Which intervention helps limit swelling and improve ROM in early rehab?

• A. Ice massage only
• B. Elevation, compression, gentle movement, and cryotherapy to limit swelling and improve ROM
• C. Heavy resistance training
• D. Heat therapy

Answer: (B)

Early rehab aims to control swelling while keeping the joint as mobile as possible. Elevation helps fluids drain away by using gravity, reducing edema. Compression supports the limb and promotes venous return, which also limits swelling. Cryotherapy (ice) lowers tissue temperature and metabolic demand, helping reduce pain and secondary swelling, making movement more comfortable. Adding gentle movement prevents stiffness and maintains range of motion without overloading healing tissues. When these strategies are combined, swelling is better controlled and ROM can improve sooner. Heavy resistance training is too demanding in the early phase, and heat increases blood flow and swelling, so they’re not appropriate yet. Ice massage alone doesn’t provide the benefits of elevation and compression that help limit swelling.