Compresses can be a very effective therapy, particularly for muscle or joint injuries such as sprains, strains, and bruises. The appropriate compress can help reduce inflammation, swelling, and pain in the affected area.
However, it is important to note that not all compresses are the same. Compresses are used according to the type of injury and the specific condition. The way in which the compress is applied can also vary. What is the difference?
Types of compresses
In general, there are three types of compress therapy for injuries:
Cold compress
A cold compress is a treatment for acute injuries that involves wrapping ice cubes in a bag or cloth. Cold compresses can help reduce swelling, inflammation, and pain in new injuries like sprains, strains, or bruises.
The cold temperature numbs the diseased tissue by acting as a local anesthetic and slowing the delivery of pain to the brain. This can help reduce the temporary pain and discomfort associated with the injury.
Ice should not be applied directly to the skin, as this can cause tissue damage. To protect your skin from frostbite, place a thin cloth or towel between it and the ice. Remember that cold packs are not suitable for the following conditions:
- There is the risk of cramping
- Being cold
- The affected area was numbed
- The affected area is an open wound or skin blister
- A history of vascular disease or neurological disorders affecting blood flow
- Hypersensitivity to cold
Heat compress
Warm compresses are frequently used to relieve muscle stiffness, particularly after chronic injuries. A hot water bottle, a warm towel, or a heating pad can be used to relieve pain or stiffness.
Warm compresses have several benefits, in addition to improving blood flow and relaxing the muscles, such as:
- Relieves symptoms of sinus infection
- It helps with blocked tear ducts, eye infections, and pustules
- Reduces pain caused by ingrown toenails
- Relieve the symptoms of ear infections
- Relieve the symptoms of joint muscle injuries like sprains
Remember that warm compresses should not be used for 48 hours after an injury. You also need to use the appropriate temperature, which ranges between 33 and 37.7 degrees Celsius. Warm compresses should not be used if the skin is irritated or red, has a history of dermatitis or open wounds, the injured area is numb, or there is a history of peripheral neuropathy.
Contrast compress
The contrast compress involves alternating hot and cold therapy. This technique is used to relieve pain, increase blood circulation, and reduce swelling.
How to do compress therapy
Compress therapy is used in different ways.
Cold compress
Steps for using a cold compress:
- Put ice in an ice bag or wrap it in a clean cloth or towel.
- Place the compress on the injured area for 10–20 minutes. Allow approximately 45–60 minutes before reapplying.
- Ice packs can be applied several times per day for the first 2-3 days after the injury until the pain and swelling subside.
Warm compress
Steps for using a warm compress:
- Pour hot water into a bottle or bag, or use a warm pillow.
- Apply the compress to the painful area for 20 minutes, three times per day.
- The warm compress with a pillow can be used for an extended period of time, such as 8 hours or more, or as directed by a doctor.
Compression therapy is not suitable for everyone, particularly those with high blood pressure, heart disease, diabetes, or Raynaud's syndrome. Consult your doctor to determine when you can use ice pack therapy or warm compresses.
If you need medical advice or consultation, you can either visit a doctor or make use of the consultation features that are available in the Ai Care application by downloading the Ai Care application from the App Store or Play Store.
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- Sean Edbert Lim, MBBS
John Hopkins Medicine. Ice Packs vs. Warm Compresses For Pain. Available from: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/ice-packs-vs-warm-compresses-for-pain
WebMD (2023). When Should I Use Heat or Ice for Pain?. Available from: https://www.webmd.com/pain-management/when-use-heat-ice
Jennifer Purdie (2017). Everything You Need to Know About Using a Cold Compress. Available from: https://www.healthline.com/health/make-cold-compress
Cleveland Clinic (2023). Frostbite. Available from: https://my.clevelandclinic.org/health/diseases/15439-frostbite
Drugs.com (2023). Warm Compress or Soak. Available from: https://www.drugs.com/cg/warm-compress-or-soak.html
Yvette Brazier (2017). Hot or cold: Which therapy works best?. Available from: https://www.medicalnewstoday.com/articles/29108