How to Treat a Cold Pack Burn
When most people think of burns, they think of heat burns from things like flames, scalding substances, or sun exposure. We even call the most common cold-weather injury frostbite, not frost burn.
However, a burn from an ice pack, cold wrap, or gel pack (or ice in a plastic bag) can be just as serious as a burn from heat. How do I know this? I used a cold pack incorrectly and ended up with a second-degree burn, which is still healing.
If You Are Getting an Ice-Pack Burn . . .
• Remove the ice or cold pack immediately.
• Your skin will feel numb, tingly, or itchy.
• The skin where the ice pack was may have changed color or may have marks on it.
Ice Burn Remedies
To reverse the effects of the burn, bring the skin surface back to normal body temperature. Soaking the affected body part in warm water is the quickest way. Use warm—not hot—water (up to 104 but no hotter than 108 degrees).
- Soak for 20 minutes, take a 20-minute break, then repeat. Rewarming should occur gradually, as with frostbite treatment. Warm compresses will work too, but they need to be changed multiple times. Wrap the body part in warm towels or blankets. Be careful if using an electric blanket. Too much heat can make the burn worse.
Check the burned area for blisters. Blisters are a sign of a second-degree burn. In they are present, drain them or have a medical professional drain them for you to promote faster healing and avoid infection. Apply antibiotic ointment and a barrier ointment such as A&D or Vaseline to keep the blistered area from sticking to dressings.
Apply a non-stick gauze dressing. Keep it in place with stretchable bandaging tape. The wound should remain clean and dry at all times. Change the dressing frequently.
For second-degree burns, oral antibiotics may be necessary to avoid systemic infection.
If the burn is an open wound, keep it covered and do not apply anything except antibiotic ointment and sterile, non-stick dressings.
As the wound begins to heal, aloe vera gel can help hasten healing and prevent scarring. It can also be very drying. Never apply aloe vera directly to an open wound, as it may cause infection. Wait until the area has begun healing.
Avoid further exposure to ice and the sun. It may take months for an ice burn to heal and the skin may still remain scarred even after healing.
Preventing Cold Pack Burns
As I learned the hard way, the best way to prevent an ice pack burn is not to apply anything ice-cold directly to your skin. Always wrap ice or a cold pack in a towel before applying to skin.
My Cold Pack Burn Story
It all started for me when I fell on a rock in the snow. I broke a blood vessel in my leg and because I was already taking aspirin, it bled into my leg causing the area to swell. I was told to rest and apply ice packs to bring the swelling down. Unfortunately, I didn't think much about the potential for an ice burn and applied the cold pack directly to my leg. I literally never felt a thing.
When I removed the cold pack, it looked as if someone had taken a hot iron to my leg. There was an imprint of the large ice pack on my skin. It didn't hurt and I thought it would fade away. By the time I realized that the skin was coming "back to life," it was killing me—burning and itching like mad.
It resulted in blistering, just as in the above video. I returned to the doctor and went on antibiotics to ward off an infection. I had already damaged the skin when I fell and now had added a burn to it.
This happened in February. It is now July and my leg is still scarred. It begins to blister immediately if exposed to the sun. It was an excruciatingly way to learn a lesson: Don't ever apply cold or ice packs directly to your skin. If only I had put a towel or something between the cold and my skin, it never would have happened. Even better would have been to use an ice pack or cold wrap with a protective cover.
Learn from my mistake and protect your skin! Be aware that ice and cold can cause as deadly a burn as heat or fire.
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How is your cold pack burn healing?
Questions & Answers
How long does it take to lose the redness of a cold pack burn?
Unfortunately, quite a while. I have darker skin and I found that my skin had a super sensitivity to the sun and remained discolored for at least six months. Even at 1 or 2 years after the burn, it would turn different colors if exposed to the sun for any length of time, so I just learned to avoid it. I think that it ends up damaging the skin by burning it so badly as well as even the superficial nerves. Even many years later, I can still feel a bit of a difference in that area of skin when exposed to lots of sun, so I just make sure I always keep sunscreen on it. The redness did last for a bit of time as well because of the skin damage.
I have a pancreatic condition which requires ice packs 24 hours a day. Is there a better cloth that promotes the same cooling effect, but not to the point of burning? I am currently using cotton balls.
I would buy ice packs that have an outer covering already in place. That is what I did, but unfortunately directly applied them to my skin for too long. You can of course always use a 'buffer' material such as a hand towel, washcloth, or even a dish towel type material. The important part I found was just not to apply it for too long and again, not directly on my skin for long periods. "Official" ice packs that you purchase have specific instructions, and that can be particularly helpful. Also, many official ice packs have wrap around Velcro strapping that holds them in place. Physical or occupational therapists are great resources as well for any condition - how long should I keep an ice pack on and how many times per day is optimal? Those are great questions to ask.
How long does it take for a cold pack burn to develop? I put an ice pack on my back and fell asleep.
It develops within hours, and it is quite noticeable. It is also very, very large. If you do not develop redness or a blister fairly soon after, you may be okay.