Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery

There are several different modalities for injury prevention to consider in order to help our patients’ reach their ultimate goals. The purpose of this review is to analyze the use of hot and cold therapies to prevent injury. Thermotherapy has been used in clinical rehabilitation settings to treat h...

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Main Authors: Kiera L. Vrindten, M.B.S., Danielle P. Lonati, B.A., Jillian L. Mazzocca, B.A., Elizabeth G. Matzkin, M.D.
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Arthroscopy, Sports Medicine, and Rehabilitation
Online Access:http://www.sciencedirect.com/science/article/pii/S2666061X25000690
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author Kiera L. Vrindten, M.B.S.
Danielle P. Lonati, B.A.
Jillian L. Mazzocca, B.A.
Elizabeth G. Matzkin, M.D.
author_facet Kiera L. Vrindten, M.B.S.
Danielle P. Lonati, B.A.
Jillian L. Mazzocca, B.A.
Elizabeth G. Matzkin, M.D.
author_sort Kiera L. Vrindten, M.B.S.
collection DOAJ
description There are several different modalities for injury prevention to consider in order to help our patients’ reach their ultimate goals. The purpose of this review is to analyze the use of hot and cold therapies to prevent injury. Thermotherapy has been used in clinical rehabilitation settings to treat health conditions. The therapeutic use of cold, known as cryotherapy, is historically the most popular treatment for acute musculoskeletal injury or fatigue. Cold therapy was seen to decrease delayed-onset muscle soreness and help resolve global or generalized muscle injury or fatigue. In sum, both cold and hot therapy play similar but unique roles in injury prevention and recovery. The key to effective use of either depends on understanding the nature of the injury and mastering the appropriate timing of therapeutic application. By leveraging the unique mechanisms of each modality, athletes can optimize their recovery process and reduce the risk of future injury. Level of Evidence: Level V, expert opinion.
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series Arthroscopy, Sports Medicine, and Rehabilitation
spelling doaj-art-6402ababc13b4d838ccceff465f270722025-08-20T03:18:19ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-04-017210114310.1016/j.asmr.2025.101143Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and RecoveryKiera L. Vrindten, M.B.S.0Danielle P. Lonati, B.A.1Jillian L. Mazzocca, B.A.2Elizabeth G. Matzkin, M.D.3Rutgers Robert Wood Johnson Medical School, New Brunswick/Piscataway, New Jersey, U.S.A.Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, Connecticut, U.S.A.Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts, U.S.A.Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts, U.S.A.; Harvard Medical School, Boston, Massachusetts, U.S.A.; Address correspondence to Elizabeth G. Matzkin, M.D., Brigham and Women’s Hospital, 75 Francis St., Boston, MA 02115, U.S.A.There are several different modalities for injury prevention to consider in order to help our patients’ reach their ultimate goals. The purpose of this review is to analyze the use of hot and cold therapies to prevent injury. Thermotherapy has been used in clinical rehabilitation settings to treat health conditions. The therapeutic use of cold, known as cryotherapy, is historically the most popular treatment for acute musculoskeletal injury or fatigue. Cold therapy was seen to decrease delayed-onset muscle soreness and help resolve global or generalized muscle injury or fatigue. In sum, both cold and hot therapy play similar but unique roles in injury prevention and recovery. The key to effective use of either depends on understanding the nature of the injury and mastering the appropriate timing of therapeutic application. By leveraging the unique mechanisms of each modality, athletes can optimize their recovery process and reduce the risk of future injury. Level of Evidence: Level V, expert opinion.http://www.sciencedirect.com/science/article/pii/S2666061X25000690
spellingShingle Kiera L. Vrindten, M.B.S.
Danielle P. Lonati, B.A.
Jillian L. Mazzocca, B.A.
Elizabeth G. Matzkin, M.D.
Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery
Arthroscopy, Sports Medicine, and Rehabilitation
title Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery
title_full Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery
title_fullStr Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery
title_full_unstemmed Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery
title_short Thermal Modalities Including Hot Baths and Cold Plunges Play a Unique Role in Injury Prevention and Recovery
title_sort thermal modalities including hot baths and cold plunges play a unique role in injury prevention and recovery
url http://www.sciencedirect.com/science/article/pii/S2666061X25000690
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