SHOULD WE UTILIZE ICE FOLLOWING ORTHOBIOLOGIC PROCEDURES?
Main Article Content
Keywords
Cryotherapy, Growth factor, Rehabilitation, Swelling
Abstract
Ice applications have been used for centuries to decrease pain and inflammation following orthopedic procedures and musculoskeletal injuries. While there is merit to using ice, more recent advancements in research and recovery have cast doubt on the efficacy of icing. Namely, concerns over suppressing the natural healing process have steered many clinicians away from the routine use of ice. This article presents a balanced perspective on both the merits and limitations of existing research on the use of ice. Recommendations for post-procedural management of patients following orthobiologic procedures and the cellular niche are
presented.
References
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2. Mirkin GH, M. The Sportsmedicine Book. Little, Brown & Co; 1978.
3. Kwiecien SY, McHugh MP. The cold truth: the role of cryotherapy in the treatment of injury and recov-ery from exercise. Eur J Appl Physiol. Aug 2021; 121(8):2125–2142. https://doi.org/10.1007/s00421-021-04683-8
4. Dubois B, Esculier JF. Soft-tissue injuries simply need PEACE and LOVE. Br J Sports Med. Jan 2020;54(2):72–73. https://doi.org/10.1136/bjsports-2019-101253
5. Takagi R, Fujita N, Arakawa T, Kawada S, Ishii N, Miki A. Influence of icing on muscle regeneration after crush injury to skeletal muscles in rats. J Appl Physiol (1985). Feb 2011;110(2):382–8. https://doi.org/10.1152/japplphysiol.01187.2010
6. Cheatham SW, Kolber MJ, Salamh PA, Hanney WJ. Rehabilitation of a partially torn distal triceps tendon after platelet rich plasma injection: a case report. Int J Sports Phys Ther. Jun 2013;8(3):290–9.
7. Khoshnevis S, Craik NK, Diller KR. Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units. Knee Surg Sports Traumatol Arthrosc. Sep 2015;23(9):2475–83. https://doi.org/10.1007/s00167-014-2911-y
8. Vieira Ramos G, Pinheiro CM, Messa SP, et al. Cryotherapy Reduces Inflammatory Response Without Altering Muscle Regeneration Process and Extracellular Matrix Remodeling of Rat Muscle. Sci Rep. Jan 4 2016;6:18525. https://doi.org/10.1038/ srep18525
9. Singh DP, Barani Lonbani Z, Woodruff MA, Parker TJ, Steck R, Peake JM. Effects of Topical Icing on Inflammation, Angiogenesis, Revascularization, and Myofiber Regeneration in Skeletal Muscle Following Contusion Injury. Front Physiol. 2017;8:93. https://doi.org/10.3389/fphys.2017.00093
10. Nemet D, Meckel Y, Bar-Sela S, Zaldivar F, Cooper DM, Eliakim A. Effect of local cold-pack application on systemic anabolic and inflammatory response to sprint-interval training: a prospective comparative trial. Eur J Appl Physiol. Nov 2009;107(4):411–7. https://doi.org/10.1007/ s00421-009-1138-y
11. Fuchs CJ, Kouw IWK, Churchward-Venne TA, et al. Postexercise cooling impairs muscle protein synthesis rates in recreational athletes. J Physiol. Feb 2020;598(4):755–772. https://doi.org/10.1113/ JP278996
12. Hubbard TJ, Aronson SL, Denegar CR. Does Cryotherapy Hasten Return to Participation? A Systematic Review. J Athl Train. Mar 2004;39(1):88–94.
