One of the most common questions I get deals with the subject of when to apply heat or cold. Both have great properties and both can help you. But which one should you use if you are in pain?
The main factor to determine this is the length of time the area has been injured. When using the right modality at the right time, you may see some promising results and experience relief.
Let’s define the two types of pain.

Acute Pain

This pain is caused by a recent injury.. It could result from a sudden fall, accident, slip, impact, etc. If you fell off your bike and hurt yourself, the pain you feel would be considered an acute pain.

Chronic Pain

This pain results from an injury occurring a while ago, but never has healed. It could be from untreated whiplash, an old shoulder injury, poor posture, etc. Perhaps you “threw” your back out years ago and you think you just have to live with the injury.

When to Apply Cold

Using a cold pack or ice is recommended for acute pain. Cold decreases inflammation and swelling which can reduce pain. Apply cold for no more twenty minutes. If it feels too cold or starts to numb the area, put a towel or buffer around the cold pack and try again. Ice, if used incorrectly, can damage the area so be cautious with it. Also, be careful or use another option if you are having sensory issues. This especially applies to people with diabetes. You can re-apply the ice again later, typically, an hour to 90 minutes.

Heat

Heat is typically used for chronic pain. Heat increases blood flow and helps your body to heal. It also warms stiff muscles and relaxes tense muscles. The heat should be warm, not burning. If it feels too hot, put a towel or a buffer over it to decrease the temperature. Just as I mentioned with cold, people with with sensory deficiencies should be careful. Applying heat up to twenty minutes is usually recommended and it can be applied throughout the day. Using these modalities can greatly help with decreasing pain and increasing range of motion. However, they do
not always resolve the injury or underlying problem. I recommend you see your healthcare practitioner if the pain persists. You don’t have “to live with the pain.”

Heat or cold should not act as a Band-Aid especially if the pain lingers. Although, if properly applied they can greatly speed up the recovery time of an injury. If you tackle your injuries head on instead of toughing it out, you can heal faster and have a better quality life. For more information on this topic check out my youtube video on the subject titled “Chiro Corner Episode 2-Heat vs Cold or check visit my website at www.drbenhorning.com