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Tendinitis pain: Should I apply ice or heat?By Mayo Clinic staff
Original Article: http://www.mayoclinic.com/health/tendinitis/AN01695
- With Mayo Clinic physical medicine and rehabilitation specialist
Edward R. Laskowski, M.D.read biographyclose window
Edward R. Laskowski, M.D.Edward R. Laskowski, M.D.
Dr. Edward Laskowski is certified by the American Board of Physical Medicine and Rehabilitation, including subspecialty certification in sports medicine, and is a fellow of the American College of Sports Medicine. He is co-director of the Mayo Clinic Sports Medicine Center and a professor at College of Medicine, Mayo Clinic.
He has been on the staff of Mayo Clinic since 1990 and specializes in sports medicine, fitness, strength training and stability training. He works with a multidisciplinary team of physical medicine, rehabilitation and orthopedic specialists, physical therapists, and sports psychologists.
Dr. Laskowski is an elite-level skier and an avid hiker, cyclist and climber. He approaches sports medicine from the perspective of a physician and an athlete.
In 2006, President George W. Bush appointed Dr. Laskowski to the President's Council on Physical Fitness and Sports, and he has received a Distinguished Service Award from the Department of Health and Human Services for his contribution to the Council.
Dr. Laskowski was a member of the medical staff of the Olympic Polyclinic at the 2002 Winter Olympics in Salt Lake City and has provided medical coverage for the Chicago Marathon. He serves as a consulting physician to the National Hockey League Players' Association and is a featured lecturer at the American College of Sports Medicine's Team Physician Course.
Dr. Laskowski, a Cary, Ill., native, has contributed to Mayo Clinic's CD-ROM on sports, health and fitness, a website guide to self-care, and hundreds of Mayo Clinic articles and booklets in print and online. He is a contributing editor to the "Mayo Clinic Fitness for EveryBody" book, and he has presented lectures throughout the world on health, fitness and sports medicine topics. His teaching expertise has been recognized by his election to the Teacher of the Year Hall of Fame at Mayo Clinic.
"There are many myths and misconceptions about exercise and fitness in general, and also many traditions that don't stand up to scientific scrutiny," he says. "My goal is to provide the most up-to-date and accurate information on sports medicine and fitness topics in a way that you can practically incorporate into your life."
Tendinitis pain: Should I apply ice or heat?
Which is better for relieving tendinitis pain — ice or heat?
from Edward R. Laskowski, M.D.
If tendinitis is of recent onset, ice may be a better choice for reducing pain and inflammation. Ice acts as a numbing agent, and it also causes a narrowing of blood vessels, which helps reduce swelling. Heat promotes opening of the blood vessels, which can increase blood flow to an area of chronic injury to promote healing.
Tendons are bands of fibrous tissue that connect muscles to bones. Tendinitis is most often caused by repetitive motions that irritate the tendon over time. Improper technique with activities (such as tennis) or exercise (such as strength training) also can predispose a tendon to injury. Tendons also become less flexible with age, which can make them more prone to injury.
- Questions and answers about bursitis and tendonitis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Bursitis/default.asp. Accessed Aug. 8, 2011.
- Geiderman JM, et al. Tendinitis and tendinosis: Thermal therapy. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed Aug. 8, 2011.
- Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 8, 2011.