I understand what you are trying to say, although I don't realise what we are discussing now

It is probably important to keep this in context, I am not trying to claim the earth is flat, and I don't do anything of the sort when providing treatment to a patient. I feel it is important to inform the patient, and thus it is important to use a variety of literature (sys reviews, RCTs, etc) which are ethical, have stringent quality of methodology, and are peer reviewed.

If we take for example Chiropractic in North America, which initially began as an 'Art' of spinal manipulation and a treatment modality for 'subluxations'. And many unscrupulous individuals consistently tell patients that they 'need' or 'require' x amount of sessions. Other examples include certain electrotherapies that are touted to work, but lack sufficient evidence.

By providing the above example I am not trying to antagonize either, rather they appear to have their use in certain situations. This is key, and it certainly is the case in many physiotherapy modalities.

Another example includes stretching, for many many years it was considered the norm to stretch (static) before a workout (lets say weight training session) to avoid injury. But significant and mounting evidence just shows that this is not the case, and in fact static stretching before weight lifting attempts decreases subsequent force output. Yet, how often does static stretching take the place of an appropriate warm up before weight training?

In regards to this subject, I agree with cryotherapy and I am not claiming that it has no use in RICE.

"Couldnt agree with you anymore on that, but how do you know which treatment is effective or which study is meaningful when you are not informed ?"

My personal opinion is that the mind-body power effect is quite powerful, and results of many studies (placebo, nocebo, hawthorne effect) can certainly sway the quality of a study. For this reason there is debate about this very topic, what is the role of acupuncture, what is the role of electrotherapies, do they work, if they do what specifically for? I recently reviewed (personally) all the literature surrounding constraint induced movement therapy CIMT, and I can not say for sure that CIMT is any more useful than Neuro Development Training (NDT) at enhancing function in Post-Stroke patients, but I am sure that Taub and his followers are quite adamant that it is the revolutionary therapy that will change the world.

So basically, I am not 'castigat[ing]' cryotherapy in any way, I think that we should consider the evidence to inform clinical decision making.

Personally, I have seen great success with Cryotherapy. But sometimes patients respond better to heat therapy than cryo.

"That is how a true scientist thinks. I just read in the papers today, British medical experts and scientists have travelled outside the UK to do what?, investigate the secrets behind the health"INESS" of rural countries and remote tribes who do not even have a healthcare system.

I'm sorry if I misread your train of thought."

I got another good one for you:

Why is it that US which spends the most money towards medicare and pharmacology, has the highest rates of cancer, diabetes, hypertension, and disease in the world? On the other hand, Cuba which spends some of the least towards a virtually negligible medicare system, has the lowest rates of cancer, diabetes, hypertension, and disease in the world?
I think this is where Physiotherapy will play one of the largest roles in the future, but that is up to debate (that is prevention).

And I would say that this is an interesting discussion, it is one of the first I have seen on this forum in a while.