Key takeaways:
Whole-body cryotherapy involves exposure to extremely cold temperatures, which can have serious risks.
Whole-body cryotherapy is not currently FDA approved to treat any medical conditions.
There is not enough scientific evidence on the benefits of cryotherapy to recommend it as a viable treatment option.
Cryotherapy involves using cold temperatures to treat various health issues. Cool compresses are commonly used to reduce inflammation after injury or surgery, such as when an ice pack is applied to a sprained ankle. But whole-body cryotherapy is a more extreme treatment.
Learn more about the purported benefits of cryotherapy and how well it actually works.
What is whole-body cryotherapy?
Whole-body cryotherapy involves exposing the entire body to an extremely cold temperature for about 2 to 5 minutes. This type of cooling usually occurs in a chamber where the temperature is between -100 and -140 degrees Celsius. For comparison, the average temperature in the South Pole in winter is about -60 C.
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Whole-body cryotherapy was once used to treat chronic inflammatory conditions like rheumatoid arthritis and multiple sclerosis. Now, it is popular among athletes for improving post-exercise recovery.
What does whole-body cryotherapy do?
Depending on whom you ask, cryotherapy can allegedly treat various conditions. For example, people claim that it can help with recovery after exercise and with conditions such as:
Migraines
Alzheimer's disease
Asthma
Depression
Insomnia
Chronic pain
Osteoarthritis
Many of these treatment claims are not supported by scientific evidence. And whole-body cryotherapy does not have FDA approval for any of these conditions.
People who do whole-body cryotherapy often use it in combination with other treatments, like medication and physical therapy.
What are the benefits of cryotherapy?
The benefits of whole-body cryotherapy are still being debated. But here's what researchers know about how exposure to subzero temperatures can affect the body.
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Cryotherapy may decrease inflammation
Cryotherapy causes blood vessels to narrow, reducing blood flow to the skin and muscles. The cold temperature also lowers inflammatory substances in the blood, which may reduce swelling and inflammation. But it's unclear how decreased inflammatory levels affect people. So there's a need for more research.
Cryotherapy may relieve pain
Cryotherapy can also slow the signals that travel along your nerves. Studies suggest that slower nerve signaling is how cold therapy, in general, helps relieve pain.
According to one review, local and whole-body cryotherapy may ease chronic pain from conditions like fibromyalgia and osteoarthritis. But the evidence is very limited.
Cryotherapy may support exercise recovery
During exposure to low temperatures, circulation in the body slows. But after exposure, it spikes. While there are some claims that increased blood flow (and less inflammation) helps muscles heal after injury, the evidence is mixed. For example, one study showed that cryotherapy can reduce inflammation markers in the blood after a muscle injury, but it does not improve healing.
That said, cryotherapy has been shown to support post-exercise recovery. In a small study, researchers tested cryotherapy methods for muscle recovery in runners. They found that whole-body cryotherapy was more effective than other methods, like ice baths.
But, in general, much of the research on cryotherapy for workout recovery has been focused on more accessible options like ice packs and ice baths.
Cryotherapy may support mental health
Exposure to low temperatures may be good for your mental health. Limited evidence suggests that whole-body cryotherapy, when combined with standard mental health treatment, can improve symptoms of depression. Researchers think that this is because cold makes your body release hormones that affect your mood and response to pain or stress. But there's a need for more studies.
What are the risks of whole-body cryotherapy?
Although the benefits are still being researched, we know more about the risks of whole-body cryotherapy, which can be serious.
Changes to vital signs
Whole-body cryotherapy can cause changes in your vital signs, like your heart rate, blood pressure, and blood oxygen levels. These changes can affect people differently. For example, your gender and whether you smoke could influence how cryotherapy affects you. But, in general, whole-body cryotherapy is not recommended for people who have a history of chest pain or heart failure.
Skin damage or rashes
Whole-body cryotherapy can also cause major skin damage, such as frostbite, burns, and frozen limbs. Severe frostbite can cause skin blisters, swelling, and third-degree burns that appear after you warm up.
Another serious problem that can result from whole-body cryotherapy is cold panniculitis. This is when the layer of fat under your skin freezes and causes a long-lasting rash that’s accompanied by pain and discomfort.
Other risks
Other possible hazards of whole-body cryotherapy include:
Eye injury
Loss of consciousness
Low blood oxygen levels
Suffocation
Death
Does whole-body cryotherapy work?
There’s no hard evidence that whole-body cryotherapy works better than other treatments that are safer and more established. Let’s look at a few findings from studies that do exist, though, and what we can learn from them:
It can reduce pain, but not always better than targeted treatment. In one study involving people with inflammatory muscle conditions, whole-body cryotherapy did help relieve pain. But it wasn’t more effective than cooling a specific area of the body (local cooling).
