Don't ICE Sprains !
Numerous
studies
have now
compared icing a sprain to not icing
it
and
found no difference.
In 2012, researchers in Amsterdam did a systematic
review of eleven studies
of
RICE(rest,
ice, compression, and elevation),
involving a total of 870 patients.
They didn’t find any evidence that rest, ice, compression, or elevation
improved outcomes.
Instead,
they found three studies where early movement led to
better outcomes.
A 2013 study in Taiwan found that strenuous exercise damaged muscle tissue,
causing increased levels of creatine kinase and myoglobin in the blood, and
ice therapy produced higher levels of these muscle-damage proteins,
reflecting greater muscle damage. And the patients treated with ice reported
more fatigue.
Offit explains that
the key to healing is inflammation.
Inflammation
is painful, but it
promotes healing.
Inflammation increases blood flow.
Increased blood flow brings clotting factors and immune cells to the area of
damage, and it promotes the manufacture of new collagen.
So anything that decreases blood flow can be expected to lengthen the time
of healing.
What
decreases
blood flow? Rest, ice, compression, and elevation.
Anti-inflammatory drugs such as
ibuprofen,
often prescribed for the pain of sprains,
also delay healing.
In 2013, Dr. Mirkin recanted, saying that RICE was wrong. He also said that
nobody believes in rest anymore. Indeed, bedrest used to be prescribed for
low back pain,
but today patients are encouraged to stay out of bed and
be
as
active
as possible; they
heal faster with activity.
Today a small but growing number of doctors no longer recommend RICE for
sprains. But many authorities and many websites still recommend RICE.
What should one do?
Warmth
can be
applied,
and gentle ankle
exercises
can be done without weight-bearing.
Inflammation is painful, but tolerating the pain speeds recovery. Some
patients might prefer delayed healing to pain, but they can only make an
informed choice if they know the facts.
Paul Offit’s book Overkill for
the Science-Based
Medicine blog
"Others
decided to
vaccinate
after reading helpful books such as
Seth Mnookin’s “The
Panic Virus”
or works by pediatrician
Paul Offit. "
SOURCE Washington Post
In the book :- Fevers, Antibiotics, Vitamin D, Antioxidants,
Testosterone, Aspirin, Baby Allergies, Sunblock, Prostate, Thyroid,
Cancer,
Stents, Arthritis, Mercury Fillings, Vitamin C, Teething
"Anti-Oxidants & some Vitamins
DON'T make a difference, including E, A,
C & Calcium."
- the 90+ Study on Aging
|
supplemental
vitamin D
doesn’t prevent fractures or have any effect on the diseases it has been
claimed to help, and blood tests for vitamin D are useless.
 |
