Arora Ice Bath Recovery
Arora Ice Bath Recovery
Arora Ice Bath Recovery
Key Points:
• Ice baths are a common form of active recovery for athletes to reduce soreness.
• Cold water immersion reduces body temperature and reduces blood flow to the
affected areas.
• Evidence suggests that cold water immersion used exclusively as a form of recovery
provides little to no advantage to athletes.
The use of cold-water immersion is used as a form of recovery after vigorous exercise and an aid in long-term
training adaptation. The physiology behind ice baths is that sitting in an ice bath reduces body temperature and
blood flow throughout the body, blunting the inflammatory response commonly present after intense exercise
(Figure 1)1,2. Studies about the effects of hydrotherapy have also stated an added psychological benefit through
an endorphin rush with cold water immersion leading to a reduction of fatigue during immersion3.
Active recovery from intense exercise is crucial for athletes, especially after repeated efforts. While cold water
immersion is widely perceived as an effective option; there is debate about whether or not reducing the
inflammatory response after intense exercise has any real benefit. Inflammation is a natural, protective body
response and needs to happen for the body to heal. There are three steps for soft tissue injuries to heal;
inflammation, repair and remodeling2. Icing is effective to prevent pain or soreness after an intense workout but
the inflammatory response slows until blood rushes back to the affected area and the soft tissue warms again.
Therefore, cold water immersion may not be advantageous because it is prolonging the body’s natural
inflammatory response.
Studies suggest that cold water immersion is no more effective than other forms of active recovery that minimizes
inflammatory responses after intense exercise1,4. No significant relationship between fatigue levels, muscle
soreness, and overall wellness were found with athletes using cold water immersion as a recovery method
compared to athletes that did not. Also, little difference in athlete performance in the long term and short term
were observed with athletes that used cold water immersion as a form of recovery compared to athletes that did
not (Figure 2)3.
Figure 1: Ice baths may blunt the inflammatory response after intense
exercise by lowering body temperature and peripheral blood flow.
1
MARQUETTE UNIVERSITY ATHLETIC & HUMAN PERFORMANCE RESEARCH CENTER
Figure 2: Relation of control group (dotted line) and group with cold water immersion (CWI - solid line) over the
course of three weeks assessing muscle soreness, fatigue, and total wellness. The overlap of the lines indicates
no significant differences between athletes that recover with cold water immersion versus athletes that do not. Over
the course of the three-week exercise training sessions, overall wellness was similar between the group that did
use CWI and the group that did not use CWI.3
In conclusion, while there are many reported physiological and possible psychological benefits to cold water
immersion, there is no significant evidence to prove the benefits of the exclusive use of cold-water immersion
compared to a comprehensive approach of varied recovery techniques to better recover from intense exercise.
References
1. Peake, J.M., Roberts, L.A., Figueiredo, V.C., Egner, I., Krog, S., Aas, S.N., Suzuki, K., Markworth, J.F., Coombes,
J.S., Cameron-Smith, D. and Raastad, T. (2017), The effects of cold water immersion and active recovery on
inflammation and cell stress responses in human skeletal muscle after resistance exercise. J Physiol, 595: 695-
711. https://doi.org/10.1113/JP272881
2. Berra, Lindsay. “The Cold, Hard Truth about Icing Your Injuries.” Men's Health, 24 Nov. 2019,
https://www.menshealth.com/fitness/a29710918/icing-sore-muscles/.
3. Lateef F. Post exercise ice water immersion: Is it a form of active recovery? J Emerg Trauma Shock. 2010
Jul;3(3):302. doi: 10.4103/0974-2700.66570. PMID: 20930987; PMCID: PMC2938508.
4. Tavares F., Simões M., Matos B., Smith Tiaki B., Driller M. (2020), The Acute and Longer-Term Effects of Cold
Water Immersion in Highly-Trained Volleyball Athletes During an Intense Training Block. Frontiers in Sports and
Active Living, 10.3389/fspor.2020.568420. https://www.frontiersin.org/articles/10.3389/fspor.2020.568420