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This is an archive article published on May 31, 2023

Hot vs cold packs: Which one should you use and when

Applying an ice pack or warm compress to a painful area can help relieve the pain and help heal the body quicker

ice packsMany people suffer pain from chronic ailments, fresh injuries or side effects of illnesses. (Source: Freepik)
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Muscular or joint pain has become extremely common owing to the sedentary lifestyles many people lead these days. But these can also be due to certain chronic ailments, fresh injuries, or the side effects of illnesses. Irrespective of the reason, the first remedy option is, often, an ice pack or a warm compress. However, did you know that what you use for relief should not be random, it should instead depend on the nature of your pain, what caused it, and how long you’ve had it? So, we talked to experts to understand what to use and when.

According to Lavanya Parashivakumar, physiotherapist and exercise physiologist, Even Healthcare, hot packs are used as part of thermotherapy where these small portable devices generate heat for therapeutic purposes. “They provide warmth to a small region or a local area to alleviate pain, reduce muscle stiffness, improve blood circulation, and also help in relaxation,” she added.

On the other hand, cold packs are used as part of cryotherapy, which can come in the form of a water bottle filled with cold water, a pad cooled in the freezer, or cool water. “They provide a cooling effect to a localised area to reduce pain, inflammation, and swelling,” she told indianexpress.com.

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Highlighting the same, Dr Rebecca Pinto, a physiotherapist and nutritionist, wrote on Instagram, “If you have had any recent injury, this is when you use an ice pack, which causes vasoconstriction that helps reduce any kind of swelling or inflammation. However, if you have an old injury, that is when you use a hot pack. It helps increase blood supply in a particular area causing the body to heal faster.”

 

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Explaining the mechanism used in both, Dr Sheetal Rane, Head- Physiotherapy, Bhatia Hospital, Mumbai said, “Application of heat to body causes vasodilation, or opening up of the blood vessels, thereby increasing blood flow to the affected area. The increased blood flow promotes healing by washing away the metabolic waste gathered around the painful tissue, whereas cold packs cause vasoconstriction or narrowing of blood vessels.”

ice packs Knowing when to use a hot or cold pack depends on the type of injury or condition being treated. (Source: Freepik)

Further, Dr Kandarp Vidyarthi, Senior Consultant Orthopaedics, Paras Health, Gurugram shared that knowing when to use a hot or cold pack depends on the type of injury or condition being treated.

“Cold packs are most effective during the initial stages (first 48-72 hours) of an acute injury, such as sprains, strains or bruises. It is beneficial for managing inflammatory conditions like arthritis, tendonitis or bursitis.”

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Meanwhile, hot packs are generally more suitable for chronic conditions, such as muscle stiffness or chronic pain. “They are effective in relieving muscular aches, tension or spasms as they promote muscle relaxation, improve flexibility and provide soothing relief. Moreover, applying a hot pack before exercise, physical therapy, or stretching can help warm up muscles, increase circulation and prepare the body for movement,” he said.

Concluding, Dr Vidyarthi noted that it’s crucial to listen to your body and seek professional advice if you’re unsure about which therapy to use or if you have any underlying medical conditions.

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