09Targeted

Cold Compression Therapy

An ice bath cools the whole body. A cold-compression session cools the joint that hurts — and pumps it.

20-minute sessions per joint. Skin temperature held at 10–15°C — the evidence-backed therapeutic window.

Cold Compression TherapyTargeted
Duration
0
min
Skin temperature
10–15 °C
Walk-in
R250
per session
Member
R220
per session
What it does

Cold compression delivers controlled cold (4–10°C) combined with intermittent pneumatic compression directly to a single joint via an anatomical cuff — knee, shoulder, ankle, hip, or back. It is the precision recovery tool in the Botthms stack: where an ice bath is whole-body and non-specific, cold compression is targeted, supervised, and built for joints that need direct attention.

An ice bath cools the whole body. A cold-compression session cools the joint that hurts — and pumps it.

  • Targets a specific joint — knee, shoulder, ankle, hip, or back. Only the area that needs treatment.
  • Reduces post-training joint soreness. Controlled cooling slows the inflammatory response and reduces local swelling.
  • Pumps fluid out. Intermittent pneumatic compression mechanically clears interstitial fluid and inflammatory exudate — what ice alone cannot do.
  • Supports recovery after acute soft-tissue overload. Built for the joint that gave you trouble in training or on race day.
The science

The cuff combines two therapies. Cold lowers tissue temperature, narrows superficial blood vessels and slows the inflammatory cascade — limiting swelling in the first 24–72 hours after intense load. Intermittent pneumatic compression (5–75 mmHg) mimics natural muscle contractions to pump fluid and inflammatory by-products out of the joint. Su et al. 2012 (n=280, TKR) showed less pain medication and higher satisfaction vs ice alone; Waterman et al. 2012 (ACL recon) found 83% off narcotics by 6 weeks vs 28% on ice alone; Song et al. 2016 meta-analysis (10 trials, 522 patients) confirmed compression adds independent benefit over cryotherapy alone.

Who it's for
01

Active adults with a sore joint

Knee, shoulder, ankle, hip or back that hurts after training. Runners, cyclists, racket-sport players and weightlifters with a recurring problem joint — the modality is built around treating one area at a time.

02

Post-event recovery

For the joint that took the load on race day or in competition. Targeted cold plus pumping action shortens the first 24–72 hour swelling window when it matters most.

03

Adjunct to physiotherapy

An adjunct — not a replacement — for clients in active physio. Reduces local swelling and pain between sessions so rehab loading can progress on schedule.

Session timeline
01
Arrival & screen
First visit includes a brief contraindication screen — cold sensitivity conditions, circulatory issues, open wounds, pregnancy, anticoagulant use. Signed once and kept on file.
02
Cuff fit
Anatomical cuff selected for the target joint — knee, shoulder, ankle, hip or back — and fitted by the practitioner. Skin barrier in place.
03
Cold + compression begins
Controlled cold (4–10°C circulating) brings skin temperature to the 10–15°C therapeutic window. Pneumatic compression begins cycling between 5 and 75 mmHg, mimicking natural muscle contractions.
04
Mid-session check
Practitioner checks skin temperature and tolerance. Pressure or temperature adjusted within protocol if needed.
05
Finish
Cuff removed, skin re-warmed. No cooldown required — you can carry on with your day. Repeat is appropriate on consecutive days for an acute joint.
First-visit contraindication screen

Cold compression is not appropriate for everyone. The first-visit screen checks for cold sensitivity conditions (Raynaud’s, cold urticaria), circulatory conditions (DVT, peripheral vascular disease, severe diabetic neuropathy), open wounds in the treatment area, and pregnancy over the abdomen. Clients on anticoagulant therapy or with severe uncontrolled hypertension require practitioner clearance before their first session.

Book your session

Check availability
and book online.

Pair with

From the journal

Cold Compression Therapy for Injury Recovery

Cold and pressure on the same spot — the right pick when one joint is angry, not the whole body.

Read the science →
Frequently asked
An ice bath cools the whole body and is non-specific. Cold compression cools a single joint and adds intermittent pneumatic compression to pump fluid and inflammatory by-products out of the area. Different mechanism, different use case — you book cold compression when one joint is the problem.