Ask a doctor - Is hot or cold better for shoulder pain?

Q. Is hot or cold better for shoulder pain?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

The choice between hot or cold therapy for shoulder pain depends on the underlying cause and the stage of your injury or condition. Both hot and cold therapy can provide relief for shoulder pain, but they work in different ways and are suitable for different situations:

1. Cold Therapy (Ice):
- Cold therapy helps reduce inflammation, numb pain, and constrict blood vessels, which can help decrease swelling and alleviate pain.
- It is typically recommended for acute injuries or sudden onset of shoulder pain, such as strains, sprains, or acute inflammation.
- Apply ice packs or cold packs to the affected shoulder for 15-20 minutes at a time, several times a day, especially during the first 48 hours after injury or onset of pain.
- Be sure to wrap the ice pack in a towel or cloth to protect your skin from frostbite, and avoid applying ice directly to the skin.

2. Hot Therapy (Heat):
- Heat therapy helps increase blood flow, relax muscles, and promote healing by delivering oxygen and nutrients to the affected area.
- It is typically recommended for chronic shoulder pain, muscle stiffness, or tension, as well as for promoting relaxation and increasing flexibility.
- Apply heat packs, heating pads, warm towels, or warm water bottles to the affected shoulder for 15-20 minutes at a time, several times a day, as needed.
- Avoid using heat therapy immediately after an acute injury or during the initial stages of inflammation, as it may exacerbate swelling and pain.

In some cases, alternating between hot and cold therapy, known as contrast therapy, can be beneficial for managing shoulder pain. This involves alternating between periods of applying cold therapy and heat therapy to the affected area. However, it's essential to consult with a healthcare professional to determine the most appropriate treatment approach for your specific condition and symptoms.

If you're unsure whether to use hot or cold therapy for your shoulder pain, or if your symptoms persist or worsen despite home remedies, consult with a healthcare provider for proper evaluation and treatment recommendations.