6 ms·
The accuracy of science aside, can we all agree that the acronym PEACE & LOVE is trash? Rest Ice Compression Elevation may be wrong, but it is at least easy to
by Hnrobert42 4y ago
The accuracy of science aside, can we all agree that the acronym PEACE & LOVE is trash?
Rest Ice Compression Elevation may be wrong, but it is at least easy to understand, memorize, and explain. When my friend hurts their ankle, I want to pass on the latest, vetted wisdom. I don’t want to sound like a jackass saying, “O is for optimism. But we are not done yet. V is for vascularization. You don’t have much control over it, but we need to the round out the word LOVE. The third E is for …”
- wmeredith 4y agoYes, this makes me cringe. It's overly cute and is a stretch.
- optimuspaul 4y agoI don't think you'd sound like a jackass saying "O is for optimism. But we are not done yet. V is for vascularization...." but wouldn't you rather sound like a jackass than give bad advice? I'd rather hear this than the clinical robotic "Rest Ice Compression Elevation", I mean come on, I'm a person!
- yshavit 4y ago"Education" maybe the worst of them. One of the what-to-do steps is... learn what to do? Talk about drawing the rest of the freaking owl.
- filesystem 4y agoYes this one is comically bad. The description is even worse: "Your body knows best. Avoid unnecessary passive treatments and medical investigations and let nature play its role." So really this is preaching anti-education. Do not seek out information about your injury.
- emodendroket 4y agoIt seems like a lot of folks have responded to conspiracy idiocy by going all-out anti-learning in favor of blind deferral to experts. Even if I thought that was wise, telling people not to research their injuries is like telling the tide not to come in. Better to focus on identifying trustworthy information.
- kelipso 4y agoSeriously. It's a trend I've noticed with a lot of anti-misinformation people, including with my friends and family, where they skip the learning and critical thinking part and just buy straight into whatever is said by someone who calls themselves an expert.
- emberfiend 4y agoThey certainly worded it poorly, but what they meant was "voodoo doesn't work". As in, educate your patient about their wacky home remedies, and try to get them to engage with realistic recovery outcomes. From the paper: > E for educate > Therapists should educate patients on the benefits of an active approach to recovery. Passive modalities, such as electrotherapy, manual therapy or acupuncture, early after injury have insignificant effects on pain and function compared with an active approach, and may even be counterproductive in the long term. Indeed, nurturing an external locus of control or the ‘need to be fixed’ can lead to therapy- dependent behaviour. Better education on the condition and load management will help avoid overtreatment. This in turn reduces the likelihood of unnecessary injections or surgery, and supports a reduction in the cost of healthcare (eg, due to disability compensation associated with low back pain). In an era of hi- tech therapeutic options, we strongly advocate for setting realistic expectations with patients about recovery times instead of chasing the ‘magic cure’ approach.
- jvanderbot 4y agoMEAT. Movement Exercise Analgesiacs Treatment https://progressiveptandrehab.com/rice-and-meat-physical-therapy-terms-you-need-to-know-for-sports-injuries/ https://progressiveptandrehab.com/rice-and-meat-physical-the... TLDR; IRRC: Don't take anti-inflammatory, don't keep it stationary, don't fight swelling at all, but do keep it moving and teach your body to avoid the motion that caused the injury. So easy to remember, since, you know, we damaged our meat in these types of injury.
- hannasm 4y agoAvoiding the motion that caused the injury is one of the most challenging issues to overcome. The body naturally tries to stop you from making the same mistakes again but these compensation strategies may significantly reduce athletic performance and in many cases actually cause new injuries because the original motor pattern was the ideal one and the compensated motion is just next best. Keep adding them up over the course of a human lifespan and it's no wonder our bodies break down so much. In the short term it may be beneficial to avoid a certain muscle or area, but eventually you have to get it turned back on too.
