NICER – Non-Steroidal Anti-Inflammatory Drugs, Ice, Compression, Elevation & Rest

Ironically, injury is an occupational hazard of the fit and healthy, sadly an unfortunate side effect of exercise is the occasional muscle strain, pull or joint twist. Should you suffer any form of these then the first line of defence is NICER. NICER is an acronym for Non-Steroidal Anti-Inflammatory Drugs, Ice, Compression, Elevation & Rest. When/if an injury occurs the first thing you should do is take something like an Ibuprofen (provided you aren’t allergic or at risk of stomach ulcers), immediately followed by ice and compression, and of course…rest. The reason for these interventions is to minimise swelling, the body sends fluid to an injured area for protection and in an attempt to heal, the problem with this is that it actually slows down the healing process. So try to slow internal muscle, tendon and ligament bleeds by using the NICER approach.

You might have also heard of RICE, the acronym for Rest, Ice, Compression and Elevation, but NICER is a little bit more comprehensive.


NHS Choices, (2013). Sports Injuries – Treatment. Retrieved 09th September, 2013, from

About the Author

Job Role Qualified Dietitian and Sports Nutritionist Qualifications BSc (Hons) Sports Science | BSc (Hons) Dietetics Tom has always participated in sport both recreationally and competitively which led to an unquenchable thirst for information on anything health, nutrition and fitness. After leaving school Tom went on to play for a football academy during which time he studied Sport and Exercise Science. From here he went on to study a BSc (Hons) Sport Science at UEA followed by his second BSc (Hons) degree, this time at the University of Hertfordshire studying Dietetics. Tom has worked in the fitness, educational and clinical nutrition industry starting out at David Lloyd Health and Leisure Clubs. He then went on to work as a Dietitian (RD) in the NHS, during which time he conducted clinics for healthy eating, weight loss and weight gain, as well as specialised consultations on Diabetes, IBS and Coeliac disease to name a few. He has vast amounts of experience at devising diet plans and supplement regimens, as well as working in the community with schools and competitive athletes. As Head Nutritionist and Supplement expert at Discount Supplements Tom is here to provide current and evidence based health and nutrition information to help you reach your health and fitness goals!
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