So the next time you roll your ankle, forget the days of aggressive icing and tight tensor bandages.
#M.e.a.t. after r.i.c.e. healing full#
Treatment refers to the full gamut of physiotherapy interventions, including mobilizations and exercises to restore full range of motion, strength and balance. Patients often worry that analgesics just ‘mask’ the pain, but if less pain promotes more movement and exercise, then any potential downside is usually outweighed by a significant benefit. Acetaminophen is generally the most appropriate option. Analgesia refers to painkillers other than anti-inflammatories. Complete rest may be valuable for only a very short period after an acute injury, but we should be moving our injured joints as soon as our symptoms allow. Exercise promotes more rapid restoration of strength and stability in a joint. Studies on injured athletes show that, in general, early mobilization results in less stiffness and less scar tissue formation. Movement and exercise promote blood flow, bringing nutrients to our injured tissues, and helps to restore full, active, range of motion more rapidly. The primary principle here is the promotion of early movement and exercise. RICE, in my opinion, should be replaced by MEAT! Movement, Exercise, Analgesia and Treatments. We want to promote the influx of fresh blood, promote the removal of stagnant blood, and allow some inflammation, promoting healing.Įnter the MEAT acronym. Elevation seems reasonable as we want to promote flow of stagnant blood away from the injury, but there really is clear evidence now that overly aggressive icing of injuries and tight compressive bandage delay healing! Anti-inflammatories may do the same. More pain means less movement, more fear of re injury and a slower return to activity. This inflammation promotes healing! Why try to stop all that? Complete rest results in stiffness, and a stiff joint is a painful joint. Following an injury, the increase in blood flow that occurs is a beneficial mechanism to bring additional nutrients into the tissues. This all sounds reasonable but in fact tendons and ligaments have very little blood flow in the first place and reducing their limited blood supply still further may not be a good idea. We usually throw a few anti-inflammatories into the mix as well. Less blood flow equals less inflammation and less swelling. Article contentĪggressive icing and compressive bandages cause constriction of blood vessels in our injured tissue. This advertisement has not loaded yet, but your article continues below.
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