RICE vs MEAT: Evolution in Injury Treatment Protocols

Traditional RICE Method

• Rest
• Ice
• Compression
• Elevation

Emerging Concerns with RICE

Blood Flow Issues

• Tendons and ligaments naturally have poor blood supply

• Ice reduces peripheral blood flow

• Blood vessels may remain constricted after ice removal

• Can lead to:

• Delayed healing

• Tissue death

• Potential nerve damage

Research Findings

• Original RICE creator has recanted the protocol
• Studies show ice may delay recovery
• Reduced metabolic rate impairs healing
• Increased muscle damage markers in athletes

The MEAT Alternative

Movement

• Stimulates healing process
• Promotes aligned collagen fibres
• Encourages faster recovery
• Improves lymphatic drainage

Exercise

• Prevents long-term joint instability
• Improves functional outcomes
• Supports rehabilitation process

Analgesia

• Focus on appropriate pain relief

• Avoid NSAIDs that may inhibit healing

• Consider natural alternatives:

• Acupuncture

• Dry needling

• Low-level laser therapy

Treatment

• Manual therapy
• Electrotherapy
• Ultrasound
• Mobilisation techniques

Important Considerations

• RICE may still benefit acute muscle injuries
• Compression remains valuable for reducing swelling
• Treatment should be injury-specific
• Individual assessment crucial