Treating Acute Injuries

          Remember the acronym R.I.C.E. for the initial management of acute injuries

Rest the injured area.  Crutches and/or a splint may be needed to help with this.

Ice the injured area to control swelling & pain.  While swelling is part of the healing process, controlling the amount of swelling early on can reduce the overall recovery time.  Cold can be applied in one of the following ways:

Ice pack:  A bag of ice cubes, a commercial pack, or a bag of frozen vegetables can be applied over the injured area.  A moistened cloth should be applied between the skin and the ice pack.  The pack can be left on for 15-20 minutes & reapplied 3-5 times daily with at least 30 minutes between applications.  Re-useable commercial cold packs are available for purchase in the PT department.  The cost is currently $5.00.  (These packs can also be warmed & used for heating.)

Ice massage: An ice cup or ice cube can be rubbed over the area for 5-10 minutes until the area is numb to touch.  This should be repeated 3-5 times daily, waiting at least 30 minutes between treatments.

Ice immersion: The injured area can be submersed in ice water for 5-10 minutes.  This works particularly well with injured toes/fingers & can be repeated 3-5 times daily with at least 30 minutes between treatments.

Compress the injured area to help reduce swelling.  Use an elastic bandage (e.g. Ace Wrap) to apply gentle pressure.

Elevate the injured area as high as possible (at least above heart level) to help reduce swelling.