Why Pitchers should ICE their arms?

May 9, 2009

Dick Mills just wrote an article about how Pitchers are causing more damage than good when icing their arms. He said that He did some research that proves that icing the pitchers arm does not help the arm recover but actually slows down the recovery process. I just wonder where he got his research because he does not tell us. After reading his quote below it sounds like he got it from Dr Seuss.

Dick Mills Quote:

You see what happens when ice is initially administered is it brings blood to the site where it is applied, for the pitcher to the shoulder or elbow. And blood is good because it provides healing. However, as the ice stays on the blood can no longer get into the area so after a few minutes of icing the area is prevented from beginning the natural healing process. Icing stops an immune response which is healing.

This is a perfect example why you should NOT get all your information from one source. Dick Mills has definitely let his ego get the best of him here. All you have to do is search the web for medical websites documenting studies and articles on icing for injury or cryotherapy. In my career, I heard it through the grapevine that icing may not be good for pitchers but out of all the Doctors and Physical therapists I went through, during my five years of hell after rotator cuff surgery, I never once received any information that could back this up.

After reading Dick Mill’s article on icing, I then took some time to research the web and I found several websites reference the work of Dr. Meeusen from Antwerp, where I played some professional baseball. He based his life study around icing as a means to help heal a damaged muscle. His documentation describes how ice can be effective and where it can cause problems.

When body tissues are cooled, nerve cells in the chilled area initially force adjacent blood vessels to constrict, leading to a marked reduction in blood flow to that part of the body. However, if the temperature of the affected area continues to drop, nerve activity is depressed and the blood vessels begin to open up, flooding the injured tissues with blood, even though cold is still being applied. This flood-of-blood (Hunting effect) is the human body’s reflex reaction to thwart severe cold injury in a body part subjected to chilling stress.

Dr. Meeusen’s studies showed that icing initially stops the swelling and blood flow of the damaged blood vessels into the local muscle tissue but after a period of 10 minutes it can begin to have an opposite effect to the area. His documentation continues to state this damage continues on to another important system of healing.

Lymphatic Vessels: Prolonged ice application can cause lymphatic vessels (which ordinarily help carry excess tissue fluids back into the cardiovascular system) to increase in permeability. This causes large amounts of fluid to pour from the lymphatics “the wrong way” into the injured area, increasing local swelling and pressure, potentially contributing to greater pain. If icing goes on too long, the lymphatic vessels can actually be nearly obliterated, losing all of their fluid to surrounding tissues.

The lesson here is NOT that icing is bad. What we have learned is that icing is effective initially but begins to cause problems after about 10 minutes. Read the description below for the proper way to ice the arm after a game to help aid the healing process.

Ice the elbow or shoulder region for 10 minutes immediately after pitching (DO NOT PUT ICE ON ULNAR NEVER), remove the ice for about 30 minutes, and then reapply it for 10 additional minutes. Repeat this cycle of about two 10-minute icings per hour as often as desired, based on how many pitches thrown, during the first 24 to 48 hours after pitching.

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