Cryospots
Evidence Hub

Cryotherapy Studies — the scientific foundation of cold therapy.

Over 200 peer-reviewed cryotherapy studies from 50+ years of clinical and sports-science research — curated, categorised and annotated. From Dr. Yamaguchi's first Hokkaido protocol (1978) to meta-analyses from 2025.

208+
Studies
50
Years of research
8
Research clusters

What the evidence shows

Cryotherapy is one of the best-documented non-pharmacological recovery methods in modern medicine. More than half a century of clinical and sports-science research — from Dr. Toshima Yamaguchi's pioneering 1978 work with rheumatoid arthritis patients in Japan to top-ranked meta-analyses in 2025 — confirms it: people who use the cryo chamber regularly see measurable benefits.

The range of documented effects is striking — and consistent across the literature. Whole-body cryotherapy reduces delayed-onset muscle soreness (DOMS) after intense exercise, accelerates recovery between training sessions, and measurably lowers pro-inflammatory cytokines such as IL-6 and TNF-α. In chronic inflammatory conditions — rheumatoid arthritis, fibromyalgia, ankylosing spondylitis — studies show substantial pain reduction and improved quality of life. In mental health, research documents positive effects on mood, sleep quality, stress resilience and symptoms of mild-to-moderate depression.

At Cryospots we hold one advantage over any individual cryo provider: we don't sell the treatment ourselves. We're a neutral directory. That lets us present the science honestly — confident where the evidence is strong, sober where marketing claims have outrun the research.

Evidence by application area

The eight central research clusters in cryotherapy — click through to the filtered study list.

Most-cited studies

The six most influential cryotherapy papers — weighted by citations and recency.

471 citations2004

The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner.

Cryotherapy reduces tissue metabolism and inflammation, while thermotherapy increases them, both providing significant pain relief with low side-effect profiles.

S. Nadler, K. Weingand, R. Kruse
Pain physician
372 citations2010

Cryoablation: mechanism of action and devices.

Cryoablation causes tissue damage and death through direct and indirect mechanisms, with factors like cooling rate, target temperature, time at target temperature, and thawing rate influencing injury.

J. Erinjeri, T. Clark
Journal of vascular and interventional radiology : JVIRDOI ↗
328 citationsMeta-analysis2018

An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis

Massage is the most effective method for reducing delayed onset muscle soreness and perceived fatigue after physical exercise, while compression techniques can effectively manage perceived fatigue.

O. Dupuy, W. Douzi, D. Theurot et al.
Frontiers in PhysiologyDOI ↗
372 citations1996

Cryotherapy in sports medicine

Cryotherapy effectively treats acute soft tissue injuries, reduces pain, and speeds up recovery in sports medicine, with few complications or side-effects.

C. Swenson, L. Swärd, J. Karlsson
Scandinavian Journal of Medicine & Science in SportsDOI ↗
263 citations2009

Experimental cryosurgery investigations in vivo.

Cryosurgery, using freezing temperatures to target targeted tissues, has advanced as a widely applied therapeutic option due to its effectiveness in cellular and tissue-related events.

A. Gage, J. Baust, J. Baust
CryobiologyDOI ↗
245 citationsLiterature review2013

Water Immersion Recovery for Athletes: Effect on Exercise Performance and Practical Recommendations

Cold water immersion for 5-15 minutes is most effective for athletes, while both cold and warm water contrast therapy show promise for recovery, but the optimal technique remains unclear.

Nathan G. Versey, S. Halson, B. Dawson
Sports MedicineDOI ↗
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All studies

67 of 208 studies · topic: Safety & Side Effects

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2004·471 cit.

The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner.

Cryotherapy reduces tissue metabolism and inflammation, while thermotherapy increases them, both providing significant pain relief with low side-effect profiles.

S. Nadler, K. Weingand et al.
1996·372 cit.

Cryotherapy in sports medicine

Cryotherapy effectively treats acute soft tissue injuries, reduces pain, and speeds up recovery in sports medicine, with few complications or side-effects.

C. Swenson, L. Swärd et al.DOI ↗
2012·219 cit.Meta-analysis

Cold-water immersion (cryotherapy) for preventing and treating muscle soreness after exercise

Cold-water immersion reduces delayed onset muscle soreness after exercise compared to passive interventions like rest or no intervention, but more high-quality research is needed.

