end of RICE/ICE? garbage out groceries in

[Guest guest]

this an important converstion that we are all involved inIs RICE [rest ,ice compression and elevation] passe? Here is food for thought from a conversation with Starett DPT. Kahn DC Eugene

[Guest guest]

We had some discussions re. the effect of ice on the list-serv about 10 years

ago. I recall that I 'went on a tear' and looked at some of the primary

literature regarding cold/icing of injuries. What I found was ZERO evidence that

ice/cold can actually assist or expedite the actual physiologic healing process

of injuries. I also found substantial evidence that it is an effective analgesic

(as one might imagine). In our office, I do not even have icepacks/coldpacks.

Then, about 2006 when I was introduced to the work and paradigm of

Chestnut, DC (which evolutionary-biology-based foundation )...it really helped

reinforce this approach for me.

That video you posted shows how there is a rapidly-burgeoning number of fitness

professionals who are changing their paradigms due to the influence of

newly-accepted evolutionaty-biology principles. Many of those cross-fit-oriented

PTs/DPTs/Trainers (and chiros also) are actually looking at the literature (now

that they possess their newly-acquired " paleo/primal goggles " ) and they are

coming to the same conclusions that our chiropractic founders did:

Here it is: " If you value long-term health over short-term athletic performance,

then " Natural is best " . "

In chiropractic field, since we were the ones that pulled this 'natural is best'

wagon for the last 100 years..should not the null hypothesis be something like

this?:

1-the body will heel best without 'artificially' changing the the tissue

temperature of the injured tissues.

2-The body will heel best without ingestion of chemicals that disturb or alter

the a-the genetically-correct inflammation process and b- genetically-correct

conscious pain transmission systems

2-The body will heel best in the presence of substantial movement and activity

(which is consciously modified by the patient that it does not cause the pain to

spike to unbearable levels.)

3-If pain levels are still unbearable and severe, then the least toxic/least

invasive strategies should be employed first: such as,

-superficial cold application for analgesia only (be careful because patients DO

get frostbite, it does happen) this is done for analgesia, not to " clear

swelling "

-passive movement and stretching of the soft tissues with techniques such as

what chiros can offer

-alignment and gentle mobilization of articulations to remove tissue tension,

etc. such as what chiros offer

-other interventions that are more superficial /less toxic, dietary changes,

mind-body, relaxation, etc.

If all of the above do not seem to work and the patient is in severe and

unbearable pain then and only then should they ingest something like a toxic OTC

nsaid and/or analgesic.

Then, if the OTCs do not work, then and only then would a person consider a

highly-toxic Rx NSAID or analgesic.

(side bar: why do some chiros want to Rx drugs again?)

Anyhow, that is the protocol at our office and this is how we educate our

patients and we have pretty good results. And we get people off drugs both OTC

and Rx.

So once again, I will again put the question out to any list-serv DCs to show us

convincing literature that demonstrates where NSAIDs or ICE actually

expedite/improve the healing of tissues (at the cellular level). I do not

believe it exists but I remain open-minded.

>

> this an important converstion that we are all involved in

> Is RICE [rest ,ice compression and elevation] passe? Here is food for thought

from a conversation with  Starett DPT.

> Kahn DC Eugene

>