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Q. Which is better to use, heat or ice?

A. Ice is generally prescribed in the acute stages of healing. This period begins at the time of pain or injury and lasts up to three days. The cold temperature makes the blood vessels in the sore area vasoconstrict (become narrower), assisting with the initial stages of healing. Cold treatments can include cold packs or ice bags, which are generally put on the sore area for 10 to 15 minutes.

You may be instructed to use some form of heat when the acute stages of healing are over, which is a minimum of two to three days. Heat makes blood vessels vasodilate (get larger). This action helps flush away chemicals that can cause pain. It also helps to bring in nutrients and oxygen, which help the area heal. True heat in the form of a moist hot pack, a heating pad, or warm shower or bath is more beneficial than creams that merely give the feeling of heat. Hot packs are usually placed on the sore area for 15 to 20 minutes. Special care must be taken to make sure your skin doesn't overheat and burn. It's also not a good idea to sleep with an electric hot pad at night. This can lead to the "lobster effect" where you can actually burn from the prolonged heat.

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