Hello
Cold pack is suggested when the injury is acute for initial 3days because there is internal swelling, inflammation and redness inside .so applying cold back helps in reducing all these initial symptoms and pain .
Hot pack is applied in chronic cases or if internal injury is more than 3 or 4 days.
Muscle spasm and tightness is reduced only with heating.
It's always confusing, and my suggestion is whenever there is swelling and the goal is to reduce it, use cold pack. If there is need of increasing blood flow in particular region, use hot pack.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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