Ice Vs. Heat

I have many patients asking me when they should use ice versus heat for their pain or injuries. This is a really great question and there are a few simple rules of thumb to follow.

Ice should always be used for acute problems. This means anything that has happened within the last 24-72 hours. During this time after an injury or flare-up, inflammation is at its highest. The best way to calm down and eliminate inflammation is to apply ice. This will slow down the blood flow to the area and reduce the swelling and heat. Ice is also great for migraine headaches and bruising.


Heat is best used for more chronic conditions. This is something that has been around for quite some time, such as arthritis.  When using heat, it will increase blood flow to the area and help loosen up tight joints. This is also great for muscle tension. The increased blood flow will help the muscles to relax and decrease soreness. You should never use heat however on areas that are numb or have lost sensation. Those with diabetes should also avoid heat as well. Never use heat over an area with bruising or swelling.

With both ice and heat, they should never be applied directly to the skin. Always use a towel or cloth between. Each should be applied to the area for about 20 minutes and can be reapplied about 40 minutes later.

If you are ever in doubt of which you should use, stick with ICE!

Dr. Meghan


Backpacks and Spinal Health

It’s back-to-school time once again and parents are sending their kids off to school with backpacks filled with brand new supplies and books. What many parents may not know however, is that their child’s backpack could be harming their spine.

An average 6th grader’s backpack weighs about 18 lbs and can sometimes weigh up to 30 lbs (1). This large weight is distributed across a child’s shoulders and back placing a lot of stress on their body. Over time, this will start to take a toll, causing forward rolled shoulders, jutting forward of the head and neck, and low back pain (2). These effects can all occur just in a short amount of time.


Carrying these heavy loads over an entire school year will actually start to effect the natural curves in a child’s spine (2). Children’s spines are still growing and changing and do not become skeletally mature until their mid-20’s.  During this venerable time, this stress can have detrimental effects. When a backpack is carried on just one shoulder, the stress is multiplied and it could actually lead to the formation of a scoliosis over time.

A NY Times article published that, “The American Academy of Pediatrics recommends that a child’s backpack weigh no more than 10 to 20 percent of a child’s weight. Consumer Reports recommends keeping the weight closer to 10 percent of a child’s weight.” (1). When choosing the right backpack for your child, take into account their height and weight and make sure you weigh their backpack at home.



Dr. Meghan