PRICER & HARM
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Application of Cold Therapy
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The process for using cold therapy as initial treatment for soft tissue injuries is based on the principles of PRICER and ‘avoid HARM’. These are most important in the 48-72 hours following the injury and provide the tissue with the best possible environment for recovery, ultimately leading to a quicker return back to sport or activity.
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Implement PRICER
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Protection - Protect injured tissue from undue stress to limit inflammation and promote healing.
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Rest – Avoid activities that increase blood flow which may lead to increased swelling and pain.
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Ice - Limit damage and reduce pain, swelling and inflammation. Bring out bruising.
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Compression - Apply a firm bandage to limit swelling, that does not restrict circulation or cause additional pain.
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Elevation – Reduces/limits the swelling, reduces the pressure in the local blood vessels and helps to limit the bleeding into the area. Elevation above the heart is ideal.
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Refer – Refer on to specialist management i.e. qualified medical practitioner.
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| Avoid HARM |
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In the first 48-72 hours, avoid:
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Heat – Increases blood flow and swelling.
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Alcohol Drinking – Alcohol increases blood flow and swelling, and may lead to injury aggravation.
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Reinjury – Protect the joint until it has healed adequately.
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Massage – Promotes bloodflow and swelling. Massage can increase damage if begun too early.
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