Is this a throw-back post about hippies?
No, it’s about a change in a protocol we have all learned well.
WELCOME TO KIM’S CORNER
In our first issue of Kim’s Corner at Foodtalk4you, Physical Therapist Kimberly Attwood, PT, DPT, FDN, will explain something which surprised us during a recent visit to her office.
You may have heard about the RICE method of treating soft tissue injury, such as a sprained ankle.
Well, throw out the RICE to make way for PEACE and LOVE!
Remember, the inflammation that happens with soft tissue injury acts as a defense and cleanup crew to initiate healing by sending immune cells and repair substances to the site, removing pathogens and debris, and setting the stage for tissue regeneration. While prolonged inflammation can hinder recovery, making a balanced response is crucial.
Here’s Kim with information about the better approach for soft tissue injury in the acute phase, 1 – 3 days after injury, and the days that follow:
The latest research shows that treating minor acute injuries with RICE is outdated and potentially detrimental to your overall recovery.
RICE = Rest, Ice (NSAIDs), Compress, Elevate
Anti-inflammatories (commonly ibuprofen, naproxen, ice, etc.) are very effective at interrupting the inflammatory process.
Knowing this relationship, hopefully you can see how anti-inflammatories on board during the first stages of healing could slow down the healing process.
But wait, it hurts! What should I do about my pain?
Well, this is where the elevation and compression come into play. Being able to keep swelling to a reasonable level will help with the pain that you have during those first few weeks. Keep in mind that pain is a sign from your body, and it’s meant to protect you!
What exactly do PEACE and LOVE mean for me after an injury? As Physiopedia quotes: “Immediately after a soft tissue injury, do no harm and let PEACE guide your approach.”
PEACE = Protect, Elevate, AVOID anti-inflammatories, Compress, Educate
P = Protect; give the injured body part a break from strenuous activity. Not complete rest, but don’t go jogging on a freshly sprained ankle!
E = Elevate; the injured body part needs to be above the level of your heart to help reduce swelling .
A = Avoid anti-inflammatories; stay away from ice and medication that reduces inflammation – let your body do what it is designed to do!
C = Compression; use an ace wrap or other bandage to help reduce swelling.
E = Educate; ask your favorite physical therapist to teach you about your injury, recovery expectations, and prevention strategies
Then, after the first days have passed, soft tissues need LOVE:
LOVE = Load, optimism, vascularization, exercise
L = Load; gradually increase your activities and weight bearing
O = Optimism; A positive mindset can carry you a long way in your recovery
V = Vascularization; participate in low impact cardiovascular exercises to encourage blood flow
E = Exercise; Go see your favorite physical therapist to learn how to best restore motion, strength, endurance and balance
While diving into the anti-inflammatories and ice packs is what we have all learned previously, Kim reports that the PEACE and LOVE methods are shortening healing times!
Here’s an excellent video that recaps these concepts.
Kim may be reached at kimberly.attwood@ivyrehab.com for your questions or concerns.
In health –
Deidre













































































