The Role of Cryotherapy in Sports Recovery: A Critical Review of Current Evidence
DOI:
https://doi.org/10.12775/QS.2026.54.70230Keywords
Cryotherapy, Sports Recovery, Cold Water Immersion, Whole-Body Cryotherapy, Local Cryotherapy, Muscle Soreness, Athletic Performance, Inflammation, Exercise Recovery, Post-Exercise CoolingAbstract
Background. Cryotherapy, defined as the therapeutic application of cold, is increasingly used in sports
medicine to enhance post-exercise recovery and support athletic performance. The most common modalities
include whole-body cryotherapy, local cryotherapy, and cold water immersion.
Aim. This article aims to discuss the current evidence on the role of cryotherapy in sports recovery, including its
physiological mechanisms, practical applications, benefits, limitations, and impact on training adaptations.
Materials and methods. A focused narrative review of relevant literature was conducted to examine the effects
of cryotherapy on muscle soreness, fatigue, inflammation, recovery, and athletic performance. Studies on
whole-body cryotherapy, local cryotherapy, and cold water immersion were included.
Summary. Available evidence suggests that cryotherapy may reduce muscle soreness and perceived fatigue in
the short term. However, long-term effects remain inconsistent, and frequent post-exercise cooling may impair
muscle adaptation and hypertrophy. The review also highlights the gap between scientific evidence and the
commercial promotion of cryotherapy.
Conclusions. Cryotherapy may be useful in selected athletic settings, but its application should be
individualized and aligned with training goals. Further research is needed to determine optimal protocols and
long-term effects on performance.
References
1. Kwiecien, S. Y., & McHugh, M. P. (2021). The cold truth: the role of cryotherapy in the treatment of injury and recovery from exercise. European Journal of Applied Physiology 2021 121:8, 121(8), 2125–2142. https://doi.org/10.1007/S00421-021-04683-8
2. Allan, R., Malone, J., Alexander, J., Vorajee, S., Ihsan, M., Gregson, W., Kwiecien, S., & Mawhinney, C. (2022). Cold for centuries: a brief history of cryotherapies to improve health, injury and post-exercise recovery. European Journal of Applied Physiology, 122(5), 1153–1162. https://doi.org/10.1007/S00421-022-04915-5
3. Wilson, L. J., Dimitriou, L., Hills, F. A., Gondek, M. B., & Cockburn, E. (2019). Whole body cryotherapy, cold water immersion, or a placebo following resistance exercise: a case of mind over matter? European Journal of Applied Physiology, 119(1), 135–147. https://doi.org/10.1007/S00421-018-4008-7
4. Huang, T., Dan, L., Wang, W., Ren, J., Liu, X., & Li, J. (2024). Effect of whole-body cryotherapy on recovery after high-intensity training in elite rowers. Frontiers in Physiology, 15. https://doi.org/10.3389/FPHYS.2024.1428554
5. Bouzigon, R., Dupuy, O., Tiemessen, I., De Nardi, M., Bernard, J. P., Mihailovic, T., Theurot, D., Miller, E. D., Lombardi, G., & Dugué, B. M. (2021). Cryostimulation for Post-exercise Recovery in Athletes: A Consensus and Position Paper. Frontiers in Sports and Active Living, 3, 688828. https://doi.org/10.3389/FSPOR.2021.688828
6. Pernigoni, M., Perazzetti, A., Digno, M., Tessitore, A., Kamandulis, S., & Conte, D. (2024). Chill Without Thrill: A Crossover Study on Whole-Body Cryotherapy and Postmatch Recovery in High-Level Youth Basketball Players. International Journal of Sports Physiology and Performance, 19(11), 1–9. https://doi.org/10.1123/IJSPP.2024-0085
