: What's the issue with icing for too long? What's the issue with icing for too long, when used to treat a tendinopathy? The only issue I am aware of is the risk of frostbite. E.g. http://www.active.com/running/articles/do-s-and-don-ts-for-icing-injurie

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What's the issue with icing for too long?
What's the issue with icing for too long, when used to treat a tendinopathy?

The only issue I am aware of is the risk of frostbite.

E.g. www.active.com/running/articles/do-s-and-don-ts-for-icing-injuries:

Don't ice for more than 20 minutes or you'll risk frostbite. If your
skin looks red, it's a warning sign you're pushing it. Remove the ice
once you feel numbness.

Is there any other issue?

I am asking for three reasons:

curiosity
some ice patches tend to get pretty warm after 20 minutes, and doesn't seem to pose a risk of frosbites.
patients sometime exercise right before sleeping, and may fall asleep during icing. Empirically, it didn't create the frostbite, so I wonder if it's okay.

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