Should You Use Heat or Ice for Back Pain? Georgetown Chiropractor Explains

Back pain is one of the most common reasons people visit chiropractors. Whether it’s from lifting something heavy, poor posture, or a lingering injury, the first question many patients ask is: “Should I use heat or ice for back pain?” At Thomas Back & Body, your trusted chiropractor in Georgetown, we’re here to break it down—so you can start healing faster and avoid making the pain worse.

Heat or Ice for Back Pain? It Depends on the Injury

Knowing when to use heat or ice for back pain depends on three key factors:

1. When the injury happened

2. Type of pain (acute vs. chronic)

3. Severity and symptoms (swelling, stiffness, muscle spasms, etc.)

Use Ice First for New or Acute Back Injuries

If your back pain started within the last 24–72 hours, especially from a fall, twist, or strain—ice is your best friend.

Ice constricts blood vessels (vasoconstriction), which reduces inflammation, swelling, and pain. It also helps numb the area, providing immediate relief.

According to the Journal of Athletic Training, cold therapy is most effective within the first 48 hours of soft tissue injuries. Applying ice packs for 15–20 minutes at a time (with a towel between skin and ice) every few hours can help reduce tissue damage and calm irritated nerves.

Use Ice for:

• Sudden injuries

• Swelling

• Sharp pain

• After intense physical activity

• Muscle or ligament strains

Use Heat for Chronic or Stiff Back Pain

If your back pain is ongoing, tight, or stiff, especially in the lower back or upper shoulders—heat therapy is usually more beneficial.

Heat improves circulation, bringing more oxygen and nutrients to sore muscles and tissues. It also helps relax muscles, reduce spasms, and improve flexibility. Studies show that moist heat (like a warm towel or heat pack) is especially effective for chronic low back pain relief.

Use heat for:

• Chronic or recurring pain

• Muscle tightness or stiffness

• Tension from stress or posture

• Before activity or stretching

Avoid heat during the first 48 hours of an injury, as it can increase swelling and inflammation.

Still Not Sure? Let Thomas Back & Body in Georgetown Help

Sometimes it’s not clear whether heat or ice is best—especially when pain keeps coming back or doesn't improve. That’s where professional care comes in.

At Thomas Back & Body, we go beyond heat and ice. Our chiropractic treatments, including soft tissue therapy, cupping, and custom rehabilitation exercises, treat the root cause of your pain—not just the symptoms. We’ll assess your condition, explain what's happening in your spine or muscles, and design a care plan just for you.

Book Your Appointment Today

If you’ve been wondering whether to use heat or ice for back pain—and you’re tired of guessing—it’s time to get expert care. Book your consultation at Thomas Back & Body in Georgetown and start your path to lasting relief.

✅ Targeted treatment

✅ Personalized recovery plans

✅ Trusted local care for back pain

📞 Call now or book online for a 60-minute initial consultation and spinal adjustment