When should I use cold therapy for back pain?

If heat doesn’t work, try cold therapy. Use ice or cold packs but do not ever apply the ice directly to your skin or you might experience more than back pain! You might also try a local spray such as fluromethane (nonflammable) on your back or painful area before and after exercise.

This superficial cooling decreases muscle spasms and increases the threshold of pain. Some patients prefer cold therapy to moist heat for acute back pain, while others tell of having the best relief when they alternate the sessions with moist heat and ice. I suggest that you choose the method of moist heat and ice packs that gives the best relief with the least trouble or expense.

(Always use caution to avoid damage to your skin with hot and cold therapies.).

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