Goodbye RICE - Hello PEACE, LOVE and MEAT
- sbecourtney
- Jun 5
- 2 min read
Recent research has led to a re-evaluation of soft-tissue injury recovery protocols, notably the RICE method (Rest, Ice, Compression, Elevation). Experts now advocate for recovery that emphasizes a balanced approach, combining protection, early movement, patient education, and personalized exercises for effective healing as well as allowing the body to heal naturally.
Two prominent alternatives remove certain elements of RICE and modify others. They are the PEACE & LOVE and MEAT methods.
PEACE & LOVE Method.
Introduced in 2019, the PEACE & LOVE approach provides a comprehensive framework for managing soft tissue injuries. This method emphasizes the importance of active participation in recovery and discourages over-reliance on passive treatments.
PEACE (immediate care post-injury):
Protection: Restrict movement to safeguard the injured area.
Elevation: Raise the injury above heart level to decrease swelling.
Avoid Anti-inflammatories: Refrain from using anti-inflammatory medications to allow the body's natural healing processes.
Compression: Apply pressure to reduce swelling.
Education: Learn about the injury and recovery process to make informed decisions.
LOVE (subsequent recovery phase):
Load: Gradually introduce movement and weight-bearing activities.
Optimism: Maintain a positive mindset to support recovery.
Vascularization: Engage in activities that enhance blood flow to the injured area.
Exercise: Implement targeted exercises to restore strength and mobility.
MEAT Method
The MEAT protocol emphasizes the benefits of controlled activity over prolonged rest.
Movement: Encourage gentle, pain-free movement to prevent stiffness.
Exercise: Incorporate tailored exercises to rebuild strength and flexibility.
Analgesics: Use pain relievers as needed, avoiding anti-inflammatories that may impede healing.
Treatment: Seek appropriate therapies, such as physical therapy, to support recovery.
Evolving Perspectives
Even Dr. Gabe Mirkin, who coined the RICE acronym in 1978, has revised his stance, acknowledging that ice and complete rest may delay healing by inhibiting the body's inflammatory response, which is crucial for tissue repair.