13. Herrera E, Sandoval MC, Camargo DM, Salvini TF. Effect of walking and resting after three cryotherapy modalities on the recovery of sensory and motor nerve conduction velocity in healthy subjects. Rev Bras Fisioter. May-Jun 2011;15(3):233–40. https:// doi.org/10.1590/s1413-35552011000300010
14. Hocutt JE, Jr., Jaffe R, Rylander CR, Beebe JK. Cryotherapy in ankle sprains. Am J Sports Med. Sep-Oct 1982;10(5):316–9. https://doi.org/10.1177/ 036354658201000512
15. Wang Y, Li S, Zhang Y, et al. Heat and cold therapy reduce pain in patients with delayed onset muscle soreness: A systematic review and meta-analysis of 32 randomized controlled trials. Phys Ther Sport. Mar 2021;48:177-187. https://doi.org/10.1016/j.ptsp.2021.01.004
16. Bugaj R. The cooling, analgesic, and rewarm-ing effects of ice massage on localized skin. Phys Ther. Jan 1975;55(1):11–9. https://doi.org/10.1093/ ptj/55.1.11
17. Herrera E, Sandoval MC, Camargo DM, Salvini TF. Motor and sensory nerve conduction are affected differently by ice pack, ice massage, and cold water immersion. Phys Ther. Apr 2010;90(4):581–91. https://doi.org/10.2522/ptj.20090131
18. Yang JH, Hwang KT, Lee MK, Jo S, Cho E, Lee JK. Comparison of a Cryopneumatic Compression Device and Ice Packs for Cryotherapy Following Anterior Cruciate Ligament Reconstruction. Clin Orthop Surg. Apr 2023;15(2):234–240. https://doi.org/10.4055/cios21246
19. Martimbianco AL, Gomes da Silva BN, de Carvalho AP, Silva V, Torloni MR, Peccin MS. Effectiveness and safety of cryotherapy after arthroscopic anterior cruciate ligament reconstruction. A systematic review of the literature. Phys Ther Sport. Nov 2014;15(4):261–8. https://doi.org/10.1016/j.ptsp.2014.02.008
20. Tittley J, Hebert LJ, Roy JS. Should ice application be replaced with neurocryostimulation for the treatment of acute lateral ankle sprains? A randomized clinical trial. J Foot Ankle Res. Dec 1 2020;13(1):69. https://doi.org/10.1186/s13047-020-00436-6
21. Hubbard TJ, Denegar CR. Does Cryotherapy Improve Outcomes With Soft Tissue Injury? J Athl Train. Sep 2004;39(3):278–279.
22. Erdurmus OY, Oguz AB, Genc S, Koca A, Eneyli MG, Polat O. Comparison of the effects PRICE and POLICE treatment protocols on ankle function in patients with ankle sprain. Ulus Travma Acil Cerrahi Derg. Aug 2023;29(8):920-928. Ayak bilegi burkulmasi olan hastalarda PRICE ve POLICE tedavi protokollerinin ayak bilegi fonksi-yonu uzerindeki etkilerinin karsilastirilmasi. https://doi.org/10.14744/tjtes.2023.29797
23. Kolber M, Murrell WD. Regenerative Rehabilitation. Biologic Orthopedics Journal. 04/11 2023;4(SP1): e164–e165. https://doi.org/10.22374/boj.v4iSP1.58
24. Khan KM, Scott A. Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair. Br J Sports Med. Apr 2009;43(4):247–52. https://doi.org/10.1136/bjsm.2008.054239
25. Helmark IC, Mikkelsen UR, Borglum J, et al. Exercise increases interleukin-10 levels both intraarticularly and peri-synovially in patients with knee osteoarthritis: a randomized controlled trial. Arthritis Res Ther. 2010;12(4):R126. https://doi.org/10.1186/ar3064
26. Greig CA, Hameed M, Young A, Goldspink G, Noble B. Skeletal muscle IGF-I isoform expression in healthy women after isometric exercise. Growth Horm IGF Res. Oct-Dec 2006;16(5-6):373–6. https://doi.org/10.1016/j.ghir.2006.09.005
27. Ohberg L, Lorentzon R, Alfredson H. Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up. Br J Sports Med. Feb 2004;38(1):8–11; dis-cussion 11. https://doi.org/10.1136/bjsm.2001.000284
28. Kolber M, Purita J, Hanney WJ. Post-procedural rehabilitation: nice to do or need to do? Biologic Orthopedics Journal. 2023;5(1):e12–e15.
