"When it comes to chronic pain — pain that has been going on for a while and doesn’t seem to improve — there are no set rules. Experiment with both modalities and see which works best for you. You may get better results with one or the other, and by using a combination.
One exception: If you have chronic pain and wish to exercise, the recommendation is to use heat before to increase the blood flow to the area, which helps muscle flexibility and joint movement. "Once you’ve completed the activity, switch over to ice in order to prevent any new inflammation that may come about from whatever the exercise or activity was that was just completed,” says Elizabeth Gardner, MD, orthopedic sports medicine surgeon at Yale Medicine and head team orthopedic surgeon at Yale University Athletics in New Haven, Connecticut.”*
*Hot Therapy and Cold Therapy At-Home Treatment Tips for Chronic Pain | Everyday Health
Our Drug-Free Pain Management Kits provide the synergistic therapeutic benefits of cold compression and moist heat. Many doctors recommend alternating cold and moist heat therapy for chronic pain - 20 minutes of cold, 20 minutes off, and then 20 minutes of moist heat.