Whole-Body Cryotherapy: Temperature, Duration, and Evidence
Whole-body cryotherapy uses −110°C to −140°C air for 2–3 minutes; skin temp drops to ~10°C while core remains stable. Meta-analyses find WBC recovery benefits moderate and less robust than cold water immersion evidence.
| Measure | Value | Unit | Notes |
|---|---|---|---|
| WBC chamber temperature | −110 to −140 | °C | Nitrogen vapor or refrigerated air; exposure is 2–3 minutes |
| Skin temperature during WBC | ~10 | °C | Surface temperature drops rapidly; recovers within 15 min after exit |
| Core temperature change during WBC | <0.2 | °C | Brief duration prevents significant core cooling despite extreme skin cold |
| WBC session duration | 2–3 | minutes | Standard protocol; longer durations risk frostbite |
| NE response to WBC vs CWI | WBC: lower magnitude | CWI produces greater NE surge due to conductive vs convective heat loss | |
| DOMS reduction (WBC) | Moderate | Similar to or slightly less effective than CWI in direct comparisons |
Whole-body cryotherapy (WBC) chambers expose the entire body to ultra-cold air (−110°C to −140°C) for brief durations (2–3 minutes). Despite the extreme temperature, the physiological effects on core temperature and biochemical markers are surprisingly modest compared to cold water immersion.
WBC Physics: Why 2 Minutes at −140°C Is Less Challenging Than 15 Minutes at 12°C
The key difference is the thermal conductivity of the medium:
| Medium | Thermal Conductivity | Heat Transfer Rate |
|---|---|---|
| Water at 12°C | ~0.58 W/m·K | Rapid; 25–30× air |
| Air at −140°C | ~0.015 W/m·K | Slow; despite extreme temperature |
| Metal (contact) | 10–200 W/m·K | Very rapid |
Cold air at −140°C transfers heat much more slowly than cold water at 12°C. In 2–3 minutes of air-based cryotherapy, the body loses far less total heat than during 15 minutes of water immersion, explaining why core temperature barely changes.
WBC vs CWI — Comparative Effects
| Outcome | WBC | CWI (10–15°C) | Evidence Quality |
|---|---|---|---|
| Core temp change | <0.2°C | <0.5°C | Both minimal |
| Muscle temp change | ~−2°C | ~−4°C | CWI greater |
| NE response | Moderate | High (200–300%) | CWI greater |
| DOMS reduction | Moderate | ~20% | Similar |
| Anti-inflammatory | Moderate | Moderate | Similar |
| Accessibility | Low (clinic/gym) | High (bathtub) | CWI wins |
| Cost | High ($50–100/session) | Low | CWI wins |
Evidence for WBC Recovery
Costello et al. (2012) review found WBC reduced DOMS and perceived fatigue in most studies, with effect sizes similar to CWI. Pournot et al. (2011) showed reduced inflammatory markers (IL-6, CRP) after multi-session WBC following intense exercise.
The evidence base for WBC is growing but smaller and less consistent than for CWI. Most WBC studies have smaller sample sizes and shorter follow-up periods than the established CWI meta-analyses.
WBC for Non-Athletic Applications
WBC has been studied for:
- Rheumatoid arthritis: Reduced joint pain scores in several small studies
- Multiple sclerosis: Fatigue reduction reported
- Psoriasis: Some skin symptom improvement
- Fibromyalgia: Pain reduction in small RCTs
Most of these studies are small and methodologically limited. WBC for clinical conditions is not FDA-approved; evidence is insufficient for clinical recommendations.
Safety Considerations
WBC is generally safe with precautions:
- Extremities (fingers, toes) must be covered to prevent frostbite
- No wet skin or clothing — ice crystals at skin contact risk
- Contraindicated with cardiovascular disease, Raynaud’s, cryoglobulinemia
- Not suitable for uncontrolled hypertension (blood pressure spikes during WBC)
Related Pages
Sources
- Bleakley C & Davison G (2010) — What is the biochemical and physiological rationale for using cold-water immersion in sports recovery? Br J Sports Med
- Costello JT et al. (2012) — Whole-body cryotherapy in the management of delayed-onset muscle soreness. J Athletic Training
- Pournot H et al. (2011) — Time-course of changes in inflammatory response after whole-body cryotherapy multi exposures following severe exercise. PLOS ONE
- Bouzigon R et al. (2016) — The use of whole-body cryostimulation/cryotherapy in sport. Eur J Sport Sci