C. Bleakley, S. McDonough et al.DOI ↗
2015·169 cit.Meta-analysis

The Effect of Post-Exercise Cryotherapy on Recovery Characteristics: A Systematic Review and Meta-Analysis

Post-exercise cryotherapy significantly reduces delayed-onset muscle soreness and perceived exertion symptoms, but does not significantly affect objective recovery variables.

E. Hohenauer, J. Taeymans et al.DOI ↗
2017·145 cit.Literature review

Whole-Body Cryotherapy in Athletes: From Therapy to Stimulation. An Updated Review of the Literature

Whole-body cryotherapy is a widely used sports medicine treatment that improves pain, soreness, stress, and post-exercise recovery, with potential applications in metabolic diseases like obesity and type 2 diabetes.

G. Lombardi, E. Ziemann et al.DOI ↗
2017·109 cit.Meta-analysis

Cryotherapy to treat anogenital warts in nonimmunocompromised adults: Systematic review and meta‐analysis

Cryotherapy is an acceptable first-line therapy for treating anogenital warts in nonimmunocompromised adults, with similar efficacy to trichloroacetic acid, podophyllin, or imiquimod, but more immediate low-level adverse events.

A. Bertolotti, N. Dupin et al.DOI ↗
2013·116 cit.Meta-analysis

Contrast Water Therapy and Exercise Induced Muscle Damage: A Systematic Review and Meta-Analysis

Contrast Water Therapy (CWT) effectively reduces muscle soreness and strength loss after exercise compared to passive recovery, but there is little evidence to suggest it is superior to other popular recovery interventions.

F. Bieuzen, C. Bleakley et al.DOI ↗
2013·110 cit.Meta-analysis

Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults.

Whole-body cryotherapy has very low quality evidence to determine its effectiveness in reducing muscle soreness and improving subjective recovery after exercise in physically active young adult males.

J. Costello, P. Baker et al.DOI ↗
2016·95 cit.

Bronchoscopic Cryotherapy. Clinical Applications of the Cryoprobe, Cryospray, and Cryoadhesion.

Bronchoscopic cryotherapy can effectively treat various airway conditions and perform diagnostic procedures, with potential for future synergy with radiation and chemotherapy.

D. Dibardino, A. Lanfranco et al.DOI ↗
2022·63 cit.Literature review

The applications of cryoneurolysis for acute and chronic pain management

Cryoneurolysis, using extreme cold to targeted nerve tissue, provides prolonged pain relief without promoting motor blockade in both acute and chronic pain management settings.

Emily Biel, Edwin N. Aroke et al.DOI ↗
2013·86 cit.

Catheter Cryoablation: Biology and Clinical Uses

Cryoablation, using high-temperature temperatures to treat medical disorders, has a long history of safe and effective use in medicine, with potential advantages over standard radiofrequency catheter ablation in cardiac electrophysiology.

J. Andrade, P. Khairy et al.DOI ↗
2020·57 cit.Systematic review

Use of Cryotherapy for Managing Chronic Pain: An Evidence-Based Narrative

Cryotherapy shows promise in reducing chronic pain associated with various chronic diseases, offering a low-risk and easy treatment option for carefully selected patients.

Carol Garcia, Jay Karri et al.DOI ↗
2021·52 cit.Randomized controlled trial

Cryotherapy for treatment of chronic rhinitis: 3‐month outcomes of a randomized, sham‐controlled trial

Cryotherapy is superior to a sham procedure for improving chronic rhinitis symptoms and patient quality of life at the 90-day follow-up.

Anthony G. Del Signore, J. Greene et al.DOI ↗
2022·37 cit.non-rct observational study

Cryotherapy in the paediatric airway: Indications, success and safety

Cryotherapy in paediatric airway is safe and has a high success rate, potentially replacing forceps biopsy in the future.

D. Schramm, N. Freitag et al.DOI ↗
2024·30 cit.Systematic review

Effectiveness of Recovery Strategies After Training and Competition in Endurance Athletes: An Umbrella Review

Cryotherapy and compression garments show positive effects in training recovery for endurance athletes, while massage shows no consistent benefits.

