drpat @live.ca
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    • BriansBoardDelay
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  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
  • Smoking California
  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list

Heat and Cold in medicine - the secrets of Fire and Ice

Picture
" Doc, Do I put heat on that or do I put cold on that ?"

Patients are always asking me this question.
The secret to success is simple - act like me.   Be contrary.  Be oppositional

In other words, do the exact opposite of whatever your body is doing.  

 


1)    If your body part is cool, warm it up
2 )   If your body part is hot, cool it down
3)   
When in doubt, chill out for 20 minutes !
4)    Don't do too much of anything !



Picture
Immediately after an injury it is going to be hot, because of all that hot hot  blood  coursing to the site of the tissue damage !  Aided often by  rapid heart rate and increased blood pressure, because whatever you where doing to get injured often involves an increase in heart rate and blood pressure.

  This constricts blood vessels, prevents swelling, and eases
pain.   Putting some pressure on the injured part and elevating it
also helps to prevent unnecessary bleeding and swelling.
This is
often referred as treatment with RICE.   (Rest, Ice, Compression,
Elevation)



Picture
Think of professional athletes. They warm up before the game because their joints and ligaments are cool. They iced their joints after the game because they are all hot and inflamed. So the secret remains – if it is hot cool it. If it is cold, warm it up

Picture
Some people like twenty minutes of heat, followed by twenty minutes of cool   This does not make logical sense, but does have the advantage of making it harder for people to burn themselves or give themselves frostbite. 
Which is where I should point out that you shouldn't put ice packs or heating elements directly against your skin.  Wrap them in a cloth or something to provide a little insulation. 

Picture
If you have an acute muscle spasm, ice it to prevent pain and bleeding.   If you have a chronic muscle spasm you can do the same, because it still prevents pain.  Or you can use heat, which feels good, and relaxes the muscle, and allows more healing blood to flow to the area.




If you are really a hedonist, stand in a shower and let the nozzles massage you.   Or let the hot tub jets heat and massage your aches at the same time.
It accomplishes about the same as a visit to the physio or massage therapist, and is a lot more convenient.

​Dr. Pat  Nesbitt, Vancouver, Canada ..... [email protected]
  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
  • Smoking California
  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list