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