Shuting Li, M. Kempe et al.DOI ↗
2021·35 cit.Systematic review

Orthopaedic Application of Cryotherapy: A Comprehensive Review of the History, Basic Science, Methods, and Clinical Effectiveness.

Cryotherapy can reduce pain and swelling after orthopaedic procedures, but its effectiveness in increasing range of motion and decreasing swelling is less clear.

Bryce F. Kunkle, Venkatraman Kothandaraman et al.DOI ↗
2023·29 cit.Systematic review

Evaluating safety risks of whole-body cryotherapy/cryostimulation (WBC): a scoping review from an international consortium

Whole-body cryotherapy (WBC) has potential benefits for improving sleep quality, neuromuscular recovery, and chronic pain relief, with safety risks within acceptable limits when adhering to existing recommendations and guidelines.

Fabien D. Legrand, Benoit Dugué et al.DOI ↗
2021·31 cit.Meta-analysis

EFFECT OF COLD AND HEAT THERAPIES ON PAIN RELIEF IN PATIENTS WITH DELAYED ONSET MUSCLE SORENESS: A NETWORK META-ANALYSIS

Hot packs and cryotherapy are the most effective for pain relief within 24 hours after exercise, while hot packs and contrast water therapy are effective within 48 hours.

Yutan Wang, Hongmei Lu et al.DOI ↗
2022·28 cit.Systematic review

Systematic Review of Focal and Salvage Cryotherapy for Prostate Cancer

Cryotherapy for prostate cancer shows similar oncological and survival outcomes for primary and salvage therapy, with common complications including erectile dysfunction, urinary incontinence, and bladder neck stricture.

Y. Chin, N. LynnDOI ↗
2021·29 cit.Meta-analysis

Cryotherapy in extra-abdominal desmoid tumors: A systematic review and meta-analysis

Cryotherapy is a safe and effective treatment for extra-abdominal desmoid tumors, with similar efficacy to traditional strategies in the short to medium term.

B. M. K. Vora, P. Munk et al.DOI ↗
2021·29 cit.

Post-exercise Recovery: Cooling and Heating, a Periodized Approach

Athletes need to optimize their recovery process to reduce fatigue, injury risk, and illness, while maintaining performance and minimizing financial implications.

R. ThorpeDOI ↗
2022·23 cit.Meta-analysis

Efficacy of cryotherapy for plantar warts: A systematic review and meta‐analysis

Cryotherapy has lower cure rates for plantar warts compared to physical treatment, antivirals, chemotherapy, and retinoid treatments, with no clear evidence supporting its superiority or inferiority compared to other treatments.

Sara García-Oreja, F. Álvaro‐Afonso et al.DOI ↗
1999·87 cit.

Principles of Cutaneous Cryosurgery: An Update

Cryosurgery is an effective and efficient treatment for various skin diseases, providing high cure rates and good cosmetic results with few contraindications and low incidence of complications.

C. ZouboulisDOI ↗
2020·27 cit.

Cutaneous Cryosurgery for Common Skin Conditions.

Cryosurgery is a safe, effective, and low-cost outpatient procedure for treating various skin conditions, with high cure rates and good cosmetic results.

Karl T. Clebak, Megan Mendez-Miller et al.
2024·15 cit.Meta-analysis

Efficacy of cryotherapy in the prevention of chemotherapy-induced peripheral neuropathy: A systematic review and meta-analysis

Cryotherapy effectively reduces the incidence of chemotherapy-induced peripheral neuropathy and improves quality of life for patients undergoing chemotherapy.

Hsiu-Yu Tai, Lee-Yuan Lin et al.DOI ↗
2024·14 cit.Experimental study

Transbronchial cryoablation in peripheral lung parenchyma with a novel thin cryoprobe and initial clinical testing

Transbronchial cryoablation is a safe and feasible procedure for non-surgical peripheral stage IA lung cancer or pulmonary metastases, with potential for local therapy.