2. Mirkin GH, M. The Sportsmedicine Book. Little, Brown & Co; 1978.
3. Kwiecien SY, McHugh MP. The cold truth: the role of cryotherapy in the treatment of injury and recov-ery from exercise. Eur J Appl Physiol. Aug 2021; 121(8):2125–2142. https://doi.org/10.1007/s00421-021-04683-8
4. Dubois B, Esculier JF. Soft-tissue injuries simply need PEACE and LOVE. Br J Sports Med. Jan 2020;54(2):72–73. https://doi.org/10.1136/bjsports-2019-101253
5. Takagi R, Fujita N, Arakawa T, Kawada S, Ishii N, Miki A. Influence of icing on muscle regeneration after crush injury to skeletal muscles in rats. J Appl Physiol (1985). Feb 2011;110(2):382–8. https://doi.org/10.1152/japplphysiol.01187.2010
6. Cheatham SW, Kolber MJ, Salamh PA, Hanney WJ. Rehabilitation of a partially torn distal triceps tendon after platelet rich plasma injection: a case report. Int J Sports Phys Ther. Jun 2013;8(3):290–9.
7. Khoshnevis S, Craik NK, Diller KR. Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units. Knee Surg Sports Traumatol Arthrosc. Sep 2015;23(9):2475–83. https://doi.org/10.1007/s00167-014-2911-y
8. Vieira Ramos G, Pinheiro CM, Messa SP, et al. Cryotherapy Reduces Inflammatory Response Without Altering Muscle Regeneration Process and Extracellular Matrix Remodeling of Rat Muscle. Sci Rep. Jan 4 2016;6:18525. https://doi.org/10.1038/ srep18525
9. Singh DP, Barani Lonbani Z, Woodruff MA, Parker TJ, Steck R, Peake JM. Effects of Topical Icing on Inflammation, Angiogenesis, Revascularization, and Myofiber Regeneration in Skeletal Muscle Following Contusion Injury. Front Physiol. 2017;8:93. https://doi.org/10.3389/fphys.2017.00093
10. Nemet D, Meckel Y, Bar-Sela S, Zaldivar F, Cooper DM, Eliakim A. Effect of local cold-pack application on systemic anabolic and inflammatory response to sprint-interval training: a prospective comparative trial. Eur J Appl Physiol. Nov 2009;107(4):411–7. https://doi.org/10.1007/ s00421-009-1138-y
11. Fuchs CJ, Kouw IWK, Churchward-Venne TA, et al. Postexercise cooling impairs muscle protein synthesis rates in recreational athletes. J Physiol. Feb 2020;598(4):755–772. https://doi.org/10.1113/ JP278996
12. Hubbard TJ, Aronson SL, Denegar CR. Does Cryotherapy Hasten Return to Participation? A Systematic Review. J Athl Train. Mar 2004;39(1):88–94.