- TylerE 4y agoYep. Been dealing with diabetic foot ulcers for the past year+. No fun. Had one on the left that was pretty bad, and as that was healing all the offloading I was doing caused me to develop another one (less serious, luckily...) on the other foot.
- emodendroket 4y agoNot just for athletes: this is equally applicable to keyboard jockeys with repetitive strain injuries. One of the reasons braces are actually counterindicated.
- emodendroket 4y agoIf we're supposed to avoid analgesics what are they doing in the acronym?
- 4y ago
- Vox_Leone 4y ago>> Over the years, acronyms guiding their management have evolved from ICE to RICE[1], then to PRICE[2] and POLICE (...) (PEACE) to subsequent management (LOVE). PEACE & LOVE (...) Boy, really? I was interested until stumbling on those bits. We've certainly reached peak-acronym. [edit] And now I see it's an old story.
- Mountain_Skies 4y agoCanada's use of MAID (Medical Assistance In Dying) is a creepy one for euthanasia. Seems to imply that dying people are a dirty mess to be swept out the door and into the trash bin.
- emodendroket 4y agoHave you read the stories about ill people being pressured to get it because their care is too expensive? Maybe that isn't an accident.
- SapporoChris 4y agoI have not. I would be interested in reading more about this. Can you provide links?
- emodendroket 4y agohttps://www.ctvnews.ca/health/chronically-ill-man-releases-audio-of-hospital-staff-offering-assisted-death-1.4038841?cache=%2F7.566536 https://www.ctvnews.ca/health/chronically-ill-man-releases-a... > An Ontario man suffering from an incurable neurological disease has provided CTV News with audio recordings that he says are proof that hospital staff offered him medically assisted death, despite his repeated requests to live at home. > Roger Foley, 42, who earlier this year launched a landmark lawsuit against a London hospital, several health agencies, the Ontario government and the federal government, alleges that health officials will not provide him with an assisted home care team of his choosing, instead offering, among other things, medically assisted death.
- Traubenfuchs 4y agoAdding to the other guys story, have a second one! https://www.catholicnewsagency.com/news/252991/canadian-veteran-offered-assisted-suicide-when-all-she-asked-for-was-wheelchair-help https://www.catholicnewsagency.com/news/252991/canadian-vete...
- neoecos 4y agoIntresting article about the topic. https://www.thenewatlantis.com/publications/no-other-options https://www.thenewatlantis.com/publications/no-other-options Also from an HN link. https://news.ycombinator.com/item?id=34027753 https://news.ycombinator.com/item?id=34027753
- jedmeyers 4y agoBOBODDY. The first B stands for Biznus.
- saurik 4y agoEven the actual non-metaphorical parts are Annoying. "A is for... I think it was Anti-inflammatories?" "No no, I think it was Avoid anti-inflammatories..." "Damn that distinction seems important :/."
- PhileasNietzche 4y agoYes. Let us put the scientific accuracy of a scientific research paper to the side and focus on the difficulty of a nine-letter acronym. "Couldn't they have come up with something simpler, since the healing of soft-tissue injuries is so simple?"
- gretch 4y agoThe comment section is vast and plentiful. It's okay to talk about things that aren't limited to scientific accuracy. In fact, that's exactly what you did with your comment.
- gamblor956 4y agoI learned it as HELM: Heat, Exercise [the the appendage or body part through its range of motion], Lower [the appendage or body part] and Massage. Basically the opposite of RICE, all 4 were focused on maximizing blood flow to the soft tissue injury. And anecdotally, I can confirm it works way better than RICE or the alternatives. I used to be out for 2-3 weeks after running issues when I used RICE, etc. After I switched to HELM I was back on the pavement the next morning. The issue with HELM is that it can be significantly more painful than RICE, etc., as you must avoid using anti-inflammatories and painkillers.
- slowmovintarget 4y agoPENCE - Protection, Elevation, No anti-inflammatories, Compression, Exercise Hippies will hate it, though.