Gabe Mirkin, MD, March 2014:
“Coaches have used my “RICE” guideline for decades, but now it appears that both Ice and complete Rest may delay healing, instead of helping.”
In 1978, Gabe Mirkin, MD coined the term RICE. Health care practitioners to laypersons are quick to recognize RICE as the ‘gold standard’ treatment option following injury. Followers of my blog know my stance against ice and now there is support from the physician who coined the term. Yes, the very same physician, Dr. Gabe Mirkin, who coined RICE, is now taking a step back. I reached out to Dr. Mirkin and asked for permission to share his story. As you will read below in Dr. Mirkin’s full post, the lack of evidence for cryotherapy is something we must listen to. …
Dr Larry Nassar responds:
Ice is nice but it needs to be done properly and as part of a therapy regimen. Just like so many other things, it can be overused. It is one of the most commonly applied therapies but it is also one of the most poorly understood therapies too.
I agree that inflammation is needed. However, the body can also “over do it” too. Too much of a good thing makes it bad. So controlled inflammation is the key. Too much bleeding is not good, too much inflammation is not good, too much ice is not good …
The week before African Championships, Michael Makings was hurting. To save time after workout one day, he decided simply to ice his entire body.
Personally, I’ll continue to use ice as Dr Nassar recommends.
In moderation, Michael. In moderation.
Thanks Thomas G Trapp.