Skip the ice

Tuesday, February 26th, 2019

Icing postworkout became practically mandatory after physician Gabe Mirkin coined the term RICE — Rest, Ice, Compression, Elevation — in 1978, and its popularity continues today in marathon medical tents and professional locker rooms:

Ice is meant to slow blood flow, which reduces inflammation and pain. But, it turns out, that also can be counterproductive, as it inhibits the rebuilding of muscle and the restoration process. “Instead of promoting healing and recovery,” Aschwanden writes, “icing might actually impair it.” And that’s led to a growing backlash against icing, which even Mirkin has joined. Instead of rushing to the cold stuff, Aschwanden advises athletes to wait it out and leave time for the body to heal.

This isn’t a new discovery:

As early as 2006, exercise physiologist Motoi Yamane and researchers at Chukyo University in Aichi, in Japan, found that icing leg muscles after cycling or forearm handgrip exercises interfered with performance gains. Recently Yamane published a follow-up study at Aichi Mizuho College — again, using weighted handgrip exercises — that corroborates his earlier results: RICE is disadvantageous after training and messes with both muscular and vascular adaptations of resistance training.

Exercise physiologist Jonathan Peake and his colleagues at Queensland University of Technology in Brisbane, Australia agree. They’re among the latest researchers to test ice baths on athletes. In a recent study presented as an abstract at the 2014 American College of Sports Medicine conference, the researchers put two groups of young men on a bi-weekly resistance-training program. The first group took ice baths after each training session (ten minutes in water at around 50 degrees), while the other group did a low-intensity active warm-down on a bicycle. It turned out that icing suppressed the cell-signaling response that regulates muscle growth. Three months later, the scientists found that the ice-bath group didn’t gain nearly as much muscle as the bicycle warm-down group.

Peake concluded that it’s probably not a good idea to be using ice baths after every training session, particularly when athletes are in season. In a parallel study presented March 30 at the Experimental Biology meeting, Peake also looked at muscle biopsies in a rat contusion injury model (researchers dropped weights on rats’ leg muscles to cause bruising). An ice bath on the bruised muscles was enough to suppress inflammation and delay muscle fiber regeneration. For the minor muscle injuries, icing was detrimental rather beneficial, prolonging the healing process that inflammation brings.

The two new studies hammer a couple more nails in the RICE coffin, according to Dr. Gabe Mirkin. He was the sports medicine doctor who originally coined the acronym, which stands for rest, ice, compression, elevation, in 1978, and has since quit recommending it to athletes. “We never rest or ice athletes anymore. RICE is fine for someone who doesn’t need to get back to training quickly, but it’s terrible for competitive athletes.” he said.

More movement, Dr. Mirkin says, as shown in Peake’s research, is the best way to speed up muscle recovery. The new research is an extension of a growing body of evidence over the last several years that now makes clear that the only advantage of icing muscles is for temporarily pain relief. “About all icing is good for is a placebo effect,” Dr. Mirkin says. “There’s no evidence that icing speeds healing or makes you stronger; in fact, it makes you weaker so you can’t do your next hard workout.

Comments

  1. Bob Sykes says:

    How does this relate to the almost universal practice in baseball of icing down pitchers’ arms after every outing. Fielders take icebaths, too.

  2. Ted says:

    So other than waiting, is there any practice that can speed up recovery time from muscle injuries?

  3. Isegoria says:

    The author found that sleep is vital (and thus underrated). For the most part, recovery methods make you feel better while feeling that you’re doing something, without doing anything destructive, like rushing back into training.

  4. Lu An Li says:

    To what extent these football players even with therapy are shot full of drugs before, during and after a game is unclear. Pain killers what they call them. Playing while hurt only exacerbates and existing condition. And shortens a career. A short life or glory rather than a life of quiet desperation.

  5. Tanmay says:

    I’m curious to see research on alternating between ice cold water and hot water baths. As a recreational lifter, I’ve found that it helps recovery and gets rid of/reduces soreness. This is something that I discovered by accident and didn’t go into with any biases. One day I just turned on the cold water by mistake and found it invigorating and fun.

    I later found out that athletes like Klokov, WSM Hafthor, etc use this themselves to speeden up recovery.

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