Home / Blog October 30, 2023 Updated on November 16, 2023

4 min read

Should I Use Ice Or Heat For Nerve Pain?

Many people find ice or heat therapy a helpful tool to relieve nerve pain. Below, we provide you with a detailed breakdown of when and how to use ice or heat to alleviate various forms of nerve pain, from pinched nerves to back pain and more.

Should I Use Ice Or Heat For Nerve Pain?


Knowing what is causing your pain is crucial in deciding whether you should use heat or ice for nerve pain.

Heat is better for muscle pain and stiffness, while ice is more effective for acute injuries and inflammation.

Always consult a doctor if your nerve pain is severe, chronic, or significantly affecting daily life. 

Did you know?
Roughly 15 million Americans regularly experience nerve pain, and it’s most common in adults older than 60 years.

Are you wondering, “Is heat or ice better for nerve pain?” If this is because you or one of your loved ones experiences nerve pain, worry not… you’re not alone. Many people know just how nerve pain can be both distressing and challenging to manage.

In this blog, we’ll take a closer look at the causes of nerve pain such as injuries, compression, and nerve disorders. We’ll also answer some often-asked questions like, “Should I use a hot or cold compress for swelling?”, “Can I use a heating pad for nerve pain?”, and “Should I use heat or ice for nerve pain in my arm?”

Let’s first try to understand what can cause nerve pain.

What Causes Nerve Pain?

Nerve pain, also known as neuropathic pain, can have various causes and often results from damage or dysfunction in the nervous system. It is helpful to understand these causes before looking at the benefits of hot or cold compresses for nerve pain.

  • Nerve Injury: Physical injury can lead to pain. This can include injuries from accidents, falls, or surgical procedures.
  • Nerve Compression: Pressure on a nerve can cause pain. Conditions like carpal tunnel syndrome, sciatica, and herniated discs can compress nerves and result in pain.
  • Diabetes: Diabetic neuropathy is a common complication of diabetes where high blood sugar levels can damage nerves over time.
  • Infections: Certain infections, such as herpes zoster (shingles), HIV/AIDS, and Lyme disease, can affect nerves and cause nerve pain.
  • Autoimmune Disorders: Autoimmune diseases like multiple sclerosis and Guillain-Barré syndrome can cause the immune system to attack and damage nerves.
  • Medications: Some medications, particularly chemotherapy drugs and certain antiretroviral drugs used to treat HIV, can cause neuropathy as a side effect.
  • Alcohol Use: Chronic excessive alcohol consumption can lead to alcoholic neuropathy, causing nerve damage and pain.
  • Nutritional Deficiencies: A lack of certain nutrients, such as vitamin B12, B6, and B1 or Copper, can lead to neuropathy and nerve pain.
  • Toxins and Chemicals: Exposure to certain toxins, heavy metals, and chemicals can damage nerves and cause pain.
  • Idiopathic Neuropathy: In some cases, the exact cause of neuropathic pain may be unknown, and it is referred to as idiopathic neuropathy

Nerve pain can manifest in many ways such as burning, shooting, tingling, or electric shock-like sensations. The treatment of nerve pain often involves addressing the underlying cause and using therapies, like a hot or cold compress can help soothe discomfort.

When and How To Use Heat Or Ice For Nerve Pain

Choosing between heat or ice for nerve pain depends on the underlying cause of the pain and the specific symptoms you are experiencing.

Heat Therapy

1. When to Use: Heat is generally more beneficial for muscle pain, stiffness, and spasms but it can also be helpful for certain types of nerve pain, such as sciatica or nerve pain related to muscle tension.

2. How it Works: Heat helps to relax and loosen tissues, increase blood flow to the affected area and that promotes healing. It can also soothe and comfort sore muscles.

