Wednesday, March 17, 2021

Mailvox: Ice is not nice

Another old medical standby is vaporized by the evidence:

As the official old guy, you might be interested that what we were always taught to ice injuries and use the RICE protocol turns out to be as accurate advice as a low-fat high-grain diet or clear soda and crackers for a cold.

Just recently discovered this myself through this article.

The inventor of the RICE protocol has even admitted he was wrong.  From the forward to Gary Reinl's book, ICED!  The Illusionary Treatment Option

Almost 40 years ago, I coined the term RICE (Rest. Ice. Compression. Elevation.) as the treatment for acute sports injures (The Sportsmedicine Book, 1978, page 94).  Subsequent research shows that rest and ice can actually delay recovery.  Mild movement helps tissue to heal faster, and the application of cold suppresses the immune responses that start and hasten recovery.  Icing does help suppress pain, but athletes are usually far more interested in returning as quickly as possible to the playing field.  So, today, RICE is not the preferred treatment for acute athletic injury.

- Dr. Gabe Mirkin, M.D.

Another example of something that makes perfect sense when you stop and think about it, but I never did because literally everyone my whole life told me use RICE for injuries.  And of course I advised others the same way.

I never iced anything but a badly sprained ankle, but mostly because I simply didn't like icing. And I figured out very quickly on that the best way to avoid post-exercise stiffness was a) a hot shower, b) movement, and c) stretching. While we had ice baths on the university track team, I never once took one. I mean, why would you ever get in an ice bath when they've got perfectly good jacuzzis next door? 

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Blogger Jake March 17, 2021 6:54 PM  

The pattern of "we are scientists, we know better how to maintain and heal your body than that God you believe in" is ever present.

Blogger Jeroth March 17, 2021 6:55 PM  

Why has there been such a consistent propaganda drum beat to convince people that whatever feels or tastes good is bad for you? The only exception seems to be completely unfettered sexual debauchery. Very curious.

Blogger Doktor Jeep March 17, 2021 7:17 PM  

Hard tissues need blood flow to recover.
I once sprained my ankle so bad my foot turned purple.
Still ran 6 miles a week later.

Blogger Nate March 17, 2021 7:24 PM  

the ice bath the NFL players use is for recovery... not for injury. and its a combination of the ice bath and heat treatments. there is very much real science to support that.

Blogger DrivingDissent March 17, 2021 7:29 PM  

Yeah I had a bad fibula break requiring surgery... I iced it to often and the swelling was still pretty bad a couple weeks after breaking it complicating the surgery..

Science is often wrong, no one has dared to calculate and/or publish the early deaths caused by pushing tran-fats and high carbohydrates diets. The body count has to be in the 10 of millions.
The correlation between increased carbohydrate consumption as a percentage of total caloric intake and obesity is almost perfect.

Blogger JovianStorm March 17, 2021 7:42 PM  

I use IR and red light therapy. Works wonders on sore muscles.

Acupuncture is good, too.

Blogger szook March 17, 2021 7:46 PM  

Ugh. Number one son turned his ankle this week. Looks like we are going to have switch up on treatment.

Blogger MichaelJMaier March 17, 2021 8:04 PM  

Works for tweaked backs, too. Gentle stretches and moving. NOT lying around, wishing to get better.

Blogger English Tom March 17, 2021 8:06 PM  

Chill out man!

Blogger Daniel March 17, 2021 8:08 PM  

What worked for me was just a slight modification. SPICE - Sex Pool Ignorance Compression Exercise

Blogger Reprehensible Adam March 17, 2021 8:11 PM  

Don't forget a steak. Go as rare as you can. And a beer!

Blogger Hammerli 280 March 17, 2021 8:14 PM  

Note that Dr. Mirkin has practiced real Science. Meaning that he admitted error and corrected the theory in accordance with observed facts.

Blogger Jeff aka Orville March 17, 2021 8:23 PM  

Ah, so the old macho saw "shake it off" has some validity. My HS track coach made everyone grease up with Atomic Balm at the start of a meet. I concur with stretching and heat for my boomer bones.

Blogger Shane Bradman March 17, 2021 8:25 PM  

Icing takes you out of the game completely. Who wants to stop playing? Gentle and constant movement to keep the joints warm always worked for me. A few minutes and good to go.

Blogger Crew March 17, 2021 8:30 PM  

When you have a choice between an ice bath and a jacuzzi it seems obvious what you should choose!

