Nassar: ICE is NICE

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.”

Josh Stone:

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. …

RICE: The End of an Ice Age

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.

Michael Making

:-)

Personally, I’ll continue to use ice as Dr Nassar recommends.

In moderation, Michael. In moderation.

Thanks Thomas G Trapp.

2 comments ↓

#1 Nassar: ICE is NICE | Gymnastics News Network. on 04.11.14 at 7:01 am

[…] Nassar: ICE is NICE […]

#2 gymmie on 04.11.14 at 7:14 pm

immediately post a sprain….. RICE RIC RICE!!

Cannot stress this enough!

You need to stop the immediate inflammation as much as possible to allow for an Xray if needed.

Especially in the ankle joint there is an alarmingly high rate of misdiagnosed fractured ankles or inconclusive Xrays because the joint is too swollen for accurate diagnoses.

Its all about controlled inflammation…..having a joint swell up to 2-3X the normal size is not going to help the joint heal. The swollen joint will just restrict movement.

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