mine says:
Doctors traditionally recommend reducing swelling to alleviate pain, improve mobility, and address concerns about excessive inflammation causing secondary damage to tissues. Common methods include ice, compression, elevation, and anti-inflammatory drugs. However, the approach often prioritizes short-term relief over long-term healing, and there’s growing recognition that interfering with natural inflammation can sometimes hinder recovery.
Research on swelling reduction and recovery outcomes:
- Interference with Healing: Studies suggest that suppressing inflammation (e.g., through NSAIDs or icing) can delay tissue repair because it reduces the activity of immune cells critical for healing.
- Reduced Regeneration: Swelling is part of a cascade that includes increased blood flow and signaling for cellular repair. Blocking it prematurely might result in incomplete healing, especially for connective tissues like tendons and ligaments.
- Overuse of Ice: Prolonged or excessive use of ice has been linked to slowed recovery, as it reduces local metabolism and disrupts natural inflammatory signaling.
That said, excessive swelling causing compartment syndrome or prolonged immobility might warrant intervention. In general, allowing controlled inflammation (as you're doing) aligns with modern views emphasizing natural recovery processes over aggressive symptom management.
Biomedical scientist here, it's ok to use ice for a sprain. Just don't apply it directly so that it doesn't burn the skin and don't apply it for over 20 minutes. It's only going to reduce swelling and pain and make it more confortable for whoever is injured, also the brief relief of the ice lasts enough for the painkillers to kick in.
You need a lot of ice or a decent intake of nSAIDs to significantly impact healing (in both speed and quality), even then the only people that really care about this stuff are athletes, because they sprain the same muscle 300x a day.
BUT, remember to always do whatever the fuck the medic told you to do, he's the one who knows if your inflammation is out of control or not.