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Frozen Tide: The Benefits of Alabama's Post Practice Ice Baths

There is no getting around the fact that immersing half your body in ice cold water after a hard workout is an agonizingly hateful experience. Yet few things as unpleasant have been shown to offer as much beneficial effect on you afterward.

If you watched the ESPN special on fall practice Training Days: Rolling with the Alabama Crimson Tide you learned that the football players at the Capstone are very well acquainted with this particularly painful paradox.

"It’s a deep burn," said offensive lineman Barrett Jones. "But it hurts so good."

Under Coach Saban, the practice of post practice ice baths have become a staple for the team. As the ESPN show depicted, huge tubs of ice water are on hand for the players to plop into as they depart the practice field. The logic, according to Alabama’s Director of Sports Medicine and Head Football Trainer Jeff Allen, is that it will help them recuperate from their ordeal on the field that much faster.

"If we can bring their core temperature down their bodies will not have to work as hard to recover," Allen explained in the special. "Therefore they won't be as fatigued and hopefully they will be better for the next practice."

As a marathon runner who has been using ice baths for several years this comment struck me as particularly interesting. I turned to using cold immersion as a means to help reduce injury and aid recovery but the reasoning behind it I was following was somewhat different.

The idea, as I understood it, was that as your body is exposed to cold blood is shunted to core areas from the surface to preserve organ function. The result is the capillaries that bring oxygen to the muscles contract restricting blood flow. This creates extreme discomfort but, within minutes, the circulatory system cranks up the pressure pushing blood into the frigid regions. This accelerates the removal of waste products and scar tissue which can lead to soreness. 

All of which makes sense since the ice bath becomes bearable if you can get through the first five minutes or so and it definitely feels better afterward. But that doesn't mean it's correct. Moreover, it isn't at all what Allen was describing on the ESPN show.

So to sort it out I gave a call to one of the recognized experts in the field, Douglas J. Casa, the director of the Korey Stringer Institute at the University of Connecticut.

Star-divide

It turns out that as reasonable as my theory seems to be, the pathophysiological proof that ice baths boost muscle repair just isn’t there. 

"Right now there isn’t any evidence to show a reduction in injuries," Casa said. "And we don’t have the evidence yet that there are actually things changing at the cellular level."

While Casa noted he believed further studies were likely to confirm the theory in the future, the fact that a very real decrease in post-workout discomfort showed the practice had merit. In terms of training, that kind of soreness can impede later workouts and cut into progress.

The real key, as Allen pointed out in the ESPN show, was getting an athlete's temperature down to normal levels quickly. Rather than diverting energy to cooling down, the athlete's body can get to work on repair that much faster. Moreover, Casa said, they can better do the things necessary to recovery.

"When you are talking about a large individual like a lineman, it could take an hour or two for their body temperature to return to normal," Casa said. "He’s going to drink better, eat better and rest better the sooner he can get cooler."

And while the experience of dropping your body temperature from 100 plus to something more in the ballpark of normal might feel downright agonizing, it isn’t particularly dangerous for a healthy athlete, Casa said. "The real danger is if he's overheating."

F708899_medium
Kentucky's Alvin Davis Jr. savors
his post-practice ice bath.

In the ESPN special, quarterback Greg McElroy commented that Alabama had only started doing post practice ice baths "over the past couple years." That dovetails with Casa's observation that the popularity of the procedure had grown substantially nationwide over the past few years.

Other college teams that regularly use post-practice ice baths include TCU, Kentucky, Oklahoma and Ohio State.

And since the Crimson Tide has resorted to using them, the number of injuries during fall practice seems too have ebbed somewhat.

While there are the usual litany of lingering, nagging ailments there has been a paucity of those dreaded long-term injuries that we live in fear of during this part of the year. This, as our own OTS points out, is also due to Coach Saban’s emphasis on thud drills that avoid actual to-the-ground tackling outside of scrimmages.

