RICE(P)

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RICE(P)

range of physical treatment modalities (rest, ice packs, tissue compression/oedema control, limb elevation NSAID [non-steroidal anti-inflammatory drug pain control]), to reduce/control chronic traumatic inflammation, e.g. foot strain, plantar fasciitis, hallux flexus, soft-tissue sprains (Table 1)
Table 1: RICE(P)

RICE(P)

Feature
R RestThe patient is advised to reduce/abstain from weight-bearing on the affected foot/limb until all symptoms subside
Joint immobilization is achieved by:
  • Soft splintage (retained strapping; padding; bandaging)

  • Rigid splintage (total-contact cast; AirCast boot; bivalve cast)

  • Walking aids (crutches; walking stick)

I Ice packsThe application of ice within 48-72 hours of the initial injury/onset of symptoms, to reduce swelling, minimize pain and control inflammation
Ice (cubes wrapped in a towel; packet of frozen peas; cool pack) is applied at least twice a day
Ice is not indicated >72 hours after injury; patients should be advised to apply gentle heat twice a day (immersion in water bath at 45°C for 10 minutes, infrared lamp, hot-water bottle)
C CompressionCompression bandaging (crepe bandage; Coban, 'figure of eight') controls soft-tissue oedema and reduces unwanted movement
E ElevationThe limb should be fully supported along its length, with the heel of the foot above hip height to minimize oedema
P Pain controlRest, ice (or heat), compression and elevation all help minimize pain, reduce inflammation and oedema
Non-steroidal anti-inflammatory drugs (e.g. 400 mg ibuprofen every 4 hours, or equivalent for 5 days) both reduce inflammation and control pain
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A Triceps riceps B Biceps C Trapezius rapezius CALL 0901 553 0317 and follow instructions.