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Rethinking Acute Injury Care
- Yannick Sarton
- Apr 20
- 2 min read
Updated: Nov 28
Why Ice Is No Longer the First Option
For decades, ice was used to reduce swelling and calm acute pain. However, recent research shows that excessive icing slows tissue metabolism, delays immune activity and may interfere with natural repair.
What the Body Actually Needs After an Injury
Acute injuries require controlled movement, mild compression and early reactivation. These elements stimulate circulation, accelerate tissue repair and prevent excessive stiffness.
Understanding Tissue Irritation vs Tissue Damage
Most acute pains come from irritation rather than structural tears. Differentiating the two helps prevent unnecessary rest and promotes faster, safer recovery.
Why Early Mobilisation Improves Outcomes
Gentle mobility improves joint nutrition, reduces protective stiffness and guides collagen organisation. Early activation is one of the strongest predictors of long-term recovery.
The Modern Principle: Protect, Load, Adapt
Instead of “Rest, Ice, Compress, Elevate,” modern care prioritises protection, progressive loading and adaptation. The goal is to keep the system moving intelligently.
Why?
First, scientific evidence can take over 15 years to reach mainstream clinical use. Second, these protocols are sometimes seen as secondary considerations, offering general management principles rather than full treatment strategies.
Whether you are in Phnom Penh or abroad, you can book your next in-clinic or online physiotherapy session today.I’m available worldwide for online consultations — simple, fast, and evidence-based.
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References:
Kwiecien SY. Is it the End of the Ice Age? Int J Sports Phys Ther. 2023 Jun 1;V18(3):547-550. doi: 10.26603/001c.74273. PMID: 37425111; PMCID: PMC10324284.
Dubois B, Esculier JF. Soft-tissue injuries simply need PEACE and LOVE. Br J Sports Med. 2020 Jan;54(2):72-73. doi: 10.1136/bjsports-2019-101253. Epub 2019 Aug 3. PMID: 31377722.
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