Yet that aside, there's another reason to use the ice baths that does have the science behind it -- to increase performance. And the improvement in that department is evident every Saturday the Crimson Tide takes to the field.

Obviously, the key to Alabama’s conditioning and strength advances lay in Coach Cochran’s distinctive approach to his personal fiefdom. Yet ice baths are a key part of that for exactly the reason Allen pointed out -- they shorten recovery allowing athletes to get additional quality workouts in over the same amount of time.

That leads to increase in performance which is something that has been documented. In fact, Casa is preparing to publish a research paper that examines the results of 30 studies on the subject. They found that elite athletes can experience a 3 to 4 percent increase in performance using the procedure. Which is a huge amount for players of the athletic caliber Alabama boasts in the Saban era.

This isn’t a revolutionary discovery in and of itself. It has long been known that reducing recovery time leads to significant strides in performance. In fact, a whole swath of performance enhancing drugs have been designed specifically do this very thing. Creatine, stimulants and "fancy" protein on the legal side of things were all created with the intent of helping athletes maximize their workouts by cutting down the time needed for recovery.

All of which underscores the beauty of ice baths: "They are legal, cheap and actually safer for the athletes who use them," Casa said.

The issue of safety also underscores the advisability of ice baths -- they ensure a team is prepared in case any player begins to show any symptoms of exertional heat stroke. A key point Casa stresses due to his role as the head of the Korey Stringer Institute which is a clearing house for information about the dangers of heat stroke to athletes established in the wake of the death of the Minnesota Vikings lineman in 2001.

Cold tubs on the side of the field for post practice ice baths means that trainers are already prepared to assist any player who shows the slightest sign of heatstroke.The first thing you want to do with a player suffering from heat exposure is to lower his body temperature as quickly as possible. Having a large amount of ice and water in tubs ready to go on the practice field pretty much leaves you ready in case it happens.

Moreover, forcing the players temperatures down to more reasonable levels at the conclusion of practice ensures none will develop symptoms after if they continue to heat up afterward, Casa said.

 

A big tip o' the houndstooth fedora to the able assist by SI's Will Carroll. If you want to know about injuries and how they relate to sports, you'd do well to follow him on twitter @injuryexpert.

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Wait wait wait

you run marathons? I knew you were a LIL bit crazy, but damn

you know at the end of the original marathon the guy DIED

“We have won!” /dies

In fact, most SEC players don't consider their careers complete unless their bus nearly gets overturned in Baton Rouge or someone flings bodily fluid at their coach's wife in Gainesville. - Andy Staples

by Wallacewade04 on Aug 26, 2010 9:07 AM CDT reply actions  

yeah...

legendary marathoner frank shorter was once overheard during a race lamenting “why couldn’t pheidippides have died at 20 miles?”

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 9:11 AM CDT up reply actions  

one thing i should note about jones' comments in the clip

he makes a guess at the players temperatures as being 110 degrees after practice. if they were that hot, they would be dead. casa told me that 105 is where the danger of heatstroke becomes acute. monitoring the athletes’ temperature to keep it under that number is a key part of the renewed effort to ensure safety during summer practices. the university of south florida, for example, even has their players swallow a pill with a tiny electronic monitor in it so they can use a device to read it and get a highly accurate core temperature.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 9:34 AM CDT reply actions  

I've heard about those monitors before

During Versus coverage of the Tour de France this year they had a segment with Dr. Allen Lim (I think) discussing the use of these to monitor his team’s core temperatures throughout the race. While cyclists commonly wear heart rate monitors and other such devices while racing, they turned to these pills to get much more accurate core temperatures.

Very interesting stuff, imo.

by ud2 on Aug 26, 2010 9:41 AM CDT up reply actions  

the university of south florida, for example, even has their players swallow a pill with a tiny electronic monitor in it

Wow. Crazy (in a cool, non-flaggable way).

by CarrotTop4 on Aug 26, 2010 9:55 AM CDT up reply actions  

An excellent bit of reportage

This puts the States newspapers to shame. Bravo, sir.