Blogger Bobo #117 March 17, 2021 8:39 PM  

Nate's right, contrast baths for recovery are still legit, mainly because of the stimulation of blood flow.
Immediately post-acute injury is the only time I take NSAIDs, because they work. Light massage and movement (to tolerance) does the most good.
And the "compression" part of RICE is still valid...

Blogger SirHamster March 17, 2021 8:39 PM  

> Mild movement helps tissue to heal faster

Bloodflow, I think. Also, getting exercise probably releases hormones that help recovery.

Once I twisted my ankle and it was hard to walk the next morning. Then I did some weightlifting, including sets of loaded barbell squats.

Felt 90% the day after. Took a few months for all the pain to disappear, but the ankle didn't get in the way of a 2 week vacation with a lot of city walking.

Blogger v.soest March 17, 2021 8:48 PM  

I was literally reading this post with a bottle of ice water on a swollen part of my face after taking a blow to the head. Guess I better do something else

Blogger Darayvus March 17, 2021 8:54 PM  

Hot tubs do have the problem that they are, well, hot and prompt the body to sweat. Good for the body... until the germ-laden oils get over the surface and into your lungs.
You probably know enough to shower before getting into the hot tub but, does everyone else know that much (or care) before using that tub?

Blogger Zeroh Tollrants March 17, 2021 9:02 PM  

I think polar plunges & ice baths are great for your circulatory system, but I've never been an ice an injury person.

Blogger Jon W March 17, 2021 9:20 PM  

Wim Hof, the ice man. Deep breathing and ice showers are apparently really good for you. It stimulates the parasympathetic nervous system. His breathing technique feels amazing when you do it, though not a fan of the cold showers

Blogger Red Rover March 17, 2021 9:20 PM  

Glad this was posted. Old habits die hard. I've told patients for years that ice isn't nice and that motion is lotion. It's much harder to convince them that hurt doesn't equal harm and pain does not equate to damage. I guess I need better rhetoric.

Blogger bobby March 17, 2021 9:28 PM  

Confused. We've always - I mean for decades - iced injuries immediately upon occurring, in order to inhibit initial swelling, but then almost immediately switched to heat to help blood flow which fosters healing. As far as I know, this is still the recommendation.

Blogger buzzardist March 17, 2021 9:34 PM  

Next, let’s talk sunscreen...or vitamin supplements...or fat in the diet. So much of the medical “science” proffered in the ‘70s, ‘80s, and ‘90s was so wrong, and yet so much of it is still offered as the conventional wisdom today.

Blogger scimitar March 17, 2021 9:35 PM  

Medical info gets propagated and transmitted over time but often the said treatment was never studied sufficiently. It ends up being rumor, folklore and innuendo that gets passed on but never verified. Ice can be harmful too as it numbs the skin and can then freeze the tissues causing frostbite if kept overlong.

Blogger Nemesis The Warlock March 17, 2021 9:45 PM  

Are you serious? Taking medical advice from Dr "Mirkin" is just asking for it. The Big Bear is probably laughing his head off.

Blogger R.G. Camara March 17, 2021 9:46 PM  

Legendary HOF baseball pitcher Satchel Paige---who pitched in the pros until his 60's---always followed a complete game with a shower so hot guys joked you could boil coffee with the water. And he never iced. Of course, this was the pre-weight training, pre=trainer days, so he was able to resist fake science fads of the day.

Even as a boy, Paige's approach struck me as making sense. I mean, if you were bruised from a punch or a ball hitting you, ice made sense to stop the swelling. But if you were merely trying to recooperate after a game, when your muscles were expended, heat always seemed to make more sense, since heat would increase blood flow to tired muscles and thus make it easier for them to repair. But I dutifully followed "the rules" and iced my arm every time I pitched. Sad!

Blogger Unknown March 17, 2021 9:50 PM  

it's not just blood flow, it's OXYGENATED blood flow.

Nascar drivers have commented for years that they often see or feel a noticeable amount of healing ( such as a cut ) over the course of a single race.

why? well, it's not like i've done any double blind studies but my suspicion is that the prolonged elevated heart rate stimulates the entire metabolism and transports oxygen more effectively to all parts of the body.

more oxygen + more nutrients == better effectiveness for all cell functions

Blogger Rough Carrigan March 17, 2021 10:05 PM  

#21. Agreed on all points.

