The Navy SEAL Physical Fitness Guide - Uniformed Services ...

Treatments for Training-Related InjuriesSudden, traumatic, or acute injuries to the musculoskeletal tissue quickly result ininflammation, a process characterized by localized warmth, swelling, redness and pain. Ifleft unchecked, however, the inflammatory process rapidly leads to:" Tissue congestion." Stiffness." Weakness." Decreased range of motion." Loss of normal function.A highly successful Sports Medicine approach to accelerate the healing of anyinjury is to first decrease the inflammatory process (swelling, pain and warmth), and thenincrease the range of motion at the joint. RICE and ISE are the approaches used to achievethese goals.RICE = Rest, Ice, Compression & ElevationAfter decreasing inflammation by RICE, range of motion at the joint is achieved throughcontinued use of ice (I), stretching of the injured ligament or tendon (S), and weight bearingexercises (E).ISE = Ice, Stretching, & ExerciseReduce InflammationRICE (rest, ice, compression, elevation) is appropriate for all strains and sprains.In general, if an operator cannot bear weight on the extremity, rest is indicated and x-raysto rule out a fracture should be completed as soon as practical." “REST” means applying no weight or only partial weight to the extremity;crutches should be used for locomotion. “Relative Rest” means decreasingactivities that cause pain and replacing them with other activities that arepain-free." “ICE” means applying ice. This should continue until swelling hasstabilized.200 Training and Sports Related Injuries