Chuanjia Gu, Haibin Yuan et al.DOI ↗
2023·16 cit.Meta-analysis

Continuous cryotherapy vs. traditional cryotherapy after total knee arthroplasty: A systematic review and meta-analysis of randomized controlled trials

Continuous cryotherapy does not offer significant benefits for total knee arthroplasty compared to traditional cryotherapy, and traditional cryotherapy remains recommended due to cost-effectiveness.

Mengke Liu, M. Tian et al.DOI ↗
2024·9 cit.Literature review

Percutaneous cryoablation in soft tissue tumor management: an educational review

Percutaneous cryoablation (PCA) is a promising, minimally invasive alternative for managing soft tissue tumors, offering pain reduction, tumor size decrease, and enhanced patient outcomes.

S. Bodard, Ruben Geevarghese et al.DOI ↗
2024·9 cit.Systematic review

Whole-Body Cryostimulation in Multiple Sclerosis: A Scoping Review

Whole-body cryostimulation may improve functional status, mood, anxiety, and fatigue in MS patients without causing adverse effects.

Angelo Alito, J. Fontana et al.DOI ↗
2024·9 cit.Randomized controlled trial

Cropsi study: Efficacy and safety of cryotherapy and cryocompression in the prevention of chemotherapy-induced peripheral neuropathy in patients with breast and gynecological cancer–A prospective, randomized trial

Cryotherapy and cryocompression are both safe and effective in reducing chemotherapy-induced peripheral neuropathy, but cryocompression is not more effective than cryotherapy alone.

C. Brunner, Miriam Emmelheinz et al.DOI ↗
2024·8 cit.Literature review

Applications of Cryoneurolysis in Chronic Pain Management: a Review of the Current Literature

Cryoneurolysis shows potential in managing various chronic pain pathologies with a low complication rate, but more blinded, controlled, and prospective studies are needed to clarify its risks and advantages.

David L Chang, Benjamin D. Mirman et al.DOI ↗
2025·5 cit.Systematic review

Mechanisms and parameters of cryotherapy intervention for early postoperative swelling following total knee arthroplasty: A scoping review

Cryotherapy may reduce swelling after total knee arthroplasty by reducing haemorrhage and inflammation, but its effectiveness is low and its parameters are not standardized.

Lin Yang, Yi-fang Zhan et al.DOI ↗
2024·7 cit.Randomized controlled trial

Novel cryotherapy technique for pulpotomy in mature permanent teeth with symptomatic irreversible pulpitis- a randomized controlled trial

Cryotherapy reduces postoperative pain and has no adverse effect on pulpotomy outcomes in mature permanent teeth with symptomatic irreversible pulpitis.

V. Akhil, Vijay Kumar et al.DOI ↗
2024·7 cit.Meta-analysis

The effects of hydrotherapy and cryotherapy on recovery from acute post-exercise induced muscle damage—a network meta-analysis

Cryotherapy is the most effective treatment for reducing muscle soreness and neuromuscular recovery after exercise-induced muscle damage.

Ruohan Chen, Xiaopeng Ma et al.DOI ↗
2025·4 cit.Meta-analysis

Whole-body cryotherapy can reduce the inflammatory response in humans: a meta-analysis based on 11 randomized controlled trials

Whole-body cryotherapy effectively reduces inflammation by lowering IL-1 and increasing IL-10 levels, offering significant benefits for athletes and obese individuals.

Jun He, Xinyu Zhang et al.DOI ↗
2025·3 cit.Literature review

Cryoablation for breast cancer: a narrative review of advances, clinical applications, and future challenges

Cryoablation is a promising alternative to traditional surgical methods for treating early-stage, advanced, and inoperable breast cancer, with potential for enhancing anti-tumor immune responses and preventing tumor recurrence.

Manchen Yang, Baosan Han et al.DOI ↗
2025·3 cit.Meta-analysis

A meta-analysis of the utility of cryotherapy for preventing peripheral neuropathy among breast cancer patients receiving paclitaxel and nab-paclitaxel

Cryotherapy with taxane infusion significantly reduces peripheral neuropathy in breast cancer patients receiving paclitaxel or nab-paclitaxel, with cold intolerance being the most common adverse effect.

