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RICE (medicine)

RICE is a mnemonic acronym for four elements of a treatment regimen commonly used for soft tissue injuries: rest, ice, compression, and elevation. While it was hoped it would reduce pain and swelling, evidence is insufficient for benefits. Early movement is more often recommended as of 2020, with the acknowledgment that occasionally short term immobilization is needed for pain.

The protocol was used to treat sprains, strains, cuts, bruises, and other similar injuries. There are concerns it may impair or delay healing.

The mnemonic was introduced by Gabe Mirkin in 1978. In 2014, he publicly revised his views for routine icing and complete rest after reviewing research on inflammation and tissue healing. Mirkin stated that prolonged icing and complete rest could delay recovery, noting the role of inflammation in the healing process and the potential drawbacks of extended inactivity. Current evidence suggests that routine icing should be reconsidered, though it may still be appropriate in cases where excessive swelling poses a risk to recovery. Ice has been used for injuries since at least the 1960s, following its use to successfully reattach a 12-year-old's limb.

There are variations which emphasize other actions, including PRICE with the addition of protection, and POLICE with the addition of optimal loading. However, these variations similarly lack enough evidence to be broadly recommended. In 2019, the mnemonic PEACE & LOVE was introduced in the British Journal of Sports Medicine (BJSM) as an update to earlier protocols. Unlike previous protocols, it eliminates routine icing and emphasizes early rehabilitative movement and recovery. Provided by Wikipedia