Abstract
Background:
In recent years, various acronyms have emerged to guide the rehabilitation of soft tissue injuries. The initial RICE (Rest, Ice, Compression, Elevation) protocol was widely used before 1978. In 2019, Dubois et al. introduced a new acronym, “PEACE and LOVE,” which encompasses the entire rehabilitation process and emphasizes addressing psychosocial factors to enhance recovery, including the subacute and chronic stages. However, the recommendations to avoid the use of ice and anti-inflammatory medications have not reached a consensus among physicians regarding the application of these treatment protocols in patients with acute injury. This review aims to discuss the emerging PEACE and LOVE approach while acknowledging the continued relevance of the RICE protocol to find a better perspective in the management of acute soft tissue injury.
Literature Review:
The review highlights the lack of consensus on the use of these protocols and critically examines the role of ice and anti-inflammatory medications in recovery. Ice, traditionally a staple in acute injury management, has been found to provide short-term pain relief but may hinder long-term healing by reducing metabolic rate and inflammation, which are crucial for tissue repair. The review also examines the use of non-steroidal anti-inflammatory drugs (NSAIDs) and their potential impact on the healing process. The acronym LOVE emphasizes the importance of an active approach with movement and exercise for patients with musculoskeletal disorders.
The review concludes
by critically analyzing current treatment protocols for acute soft tissue injuries. It suggests that the PEACE and LOVE approach, which emphasizes protection, optimal loading, addressing psychosocial factors, improving vascularization, and incorporating exercises, may provide a more comprehensive and evidence-based strategy for managing acute injuries. However, the debate continues, and more research is needed to reach a consensus among physicians. Nevertheless, this PEACE and LOVE acronym can help healthcare workers easily remember the steps to treat patients with acute injuries.