PEACE and LOVE vs RICER

Principles of acute injury management have changed several times throughout recent years. Ranging from the ICE policy to the more updated policy of POLICE. Whilst these can be effective for very acute pain they do little to aid recovery within the sub-acute and chronic phases of healing. As such a new principle has been developed to encompass the acute phase of injury (PEACE) and the prolonged healing phases (LOVE). 

 

The new principles can be widely adopted for various injuries from acute sporting injuries such as sprained ankles, and muscle tears to chronic ongoing complaints such as disc pain, neck pain and headaches. The principles are as follows:

PEACE

  • P – protect – Unload or restrict movement for 1-3 days
  • E- Elevate – The injured area above the heart, to promote blood flow out of the injured area, and restricting blood flow to it
  • A – Avoid – anti-inflammatory medication as it can hamper tissue regeneration 
  • C- Compress – the injured area to reduce swelling with taping or strapping 
  • E- Educate – Healing outcomes, time frames, about active recovery and soft tissue movement 

LOVE

  • L- Load – Active movements with exercise with little or no pain
  • O-optimism – The brain has a large part in rehabilitation, and a positive outlook on the recovery process will be beneficial
  • V-vascularisation – It is best to increase blood flow to allow the beneficial products to reach the injury site and help to boost motivation for recovery
  • E- Exercise – to reduce the chance of reinjury
 
This begins 1-3 days after the PEACE protocol.

Why the Change?

Pain management has been shown to be most effective when it follows a biopsychosocial model and not just the physical aspects of the injury. If you have an acute or chronic complaint one of our Osteopaths may be the perfect person to see as they can help you understand this new set of principles as well as provide some beneficial treatment, advice and prescribe exercises to speed up your recovery and reduce the risk of reinjury. 

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