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Cryotherapy and nerve palsy

D Drez, D C Faust, J P Evans

    The American Journal of Sports Medicine
    |July 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Ice application for athletic injuries can cause temporary nerve palsy. To avoid this, limit ice use to 30 minutes and protect superficial nerves.

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    Area of Science:

    • Sports Medicine
    • Neurology
    • Physiotherapy

    Background:

    • Ice application is a common therapeutic modality for managing athletic injuries.
    • Despite its benefits, potential complications such as frostbite are recognized.
    • Nerve palsy is a potential, though uncommon, adverse effect of cold therapy.

    Observation:

    • This report details five cases of temporary nerve palsy directly resulting from the application of ice.
    • The affected individuals experienced temporary loss of nerve function.
    • No significant long-term complications were observed in these cases.

    Findings:

    • Nerve palsy following ice application is a transient condition.
    • Spontaneous resolution of nerve palsy is typical.

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  • Adherence to specific application guidelines can prevent this complication.

    • Implications:

    • Clinicians should be aware of the risk of nerve palsy with ice therapy.
    • Recommendations include limiting ice application duration to 30 minutes.
    • Protecting superficial nerves during cold application is crucial for injury management and prevention of iatrogenic nerve damage.