Blogger Newscaper312 March 17, 2021 10:07 PM  

@6 Jovian
Never done acupuncture but intrigued.
One of those where the Eastern theory behind seems fundamentally BS, but nonetheless something to it, at least somewhat more than the placebo effect.
Kind of like some of the chinese herb lore, or yoga.

Blogger Newscaper312 March 17, 2021 10:16 PM  

Another tip some might try. Something has my knees feeling a lot better lately. Id been taking some P5P here and there, a better form of B6, as part of my COVID stack. Supposed to be antiinflammatory among other things. Recently started taking it more consistently, and somewhere wo noticing exactly when it happened, much less knee pain and stiffness, and now do squatting much lower and more easily than I have in a long time.
One symptom of being deficient is never or rarely dreaming, or remembering that you dreamed.

Additionally, I have the family tendency to be anxious at times, and it seems like a switch has flipped there too. Supposedly the P5P, plus zinc, can affect that too.

Nothing definitive, but thats only thing in particular thats changed lately. Interesting to see if it holds.

Blogger Tom d March 17, 2021 10:21 PM  

Its also been suggested that static pre-workout/practice stretching regiments actually damage and weaken muscles making them more prone to a I side all I'll also add EPA radon mitigation levels and dietary too much salt is bad recommendations are completely fraudulent and all smoking is bad for you kicker. I've always found it odd how the powers that be attacked smoking, but not booze.

Blogger Didas Kalos March 17, 2021 10:57 PM  

Beer is carbonated and suppresses the digestion system acid level - which is horrible for your health. Don't drink carbonated drinks with your meal. Especially red meat.

Blogger Didas Kalos March 17, 2021 10:59 PM  

Vibration therapy.

Blogger Didas Kalos March 17, 2021 11:00 PM  

Low sugar = lower inflammation = faster recovery. It's a lifestyle.

Blogger Red Rover March 17, 2021 11:04 PM  

Decent article from 2014:

Blogger SciVo March 17, 2021 11:12 PM  

Why has there been such a consistent propaganda drum beat to convince people that whatever feels or tastes good is bad for you?

It is normal for cults, scams, and other confidence games to tell straight-up lies. Because if they told the truth, then anyone could figure it out for themselves and wouldn't need the grifter for anything. So their "secret wisdom" is always false.

Blogger The Only Cigar in the Box March 17, 2021 11:18 PM  

Have a lower back that's prone to injury if I push things too hard. Usually gets triggered when I'm going for volume training with squats and/or deadlifts and not taking enough rest time between sets. Best prescription to speed recovery is to get back under the bar, albeit with lighter weight. A little light stretching and some time walking at an incline on the treadmill or maybe pedaling on the recumbent bike.

Ice never did jack for me. Same with anti-inflammatories and muscle relaxants.

Blogger carnaby March 17, 2021 11:24 PM  

Inflammation is your friend! Physical therapists know this. I was advised to get my knee as inflamed as possible to promote healing. Not much blood flow there and blood flow to the region appears to be necessary. Incline single leg squats suck but they sure work.

Blogger Colonel Blimp March 17, 2021 11:47 PM  

Which isn't good for you on any level...morally or otherwise. I've come to accept that the highly educated person in the West,myself included at one time, really knows very little, but thinks he is master of all things. Seeing as most people are middling intellects, they defer to popular consensus on everything. This becomes dogmatic. And it's happening throughout academia, the sciences, etc. enforced by the media classes and social proofed by facebook.

Blogger Colonel Blimp March 17, 2021 11:52 PM  

Yep. As for injury I always thought the ice was to stop inflammation and hence make healing easier, but what I found over time was that same "swelling" was often the first responders to what needed fixing.

Anything I've ever wanted to heal, improve, or maintain had to be constantly used and exercised. It's like our dna reads sloth as "well his purpose is done here, shut it down". The moment you stop working, running, hustling, thinking, you'll wither. It's why you always hear about the recently retired guy who was always busy and doing projects around the house dying soon aftee the retirement.

Heck I even exercise a bit when I get sick and the duration is less.

Blogger Regan F March 18, 2021 12:26 AM  

"walk it off" is the way

Blogger Mr.Cooper Bear March 18, 2021 12:32 AM  

Is a) b) c) meant to be in that order, or did you mean no particular order by the lettering? The hot shower has peaked my interest to say the least. It's hard to not feel foolish when you are confronted with things like this.

