Meadows wrote:Isn't icing useful only in the first 48 hours following an injury because the cells become "leaky"?
On the tendonitis, this was suggested to me by Audrey who was suffering bad elbow tendonitis that put her out of climbing: http://www.activerelease.com/what_patients.asp. She got healthy after the first session, but it took 3 for her to be ready to climb again. There are a couple of places in Lex that do this kind of therapy.
Not in my experience. I routinely use cryotherapy in long after 48 hours in my clinic. Again, you need to consider what is happening at the physiological level. Lets take someone that sprained their knee... They may have swelling, rubor (heat generated by the inflammatory response), and pain that may last for weeks.
Adding heat to this scenario is akin to putting gas on the fire...
In general, I tend to choose cold over heat for about 80% of the pathologies that I see...
BTW, if you are interested in heating up your body, a cardio work out has been shown to be more effective at raising tissue temperature compared to the generally very superficial heating gains made with heat applied to the skin surface.
Active release can be an effective technique for managing tendonopathies. Also consider eccentric overload...
http://www.livestrong.com/article/20137 ... exercises/
http://www.nismat.org/ptcor/tennis_elbow