STOP Using Cold Therapy for Acute Injuries | DrEricBergDC

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you know in school we were taught you

must use ice when you have acute

injuries because there’s blood flow

there’s swelling and you want to reduce

inflammation

sounds logical everyone knows it’s true

you do the rice protocol right rest ice

compression and elevation but i do know

working in the healthcare profession for

30 years

that there are so many things that were

supposedly true and everyone knows that

they’re true

end up being completely

false and i could not find any evidence

at all that shows that using ice for

acute injuries improves your recovery or

gets you back to our normal state now it

is true that ice does help decrease pain

okay and it probably reduces

inflammation because it creates a

vasoconstriction

effect it pushes blood out of an area

that is inflamed but do we want to

reduce the inflammation that’s the

question

is this inflammation pathological is it

a negative thing that we need to get rid

of well maybe in a chronic state but not

an acute state you see inflammation is

such a fundamental part of healing we

have increase of immune cells

macrophages to help clean up the area we

have an increase of oxygen

blood that carries nutrients and and

hormones like insulin growth factor

number one so you have this incredibly

complex coordinated

effect of your body trying to heal an

area and then people start doing things

that stop the healing process and

applying ice actually inhibits recovery

it slows down the repair process it

delays normal function now applying cold

therapy does decrease pain but at the

expense of inhibiting recovery and also

when people take medications like nsaids

those actually slow the repair as well

because they get rid of inflammation and

so the key to repair is not to reduce

inflammation prematurely i mean the same

thing goes with a lot of other things in

the body if you have a fever for example

your body is trying to heat up to kill

off the virus or if you start sneezing

your body is trying to eliminate

something that’s in your nasal passages

but i do remember in school that we were

taught okay that you definitely use this

rice protocol on all acute injuries and

then if something is chronic you use

heat now to use heat on an acute injury

probably not because that’s going to

actually add more swelling and

inflammation and pain now another

question is this does rest improve your

recovery and the answer is

no it does not it actually slows your

recovery because your lymphatic system

doesn’t have a pump and it requires

motion to push things out of it and so

the more you rest the less recovery

you’re going to get in the lymphatic

system we have a lot of waste going on

after an acute injury so the question is

what do you do for acute injuries well

you put motion as much as you can into

that joint okay or that air of your body

now of course if it’s fractured you

don’t want to put motion into the area

but if it’s strained or sprained you

want to put a passive range of motion or

sometimes active range of motion

depending on the severity more motion

will activate more lymph and more

circulation and it will speed up your

recovery all right number two

a really good therapy is infrared

therapy this is just putting a light

into a certain body area and this has

been a proven to increase the recovery

of an injury can dramatically decrease

pain as well now i want to skip to

number four okay vitamin d vitamin d is

a natural thing that can greatly

support

your immune system and if you have any

inflammation at all or pain i would

recommend a higher dosage of vitamin d

like 40 000 iu’s

probably every day for maybe a whole

week and you’ll find out very quickly

that you’ll shorten the recovery time

now this is what i want to talk about

right now manual therapy opposite side

now what does that mean manual therapy

opposite side this is a very interesting

technique it’s counter-intuitive

i use it in the practice for many years

i trained doctors to use it so basically

if you injure your right

ankle for example you would use manual

therapy on your left ankle you always

work on the opposite side now at first

it sounds kind of weird and you’re like

wait that’s not going to do anything but

go ahead and try it you will find it

will work all the nerves on the right

side of the body are connected to the

left side of the body through the spinal

column and when you work on the left

side of the body it affects the right

side of the body because it’s on the

same

circuit and these neurological circuits

are embedded in your muscles to allow

things to be coordinated so you can walk

and you can perform certain motions and

so even on the right side of your body

where you have uh the bicep right the

bicep contracts in order for this to

contract the opposite muscle needs to be

inhibited right so if there’s an acute

injury on this side you would

manually work on the opposite side and

what i mean by manual therapy it could

be anything from a trigger point therapy

to massage or any type of stimulation

but the next time you injure yourself

you need to try this out to see for

yourself

because even if you were using a hammer

right and you hit your thumb on the left

side

and you started to massage the right

thumb you would notice a dramatic

decrease in pain okay so just remember

anytime you hurt on one side of the body

stimulate the exact opposite mirror

image side now it also works in another

way okay so if your

back is hurting okay you can also work

on the front part of the abdominal area

right here now the next most important

video for you to watch since we’re

talking about pain

is on referral pain okay this is a very

important video if you haven’t seen it i

put it up right here check it out