Blogger Bilroy March 18, 2021 1:05 AM  

It's always seemed strange to me. If you hurt yourself, that area starts swelling to help the healing. Why would you want to stop that?

Blogger PH March 18, 2021 1:16 AM  

For soreness: Epsom salts in the bath or epsom salt cream because its magnesium sulphate and most people are deficient in both.

Blogger DonReynolds March 18, 2021 1:41 AM  

For a dozen good reasons, my best recommendation is supplemental POTASSIUM. It is cheap over the counter and, if you don't like pills, then foods high in potassium would be bananas, potatoes, prune or orange or apple juice, raisins, apples or pears or peaches. Potassium is important for repairing muscle injuries and lack of potassium can be caused by sweating, vomiting, the craps, and diuretics. The symptoms of potassium deficiency are muscle cramps, cold hands and feet, weakness and fatigue, dizzyness, constipation, high blood get the idea. Salt does not fix this problem nor can you fix a potassium deficiency by yet more injury to the muscles by powering through it.

Blogger Azure Amaranthine March 18, 2021 1:56 AM  

"I never iced anything but a badly sprained ankle, but mostly because I simply didn't like icing."

Hahah! Same.

"why would you ever get in an ice bath when they've got perfectly good jacuzzis next door?"

...and then definitely not the same. Ice bath is too much for more than a dip, but cold is nice, I'm a cold weather bird.

"to convince people that whatever feels or tastes good is bad for you?"

To be fair, things like sugar and high luxury diets are absolutely horrible for your teeth. It's a piece of lost knowledge in a lot of the developed world, but tooth decay isn't an issue that affects people who eat simple, bland or simply spiced foods. Tooth decay is a symptom of eating processed/sweetened/rich foods.

Blogger Azure Amaranthine March 18, 2021 2:00 AM  

" I've always found it odd how the powers that be attacked smoking, but not booze."

Look at where the pertinent crops are grown.

Blogger OvergrownHobbit March 18, 2021 2:39 AM  

In the old Dick Francis books the jump jockeys used heat, wraps and (light) activity without undue weight-bearing to get fit to ride again.

Blogger NedFlinders March 18, 2021 3:04 AM  

It doesn't take a world-leading study to figure out whether your sprained ankle felt better/worse faster/slower under RICE than just walking it off.

Overpaid nerds can do all the studies they like. I know for a fact that immediate compression means I'm going back to work/play the next day at 90% and no compression equals a sick call or at best a much lower output.

How sheltered from physical damage are people that they need to be told what the most effective treatment is for sprains?

Blogger allyn71 March 18, 2021 3:10 AM  

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Blogger allyn71 March 18, 2021 3:12 AM  

This comment has been removed by the author.

Blogger APL March 18, 2021 3:34 AM  

My experience (not an athlete), nearly all of *my* injuries respond better to warmth. Hot water bottle, and something like 'Deep Heat'. Deep Heat(tm) probably doesn't do much but I just love its aroma. Maybe my failing sense of smell, but Deep Heat these days doesn't have the pungency it used to.

Blogger Timeo hominem unius libri March 18, 2021 5:00 AM  

In my personal experience, i found that cold showers do wonders for post-workout aches and for a fast recovery. However this might well be correlation and not causation.

Blogger Unknown March 18, 2021 6:43 AM  

Only time I ever used ice was for inflammation. When I ruptured my Achilles tendon (compression) I used a combination of ice (on the tendon) and heat ( on the calf) and it worked wonders.

Blogger Jimmy March 18, 2021 6:48 AM  

Alternating between hot and cold, with a type of compression called flossing. Range of motion, stretching and light exercise anything to get blood flowing. I've had good luck with cheap tens units on hand and ankle injuries.

Blogger Teleport me off this rock March 18, 2021 6:59 AM  

Bumper sticker SCIENCE!: If it rhymes or the acronym spells something, it must be right!

I never liked icing things either, especially groin injuries, and also preferred a post work-out sauna to an ice bath or even a cold shower.

Blogger Glacierman March 18, 2021 10:51 AM  

Heat for deep muscle injuries is your friend. When I was playing hockey as a late teen, teams would participate in tournaments held on weekends to showcase our talents to professional scouts for the NHL, Universities vying for scholarships and Major Junior hockey clubs.

