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Ice vs. Heat

The age old question. Should you use an ice or heat pack for that lower back pain?

You'll hear some people tell you that you absolutely should or should not use either for any given complaint, the truth is more likely somewhere in the middle.

While both are effective in providing pain relief, they work differently to produce distinct outcomes.


Cold therapy is known to reduce inflammation in the affected area, causing blood vessels to constrict and thereby limiting swelling. Cold therapy temporarily reduces pain by numbing pain receptors and reducing nerve activity. It's more effective for acute pain caused by injuries, inflammation and swelling.


Heat therapy, on the other hand, expands blood vessels, leading to increased blood flow and oxygen to the affected area, promoting healing and reducing pain. Heat therapy can loosen up tight muscles and joints, improving range of motion. For these reasons, heat therapy is generally recommended for chronic pain, muscle spasms and stiffness.


Alternating between hot and cold therapy can also be a useful technique to improve circulation, decrease inflammation, reduce muscle tension, and stimulate the release of endorphins (the bodies natural painkillers).


We generally recommend 15 mins on / 45 mins off for either therapy. However, to avoid any complications, it is important to consult with your Chiropractor, Physiotherapist or Remedial Massage Therapist and follow their specific recommendations tailored to you.


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