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Broken legs and ankles heal better if you walk on them within weeks

(www.scientificamerican.com)
611 points sohkamyung | 1 comments | 19 Feb 25 12:36 UTC | HN request time: 0.001s | source
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faitswulff ◴[19 Feb 25 14:20 UTC] No.43102422[source]▶
If anyone's heard of RICE (Rest, Ice, Compression, Elevation) for healing joints, the new guidance is called POLICE: Protect, Optimal Load, Ice, Compression, and Elevation. The key differences being Protect and Optimal Load, meaning don't re-injure it and expose it to some level of weight-bearing or usage.
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dfxm12 ◴[19 Feb 25 14:31 UTC] No.43102512[source]▶
Anyone can RICE their joints. It's foolproof, more or less objective and requires no monitoring from a professional.

What defines optimal load? It sounds impossible to gauge, unless maybe if you're working with a physical therapist. Then, what happens if load more than the optimal level? Is the outcome worse than if you just stuck to RICE? I think these are things that have to be considered for medical protocols.

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1. brendoelfrendo ◴[19 Feb 25 15:24 UTC] No.43103067[source]▶
RICE, as a protocol, isn't all that effective. The doctor who invented it recanted support after new evidence showed the importance of inflammation for the healing process. And, it turns out, he just kind of made it up to fit a handy pneumonic. POLICE is similarly invented and hard to recommend, but modern practices do recommend bearing load sooner rather than later. Can determining optimal load be done without a doctor? It probably depends on the severity and type of injury. But that's not really the point of a medical protocol, the point is to define best practices that help achieve the best outcomes.