I'm in no condition to drive...wait! I shouldn't listen to myself, I'm drunk.

by That Other Dave on Aug 26, 2010 10:02 AM CDT reply actions  

Kleph....

again great article!! I am training right now for a half marathon here in the desert, and when I get done training I go to take a shower. Most of the time we do not have hot water, so I have to take cold showers. I must admit that I feel much better after taking a cold shower versus hot after running say 10mi.

" I should keep my words soft and sweet in case I have to eat them."

by SDBama78 on Aug 26, 2010 10:11 AM CDT reply actions  

i typically do 'em after my long runs

i do my long runs on saturdays and i find when my mileage really gets up there (15 miles or so) i’m often so wiped afterward that i can’t perform on my monday speed workout. the ice bath makes it so i can pretty much completely recover if i also stay off my feet on sunday. you still feel the soreness of course but it’s not such a discomfort it keeps you from doing the workout properly.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 10:18 AM CDT up reply actions  

That's very true

My feet do not hurt as bad after the cold shower. I wish that I had a way here to do the ice bath, but we just don’t have the resources. I can’t wait to get back to Sourh Dakota…at least there I will be running in cold weather, so my core will stay at a lower temp.

" I should keep my words soft and sweet in case I have to eat them."

by SDBama78 on Aug 26, 2010 11:22 AM CDT up reply actions  

Running in JC and at UA...

Ice baths were our best friends after practice. The burn in the first few minutes is a female dog to get through, but after that, it feels fine.

I am getting my running itch back (haven’t ran in a couple years since my eligibility ran out), but I’m having a hard time deciding to run to just stay in shape, or running again to do a marathon. I’ve done marathon training before, I’ve just never ran a marathon.

Roll Tide Roll

Look at that dude going all Dareus on that colt.

by CaliforniaTide on Aug 26, 2010 9:42 PM CDT up reply actions  

start training right now

and you could do the rock n’ roll arizona one in january. which will be right after you come out here to see alabama in the national championship game anyway.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 11:05 PM CDT up reply actions  

Who was that Bills player?

A few years ago he was temporarily paralyzed while covering a return. He was rushed to the hospital and the doctor made the then-controversial decision to immerse him in an ice bath. In retrospect, that decision probably saved his life, but definitely saved him from a life of paralysis. I don’t think he played in the NFL again, but considering the circumstances, who cares?

"That rug really tied the room together."

by pantsfucious on Aug 26, 2010 10:39 AM CDT via mobile reply actions  

there's an even more appropriate example of using this to save a players life

and that’s The Junction.

as much as The Junction has become part of coach bryant’s, for better or worse that famed fall camp has also become synonymous with misguided approach to practices. Accounts of the ordeal endured by the texas a&m players has become an obligatory reference point for any story about harsh or difficult practice conditions. and they always note the then-widespread practice of disallowing players water during practices.

what is often overlooked is how the life of one player was saved by the local doctor, john e. wiedeman who took one of the key precautions now recommended by the korey stringer institute. as soon as he learned of coach bryant’s practices in the searing temperatures of the stifling west texas summer he began stockpiling ice in his office in case of an emergency.

on the sixth day of the camp, offensive lineman billy schroeder passed out on the practice field and went into convulsions. he was raced to the doctor’s office where wiedeman and his nurses immediately packed him in ice to bring his body temperature down. it worked. he survived.

coach bryant relented an allowed schroeder to have water and ice during practice after that but still prohibited the rest of the team. its not one of the great man’s finest moments. but the more important point is how weideman’s precautions worked to save a player’s life. and how the alabama team having these cold tubs ready every practice helps ensure they are ready if the situation ever happens.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 10:50 AM CDT up reply actions  

Good point

Totally forgot about the Junction ice therapy. Nice call, Kleph.

"That rug really tied the room together."

by pantsfucious on Aug 26, 2010 11:09 AM CDT via mobile up reply actions  

His name was Kevin Everett

And that ice bath did supposedly save his life.

