LONG READ: Heat, ice, neither? What really works after training

In our long read, ignore the hype and look at the physiological and experiential evidence for hot and cold therapies
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For decades now, athletes have dunked themselves into ice baths or wrapped themselves in steaming towels in hopes of speeding recovery. In the margins of elite sport, cold plunges and heat immersion are nearly ritualised, almost unquestioned fixtures of recovery routines.

But when you pull back from the hype and look at the evidence - both physiological and experiential - the picture is more nuanced. Neither cold nor heat is a silver bullet, but both can serve distinct purposes when used intentionally, not reflexively.

ICE BATHS: FAMILIAR BUT SUPERIOR?

Ice baths - technically, cold water immersion (CWI) - are everywhere in recovery culture. Experts on post-exercise cooling describe their popularity across sports, often because they feel like they work, and they do have measurable effects on perceived recovery and soreness.

When muscles are submerged in cold water, blood vessels constrict - a process that can reduce swelling and perceived soreness after hard sessions. Sports Medicine resources note that cold therapy has repeatedly been shown to contribute to reduced delayed onset muscle soreness and lower inflammation markers compared to doing nothing.

Just as importantly, cold immersion also affects the nervous system. A recent study found that short-term whole-body cold exposure was associated with positive emotional changes - participants reported feeling more alert, attentive and less distressed after a brief plunge.

That psychological element can’t be dismissed - especially in sport where mood and readiness often colour training and competition performance. But that same scientific analysis also makes clear that while CWI may reduce the immediate perception of soreness, the underlying mechanisms - and ultimately its effects on performance adaptations - remain inconsistent.

WHEN ICE MIGHT UNDERMINE ADAPTATION

A recent critique of ice therapy - coming not from wellness bloggers but scientists analysing elite sport practices - highlights how widespread CWI has become despite limited evidence of performance benefit.

Reporting in the British Journal of Sports Medicine, researchers noted that ice use in disciplines like Olympic sport ballooned from a niche practice in the early 2000s to a staple by the 2016 Games, even though clinical support is weak.

Some physiologists now argue that the repeated use of cold water after intense training may decrease tissue resilience in the long term. Cooling appears to blunt inflammation - which, paradoxically, is part of the adaptation process athletes want.

In practical terms: if you’re using ice to mask pain after resistance training, you may also be dampening signals that drive muscle growth.

CWI’s benefits are real in the short term - less swelling, reduced soreness, faster subjective recovery - but the evidence for its effectiveness at improving performance, increasing strength, or accelerating biological adaptation is not robust.

HEAT: UNDERUSED, BUT POTENT

Heat has often been the quieter sibling in athlete recovery, overshadowed by the dramatic hype around ice baths. Yet emerging research is flipping that narrative. A controlled study published in the Journal of Physiology recently found that hot water immersion led to better recovery markers than cold water immersion, with participants showing improved muscle damage indicators and perceived recovery after repeated sessions.

Heat doesn’t produce the initial shrink-wrap effect of cold, but it does increase circulation, relax tight muscles, and can improve tissue elasticity - all of which support return to training.Heat also primes tissue by increasing blood flow, delivering nutrients, and enhancing clearance of metabolic by-products. That’s why modalities like contrast therapy - alternating hot and cold - remain popular in some rehabilitation circles, even though the underlying science is not yet definitive.

SO WHEN SHOULD YOU USE HEAT, ICE - OR NEITHER?

Based on current evidence and how elite practitioners approach recovery:

- Ice is useful for acute soreness and swelling

Post-competition or after an unusually heavy session, cold immersion can decrease discomfort and improve perceived readiness for the next day.

- Heat is useful for circulation and muscle relaxation

Before stretching or a mobility session, a warm bath, sauna or hot water immersion increases blood flow and tissue pliability.

- Neither is necessary every session

Routine use of heat or cold after every training session may blunt adaptations or habituate the nervous system in unhelpful ways.

- Context matters first

Are you recovering from repeated sessions? From intense eccentric work? Or trying to shift recovery baselines over a training block?

Temperature interventions should be tools in the toolbox - not default settings.

A PRACTICAL FRAMEWORK

A sensible recovery approach can look like:

1. Day after maximal strength: prioritise light active recovery and sleep; reserve ice if soreness is limiting movement

2. Back-to-back competition: consider ice for subjective soreness but don’t rely on it as a performance enhancer

3. Heavy travel or stiffness: heat or sauna to increase circulation and tissue readiness

Recovery ultimately comes down to consistency in training, sleep quality, nutrition, and injury-aware programming. Heat and ice can supplement those pillars, but they are not replacements.

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