7. Zembron-Lacny, A., Morawin, B., Wawrzyniak-Gramacka, E., Gramacki, J., Jarmuzek, P., Kotlega, D., & Ziemann, E. (2020). Multiple Cryotherapy Attenuates Oxi-Inflammatory Response Following Skeletal Muscle Injury. International Journal of Environmental Research and Public Health 2020, Vol. 17, Page 7855, 17(21), 7855. https://doi.org/10.3390/IJERPH17217855
8. Hohenauer, E., Clarys, P., Baeyens, J.-P., & Clijsen, R. (2016). The effect of local cryotherapy on subjective and objective recovery characteristics following an exhaustive jump protocol. Open Access Journal of Sports Medicine, 7, 89–97. https://doi.org/10.2147/OAJSM.S110991
9. Sarver, D. C., Sugg, K. B., Disser, N. P., Enselman, E. R. S., Awan, T. M., & Mendias, C. L. (2017). Local cryotherapy minimally impacts the metabolome and transcriptome of human skeletal muscle. Scientific Reports 2017 7:1, 7(1), 1–10. https://doi.org/10.1038/s41598-017-02754-5
10. Nogueira, N. M., Felappi, C. J., Lima, C. S., & Medeiros, D. M. (2020). Effects of local cryotherapy for recovery of delayed onset muscle soreness and strength following exercise-induced muscle damage: systematic review and meta-analysis.Sport Sciences for Health, 16(1), 1–11. https://doi.org/10.1007/S11332-019-00571-Z
Petersen, A. C., & Fyfe, J. J. (2021). Post-exercise Cold Water Immersion Effects on Physiological Adaptations to Resistance Training and the Underlying Mechanisms in Skeletal Muscle: A Narrative Review. Frontiers in Sports and Active Living, 3, 660291. https://doi.org/10.3389/FSPOR.2021.660291
12. Moore, E., Fuller, J. T., Buckley, J. D., Saunders, S., Halson, S. L., Broatch, J. R., & Bellenger, C. R. (2022). Impact of Cold-Water Immersion Compared with Passive Recovery Following a Single Bout of Strenuous Exercise on Athletic Performance in Physically Active Participants: A Systematic Review with Meta-analysis and Meta-regression. Sports Medicine (Auckland, N.Z.), 52(7), 1667–1688. https://doi.org/10.1007/S40279-022-01644-9
13. Heinke, L., Javanmardi, S., Rappelt, L., Konrad, A., Schleip, R., Knicker, A. J., Freiwald, J., & Baumgart, C. (2024). Comparison of the effects of cold water immersion and percussive massage on the recovery after exhausting eccentric exercise: A three-armed randomized controlled trial. Frontiers in Physiology, 15, 1432009. https://doi.org/10.3389/FPHYS.2024.1432009
14. Kunkle, B. F., Friedman, R. J., Curry, E. J., Eichinger, J. K., Kothandaraman, V., Li, X., & Goodloe, J. B. (2021). Orthopaedic Application of Cryotherapy: A Comprehensive Review of the History, Basic Science, Methods, and Clinical Effectiveness. JBJS Reviews, 9(1), e20.00016. https://doi.org/10.2106/jbjs.rvw.20.00016
15. Barbosa, G. M., Ramalho, F. S., Cunha, J. E., Castro, P. A. T. S., Martinho, L. B., Oliveira, F. F. B., Cunha, T. M., Cunha, F. Q., & Salvini, T. F. (2019). Clinical-like cryotherapy improves footprint patterns and reduces synovial inflammation in a rat model of post-traumatic knee osteoarthritis. Scientific Reports, 9(1). https://doi.org/10.1038/s41598-019-50958-8
16. Legrand, F. D., Dugué, B., Costello, J., Bleakley, C., Miller, E., Broatch, J. R., Polidori, G., Lubkowska, A., Louis, J., Lombardi, G., Bieuzen, F., & Capodaglio, P. (2023). Evaluating safety risks of whole-body cryotherapy/cryostimulation (WBC): a scoping review from an international consortium. European Journal of Medical Research, 28(1). https://doi.org/10.1186/s40001-023-01385-z
