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611 points sohkamyung | 4 comments | | HN request time: 0.001s | source
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faitswulff ◴[] 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 ◴[] 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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miketery ◴[] No.43102665[source]
Optimal load is right before it starts hurting. You progressively load, and when it starts hurting you unload. Your body will send pain before there is damage to be done.

Edit: in fact some discomfort or right kind of pain is good. Else you give to atrophy.

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layer8 ◴[] No.43103541{3}[source]
Your edit shows that there is no good rule for the threshold where pain would indicate too much load vs. still being in the beneficial range. We don’t even have a good way to assess subjective pain (one’s 3 is another one’s 7, etc.). “Optimal load” is really just a tautology.
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pessimizer ◴[] No.43107692{4}[source]
"As soon as it starts to hurt" is not some hopelessly complex and useless standard that involves delving into philosophies of subjective pain sensation. It is actually obvious and easy to follow.

Use it, but when it hurts, stop.

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devilbunny ◴[] No.43111101{5}[source]
Yeah, but given the huge variations in pain tolerance, some will reinjure it while others will never use it again.
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1. theultdev ◴[] No.43117235{6}[source]
tolerating it doesn't mean you can't detect it.

no amount of pain tolerance will help you if something is broken.

you WILL feel it. simply stop when you do.

it's not a hard thing to grasp.

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2. devilbunny ◴[] No.43118629[source]
Clearly, you have never worked in healthcare.

Sleeve tattoos but needs an IV? “Oh, I’m not good with needles, you need to sedate me first.”

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3. theultdev ◴[] No.43118717[source]
How is that relevant?
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4. devilbunny ◴[] No.43119882{3}[source]
Perception of pain is highly individual. Like I said, people who have tons of tats will complain about an IV. You aren’t afraid of needles, you just don’t like them when they are used for your health instead of marking up your body.