Prashanth Ashok Kumar, Parth J Sampat et al.DOI ↗
2021·14 cit.Meta-analysis

The Effect of Cryotherapy Application on Postoperative Pain

Cryotherapy application on closed incisions reduces postoperative pain and opioid consumption without affecting surgical site infection rate or hospital stay duration.

H. Muaddi, E. Lillie et al.DOI ↗
2024·5 cit.

Whole-body cryotherapy in orthopaedics: current concepts

Whole-body cryotherapy shows promise in improving bone health in athletes and providing relief for osteoarthritis and fibromyalgia, but more research is needed to establish standard protocols and understand long-term effects.

Madhan Jeyaraman, Filippo Migliorini et al.DOI ↗
2024·5 cit.Meta-analysis

Perioperative outcomes and long-term survival of cryosurgery on unresectable pancreatic cancer: a systematic review and meta-analysis

Cryoablation shows promising results in reducing tumor size and improving long-term survival rates for patients with unresectable pancreatic cancer.

K. Xue, Xiaofeng Liu et al.DOI ↗
2024·5 cit.Meta-analysis

Cryotherapy for Rehabilitation After Total Knee Arthroplasty: A Comprehensive Systematic Review and Meta‐Analysis

Cryotherapy effectively alleviates postoperative pain, reduces blood loss, and improves range of motion in total knee arthroplasty patients, but the continuous cold flow device showed no better efficacy than cold packs.

Zhimin Liang, Zichuan Ding et al.DOI ↗
2018·22 cit.

Cryotherapy in the management of premalignant and malignant conditions of the esophagus

Cryotherapy is an effective and safe method for treating esophageal neoplastic processes, from early stages of low grade dysplasia to esophageal cancer, with common side effects including mild chest discomfort and esophageal strictures.

P. Lal, P. ThotaDOI ↗
2025·2 cit.Meta-analysis

Certainty of evidence on the effects of cryotherapy, surgical wound closure, and chlorhexidine on clinical and patient-centered outcomes after third molar surgery: evidence mapping of systematic reviews and meta-analyses

Cryotherapy, secondary surgical wound closure, and chlorhexidine show potential benefits in reducing pain and swelling after third molar surgery, but most reviews have low methodological quality.

E. D. do Nascimento-Júnior, F. Costa et al.DOI ↗
2025·1 cit.Systematic review

Cryotherapy as a Surgical De-Escalation Strategy in Breast Cancer: Techniques, Complications, and Oncological Outcomes

Breast cryotherapy appears safe and can achieve encouraging local control and cosmetic results in selected early-stage breast cancer cases, but its role in aggressive subtypes, larger or multifocal disease, and multimodal regimens requires further study.

Kai Lin Lee, A. Sule et al.DOI ↗
2025·1 cit.Systematic review

Innovations in Chronic Pain Treatment: A Narrative Review on the Role of Cryoneurolysis

Cryoneurolysis is a safe technique for chronic pain management, particularly effective for selected neuropathic pain conditions, but more high-quality randomized controlled trials are needed to confirm its long-term efficacy and role.

A. Tinnirello, Maurizio Marchesini et al.DOI ↗
2025·1 cit.Systematic review

Cryotherapy and Whole Body Cooling: A Critical Review of Physiological Impacts on Elite Athletes

Cryotherapy aids acute recovery and strength retention in elite athletes, but requires strict safety protocols and individualized approaches.

Wojciech Tokarczyk, Karol Demel et al.DOI ↗
2025·1 cit.

Cutaneous Cryosurgery in Dermatology: Evolving Principles and Clinical Applications for Benign, Premalignant, and Malignant Lesions

Cryosurgery is a valuable treatment option for various skin diseases due to its safety, efficiency, and cost-effectiveness, offering advantages over established treatments.

R. Mokbel, Alevtina Kodresko et al.DOI ↗
2025·1 cit.Randomized controlled trial

Evaluation of the effect of intracanal cryotherapy on postoperative pain after retreatment: a randomized controlled clinical trial

Intracanal cryotherapy using cold saline effectively reduces short-term postoperative pain and improves patient comfort in single-visit endodontic retreatment, but does not significantly influence long-term pain or analgesic intake.

