Road Cycling - Iced knee -> greater pain?

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View Full Version : Iced knee -> greater pain?


RobRyb
05-19-04, 10:44 AM
I injured my knee a few decades ago playing soccer. It gives me trouble every once in awhile. This last time the pain seemed to be sticking around so last night I iced it. I moved the bag of ice around the knee in three "shifts" of 20 minutes each for a total of about one hour. Felt good this morning, but now (around noon) it's giving me more grief than yesterday. Has anyone ever heard of problems associated with over-icing a sore joint? What's the recommended duration and frequency for icing?

Thanks,
Rob


sch
05-19-04, 12:14 PM
Ice is used to decrease tissue and joint edema and bleeding after injury. There is
no hard and fast rule, but the cooler the injured area the less likely you are to have
swelling and hemorrhage. On the other hand cold injury is possible with close contact
with ice, so judgement and padding must be used. 20-30min per hour is reasonable for a non specific recurrent injury such as yours. Any acute injury such as an ankle sprain that immediately puffs up or obvious bruising would be iced more aggressively. Duration of icing for an acute injury is 2 days, perhaps 3 if significant tissue bruising develops. A towel layer or two between the skin and the ice pack is advisable.
Dry cold is better than wet cold. There will be lots of opinions as to this. Steve

RiPHRaPH
05-19-04, 03:55 PM
yes, only ice every 20 minutes per 2 hours. any more and the area 'shivers' and can cause more muscle and tendon tightening than before. gentle message in between helps as well.


SanDiegoSteve
05-20-04, 10:19 PM
Might the pain be from something else? For me, post-knee surgery, I haven't fully redeveloped all of the muscles in my leg. So, after certain workouts, I get a compound effect of some new muscles becoming stiff, rubbing "weird" on my knee and causing pain.

Icing helps, but I get pain later. Takes a couple of days. Took a couple of Dr. visits to figure that one out.

nutbag
05-20-04, 11:09 PM
One thing I'm very careful with is not to move around much after icing. Some people jump straight up and mow the lawn when their joint is still cold and stiff. After icing, I wait 'til the joint is warmed up a bit before I move at all. This is probably unnecessary, but I'm not willing to take chances.

Nightshade
05-21-04, 10:15 AM
Ice is used to decrease tissue and joint edema and bleeding after injury. There is
no hard and fast rule, but the cooler the injured area the less likely you are to have
swelling and hemorrhage. On the other hand cold injury is possible with close contact
with ice, so judgement and padding must be used. 20-30min per hour is reasonable for a non specific recurrent injury such as yours. Any acute injury such as an ankle sprain that immediately puffs up or obvious bruising would be iced more aggressively. Duration of icing for an acute injury is 2 days, perhaps 3 if significant tissue bruising develops. A towel layer or two between the skin and the ice pack is advisable.
Dry cold is better than wet cold. There will be lots of opinions as to this. Steve

After two knee replacement surguries I can tell you Ice
was the prescribed treatment that helped me get past the
pain. The advice noted by Steve is spot on so if you're
starting to have trouble with that past injury then it's
time to see a doctor because something has changed. Vist
a doctor soon before you really tear something up.....