The Truth About Using Ice vs Heat for Running Injuries

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Tamanna K. Singh, M.D., is a board-certified adult clinical and sports cardiologist and RRCA-certified run coach. She earned her medical degree from Boston University School of Medicine and completed her Internal Medicine Residency at Boston Medical Center.

If you’re a runner following conventional wisdom on how to treat an injury, you’d likely go with the RICE—rest, ice, compression, elevation—guidelines. But research also suggests icing injuries can actually delay their healing. In that case, you may be more inclined to use heat to treat your aches. And yet, there’s another method that you might also turn to in an effort to help heal injuries:

LOVE, which certainly sounds nice. In short, there’s a lot of confusion when it comes to how best to deal with a running injury. Let’s explore why there’s so much conflicting information about ice versus heat for treating injuries—and get to the bottom of when you should use ice, when to use heat, and when there’s a better solution altogether.

LOVE which stands for protect, elevate, avoid anti-inflammatories and ice, compression, education, load, optimism, vascularization, and exercise. is for immediate care and LOVE is for the management of injuries thereafter. Cilenti agrees these guidelines are stronger than RICE, but notes that for some of the recommendations , it’s important to work with an expert like a physical therapist that can make appropriate personalized recommendations. Protect: This one is pretty straightforward—you’ll want to avoid doing anything that could exacerbate your pain.

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