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Cold Water Immersion

By Advanced Manual Therapies  ·  April 2026

Cold water plunging, or cold water immersion (CWI), has gained attention for its potential health benefits, including aiding recovery, reducing inflammation, and boosting mental well-being. Let’s explore how this practice works, the benefits it offers, and how to do it safely.

HOW COLD WATER PLUNGING WORKS When the body is exposed to cold water (typically between 50°F to 59°F or 10°C to 15°C), the temperature shock causes physiological changes. These include vasoconstriction, where blood vessels narrow to preserve core body temperature, and the release of endorphins, which are feel-good chemicals. The cold also triggers the production of norepinephrine, a hormone and neurotransmitter that helps regulate inflammation and pain.

BENEFITS OF COLD WATER PLUNGING

COLD WATER IMMERSION AND INFLAMMATION Cold water immersion is particularly effective at controlling inflammation by triggering vasoconstriction. When blood vessels constrict, less blood is delivered to the affected area, reducing swelling. After leaving the cold environment, vasodilation (the reopening of blood vessels) occurs, which helps flush out toxins and promote healing. Norepinephrine, released during cold exposure, also plays a key role in reducing inflammatory markers such as TNF-alpha.

OTHER POTENTIAL BENEFITS

HOW AND WHEN TO COLD PLUNGE

RISKS OF COLD WATER IMMERSION While cold water plunging can be beneficial, there are risks, especially for certain individuals. People with heart conditions, hypertension, or cold intolerance should avoid or be cautious with cold plunging, as the rapid changes in blood pressure can be harmful. Sudden immersion in cold water can also trigger a cold shock response, which may lead to hyperventilation or even drowning if not carefully managed. Prolonged immersion in extremely cold water can lead to hypothermia. Always ensure that you plunge safely, preferably with supervision or in a controlled environment.

CONCLUSION Cold water plunging offers numerous potential benefits, from reducing inflammation and aiding recovery to boosting mental health and stress resilience. By understanding how it works and incorporating it safely into your routine, you may experience these advantages. However, it’s important to be mindful of the risks, especially if you have underlying health conditions. Always start with shorter plunges at milder temperatures, and listen to your body as you develop a tolerance for the cold.

REFERENCES Peake, J. M., Roberts, L. A., Figueiredo, V. C., Egner, I. M., Bastiani, M., Aas, S. N., … & Coffey, V. G. (2016). The effects of cold water immersion and active recovery on inflammation and cell stress responses in human skeletal muscle after resistance exercise. The Journal of Physiology, 594(18), 5375-5388. Shevchuk, N. A. (2008). Adapted cold shower as a potential treatment for depression. Medical Hypotheses, 70(5), 995-1001. Kourtidou-Papadeli, C., Nikolaidis, M. G., & Mougios, V. (2003). Seasonal variation of stress responses and antioxidant defense in swimmers and cold water swimmers. Cell Stress & Chaperones, 8(4), 359-363.

Keywords: cold – water – immersion – plunge – inflammation

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