Targeted cold that calms swelling and quiets pain fast, giving inflamed or freshly injured tissue the break it needs to start healing.

A fresh injury that throbs, swells, and makes you dread moving it, or a joint that flares up angry after every session of hard work. Cryotherapy is the therapeutic use of cold to reduce pain, swelling, and inflammation in tissue that has been injured or overworked. When cold is applied to the skin, the blood vessels beneath it narrow, which slows blood flow to the area and limits the buildup of swelling that can stiffen a joint and slow healing. Cold also slows how quickly nerves conduct pain signals, so it acts almost like a short, natural numbing agent over the area being treated. In the clinic, cryotherapy might take the form of an ice pack, targeted ice massage directly over a muscle, or cold immersion, depending on the injury and the goal of the session. It is one of the oldest and most reliable tools in rehabilitation because it is simple, fast, and addresses the swelling and pain that keep an injured area from moving well. It is most valuable in the early, acute stage right after an injury or flare, or immediately following a session of intense manual work or exercise, when a bit of cold can prevent that session from leaving you sore and swollen the next day.
Your therapist chooses the form, duration, and timing of cryotherapy deliberately, not just applying more cold and hoping for the best. Icing the wrong tissue depth, or icing at the wrong point in your recovery, can actually work against your progress, so cold is used strategically as one piece of a broader plan rather than the whole plan itself. That timing, immediately after injury versus after exercise versus before stretching to reduce guarding, is where a trained therapist's judgment matters most.
Cryotherapy is for anyone dealing with fresh swelling, acute pain, or an inflamed area that needs to calm down before it can heal or be worked on further.
A sprain, strain, or twist in the first day or two swells fast and hurts to move. Cryotherapy limits that early swelling and takes the edge off pain so the area can start to settle. Getting cold on the area quickly, within the first day or so, tends to make the biggest difference in how much swelling ultimately develops.
An intense hands-on session or a hard workout can leave tissue inflamed and achy afterward. A few minutes of cold right after can prevent that soreness from building overnight. This is a simple, low-effort way to keep hard training or deep treatment work from setting you back the next day.
An arthritic knee or a tendinitis flare that heats up and swells after activity responds well to a quick, targeted application of cold to bring the inflammation back down. Many people find that consistent, well-timed icing after activity keeps a chronic flare from escalating into something that sidelines them for days.
Cryotherapy sessions are short and simple, often paired with the rest of your treatment plan. Here is how a typical application runs.
Your therapist looks at the area, the stage of injury, and the goal for the session, then chooses the right form of cold, whether that is a pack, targeted ice massage, or another method.
Cold is applied directly to the area for a set period, and your therapist checks in on sensation and skin response along the way to make sure the dose is right. Duration typically runs from several minutes up to about twenty, depending on the tissue being treated and how deep the effect needs to reach.
Once the cold is removed, your therapist checks the skin and often guides you through gentle movement while the numbing effect helps you move more comfortably.
Tell your therapist about any circulatory conditions, diabetes, Raynaud's phenomenon, cold allergy, or numbness in the area before cryotherapy, since these change how cold should be applied. Let your therapist know right away if the area feels overly numb or painful during treatment.
The best place for physical therapy hands down.
Cryotherapy is a supporting tool inside a physical therapy or sports physical therapy plan. Common reasons patients ask about it:
Ask about cryotherapy at our Portsmouth NH physical therapy clinic, Dover NH clinic, or Epping NH clinic. One-on-one care, same-week evaluations, and no referral needed in New Hampshire.

Skilled hands-on techniques ease stiff joints and tight muscles so you move freely and comfortably again.

Trigger point release that works well alongside cold treatment for comprehensive muscle recovery.

Comprehensive care for shoulder tension and pain, including cold therapy as a core treatment option.