When was the last time you rolled your ankle or sprained your wrist? How did you treat your injury? Did you use the RICE Method?
Rest
Ice
Compression
Elevation
This has been the standard treatment for acute musculoskeletal injuries since 1978 when Dr. Gabe Mirkin released the "Sports-medicine Book" and coined the RICE acronym. This method has been the go-to treatment for the last four decades. However, after newer research emerged challenging this treatment, Dr. Mirkin recanted his stance on the RICE method in 2015.
So why is this no longer considered the best treatment?
Studies show that long periods of rest can lead to muscle atrophy, resulting in joint weakness and increased vulnerability to future injury.
Using ice and OTC anti-inflammatory pain meds can slow the healing process and damage the tissues. Inflammation is part of the healing process, and by reducing inflammation with ice and NSAIDs, you extend the amount of time
it takes to recover from your injury and risk damaging the soft tissue even further.
Compression and elevation
haven't been proven to improve or speed up the healing process definitively; however, there are no negative effects from using either at the onset of the injury, but they're not recommended long term.
So how should you treat these types of injuries?
The latest protocol uses the acronym MEAT
Movement
Exercise
Analgesia
Treatment
The best treatment is active recovery, so keep it moving. Movement allows blood and lymph to flow freely, which aids the healing process. Move the joint through a pain-free range of motion as soon as possible after injury and often.
When you can tolerate more, begin with low-intensity mobility and strength exercises. Loading the healing tissue increases the flow of blood and lymph, removing waste, ending the inflammation cycle, and allowing the healing process to continue.
For pain management, avoid anti-inflammatories. Tylenol can help manage pain without interrupting the inflammatory process. Be sure to use it as directed.
Finally, continue the recovery process with individualized treatment. This can include physical therapy, acupuncture, Kinesio tape, or any other treatment best suited
to your needs.
If you want to go more in-depth on the research behind this new protocol, click the link
below.