Should I use Heat or Ice Langley BC Chiropractor











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Dr. Robin Armstrong Dr. Jody Freedman are both Chiropractors at Willowbrook Chiropractic in Langley, British Columbia. • // To book an initial appointment: Book online @ willowbrookchiropractic.com or call our office at 604.530.0530. We generally can see you within a few days, sometimes the same day. We are open Mon-Sat and direct bill many workplace benefits, ICBC, and Worksafe BC. • If you have pain in your back, neck shoulders you aren’t alone. We’ve helped thousands of people in Langley Surrey overcome their pain and get back to work, taking care of their family, and doing the things they love. • On your first visit, you can expect we will: • Listen to your concerns do a thorough examination • Explain clearly what your problem is lay out a plan to solve it • Start treatment on the same day. • Your treatment will always be individualized and only use chiropractic techniques you are comfortable with. This can include: • Hands on Instrument based adjustments • Soft tissue therapies • Exercise, stretching workstation setup advice. • Our website: https://www.willowbrookchiropractic.com • Facebook:   / willowbrookchiropractic   • Instagram:   / willowbrookchiropractic   • YouTube:    / @willowbrookchiro   • So you've hurt your back and you want some quick relief. Do you reach for heat or ice? This is a question we get a lot in our practice, and the answer is starting to change. My name is Dr. Robin Armstrong. I'm a chiropractor at Willowbrook Chiropractic in Langley, and today we're going to discuss which is better: heat or ice when you have a new injury. • First, let's understand what each does. Ice is excellent at pain relief and numbing the area, either by numbing the nerve endings or suppressing and bringing down the inflammation. Heat is good at relaxing spasming muscles. It helps tight, stiff joints get moving a little better and can be quite soothing. • When you injure yourself, inflammation is a natural part of the healing process and can be a good thing because it sets your body up for the next stages of recovery. We now know that for soft tissue injuries or back injuries, we want to avoid anti-inflammatory medication. There's no evidence that it helps, and some evidence suggests it can slow down recovery. If you're reaching for medication, you should opt for pain-relieving medication instead of anti-inflammatory. • We used to think RICE for a new injury: Rest, Ice, Compress, and Elevate. But now the new approach is PEACE and LOVE. This considers not just the first 24 to 48 hours, but also the following weeks. PEACE stands for Protection, Elevate, Avoid anti-inflammatory medication, Compress, and Educate. Protection means avoiding movements that increase pain in the first few days. Elevate is self-explanatory. Compress is more relevant for ankle or wrist injuries, using a bandage or compression sleeve to reduce swelling. Educating means understanding the natural healing process for the injury. • LOVE stands for Load, Optimism, Vascularization, and Exercise. Load means getting back to daily activities and challenging your body to move as soon as appropriate. Optimism is believing in your body's ability to heal and recover. Vascularization involves getting general movement and exercise to increase blood flow to the area. Exercise refers to doing specific exercises to help overcome the injury. • Although ice has been recommended for many years as conventional wisdom, there isn't good research showing it helps speed up recovery. My advice to patients is, if you find ice helpful for pain relief in the first 24 hours, use it in moderation, but consider switching to heat. Heat calms muscle spasms and enables better movement, helping you to load, increase vascularization, and do specific exercises, thereby speeding up recovery. • We sell a gel pack in our office at cost. We have a small one and a large one, which can either be frozen or heated in the microwave. You can ask our front desk if you're interested in purchasing one. • The attitudes and approaches to using heat and ice are changing. Feel free to ask me, Dr. Robin Armstrong, or Dr. Jody Freedman if you have any questions about what I discussed today. If you want to book online with us, you can do so at willowbrookchiropractic.com. We post regular content on YouTube, Instagram, and Facebook under Willowbrook Chiropractic.

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