Column: TM Physio - PEACE AND LOVE PART ONE

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Column

27-08-2020

A telltale sign that things are evolving in soft tissue injuries can be seen from the changes in the acronyms used to guide their management. Most of us are familiar with ICE (ice compression and elevation) which quickly morphed into RICE, PRICE and ultimately POLICE! Phew! Seems you get a recipe for alphabet soup with your injury!
Researchers writing in the BJSM (British Journal of Sports Medicine) last year proposed yet another acronym which they feel is more representative of the journey from acute injury to rehabilitation. It is a two-part process, known as PEACE and LOVE. Looks like the hippies got into the science labs for this one!
They wrote that immediately after an injury, you should do no harm and let PEACE guide your approach.
P – for Protect. Unload and restrict movement for 1 – 3 days to minimise bleeding and swelling. Be guided by your pain as to what you can attempt.
E – for Elevate. Raise the limb higher than the heart to promote interstitial fluid to flow out of the damaged tissues.

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