17. Liao, Y., Liu, S., Wu, J., Chen, Y., Wang, W., & Fu, S. (2023). Low-dose total body irradiation enhances systemic anti-tumor immunity induced by local cryotherapy. Journal of Cancer Research and Clinical Oncology, 149(12), 10053–10063. https://doi.org/10.1007/s00432-023-04928-3
18. Holfelder, B., Schott, N., Klotzbier, T. J., & Eisele, M. (2020). Hot and Cool Executive Function in Elite- and Amateur- Adolescent Athletes From Open and Closed Skills Sports. Frontiers in Psychology, 11(e0206151). https://doi.org/10.3389/fpsyg.2020.00694
19. Vaughan, R., Hanna, D., & Breslin, G. (2018). Psychometric properties of the Mental Toughness Questionnaire 48 (MTQ48) in elite, amateur and nonathletes. Sport, Exercise, and Performance Psychology, 7(2), 128–140. https://doi.org/10.1037/spy0000114
20. Li, S., Brink, M., Kempe, M., & Lemmink, K. (2024). Effectiveness of Recovery Strategies After Training and Competition in Endurance Athletes: An Umbrella Review. Sports Medicine - Open, 10(1). https://doi.org/10.1186/s40798-024-00724-6
21. Hyldahl, R. D., & Peake, J. M. (2020). Combining cooling or heating applications with exercise training to enhance performance and muscle adaptations. Journal of Applied Physiology, 129(2), 353–365. https://doi.org/10.1152/japplphysiol.00322.2020
22. Barari, M. (2023). Unveiling the dark side of influencer marketing: how social media influencers (human vs virtual) diminish followers’ well-being. Marketing Intelligence & Planning, 41(8), 1162–1177. https://doi.org/10.1108/mip-05-2023-0191
23. Wang, J., Ye, G., & Yang, J. (2025). Not a human, not for green? The effectiveness of virtual influencers endorsing green products. Journal of Product & Brand Management, 34(4), 468–485. https://doi.org/10.1108/jpbm-04-2024-5105
24. Kay, S., Mulcahy, R., & Parkinson, J. (2020). When less is more: the impact of macro and micro social media influencers’ disclosure. Journal of Marketing Management, 36(3–4), 248–278. https://doi.org/10.1080/0267257x.2020.1718740
25. Cascio Rizzo, G. L., Pozharliev, R., Berger, J., & De Angelis, M. (2023). How Sensory Language Shapes Influencer’s Impact. Journal of Consumer Research, 50(4), 810–825. https://doi.org/10.1093/jcr/ucad017
26. Setiadi, D. R. I. M., Islam, H. M. M., Trisnapradika, G. A., & Herowati, W. (2024). Analyzing Preprocessing Impact on Machine Learning Classifiers for Cryotherapy and Immunotherapy Dataset. Journal of Future Artificial Intelligence and Technologies, 1(1), 39–50. https://doi.org/10.62411/faith.2024-2
27. Dumas, J. E., & Stough, R. A. (2022). When influencers are not very influential: The negative effects of social media verification. Journal of Consumer Behaviour, 21(3), 614–624. https://doi.org/10.1002/cb.2039
28. Lee, J. A., & Eastin, M. S. (2020). I Like What She’s #Endorsing: The Impact of Female Social Media Influencers’ Perceived Sincerity, Consumer Envy, and Product Type. Journal of Interactive Advertising, 20(1), 76–91. https://doi.org/10.1080/15252019.2020.1737849
29. Graham, K., Rose, C., Caillaud, C., Siegler, J., & Edwards, K. (2017). Whole-body Cryotherapy as a Recovery Technique after Exercise: A Review of the Literature. International Journal of Sports Medicine, 38(14), 1049–1060. https://doi.org/10.1055/s-0043-114861
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Kamila Bakuła, Iga Maria Nowicka, Paweł Rios Turek, Emilia Dybała

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 127
Number of citations: 0