Arzu Kaya Mumcu, Ecenur Tuzcu et al.DOI ↗
2025·1 cit.Literature review

Exploring the role of cryotherapy in plastic surgery: mechanisms, applications, and future directions

Cryotherapy shows promise in managing postoperative pain and reducing swelling in plastic surgery, offering a low-risk, high-reward option for improving patient care.

Hatan Mortada, Raghad AlKhashan et al.DOI ↗
2024·3 cit.Literature review

Update on applications of endoscopic cryotherapy in the gastrointestinal tract

Endoscopic cryotherapy is a safe, effective, and well-tolerated treatment option for various gastrointestinal conditions, including refractory Barrett's esophagus and advanced esophageal cancer.

Sarah Enslin, Vivek KaulDOI ↗
2025Systematic review

Intraoperative Cryotherapy as a Local Adjuvant After Bone Curettage in Orthopedic Oncology: A Review of Modern Literature

Intraoperative cryotherapy after bone curettage effectively eradicates benign and low-grade bone tumors with low complication rates and minimal impact on patients' functionality.

A. D'Arienzo, E. Ipponi et al.DOI ↗
2025Experimental study

Clinical Evolution and Safety of a Cryotherapy - Based Spray for Mild to Moderate Joint and Muscle Pain: A Descriptive Observational Study

Cryotherapy spray effectively reduces pain and improves joint mobility, with high patient satisfaction and a favorable safety profile, suggesting potential for clinical use.

Manuel A Ballester Herrera, J. M. Muñoz Vives et al.DOI ↗
2025Literature review

Local Cryotherapy in Traumatology and Orthopedics: A Review of Current Approaches and Potential Clinical Use

Local cryotherapy shows promise in treating musculoskeletal diseases and rehabilitating injuries, but more research is needed to optimize treatment regimens and develop personalized protocols.

A. Pushkarev, N. Saakyan et al.DOI ↗
2025Systematic review

Effects of systemic and local cryotherapy on the course of neurodegenerative and autoimmune diseases - A Literature Review

Cryotherapy is a valuable adjunctive tool for treating chronic inflammatory diseases, but its use should be preceded by detailed clinical assessment and patient qualification.

Weronika Kalinowska, P. Kulasza et al.DOI ↗
2025Literature review

The Comprehensive Evolution of Cryotherapy: A Review on Mechanisms, Applications and the Future of Cold Therapy from Sports Medicine to Metabolic Health

Cryotherapy effectively reduces pain and edema, improves recovery, and enhances mental well-being, but protocol standardization and long-term molecular and psychological effects require further research.

Cihangir AçıkDOI ↗
2025Systematic review

Cryotherapy following total knee replacement.

Cryotherapy may reduce blood loss and slightly improve pain after total knee replacement, but its effectiveness on transfusion rate, function, and adverse events remains uncertain.

Ashwin Aggarwal, S. Adie et al.DOI ↗
2025Systematic review

Hydrotherapy Interventions for Muscle Recovery in Athletes: A Narrative Review

Hydrotherapy interventions, such as cold water immersion and contrast water therapy, effectively reduce muscle edema, inflammation, and pain, leading to improved muscle function and performance in athletes.

Nanjeshgowda H LDOI ↗
2025Randomized controlled trial

Effect of pneumatic and cold compression on muscle performance and recovery in combat sports athletes

Pneumatic and cold compression therapies accelerate recovery in combat athletes by improving blood flow and muscle elasticity, potentially improving performance and reducing injury risk.

R. Trybulski, Sebastian Klich et al.DOI ↗
2024·2 cit.Meta-analysis

The effectiveness of cryotherapy and cooled topical anesthesia compared with conventional topical anesthesia in alleviating intraoral injection pain: A systematic review and meta-analysis.

Cryotherapy significantly reduces intraoral injection pain compared to topical anesthesia, particularly for children and combined age groups, but is less effective in adults.

Pooya Saeedi, Alireza Sarraf Shirazi et al.DOI ↗
2020·12 cit.Experimental study

Cryotherapy to treat benign skin tumours in conscious dogs.

Cryotherapy is a safe and effective method for treating benign skin tumors in conscious dogs, with pain and discomfort being the most common adverse effects.

M. Angileri, T. Furlanello et al.DOI ↗
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