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Physio Network

[Physio Explained] To ice or not to ice? Unpacking acute injury treatment with Jean-Francois Esculier

Oct 16, 2024
In this enlightening discussion, Jean-Francois Esculier, a Canadian physiotherapist and clinical researcher, delves into modern approaches to acute injury treatment. He introduces the acronym "PEACE and LOVE" and explains its significance in managing musculoskeletal injuries. The conversation challenges traditional icing methods, highlighting limited scientific support for ice's effectiveness versus newer strategies focusing on optimal loading and education. Esculier also emphasizes the importance of patient comfort in deciding between ice and heat for recovery.
18:38

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Quick takeaways

  • The PEACE and LOVE framework promotes a more evidence-based approach to acute injury management, emphasizing education and proper rehabilitation methods.
  • Current research challenges the traditional use of ice in injury treatment, highlighting the need to reconsider cultural biases and expectations in recovery practices.

Deep dives

Reevaluating Ice for Acute Injuries

Current research indicates that using ice after an ankle sprain does not significantly reduce pain or improve function compared to abstaining from ice. Despite its longstanding presence in injury management protocols, there is a lack of evidence supporting its effectiveness in acute injury treatment. For clinicians and patients alike, it's essential to reconsider the cultural attachment to ice, as many rely on it based on tradition rather than scientific backing. In situations where ice may provide psychological comfort, such as aiding sleep, its use might be justified, but it should not be seen as a necessity for healing.

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