does this thread need to be closed?
Perhaps but one thing is for sure I'm wasting my time in this discussion. (K those are kinetic studies and are not EVIDENCE BASED THERAPIES)
The general recommendations on the use of NSAIDS by the American College of Sports Medicine "Authorities".
1) NSAIDS should be limited to roughly one week and limited to moderate doses.
2) Are NOT considered useful and perhaps are detrimental in: Tendonopathy (especially compressive) or Fractures especially complex fractures
3) Are likely to be most beneficial in Ligamentous and Muscular injuries
4) They must NOT be utilized as a substitute for rehabilitation, appropriate surgical intervention or as a means to "accelerate" an athletes return to sporting related activities, especially competitive sports.
5) They should only be used for "chronic therapy" (weeks to months) in those patients with chronic inflammatory conditions such as Rheumatoid Arthritis, SLE, DJD etc
Because these are idealistic positions and suggestions, physicians and patients
alike are less apt to comply. Moreover the adverse effects are very difficult to quantify on a real time, basis making it difficult for many "NSAID patients" to believe any modification in use is necessary. (And they are probably correct if the doses being used are relatively low and of brief duration)
Finally there is no evidence the use of ICE diminishes a patients prognosis in patients with MS injuries, if used as a means to reduce traumatic swelling in the first 24-48 hours.
Respects
Jim