We would play 4 complete games in 3 days if we made it to the finals, 5 games in 4 days. Those were meat grinders on our bodies. Making it thru to the finals without major bruises or sprains was an anomaly.

My live changing experience happened on the Saturday morning game. Opponent took a run at me while I was in a scrum against the boards, he stuck out his knee as he hit me, driving his plastic knee cap on his shin pads deep into the right side of my right thigh, just beside the front protective pad. I shuddered as I could feel the impact on my thigh bone, felt like all the muscles were displaced and separated.

I could barely skate off the ice as I could scarcely put pressure on my skate, my leg felt as though it was just dangling.

Missed my next shift, but shook it off on the bench, walking it off, forcing more movement.

During the intermission I slathered on a generous layer of Rub-A535 (TM) on my entire thigh, which was now swelling and starting to show signs of a purple and blue from the deep bruising.

I finished the game, with much discomfort and tenderness, protecting the thigh from as much contact as possible, favouring contact with the left side of my body.

We made it through to the finals and I even scored the winning goal to win the tournament.

My thigh was a mess, visually. Functionally, I was able to play with very little notice of the pain or reduced performance (I usually played 30-35 minutes per game as a defenseman).

The coaches, trainer and fellow team mates stocked the rubefacient cream in all the first aide kits, as well as hockey gear duffle bags. Kept the team going during those tournaments and games.

Blogger Aesop March 18, 2021 10:54 AM  

That's all well and good. For upper tier athletes.
Anyone reading this likely isn't one of those.
And let's remember that the traditional stereotype of "dumb jocks" is descriptive in more case than not. Those are the same ones who want to get right back into the football game right after a concussion, too. How's that strategy been working out for the NFL? Just curious.

1) No one stays completely immobile. The R for 'Rest' means "Stop working on your sprained ankle, you dumb@$$, or you're going to inure it worse, again, and maybe break something", not "Lay paralyzed for days". That doesn't usually require clarification, but...
2) The ice is to prevent swelling, which is what causes more pain than the sprain does, and also acts as non-narcotic pain relief. An Rx costs $20-50, minimum with co-pay; a bag of frozen peas costs nothing, and you can find ice a lot more places than you can a drugstore, with no limits on repetition, unlike meds, other than "10-20 minutes on/10-20 minutes off, as needed for pain and swelling". Your goal is not to prevent circulation through frostbite, just to cool it enough that it doesn't swell to basketball-sized painful levels, which is the natural response, left alone. And to give you the benefits of analgesia without the minuses of slamming meds.
The compression and elevation are similarly to prevent the swelling that will come from using an injured joint or limb as though nothing had happened. Those who would rather do the opposite are welcome to suture self.
3) A good hot soak the same day will simply take that swelling response, and feed crack to it, and by Day Two, you'll be stiff as a board and hurting like hell. And take longer to heal. Once again, suture self.
4) Movement and stretching are fine, as tolerated, and increasing over time, as it heals.
5) Anyone wants to try walking off a sprained knee or ankle, go ahead on. Orthopedic doctors need the customers, and making an acute problem chronic, and adding on a fracture or two when you fall the second time will really help their bottom line, if not yours.

Accidents are unfortunate, but on-purposes are really dimwitted. I make my living off people having a bad day, but there are victims and there are volunteers. The repeat volunteers are a special kind of stupid, every single time.

Please, don't be those guys.
Business is good enough already, I promise.

Blogger Ominous Cowherd March 18, 2021 11:09 AM  

DonReynolds wrote:supplemental POTASSIUM. It is cheap over the counter and, if you don't like pills, then foods high in potassium would be...
Lite salt is half potassium chloride. Salt substitute is all potassium chloride. It's easy to get a lot of potassium.

Blogger Richard Rahl March 18, 2021 11:38 AM  

"Walk it off" usually works for me.

Blogger Bettey Fontaneaux March 18, 2021 12:31 PM  

I figured this put on my own a while ago. Several times during trail races, I turned an ankle on a root or a rock, a couple times with an audible pop. My protocol is always to keep walking as much as possible, until pain makes me rest, and try to keep a normal activity level in the following days. I have never had this type of sprain take longer than 10 days or so until I was running again. No ice, very minimal pain meds. Also I am a large person, 200 lbs plus, so there is typically a lot of force applied to those sprains.