"He grabbed his ear and tried to yank it from his head. His teammates stopped him and his managers bandaged him … He wanted to tear off his own ear so he could keep playing." - Tennessee tackle Bull Bayer regarding Alabama player Hargrove Van de Graaff and the 1913 Alabama vs. Tennessee game.

by Thomas Walker Esq on Aug 26, 2010 2:32 PM CDT via mobile up reply actions  

That's the guy

Thanks.

"That rug really tied the room together."

by pantsfucious on Aug 27, 2010 8:35 AM CDT up reply actions  

I thought...

…this was going to be an article about our hockey team.

by Nico2.0 on Aug 26, 2010 11:08 AM CDT reply actions  

That would be a cool article!

Not an NCAA team, correct? So they can’t use the copyright UA stuff?

"You know, we had a lot of fun tonight. But there's nothing funny about vapor lock! It's the third most common cause of cars stalling. So please, take care of your car and get it checked!" -Joe Namath

by billycthulhu on Aug 26, 2010 1:22 PM CDT up reply actions  

Another interesting article, thanks.

Question:

The countdown clock at this site has the SJSU game starting at 1pm. The SB Nation Bama schedule on this site has the KO set at 6 pm CT.

Which is correct?

by tbone57 on Aug 26, 2010 11:12 AM CDT reply actions  

calm down...

look at it as the countdown to start with the brown liquor before the game.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 12:03 PM CDT up reply actions  

In that case

you might want to move it back to Friday night.

by ud2 on Aug 26, 2010 12:07 PM CDT up reply actions  

you have a problem

an awesome problem

/holds hand up for high five

In fact, most SEC players don't consider their careers complete unless their bus nearly gets overturned in Baton Rouge or someone flings bodily fluid at their coach's wife in Gainesville. - Andy Staples

by Wallacewade04 on Aug 26, 2010 1:47 PM CDT up reply actions  

/attempts to high five and falls over on face

by CarrotTop4 on Aug 26, 2010 1:56 PM CDT up reply actions  

/laughs at both y’all, til i realize i done piss’d myself.

The beauty of The Process is that you have never arrived, so you get to continue being perpetually awesome... -Espyonage

by tempebamafan on Aug 26, 2010 5:13 PM CDT up reply actions  

FOOTBAWLL!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

The beauty of The Process is that you have never arrived, so you get to continue being perpetually awesome... -Espyonage

by tempebamafan on Aug 26, 2010 5:13 PM CDT up reply actions  

if every other half-decent college FB team didn't already do this...

then they sure as hell are going to now after seeing that its what the champs do; ESPN giving away all our secrets

by RolltideLaw on Aug 26, 2010 11:35 AM CDT reply actions  

it's not a secret

in fact, i was actually more surprised to discover alabama wasn’t doing this earlier than “a couple of years ago.”

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 11:40 AM CDT up reply actions  

Word

And if it improves safety, getting more people to do it is a good thing. I only wish more teams had caught on to the “secret” of providing water to players during practices earlier. (not meant as a condemnation to the coaches, most of whom probably didn’t realize all the health implications)

"You know, we had a lot of fun tonight. But there's nothing funny about vapor lock! It's the third most common cause of cars stalling. So please, take care of your car and get it checked!" -Joe Namath

by billycthulhu on Aug 26, 2010 1:20 PM CDT up reply actions  

but let's be clear here

the reduction of injury is not scientifically established and a team can be practicing safety in case of heatstroke but not using post-practice ice baths. but what the body of evidence over the past decade or so does show is that it increases an athlete’s productivity. to pass up that is to be willfully overlooking a competitive edge.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 1:26 PM CDT up reply actions  

thats what I thought too when I heard ‘a couple of years’,

towerofbammer.com

by Alabama ManDance on Aug 26, 2010 1:22 PM CDT up reply actions  

this is definitely not a secret

runners have been doing this for years. I ran in college and we always went to the ice bath afterwards; some of my teammates would even fill the bath tub with ice and cold water and completely immerse themselves in it when we did our long runs. I wonder why Bama just started this a couple years ago. I graduated college in 03 and they were doing it way before I was a freshman in 98.

