Applying Cold and Heat Therapeutically

Healing an injury or treating a painful condition can be significantly impacted by the appropriate application of cold and/or heat. Both cold and heat relieve pain and help with tight muscles, but other considerations (especially inflammation and depth of injured tissue) apply.

COLD

Apply cold immediately following any muscle, joint, or bone injury to relieve swelling, reduce pain and inflammation, and decrease muscle soreness and tightness. You can use cold any time after that. Cold only penetrates about 1 cm below the surface, so it works best for initial swelling/inflammation and for superficial conditions.

Do NOT use cold on broken or irritated skin, on superficial nerves, or when circulation is impaired. Also avoid applying cold when these conditions are present: Raynaud’s disease, cold intolerance, cold allergy, any previous experience of frostbite, impaired mental ability or sensation.

How to apply: Wet a cloth in hot water, wring it to dampness, wrap it around the cold pack, and apply. Check the skin in 5 minutes. If it’s bright red or numb, add another layer of insulation. Leave cold pack in place until it warms to room temperature. Repeat if needed. Never apply a gel pack directly to skin. Continue reading

Moving toward a more traditional diet

I’ve been working with local clinical nutritionist/acupuncturist Olivia Honeycutt for a couple of months, tweaking my diet so I can be healthier and have more energy. She gave me some forms for noting what I eat for meals and snacks, when I eat, how much water I drink, how many hours of sleep I get and the quality of my sleep, bowel movements, etc. We get together every couple of weeks so I can share my forms. She looks them over and makes recommendations of little tweaks I can make to improve my health through diet.

Although I was already eating very little grains and legumes and no gluten before I started working with Olivia, I’m eating more of a traditional diet now.

It was a bit difficult to move past the belief that more fat is good, because for most of my adult life, fat has been considered the cause of heart disease and obesity. Especially animal fat. Fat = bad for decades, and now fat = good (especially animal fat, coconut oil, avocado oil, and olive oil). I went out of my way especially to avoid Mexican restaurant food cooked with lard, and now it’s considered healthy! (It’s also tastier.)

Yet here I am, eating butter, ghee, and/or bacon grease daily. I did not want to gain weight, but I have. It’s actually fat turned to muscle, because my clothes still fit. To lose weight eating like this, you eat more fat earlier in the day.

Epic barsThe great thing about fat is that it satisfies. If I’m working for hours doing massage, and I don’t have time to eat, consuming fat will stave off my hunger for longer than anything else I could eat. It’s fuel. I’ve tried eating various fat-laden foods such as almond butter, coconut butter, Epic bison/lamb/turkey/beef bars, avocados, and some organic extra-virgin coconut oil when my hunger is getting the better of me. It works.

One of the biggest adjustments is that from tracking my water intake, I learned I wasn’t drinking enough water. Now I drink 16 ounces upon arising (with a tablespoon of apple cider vinegar). My water bottle holds 27 ounces, and I empty it daily. Another 16 ounces in the evening brings my total to 59 ounces, close enough to my goal of 60 ounces a day, or about half my body weight in ounces. I don’t count the caffeinated tea I drink because tea is a diuretic.

Also, I like to drink a glass of water about 10 minutes before eating because it helps me avoid overeating. It’s so easy to confuse hunger and thirst! When my thirst is sated, I’m not as hungry.

Because I work out 3-5 times per week with kettle bells and do physical work as a massage therapist, Olivia has me eating a palm-sized amount of protein at each meal. I am not an athlete, but I get to eat like one! I’ve been making chicken liver paté from different recipes for the past few weeks to get some beneficial fat-soluble vitamins found in liver. (Here’s my favorite recipe!)

I don’t eat much canned or processed foods, except for sardines. I eat raw honey, rare beef, and fermented food and drink such as sauerkraut, refrigerator pickles, yogurt, kefir, kombucha, Kevita, wine, cider, or cheese nearly every day.

