-compression of an injury on the net. Anyone know anything?
Cheers
Gerry




Compression is possibly the most important one to apply...
18th Nov '11, 11:51am
Not applying compression to a fresh injury is stupidity or ignorance. Compression will decrease swelling, and maintain the flow of nutrients to the damaged tissue. If the swelling is unhindered, will it restrict flow of nutrients, and the injury will heal slower. Increased swelling induces pain, and restricts the also important component, mobilization. That is, when possible without severe pain, should you excercise the injured part by movement drills (first, without resistance).
In regards to fast healing, is quick application of compression, even more important than ice. Ice numbs the pain, but also acts as a vasoconstrictor. It makes the vascular system contract (decreases flow of blood), and then makes the vessels relax and increase in diameter (increases flow).
RICE still stands, but M should be added. The order isn't necessarily RICEM.
Stop the activity. Compress the damaged area. Add ice 15-20min every hour. Elevate the injured part above your heart. When possible, start using the injured part (progression, so easy at first).
Kind regards
T
RICE Injury First Aid - The RICE Method for sports injury
18th Nov '11, 12:35pm
Thanks T, an excellent post.
Feel free to add a signature to your poss - If you're answering a question on the forums, you're welcome to gently plug your site or service, especially if you're giving some useful information to our members. The best way to do it is to sign off your post with your name, job title (or sporting qualifications) and add a link to your site. You won't be edited by our moderators for adding helpful advice.
Gerry, there's a relevant download from the site here - The Treatment and Prevention of Common Ankle Injuries
I understood it was still
21st Nov '11, 8:33pm
I understood it was still significant in the case of more severe injuries. But its certainly interesting as I too know of people who have been treated for sprains etc and not had compression.
I wonder what other members think?
Welcome to the site T :)