This approach suggests that gentle movement of the injured area will enhance blood flow to support the healing process and reduce swelling by preventing the pooling of fluids in the area. MEAT is for Movement, Exercise, Analgesics and Treatment. The shift is now to get the RICE off the table and introduce the MEAT approach. The quicker the fibres can be appropriately loaded, the quicker it will be able to resist its normal forces. Generally, it should not take long after the injury that the POLICE arrives on site. The loading of the fibres should be discussed and determined by a health practitioner after a thorough examination, taking the extent of the injury into account. This increases the strength of the injured area as more fibres are organized to pull in the same direction. These actions aim to stimulate the synthesis of new fibres and aligning them as they are being laid down again. By weight bearing on the injured area, gently moving or stretching the injured tissues, one can start loading the healing fibres. This approach is similar to the two mentioned above, but has a movement component to it. Protect, Optimally Load, Ice, Compression and Elevation. Recently, the POLICE approach has also been called to action. Additionally, compression and elevation also decreases blood flow to the area. Applying ice to the injured area, will lead to constriction the blood vessels and a decrease in metabolism of the cells in the area (less by-products released), and also decreases pain by cooling the skin which decreases the conduction of the nerves. It also aims at preventing further damage by protecting and resting the injured area. RICE and PRICE aims at preventing severe swelling and decreasing pain. To use different approaches for different situations might make more sense. There is now being suggested that we take the following into account before jumping to RICE or PRICE: the time that has passed since the injury, the type of tissue that has been injured, as well as the extent of the injury. The management of a repairing tissue should rather be adapted from one scenario to another. These principles were widely used and perhaps abused? Currently the once-size-fits-all approach which seems to be followed with these two principles are being criticized. Later on, a ‘P’ for Protect was added to the acronym to form PRICE. Rest, Ice, Compress and Elevate the injured area has been the primary principle that everybody followed. The RICE principle has been known for years, guiding injury management. There has recently been a paradigm shift with the management of injuries. It is not only the world of dietetics that is being challenged with “less carbs, more proteins”.
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