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Editorial
Soft-tissue injuries simply need PEACE and LOVE
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  1. Blaise Dubois1,
  2. Jean-Francois Esculier1,2
  1. 1 The Running Clinic, Lac Beauport, Quebec, Canada
  2. 2 Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
  1. Correspondence to Mr Blaise Dubois, The Running Clinic, Lac Beauport, QC, G1M 2S8, Canada; blaisedubois{at}me.com

https://doi.org/10.1136/bjsports-2019-101253

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    Rehabilitation of soft-tissue injuries can be complex. Over the years, acronyms guiding their management have evolved from ICE to RICE, then on to PRICE and POLICE.1 Although widely known, these previous acronyms focus on acute management, unfortunately ignoring subacute and chronic stages of tissue healing. Our contemporary acronyms encompass the rehabilitation continuum from immediate care (PEACE) to subsequent management (LOVE). PEACE and LOVE (figure 1) outline the importance of educating patients and addressing psychosocial factors to enhance recovery. While anti-inflammatories show benefits on pain and function, our acronyms flag their potential harmful effects on optimal tissue repair. We suggest that they may not be included in the standard management of soft-tissue injuries.

    Figure 1

    PEACE and LOVE acronyms.

    Immediately after injury, do no harm and let PEACE guide your approach.

    P for protect

    Unload or restrict movement for 1–3 days to minimise bleeding, prevent distension of injured fibres and reduce the risk of aggravating the injury. Rest should be minimised as prolonged rest can compromise tissue strength and quality.1 Pain signals should guide the cessation of protection.

    E for elevate

    Elevate the limb higher …

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