After an injury, the old adage RICE (Rest, Ice, Compress, Elevate) is commonly used. BUT, how old is it?

1978 to be exact. And it's time to update!

richmond physio sports rebels


RICE is a mnemonic for four elements of treatment for soft tissue injuries – an acronym for Rest, Ice, Compression and Elevation. The mnemonic was introduced by Gabe Mirkin in Sports medicine Book (ISBN 978-0316574365) in year 1978.

TODAY, modern Sports Medicine & Physiotherapists (SHOULD) use the term POLICE- Protection, Optimal Loading, Ice, Compression, Elevation. We see this commonly in sports injuries where protection of the joint/ bone/ muscle is the most important thing within the first 24-48 hours. An example is getting onto crutches to offload a bone or joint within 24 hours, but then progressing to Optimal Loading once the initial swelling phase has settled (this can mean commencing full weightbearing within 24-48 hours to help clear swelling and activate important joint receptors).

Ensure your practitioners are using the latest evidence based practice!

Bleakley et al updated this old school model in the article

Read more on our Blog: or visit our website to view Optimus' Advanced Injury Care models-