@JamieMarc I am sure that some people swear for heat over ice, and vice versa, but for me, having both inflammatory and osteo arthritis I go with whichever feels right at the time.
Generally, if I know I have swelling it tends to indicate higher inflammation, so I use ice packs ( Therapearls are the best, they mould better onto awkward places like knuckles). If stiffness is my primary symptom then heated wheat bags work better.
It looks weird but many times I have used ice on my wrists and quickly followed by heat on my fingers.
I go by what my body needs at that time.