I’m looking forward to obtaining some natto, having become aware of the vast benefits of consuming adequate vitamin K2 for appropriate calcium utilization (i.e., in the bones and teeth and not in the arteries and brain). There’s a supplement that also has K2

I’m learning to soak and dehydrate nuts. (Well, just walnuts, so far.) The cookbook Nourishing Traditions has been helpful. This diet is similar to the Paleo diet, is influenced by the Weston A. Price Foundation‘s dietary principles, and also by Olivia’s understanding of diet and health from her acupuncture training (having to do with heat, cold, dampness, herbs, seasons, constitutions, etc.).

I try to eat half a beet and drink a cup of dandelion tea (leaf or root) each day for better liver function. I eat dark green leafy vegetables, cruciferous vegetables, and tropical fruits. And high-cacao chocolate (over 70 percent).

I also make bone broths, especially in the winter, for the calcium. I save chicken, beef, and lamb bones and veggie scraps in my freezer. Sometimes I just buy bones. I have a big plastic container to store them in, and I also add the water from steaming veggies to this frozen stockpile of nutrients.

When I’ve got enough, I put the contents into a stockpot, add water to cover and a splash of apple cider vinegar and a moderate amount of salt, and cook it at a simmer for a day or two, skimming foam off the top when it first rises.

The resulting broth is flavorful and extremely nourishing. I drink a cup a day when I have it and also use it as a basis for soups and stews. See my post on making turkey vegetable soup with bone broth!

In summer (because it’s too hot to make broth), and when I’ve run out of broth, I consume a tablespoon of gelatin every day for the protein. It thickens smoothies, makes my hair and nails grow thicker and faster, and is good for joints and reducing cellulite. I get the Great Lakes brand sold on Amazon.

My gut seems to be working better despite recent stressful difficulties. I take L-glutamine supplements, which help with gut issues and have many other benefits.

Check out my Products I Recommend page for more recommendations for books, supplements, and products to improve your well-being.

Recovering from a pulled muscle, I apply my massage skills and heal. Voila!

A couple of weeks ago, I started self-training in running, and I was walking/running on the trail, building up endurance while avoiding fatigue and injury (so I intended). I’d done the warmups recommended by my trainer and felt really good in my running—lifting my knees, almost sprinting, feeling that great-to-be-alive, heart-pounding, hard-breathing experience of really challenging my body in a healthy way. I was loving the run!

Then, running up a hill, I pulled my left calf muscle. I immediately slowed to a walk, walked for about 10 minutes, and then (ruh roh), I decided it wasn’t so bad and ran some more.

Afterwards, I could feel the pull, but it seemed pretty minor. I could walk fine, without a limp. However, I did wisely decide not to run again until it felt really fine.

Six days passed, and I went to ecstatic dance, where everyone dances like no one is watching. I love this practice, moving to music, going with the flow, connecting with others, letting go, being part of the tribe. I can get pretty wild, jumping around with a big grin, leaping from foot to foot, being danced.

If you have no clue what I’m talking about, it’s like this:

The Power Wave

So anyway, while leaping about, I suddenly felt strong pain in my left calf. I limped to the side and did not feel like dancing any more.

Thinking it was my gastrocnemius (the superficial calf muscle), I had a massage therapist work on it that afternoon. I was still limping badly afterwards, although definitely more relaxed. I went home and iced it, and then…

 A massage magazine I’d been reading was next to my bed. I picked it up and saw there was an article by Dr. Ben Benjamin on the soleus, the deeper calf muscle. It included diagnostic tests, and I verified that it was my soleus muscle that was injured. (The image shows it without the gastrocnemius.)

Guess what? It could take 4-6 weeks to fully heal. That was depressing.

Benjamin (who also wrote the fantastic reference book about muscle injuries that belongs in the home library of every athlete (in my opinion), Listen to Your Pain) gave instructions for “friction therapy” massage, stretching, and strengthening. I also put ice on it, several times a day at first and now just once a day right after I do the clinical protocol.

My leg went from maybe 15 percent to 85 percent functional within a week. My limp gradually lessened, day by day. The calf still feels just a bit tight and tender. My hunch is that the last 15 percent of healing will happen more slowly.

Anyway, I feel really empowered about using clinical massage on my own injury and seeing (and feeling) rapid improvement.

I am ready to apply that to others.