Use ice or heat to relieve low back pain

Ice to relieve low back pain Ice and cold packs can relieve pain, swelling, and inflammation from injuries and other conditions such as arthritis. Use either a commercial cold pack or:

• An ice towel. Wet a towel with cold water, and squeeze it until it is just damp. Fold the towel, place it in a plastic bag, and freeze it for 15 minutes. Remove the towel from the bag and place it on the affected area.
• An ice pack. Put about 1 lb of ice in a plastic bag. Add water to barely cover the ice. Squeeze the air out of the bag and seal it. Wrap the bag in a wet towel and apply it to the affected area.
• A homemade slush pack. Mix 3 cups water and 1 cup denatured alcohol in a freezer bag. Seal the bag, and place it in freezer until slush forms. Refreeze the bag when the slush melts.
• A bag of frozen vegetables.
• An ice cup. Fill a paper cup two-thirds full with water and freeze it until it is solid ice. Before use, peel back enough paper to expose some of the ice. Rub the ice over the affected area for 3 to 5 minutes.

Ice the area at least 3 times a day. For the first 72 hours (3 days), ice for 10 minutes once an hour the first day, then every 2 to 3 hours. After that, a good pattern is to ice for 15 to 20 minutes 3 times a day: in the morning, in the late afternoon after work or school, and about ½ hour before bedtime. Also ice after any prolonged activity or vigorous exercise.

Always keep a damp cloth between your skin and the cold pack, and press firmly against all the curves of the affected area. Do not apply ice for longer than 15 to 20 minutes at a time, and do not fall asleep with the ice on your skin.

Heat to relieve low back pain You can apply heat to your sore back 72 hours after an injury occurs. Applying heat too soon after injury can make the swelling and inflammation worse.

• Apply heat for 20-minute periods. Moist heat (hot packs, baths, showers) works better than dry heat.
• Try an all-day heat wrap, available in pharmacies. Research by the manufacturers of this new product suggests that during the first 2 days of heat treatment, 8 hours of heat wrap for acute low back pain is more effective than acetaminophen or ibuprofen at reducing pain and stiffness and increasing flexibility.
• If you are using an electric heating pad, avoid falling asleep while the pad is on. If you think you might fall asleep, set an alarm clock to go off in 20 minutes. Use heating pads set on low or medium, never on high.

After 72 hours of ice treatment, you may find that heat best relieves your pain. Or you may prefer to use ice only, or switch between heat and ice packs.