13. Herrera E, Sandoval MC, Camargo DM, Salvini TF. Effect of walking and resting after three cryotherapy modalities on the recovery of sensory and motor nerve conduction velocity in healthy subjects. Rev Bras Fisioter. May-Jun 2011;15(3):233–40. https:// doi.org/10.1590/s1413-35552011000300010
14. Hocutt JE, Jr., Jaffe R, Rylander CR, Beebe JK. Cryotherapy in ankle sprains. Am J Sports Med. Sep-Oct 1982;10(5):316–9. https://doi.org/10.1177/ 036354658201000512
15. Wang Y, Li S, Zhang Y, et al. Heat and cold therapy reduce pain in patients with delayed onset muscle soreness: A systematic review and meta-analysis of 32 randomized controlled trials. Phys Ther Sport. Mar 2021;48:177-187. https://doi.org/10.1016/j.ptsp.2021.01.004
16. Bugaj R. The cooling, analgesic, and rewarm-ing effects of ice massage on localized skin. Phys Ther. Jan 1975;55(1):11–9. https://doi.org/10.1093/ ptj/55.1.11
17. Herrera E, Sandoval MC, Camargo DM, Salvini TF. Motor and sensory nerve conduction are affected differently by ice pack, ice massage, and cold water immersion. Phys Ther. Apr 2010;90(4):581–91. https://doi.org/10.2522/ptj.20090131
18. Yang JH, Hwang KT, Lee MK, Jo S, Cho E, Lee JK. Comparison of a Cryopneumatic Compression Device and Ice Packs for Cryotherapy Following Anterior Cruciate Ligament Reconstruction. Clin Orthop Surg. Apr 2023;15(2):234–240. https://doi.org/10.4055/cios21246
19. Martimbianco AL, Gomes da Silva BN, de Carvalho AP, Silva V, Torloni MR, Peccin MS. Effectiveness and safety of cryotherapy after arthroscopic anterior cruciate ligament reconstruction. A systematic review of the literature. Phys Ther Sport. Nov 2014;15(4):261–8. https://doi.org/10.1016/j.ptsp.2014.02.008
20. Tittley J, Hebert LJ, Roy JS. Should ice application be replaced with neurocryostimulation for the treatment of acute lateral ankle sprains? A randomized clinical trial. J Foot Ankle Res. Dec 1 2020;13(1):69. https://doi.org/10.1186/s13047-020-00436-6
21. Hubbard TJ, Denegar CR. Does Cryotherapy Improve Outcomes With Soft Tissue Injury? J Athl Train. Sep 2004;39(3):278–279.
22. Erdurmus OY, Oguz AB, Genc S, Koca A, Eneyli MG, Polat O. Comparison of the effects PRICE and POLICE treatment protocols on ankle function in patients with ankle sprain. Ulus Travma Acil Cerrahi Derg. Aug 2023;29(8):920-928. Ayak bilegi burkulmasi olan hastalarda PRICE ve POLICE tedavi protokollerinin ayak bilegi fonksi-yonu uzerindeki etkilerinin karsilastirilmasi. https://doi.org/10.14744/tjtes.2023.29797
23. Kolber M, Murrell WD. Regenerative Rehabilitation. Biologic Orthopedics Journal. 04/11 2023;4(SP1): e164–e165. https://doi.org/10.22374/boj.v4iSP1.58
24. Khan KM, Scott A. Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair. Br J Sports Med. Apr 2009;43(4):247–52. https://doi.org/10.1136/bjsm.2008.054239
25. Helmark IC, Mikkelsen UR, Borglum J, et al. Exercise increases interleukin-10 levels both intraarticularly and peri-synovially in patients with knee osteoarthritis: a randomized controlled trial. Arthritis Res Ther. 2010;12(4):R126. https://doi.org/10.1186/ar3064
26. Greig CA, Hameed M, Young A, Goldspink G, Noble B. Skeletal muscle IGF-I isoform expression in healthy women after isometric exercise. Growth Horm IGF Res. Oct-Dec 2006;16(5-6):373–6. https://doi.org/10.1016/j.ghir.2006.09.005
27. Ohberg L, Lorentzon R, Alfredson H. Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up. Br J Sports Med. Feb 2004;38(1):8–11; dis-cussion 11. https://doi.org/10.1136/bjsm.2001.000284
28. Kolber M, Purita J, Hanney WJ. Post-procedural rehabilitation: nice to do or need to do? Biologic Orthopedics Journal. 2023;5(1):e12–e15.
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Published
Nov 13, 2024
Article Details
How to Cite
Kolber, M., Purita, J., Hanney, W. J., & Martin, K. (2024). SHOULD WE UTILIZE ICE FOLLOWING ORTHOBIOLOGIC PROCEDURES?. Biologic Orthopedics Journal, 6(1), 43–47. https://doi.org/10.22374/boj.v6i1.74
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