Tl;dr icing is dumb.

Blogger Cary March 18, 2021 12:47 PM  

Ice does relieve pain, but it doesn’t prevent swelling other than slowing it down from happening. But the inflammation is part of the healing process. The reason it swells up is that the only way the fluid is removed is through the lymphatic system, which requires muscle action to provide the “pumping” force. Hence why as much activity as possible is better.

Here is a good article on the science.

Now in a very serious injury immobilization might be needed, but far less than is commonly used. For example here’s a quoted study in the article where ice had no benefit post ACL surgery, which is a pretty serious rehab.

In 2005 researchers conducted a meta-analysis (meaning a study of all available studies) on the use of cryotherapy directly after ACL reconstruction surgery. They concluded that the only benefit was in lowering pain. Icing did not improve how much the person could move their knee or lead to any decreases in swelling.

Ice is still used a lot in training rooms, by chiropractors, and by physical therapists. Much of it is counterproductive. That is the point.

Blogger Newscaper312 March 18, 2021 3:01 PM  

And the bananas everyone goes on about for 'natural' potassium have the drawback of lots of sugar.
Other bit if nonobvious is that quite a few people are low on *sodium* as well, particularly if doing keto or low carb.

Another ripple effect of people trained to not add salt to food these days is that also means most people are deficient in iodine. Supposedly the salt in any kind of processed food is not iodized. Nor is most kosher salt.

Blogger SweetieSquad37 March 18, 2021 3:05 PM  

@54 Timeo. From the studies I've read and what I've personally experienced, cold therapy, like ice baths and cold showers, are good for muscle recovery from normal workouts. But that's a different beast than sports injuries like in the post. Even as someone who likes a cold shower, especially post workout, I never understood the whole icing for injuries for exactly the reason that it is an inflammatory response which is meant to heal, so it doesn't make sense to suppress it unless it gets crazy.

Blogger Newscaper312 March 18, 2021 3:08 PM  

Crap, had the did-it-post vs double post dilemma. Apologies if chose poorly.

Blogger Aesop March 18, 2021 3:34 PM  

There is always such a thing as too much of a good thing = bad thing.
Which is a much better take on the original comments.

People being spring loaded to go all stupid is how we get the ones who thought 20 Tylenols was a better idea than 2.
It works about out as well as too much icing.

Blogger Merely a traveller March 18, 2021 4:58 PM  

They say they know better, trust the science since I got a grant o look at it last year. Forget about thousands of years of hard earned experience from trial error.

Blogger Unknown March 18, 2021 8:10 PM  

I knew it...was never big on icing injuries. Never big on stretching either (some think that stretching as a team is just to have something to do together.)

Blogger RedJack March 18, 2021 8:13 PM  

Grandpa was right once again.

If you are hurt, keep moving. Maybe not at the same rate, but keep moving.

I thought it was because he was to poor to stop.

Blogger Timeo hominem unius libri March 19, 2021 7:28 AM  

65. SweetieSquad37 You are right, i was talking about recovery after a workout and not treating sport injuries. Upon reflection i think i have found one instance were applying ice might be beneficial. I used to have Osgood-Schlatter disease and used to apply ice on my knee every time after the training session. For what i understood at the time, excluded a surgical intervention, the most effective way to reverse and cure this condition is to build strong muscolature in the knee region. Applying ice in the region after, and some times before, helps you endure the pain and train more frequently and grow muscolature faster. This way of treating Osgood-Schlatter disease could have impeded the immune response on the inflamed part but helped to keep on training overall at the same regime.

Blogger CarpeOro March 19, 2021 9:51 AM  

Does that mean elevation is a no go (as long as it is not bleeding)? I'd think you'd want the blood flow to help the process.

Blogger Th3 J3st3r March 20, 2021 5:08 PM  

"Subsequent research shows that rest and ice can actually delay recovery."
I can testify to this: if I have pain in an area, I workout using those particular muscles--very lightly and with caution--and the pain goes away. Movement causes friction, which backs up what Vox says.
So much BS out there

Blogger Middle American Water Tower Man March 21, 2021 10:13 AM  

Haha. I was called a wuss for not keeping the ice on long enough. Thank the Lord Jesus I only had a minor neck sprain throughout my entire college baseball playing. And that was healed quickly by constant movement and those weird machines that send pulses to your muscles. And emu oil!

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