It’s not better for post-workout recovery than resting. In another study, whole-body cryotherapy wasn’t any better than resting at reducing muscle soreness and promoting recovery after exercise.
It can help with depression and pain, but more studies are needed. Whole-body cryotherapy may help some people who have symptoms of depression, mild memory problems, chronic pain, or fibromyalgia. But these benefits are backed by small studies. More studies involving larger groups of people are needed before whole-body cryotherapy can be recommended as a treatment option.
Based on the available research, there may be more risks than benefits to doing whole-body cryotherapy.
What should you know before trying whole-body cryotherapy?
If you are considering whole-body cryotherapy, first know that it is an unproven therapy. It has unknown benefits and serious possible risks. Make sure you understand any underlying medical conditions you may have. And talk with your healthcare provider about how whole-body cryotherapy may affect you.
Whole-body cryotherapy treatment usually begins with stepping into an extremely cold chamber. First, you enter a room cooled to -60 degrees Celsius and stay there for about 30 to 60 seconds to help prepare for the extreme cold. Once you’ve adjusted to this initial temperature, you go on to a room that is cooled to -100 C and stay there for a few minutes.
In the cryotherapy chamber, people typically wear only:
Shorts
Socks
Shoes
Gloves
A hat or headband over their ears
A surgical mask
The clothing is meant to protect against frostbite, but it’s not always enough. The surgical mask protects the lips, nose, and small airways in your lungs. It also helps decrease the amount of humidity you exhale into the chamber.
There’s also partial-body cryotherapy, which involves standing in a cylinder-shaped tank called a cryosauna. The tank is open at the top, so your head is not exposed to the cold temperature.
Some people do cryotherapy multiple times in a day or a few times a week.
The bottom line
Whole-body cryotherapy is an emerging treatment that uses extremely cold temperatures to address health issues. There are claims that it can help treat many different medical conditions, including sports injuries. But the cold temperatures can have seriously harmful effects on the body. And there is not enough scientific evidence on the benefits of whole-body cryotherapy to recommend it as a treatment for any conditions.
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References
American Academy of Dermatology Association. (2023). Whole body cryotherapy can be hazardous to your skin.
Bleakley, C. M., et al. (2014). Whole-body cryotherapy: Empirical evidence and theoretical perspectives. Open Access Journal of Sports Medicine.
Bouzigon, R., et al. (2021). Cryostimulation for post-exercise recovery in athletes: A consensus and position paper. Frontiers in Sports and Active Living.
Costello, J. T., et al. (2015). Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. The Cochrane Database of Systematic Reviews.
Garcia, C., et al. (2021). Use of cryotherapy for managing chronic pain: An evidence-based narrative. Pain and Therapy.
Herrera, E., et al. (2010). Motor and sensory nerve conduction are affected differently by ice pack, ice massage, and cold water immersion. Physical Therapy.
Hirvonen, H. E., et al (2006). Effectiveness of different cryotherapies on pain and disease activity in active rheumatoid arthritis. A randomised single blinded controlled trial. Clinical and Experimental Rheumatology.
Klemm, P., et al. (2021). Serial whole-body cryotherapy in fibromyalgia is effective and alters cytokine profiles. Advances in Rheumatology.
NASA Climate Kids. (n.d.). Which pole is colder?
Patel, K., et al. (2019). Whole-body cryotherapy in sports medicine. Current Sports Medicine Reports.
Qu, C., et al. (2020). Cryotherapy models and timing-sequence recovery of exercise-induced muscle damage in middle- and long-distance runners. Journal of Athletic Training.
Rymaszewska, J., et al. (2008). Whole-body cryotherapy as adjunct treatment of depressive and anxiety disorders. Archivum Immunologiae et Therapiae Experimentalis.
Rymaszewska, J., et al. (2020). Efficacy of the whole-body cryotherapy as add-on therapy to pharmacological treatment of depression-A randomized controlled trial. Frontiers in Psychiatry.
U.S. Food and Drug Administration. (2016). Whole body cryotherapy (WBC): A "cool" trend that lacks evidence, poses risks.
Vieira Ramos, G., et al. (2016). Cryotherapy reduces inflammatory response without altering muscle regeneration process and extracellular matrix remodeling of rat muscle. Scientific Reports.
Zakynthinos, G. E., et al. (2021). The effect of whole-body cryostimulation in healthy adults: Whole-body cryostimulation according to gender and smoking status. Advances in Experimental Medicine and Biology.