by Sugarlumps on Aug 26, 2010 5:35 PM CDT up reply actions  

My him is training for Imogene Pass Run

on the 11th and after each long training run, (read 20 miles at 10,000+ ft. elevation), he either ices in tub or in a coooooold mountian stream.

by bamaskigirl2 on Aug 26, 2010 1:55 PM CDT reply actions  

that's the trick with distance running (and football)

as rough as the contests themselves are, the real trick is staying healthy through the training levels you have to work at in order to compete in the first place.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 2:04 PM CDT up reply actions  

Great read Kleph.

I do a lot distance running and always take a real cold shower for about 20 minutes afterwards but I think I’m too much of a wimp to jump into a tub of ice water.

And, yeah the secret of the ice bath is out now.

As much as I hate Auburn I hate Tenn. that much more.

by 5026 on Aug 26, 2010 2:38 PM CDT reply actions  

Excellent article, Kleph.

As a member of the medical profession (RN) the use of ice packing and cold immersion is commonly used for maladies where a patient has an extremely elevated core temperature. I have commonly used ice packs to the head, armpits and groin when I had patients with temperatures above 103F, and we also use cooling blankets in some of those situations. I once had a patient with a core temp of 106F related to an infection after chemotherapy, and we used ice packs and cooling blankets combined to try to reduce his temperature.

I am also surprised that this seems to be a practice only now gaining widespread traction, as it’s pretty common sense to understand that higher performance relates to reduced recovery time. When the problem is hot, using the remedy (cold) seems to be a pretty straightforward concept. It will be interesting to see the evidentiary studies documenting if there is a specific proof of the reduction of cellular waste retention as a result of cold therapy.

by Peyton on Aug 26, 2010 3:29 PM CDT reply actions  

i deliberately avoided using temperatures in the article

due to my lack of familiarity with what the norms would be. but the top end for athletes i kept hearing was 104 degrees which, to be honest, seems pushing the danger of it to me. if i ever felt i was that hot in a run, i would stop immediately (and i have on several occasions when i was concerned about my temperature).

i think the idea of ice baths as a remedy is relatively widespread. while the studies might not be there to “prove” their effacity, the anecdotal evidence is strong. every book i know on running injuries prescribes RICE — rest, ice, compression and elevation — even though i rarely have seen the reasons why spelt out explicity.

the difference here seems to be making it an integral part of practices rather than a strictly curative measure. it might be helping keep players healthier but it certainly is optimizing their ability to work out. beyond that, we’re in the dark. the show seemed to indicate it was for all the players but we don’t know if it was 1) voluntary 2) for the whole of the roster and 3) any of the specifics of the process.

to be clear, i made a reasonable good faith attempt to find these things out but was not able to. and, in my estimation, that’s fine because now we’re bordering on giving up training secrets.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 3:47 PM CDT up reply actions  

Well, I will tell you

that a person with a temp of 104, whether from illness or intense training, is in serious trouble. At that temperature the brain begins to shut down the body to prevent massive cell death. I would wager that the majority of peak athletes probably don’t get much over 101 or so. Even in high temps, an athlete’s body is trained (by virtue of his peak physical condition) to be able to regulate his body temperature. Any temperature over 103, if sustained for any length of time, could lead to permanent damage. When in blistering heat and exerting physical effort, the hypothalamus of the individual should be able to regulate the core temp to stay within functional ranges. As long as proper hydration and cooling periods are maintained, then it shouldn’t be a problem.

