Review: The Best Ice Compresses (Hot/Cold Packs)

Ranked #1,055 in Healthy Living, #21,002 overall

Ice/Heat Therapy for Arthritis, Joint Pain, Sinuses

Ice compresses have come a long way since the days of ice cubes in a towel. Now we've got blue gel (what IS that stuff?), clay, even wheat bags. Heated in a microwave, these can double as heat therapy.

So which is the best to use? I haven't tried every ice compress out there, but as someone with fibromyalgia (left over from juvenile rheumatoid arthritis) and frequent sinus infections, I have tested quite a few hot/cold packs.

Here's the ones I use now. I keep them in the freezer as ice compresses for achy joints or for my sinuses to reduce swelling after a hot shower. Or I can microwave them as heating pads. Always follow the directions carefully so as not to scald yourself!

(Above: yep, that's my own stubby hand in a ThermiPaq Ice/Heat Pack. Foreshortening plus flash makes my forearm look like a dead whale.)

Review: ThermiPaq Therapeutic Hot & Cold Pad

Longer-Lasting than Gel Packs or Wheat Bags

Thermipaq Therapeutic Hot & Cold PackThis is my favorite ice compress, the ThermiPaq Ice / Heat Pack.

Instead of blue gel, it contains a non-toxic, fine-grained clay, an unfired ceramic like that found in heaters, stove tops, or even the space shuttle's insulating tiles. Ceramic takes a long time to change temperature, so it will retain heat or stay cold much longer than the propylene glycol found in most blue gel packs. Clay is also eco-friendly: it's just mud!

Thermipaq Features:
  • Comes in two sizes: Sm 6x12" (what I've got) or Lg 9.5" x 16"
  • Flexible strap with velcro patch at end sticks to any part of cloth cover for wrapping
  • Flexible clay interior is soft like gel to conform to limbs, sinuses
  • Biodegradeable, non-toxic, no-latex wrapper
  • Cloth cover is washable, or may be dampened for moist heat
  • Cloth cover has slightly padded side which is useful when it first comes out of the freezer and is VERY cold; after 20 minutes flip it to thin-cloth side and enjoy another half hour or so of cold
  • Instructions for microwaving from room temperature OR from freezer temperature are printed on label attached to cloth cover (English and Spanish)
  • Instructions for microwaving printed on inner plastic bag as well

Amazon: Buy ThermiPaq Hot & Cold Pad

Amazon Price: $20.00 (as of 06/01/2012)Buy Now

Thermipaq Therapeutic Hot/Cold Pad

The Thermi-paq hot/cold pad which I reviewed above is my favorite ice compress, good for both hot and cold therapy. I recommend buying two (they're cheap through this seller) so you always have one cooling while you're using the other.

Amazon: Sinus Mask Cold Compress

Amazon Price: $7.13 (as of 06/01/2012)Buy Now

Elasto-Gel Cold Therapy Sinus Mask

I use the Elasto-Gel Sinus Mask to reduce sinus congestion. It's not quite as icy-cold as the Thermi-Paq (above) and conforms more snugly to the eyes, plus it's not as heavy. It doesn't stay cold as long. It also blocks out all light, making it a good sleep mask. Again, I've got two, so one's always cooling while I'm using the other.

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Pros and Cons of Heat vs. Cold Therapy

Should I Use a Hot Pack or Ice?

cold therapy

vs.
heat therapy

As a kid with arthritis, I learned very early the dilemma of heating pads vs. ice compresses.

  • Heat EXPANDS. Heat relaxes muscles, loosens tension and soothe pain, but causes swelling and aggravates inflammation.
  • Cold CONTRACTS. Ice reduces inflammation, so it's good for arthritis or muscle strains, but may cause cramping.
So ice compresses are better for arthritis inflammation, while heat is better to loosen cramps or unclog sinuses. You may sometimes alternate: use heat first to ease pain and soothe tension, or to help lungs and nasal passages open up and drain, but then follow up with cold therapy to reduce inflammation and make sure sinus tissues don't swell shut.

Now here's three final recommendations for natural ice compresses / hot packs which I haven't used myself, but many users recommend.

Microwavable Buckwheat Pillow: Cuddly!

Amazon Price: $52.43 (as of 06/01/2012)Buy Now

Lavender Microwaveable Buckwheat Neck Pillow

All-natural, microwaveable buckwheat neck pillows are used by many as a home remedy alternative to gel packs. They are often scented with soothing lavender. To my surprise, this cat neck pillow by Warm Whiskers is one of the top-rated buckwheat pillows by Amazon customers. The plush cover is removable and washable.

Alternate designs including dogs, cats, and several other cute animals, plus other pillow shapes including comfy slippers and kids' stuffed animals. Customer feedback seems to be very positive. (See Warm Whiskers Therapy Pillows for the complete selection).

Hot/Cold Wheat Bag

Amazon Price: (as of 06/01/2012)Buy Now

Wheat Bag - Bucky Hotties Bodywrap

If you're not keen on wearing a critter around your neck, here's a more traditional wheat bag hot/cold bodywrap from Comfort Essentials. It's got a washable, comforting chenille cover and is filled with 100% buckwheat hulls.

All-Natural Rice Hot and Cold Wrap

Amazon Price: $15.99 (as of 06/01/2012)Buy Now

Lavender Microwaveable Rice Heating Pad

All-natural, microwaveable Rice Heating Pads by Herbalcroft come in this shape or a snuggly neck-pillow shape. They offer a soothing lavender aromatherapy scent, or, if you prefer, ask for unscented. Rice Heating Pads may be microwaved or frozen. The covers are even pretty!

Guestbook

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If you know anyone who's suffering joint paint, arthritis, sinus ailments or other issues that might be helped by hot/cold therapy, please share this page with them!

  • VickiSims Jan 14, 2012 @ 10:42 pm | delete
    Great info about when to use ice vs heat packs.
  • AlleyCatLane Nov 6, 2011 @ 11:24 am | delete
    Very good advice. Thanks. Need to find that blue gel sinus mask I used to have.
  • ajgodinho Feb 14, 2011 @ 7:32 pm | delete
    Thanks for this concise lens and review on ThermiPaq Ice/Heat Pack. It looks like a very handy pack to have. **Kissed by a Squid-Angel**

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Greekgeek

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