#PTonICE Podcast Episode 1972 - PEACE, LOVE, & reframing acute soft tissue injury
Oct 1, 2025
Dr. Lindsey Hughey, a prominent leader in extremity management and educator at ICE Physio, reveals her disdain for the thumbs up emoji, calling it lazy. She discusses her innovative PEACE and LOVE framework, which challenges traditional methods like RICE for treating acute injuries. Lindsey emphasizes the detrimental effects of ice and NSAIDs on healing, advocating for active recovery instead. With practical steps for clinicians, she illustrates how optimism and education can transform patient outcomes, promoting a proactive approach to injury management.
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Use PEACE & LOVE For Acute Soft-Tissue Injury
- Replace RICE with PEACE & LOVE for acute soft-tissue injuries to prioritize protection, education, and early loading.
- Avoid routine ice and NSAIDs, then progress to load, optimism, vascularization, and exercise in days following injury.
Name-Check For The PEACE & LOVE Paper
- Lindsey recounts mispronouncing the French authors' names until a participant corrected her pronunciation to "Dubois."
- The anecdote humanizes the adoption story of the PEACE & LOVE paper from 2020.
Inflammation Is Part Of Healing
- Ice and NSAIDs blunt the inflammatory cascade that initiates natural healing and slow tissue recovery.
- Preserving natural inflammation and promoting movement speeds repair and prevents catabolic effects of complete rest.