I would doubt that the practice was compulsory…probably made available for the players use as they see need. But, like I said, I am moderately surprised that this seems to be a cutting-edge concept in training. However, I am sure our fine coaches would keep their best-practice stuff close to the vest if it was simply a matter of providing the players with a low-tech way to increase their recuperative time and enhance their performance in a non-Barry Bonds way.

by Peyton on Aug 27, 2010 12:40 AM CDT up reply actions  

thus why i avoided in the text of the post itself...

and it doesn’t seem the use of this is revolutionary in and of itself. but rather what has changed is the understanding how effective it can be to improve performance.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 27, 2010 7:07 AM CDT up reply actions  

"It will be interesting to see the evidentiary studies documenting if there is a specific proof of the reduction of cellular waste retention as a result of cold therapy."

(holds hand to chin, pauses to look smart) mmm, yes. i concur.

The beauty of The Process is that you have never arrived, so you get to continue being perpetually awesome... -Espyonage

by tempebamafan on Aug 26, 2010 5:17 PM CDT up reply actions  

Thanks, doc.

I’ll be sure to give you a consult next time I have a patient set on ‘broil.’ :)

by Peyton on Aug 27, 2010 12:42 AM CDT up reply actions  

Damn she's hot!

Though that could just be my hypothalamus talking. :)

by CarrotTop4 on Aug 27, 2010 9:51 AM CDT up reply actions  

This is how the incredible Rosie Ruiz

would cool down after dominating a marathon. She was the inspiration for this, im sure of it.

by Rolltizzle on Aug 26, 2010 4:28 PM CDT reply actions  

ruiz is first and foremost a cheater

if you are looking for a female marathoner for inspiration i suggest you look into the achievements of katherine switzer.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 26, 2010 4:41 PM CDT up reply actions  

Haha, I really didn't think anybody could think

I was serious. The picture of her finishing gets me every time. Classic!

by Rolltizzle on Aug 26, 2010 5:17 PM CDT up reply actions  

that was a fun little trip to wikipedia

The beauty of The Process is that you have never arrived, so you get to continue being perpetually awesome... -Espyonage

by tempebamafan on Aug 26, 2010 5:29 PM CDT up reply actions  

I bet

it makes your package draw up.

by Brad Bowen on Aug 26, 2010 4:55 PM CDT reply actions  

mmm, yes. i concur.

The beauty of The Process is that you have never arrived, so you get to continue being perpetually awesome... -Espyonage

by tempebamafan on Aug 26, 2010 5:20 PM CDT up reply actions  

How can I watch this behind the scenes special online?

I missed it and I need to see it badly!
Thanks for any info

by bamalama on Aug 26, 2010 8:27 PM CDT reply actions  

I love the picture of the dude gettin into the

ice bath. It looks like he just remembered that he forgot to take his cell phone out of his pocket…

by lbdasdog on Aug 26, 2010 11:41 PM CDT reply actions  

Kleph-Have you ever used compression socks or leggings?

I “love” ice baths but I’m not always able to get into one right after a training ride or race(long distance mountainbike stuff) and was wondering if the compression stuff helped at all. Thanks for any info.

Auburn-Where almost happens.

by allan8147 on Aug 27, 2010 7:01 AM CDT reply actions  

a few of my running buddies use them and claim they work...

but, that said, i don’t see them wear them that often any more. i’ll note this though, just as ice has proven to be helpful, it would be logical for compression as well. they are both part of the RICE approach to injury and seem to have some degree of effect on the body when applied correctly.

Roll 'Bama Roll: The Champagne of 'Bama Blogs.

by kleph on Aug 27, 2010 7:09 AM CDT up reply actions  

Thanks...

I’m thinking I will go ahead and pick up a pair and give it a shot. It can’t hurt. At the very least it should help out til I can get into a cold bath.

Auburn-Where almost happens.

by allan8147 on Aug 27, 2010 7:15 AM CDT up reply actions  

Fantastic article

Mr Kleph! I had been wondering about this ever since the show so thank you so much for reporting on it. Sure does put the papers to shame!

by Spooky112483 on Aug 27, 2010 12:34 PM CDT reply actions  

Impressively Painful

^^This, impressive yet painful to hear

by Ourcollective on Sep 2, 2010 5:13 PM CDT reply actions  

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