This article is one of a series covering exercise and fitness — tips, injury prevention, and advice from the team at Back and Body Medical in Midtown Manhattan. For the complete overview, see the full guide:
→ Exercise, Fitness & Injury Prevention in New York City — The Complete Guide
You’re injured. Depending on your temperament, the first thing you probably did following the incident that caused the injury is to reach for one of either a hot or cold pack.
Both have a role to play in injuries. But both serve different purposes. If you’re asking, “Should I ice or heat my injury for relief?”, you’re confused. But don’t worry. A lot of people are.
Let’s demystify the question in this post, which reveals what these two types of topical pain relief strategies do.
Ice, Ice Baby
Ice is what you use when your injury causes swelling. Ice reduces swelling and tissue bleed, as well as pain.
Chronic injuries can also be treated with ice, but only after you participate in physical activity. This reduces any swelling you may encounter due to an overuse issue. But whatever you do, don’t treat the injury with ice prior to your activity.
Place ice in a plastic bag and wrap the bag with a towel. Putting ice directly on the skin for prolonged periods can result in tissue injury.
People with heart problems should never ice the left shoulder (directly above the heart). Ice packs also aren’t appropriate for use on the neck. Never leave an ice pack on for longer than 30 minutes and keep it moving over the affected area for the duration to avoid ice burns.
In pain now? → Book an appointment at Back and Body Medical
Turn Up the Heat
Chronic (or overuse) injuries should be treated with heat. Heat serves to relax tissue and to increase blood flow. Use heat on a chronic injury before engaging in your planned physical activity.
Heat should never be put on an injury you’ve just sustained. That’s especially true in the case of swelling, as heat increases blood flow. Your injured tissue is already struggling with bleeding and heat will only exacerbate that effect.
Use a heating pad or a towel which has been wetted and then heated. Use the heat sparingly and never, ever use heat when you’re sleeping. You may wake up with burns.
Using heat or ice on skin which is broken or otherwise damaged can cause further damage. The same is true if you have an infection, or if you suffer from diabetes.
If you’re unsure about using ice and heat to treat an injury, consult a medical professional.
I hope this brief primer on applying ice and heat to injuries has cleared up any confusion. If you’re still confused, or if the pain from your injury is still making life less than pleasant, then I suggest you come to see me and the team at Back & Body Medical in Manhattan.
Back & Body Medical
Back & Body is an award-winning clinic, practicing multi-disciplinarian pain relief for all kinds of people. Our clinicians are trained in chiropractic, acupuncture, physical therapy and sports medicine. We’ll often work as a team to personalize care to patient need, drawing on our respective disciplines to find the right response.
If you’ve suffered an injury you need support healing, contact us. Let our team be yours.
Ready to get out of pain? Most new patients are seen within 24 hours — walk in or book online.

Dr Shan Sivendra MD is the founder and medical director of Back and Body Medical in Midtown Manhattan. A board-certified medical doctor, certified acupuncturist, and Director of House Physicians at St. Barnabas Medical Center, Dr Sivendra has been practicing in New York since 1995.
He completed his residency in Internal Medicine at Saint Barnabas Medical Center (affiliated with Mount Sinai School of Medicine) and received the Resident Research Award for three consecutive years.
Dr Sivendra has a background spanning internal medicine, pain management, and conservative spine rehabilitation, and was licensed in both the US and the UK.
At Back and Body Medical, he leads a multidisciplinary team of chiropractors, physical therapists, and acupuncturists dedicated to helping patients recover from pain without surgery or unnecessary medication.
Further Reading: Exercise and Fitness
- Proper Warmups Before Weight Training to Avoid Injury
- Finding a Balance – Move Your Body to Wellness
- Exercise to Stay Healthy
- The Difference Evidence Based Care Makes
- Get Your Diet Right on Joint Pain
→ Complete Guide: Exercise, Fitness & Injury Prevention in New York City