3. Methods: You can apply heat using warm towels, heating pads, heat wraps or taking a warm bath.

Cold Therapy

1. When to Use: Cold therapy is typically more effective for acute injuries or conditions that involve inflammation, swelling, or recent trauma. It can be useful for reducing pain and swelling associated with nerve compression or injuries.

2. How it Works: Cold makes blood vessels narrow, which can reduce inflammation and numb the affected area, providing pain relief. It can also help prevent further tissue damage.

3. Methods: Cold therapy can be applied using ice packs, cold compresses, or taking ice baths.

In some cases, a combination of both heat and cold therapy, known as contrast therapy, can be beneficial. Contrast therapy involves alternating between heat and cold to promote circulation, reduce inflammation, and manage pain.


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Does The Cold Make Nerve Pain Worse?

Yes, coldness can make nerve pain worse for some people. It is just as important to understand when using ice can make nerve pain worse, as it is knowing when ice does help.

When using ice worsens nerve pain, it’s referred to as cold-sensitive neuropathy. This is most likely caused because coolness makes blood vessels narrower, reducing blood flow to peripheral nerves. This reduced blood flow leads to decreased oxygen supply to nerves, potentially increasing pain.

Cold temperatures can also make nerves more sensitive, causing them to transmit pain signals faster. Coldness also causes muscles to tense up and stiffen. When muscles surrounding nerves tighten, they can compress or irritate the nerves, exacerbating pain.

So, is it then safe to assume that heat is good for nerve pain? If you’re dealing specifically with nerve inflammation, heat might not be an ideal pain relief remedy.

Does Heat Make Nerve Inflammation Worse?

It’s important to keep in mind that heat can potentially make nerve inflammation worse in some cases. Nerve inflammation, often referred to as neuritis, can be caused by injury, compression, infections, autoimmune disorders, and other underlying medical conditions. Whether heat exacerbates nerve inflammation depends on the specific cause and each individual person’s response to heat therapy.

People with inflammatory nerve conditions or autoimmune disorders like multiple sclerosis or Guillain-Barré syndrome should exercise caution when using heat therapy as it could cause discomfort.

A common side-effect of nerve pain is sleep deprivation. While sleeping with nerve pain can be challenging, there are simple adjustments you can make to help improve your sleep quality and wake up feeling well rested.

How Do You Sleep With Nerve Pain?

Here are some tips for sleeping with nerve pain:

  • Comfortable Sleeping Position: You may want to experiment with different sleeping positions to find one that minimizes pressure on the affected nerves. Some people find relief by sleeping on their back with a pillow under their knees or on their side with a pillow between their knees.
  • Supportive Mattress and Pillow: Consider investing in a mattress and pillows that provide adequate support for your body. For instance, you may get yourself a memory foam mattress or an ergonomic body pillow.
  • Stretching and Gentle Exercises: Incorporate gentle stretching or relaxation techniques such as deep breathing and meditation into your bedtime routine. These can help relax muscles and reduce tension, which may alleviate some nerve pain.
  • Avoid Stimulants: Consider limiting or steering away from caffeine and nicotine, especially in the evening, as these substances can interfere with sleep.
  • Reduce Distractions and Light: You may want to create a dark, quiet, and comfortable sleep environment. Consider using blackout curtains, an eye mask or earplugs if necessary.
  • Bedroom Temperature: Keep your bedroom at a comfortable temperature. A cooler room (around 65-68°F or 18-20°C) is generally better for sleep. 

When To See A Doctor

Remember that what works to alleviate nerve pain varies from person to person. It may take some trial and error to find the most effective strategies for managing your pain.

If your nerve pain is severe or significantly impacting your day-to-day activities, consult your doctor to help identify the underlying cause of your pain and recommend appropriate medical treatments or interventions.


In short, the difference between the benefits of an ice pack vs a cold pack for nerve pain comes down to the underlying cause of your discomfort. If your pain is from a strain or stiffness, then heat is likely a better option for you. And if the nerve pain is from inflammation or swelling, cold packs can be more effective.