Benefits of ‘P.R.I.C.E.’ principle

P.R.I.C.E. is commonly used in the early stages immediately following tissue injury. P.R.I.C.E. stands for:

 

P– Protection

R– Rest

I– Ice (cryotherapy)

C– Compression

E– Elevation

 

  1. PROTECTION
  • When soft tissue injury occurred, it is important to protect tissues from further damage.
  • It is also to protect newly forming collagen fibrils in the following days.
  • Steps to prevent tissue from further injury are generally describe as protective modalities which may include treatments such as strapping, use of crutches, slings and braces and modification of exercises and movements.

 

  1. REST
  • In the very early stage (0-48 hours), when the tissues are still likely to be bleeding and the inflammatory processes are occurring, the patient should be encouraged to rest the injured area fully to prevent increased bleeding and inflammatory response.

 

  1. ICE (CRYOTHERAPY)
  • There are various methods of cooling tissues including application of crushed ice, ice/gel packs, cold compression devices and ice submersion.
  • This has been long considered an important part of early tissue injury management to induce vasoconstriction of the small blood vessels, thus reducing blood supply to the injured area and preventing secondary damage.

 

  1. COMPRESSION
  • External compression through the application of an elastic wrap can stop bleeding, inhibit seepage into underlying tissues spaces and help disperse excess fluid.
  • Compression can be applied using bandage or some form of elasticated bandage strapping.
  • Can also be used along with cryotherapy in form of ice compression device.

 

  1. ELEVATION
  • Aimed at reducing bleeding, swelling and pain in acutely injured soft tissues.
  • Combination of cryotherapy and compression with elevation are encouraged and are known to be as common practice.

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