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This article needs attention from an expert in medicine. See the talk page for details. The mnemonic was introduced by Gabe Mirkin in 1978. He has since recanted his support for the regimen. In 2014 he wrote, “Coaches have used my ‘RICE’ guideline for decades, but now it appears that both ice and complete Rest may delay healing, instead of helping. In a recent study, athletes were told to exercise so intensely that they developed severe muscle damage that caused extensive muscle soreness. There is not enough evidence to determine the effectiveness of RICE therapy for acute ankle sprains.
Treatment decisions for ankle sprains must be made on an individual basis and relies on expert opinions and national guidelines. The cold or ice component of RICE and its variations reduces blood flow to the injured area and delays healing. Rest is a key component of repairing the body. Without rest, continual strain is placed on the affected area that is injured, leading to increased inflammation, pain, and possible further injury. 48 hours after an injury, but after that modified activities can be started. Additionally, some soft tissue injuries will take longer to heal without rest. E in his 1978 book “The sportsmedicine book”, has eliminated his recommendation for ice except within the first six hours since injury to reduce pain, as it as since been shown to reduce healing.
