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Evidence-Based Orthopaedics   |    
Cold Gel Reduced Pain and Disability in Minor Soft-Tissue Injury

The Journal of Bone & Joint Surgery.  2004; 86:1101-1101 
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Question: In patients with sports-related soft-tissue injury, is cold gel more effective than placebo in reducing pain and disability?Design: Randomized (allocation concealed), blinded (clinicians and patients), controlled trial with 28-day follow-up.Setting: A university hospital in Kuopio, Finland.Patients: 74 patients (mean age, 32 yr; 64% men) who had sustained a sports-related soft-tissue injury of the ankle, leg, knee, or hand within the previous 48 hours. Exclusion criteria were a pain score of <30 mm on the visual analog scale (VAS); pregnancy; the presence of cutaneous lesions or injuries at the site of application, thus precluding the use of gel therapy; or an injury in need of surgery or physiotherapy. Complete follow-up was achieved for 73 patients (99%).
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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