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Cold Plunge vs Cryotherapy: What the Cochrane Reviews Found

Cold plunge vs whole-body cryotherapy: water at 50°F against air below -100°C, what two Cochrane reviews found for soreness, and what the FDA has said.

Related guide

Cold Plunge Benefits: What the Research Shows

By Cold Plunges
On this page
  1. How each one works
  2. What the evidence says for soreness
  3. What the FDA says
  4. Who should check with a doctor first
  5. What each costs you
  6. Sources

Cryotherapy studios sell the same promise as a home cold plunge, faster recovery, in a two-to-three-minute session of extremely cold air. They are often marketed as the high-tech version.

This article compares the two on how they work and what the evidence says. It sits under our overview of cold plunge benefits. It is general information, not medical advice.

Short answer: a cold plunge is water at around 50 to 59°F; whole-body cryotherapy is dry air below -100°C for 2 to 4 minutes. A Cochrane review found some evidence that cold water eases soreness, and another found too little evidence to say whether cryotherapy does. The FDA has not cleared or approved any whole-body cryotherapy device.

How each one works

Cold plunge Whole-body cryotherapy
Medium Water Dry air, in a chamber or cabin
Temperature 50 to 59°F to start, never below 40°F (Cleveland Clinic) Below -100°C (Cochrane, 2015)
Time A minute or two to start, never over five minutes Two to four minutes per exposure
Where At home or a gym A studio or clinic

Water pulls heat from your body much faster than air at the same temperature, which is why a chamber has to be so much colder. That is general physics, not a finding from the sources below.

What the evidence says for soreness

Cold water. A 2012 Cochrane review of 17 small trials found “some evidence that cold-water immersion reduces delayed onset muscle soreness after exercise compared with passive interventions.” The trials were low quality.

Cryotherapy. A 2015 Cochrane review found 4 trials with 64 people, almost all young men. Its conclusion: “There is insufficient evidence to determine whether whole-body cryotherapy (WBC) reduces self-reported muscle soreness, or improves subjective recovery.” All evidence was rated “very low” quality.

Here’s what the studio menu won’t tell you. The 2015 review found no trial that compared cryotherapy with cold water at all. So “cryotherapy works better than an ice bath” has no trial behind it in either review.

What the FDA says

An FDA consumer page on hot and cold therapy devices says: “Whole body cryotherapy presents a different set of risks and its healing benefits are unconfirmed.” An FDA adverse event record states: “The U.S. Food and Drug Administration has not cleared or approved any whole body cryotherapy devices.”

The 2015 Cochrane review adds that none of its trials watched for side effects, and that “the exposure to extreme temperature presents a potential hazard.”

Who should check with a doctor first

For cold plunging, Cleveland Clinic lists heart disease, high blood pressure, diabetes, pregnancy, peripheral neuropathy, poor circulation, venous stasis, and cold agglutinin disease. The sources here give no equivalent list for cryotherapy chambers, so ask your doctor about either if any of those apply.

What each costs you

A chamber is a per-session cost at a studio; none of our product data covers studio prices, so I won’t quote one.

A plunge is a one-time purchase. An ice bath like the Polar Recovery tub is $89. A chiller tub like the Plunge Original is $8,490 and holds its temperature for daily use.

My rule of thumb: if soreness is the reason, the method with some evidence behind it is the one in your bathroom or backyard.

Bottom line: cold water has weak but real evidence for soreness; cryotherapy has too little to judge, and no device is FDA-cleared. If you want to try cold for recovery, a plunge is the better-studied choice. For the other claims, see the cold plunge benefits overview linked above.

Sources

  • Costello JT, et al., “Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults,” Cochrane Database of Systematic Reviews, 2015 (abstract): pubmed.ncbi.nlm.nih.gov
  • Bleakley C, et al., “Cold-water immersion (cryotherapy) for preventing and treating muscle soreness after exercise,” Cochrane Database of Systematic Reviews, 2012 (abstract): pubmed.ncbi.nlm.nih.gov
  • FDA, “Cold Facts to Help Avoid Injury from Water-Circulating Hot/Cold Therapy Devices,” content current as of September 9, 2020: fda.gov
  • FDA MAUDE adverse event report, whole body cryotherapy, February 6, 2018: accessdata.fda.gov
  • Cleveland Clinic, “Are ‘Cold Plunge’ Ice Baths Good for You?” May 8, 2026: health.clevelandclinic.org
  • Polar Recovery and Plunge Original listings, checked September and October 2026

Not medical advice.This page is general product information. Heat and cold exposure aren't safe for everyone. Talk to a physician before starting a sauna or cold plunge routine, particularly if you are pregnant or have a heart, blood pressure, or circulation condition. See our Editorial Policy.

Frequently Asked Questions

Is cryotherapy better than a cold plunge?

The evidence doesn't show that. A 2015 Cochrane review found insufficient evidence that whole-body cryotherapy reduces muscle soreness, while a 2012 Cochrane review found some evidence for cold-water immersion. No trial in the 2015 review compared the two directly.

Is whole-body cryotherapy FDA approved?

No. An FDA adverse event record states that the agency has not cleared or approved any whole body cryotherapy devices, and an FDA consumer page says its healing benefits are unconfirmed.

How cold is a cryotherapy chamber?

The 2015 Cochrane review describes exposure to extremely cold dry air below -100°C in a chamber or cabin, for two to four minutes at a time.

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