Share
Thermal Therapy · Sport Science · 2026
Cold Plunge & Sauna:
Good or Bad
for Your Gains?
Cold water immersion may blunt muscle growth. Sauna may support it. Contrast therapy sits in between. Here is what the peer-reviewed evidence actually says — and how to use both without undermining your results.
May 2026 · 13 min read · Peer-reviewed sources
The short answer — before we go deep
The wellness industry has sold cold plunges and saunas as universally beneficial recovery tools. The science is more specific than that — and more interesting. The truth depends entirely on what you are trying to achieve, when you use them, and how you combine them with your training. Here is the one-line summary for each:
Cold water immersion (ice bath / cold plunge)
Great for recovery, soreness, and acute performance between sessions. Likely blunts hypertrophy and may reduce strength gains when used immediately after resistance training. Timing is everything. Used correctly — separated from weight training — it is a powerful tool. Used incorrectly — right after your session — it works against your gains.
Sauna (Finnish / infrared)
Does not blunt gains. May actively support muscle growth and longevity through heat shock protein activation, growth hormone elevation, and improved cardiovascular function. The longevity evidence is particularly strong. Post-workout sauna is a promising, under-utilised performance tool — not a contradiction of your training.
Contrast therapy (alternating hot + cold)
Reduces soreness and accelerates recovery more effectively than either modality alone. May offer the best of both worlds when programmed correctly — though the hypertrophy trade-off of the cold component still applies if used immediately post-resistance training.
What cold actually does to the body
Cold water immersion triggers a cascade of physiological responses that explain both its benefits and its drawbacks for athletes. Understanding the mechanism is what allows you to use it strategically rather than reflexively.
Vasoconstriction
Blood vessels constrict, reducing blood flow to extremities and muscle tissue. This lowers tissue temperature, slows metabolic activity, and reduces local oedema and pain signalling — the mechanism behind its effectiveness for soreness and inflammation.
Noradrenaline surge
Cold exposure triggers a significant release of noradrenaline — by up to 300% in research settings — improving focus, alertness, and mood. This neurological response is dose-dependent and partially underlies the "mental clarity" effect users report.
Brown adipose activation
Regular cold exposure activates brown adipose tissue (BAT), which generates heat by burning calories. A 2024 meta-analysis in Cell Metabolism confirmed repeated cold exposure increases BAT volume and metabolic rate by 10–15% in healthy adults.
Cold shock protein activation
Cold exposure activates cold-shock proteins that help preserve muscle mass, reduce cellular inflammation, and improve metabolic function — a mechanism distinct from inflammation suppression and relevant to long-term tissue health.
The critical detail for gym-goers: vasoconstriction and inflammation suppression are exactly the mechanisms that make cold immersion feel so effective after a hard session — and exactly what attenuates muscle growth. Post-exercise inflammation is not purely damage to be minimised. It is a signalling environment that initiates muscle protein synthesis, satellite cell activation, and the downstream adaptations that make you stronger and larger. Blunt that inflammatory signal prematurely and you reduce the adaptation stimulus.
Maastricht University, Medicine & Science in Sports & Exercise — 2025
Post-exercise cooling lowers skeletal muscle microvascular perfusion and blunts amino acid incorporation into muscle tissue in active young adults. Cold water immersion lowers muscle protein synthesis rates during post-exercise recovery — providing a direct molecular mechanism for the hypertrophy attenuation observed in longer-term training studies.
Cold water immersion and muscle growth: what the meta-analyses show
This is where the wellness industry narrative and the peer-reviewed evidence most clearly diverge. The research on cold immersion and hypertrophy is now robust enough to draw firm conclusions — and those conclusions should change how you use cold therapy if building muscle is a priority.
The most definitive analysis is the Piñero et al. (2024) systematic review and meta-analysis published in the European Journal of Sport Science, led by researchers at CUNY Lehman College including Brad Schoenfeld — one of the world's leading authorities on resistance training and muscle hypertrophy. The study reviewed 8 controlled trials and reached the following conclusions:
Piñero et al., European Journal of Sport Science — 2024 (Schoenfeld lab)
Cold water immersion does not completely prevent muscular gains, but the evidence provides strong indication that it likely attenuates hypertrophic adaptations compared to resistance training alone. The application of CWI immediately following resistance training is likely to result in at least a small — and potentially moderate — magnitude reduction in muscle growth. This attenuation is mediated by suppressed anabolic signalling, reduced blood flow, and blunted post-exercise inflammation — all of which dampen muscle protein synthesis.
Supporting this at the molecular level, a 2025 study from Maastricht University published in Medicine & Science in Sports & Exercise (Betz et al.) directly measured microvascular blood flow and amino acid incorporation into muscle tissue following CWI. The findings were unambiguous: cold water immersion lowered skeletal muscle microvascular perfusion and directly blunted amino acid uptake into muscle — the raw material for muscle protein synthesis — during the post-exercise recovery window.
An earlier study from the Journal of Applied Physiology found that 15 minutes at 10°C following resistance training attenuated anabolic signalling markers and skeletal muscle fibre growth over a 7-week training period — while interestingly leaving absolute strength gains relatively intact. This distinction matters: cold immersion may harm hypertrophy more than it harms strength development.
The key word is timing. Cold water immersion is not the enemy of muscle growth. Using it immediately after a hypertrophy session is.
— Synthesis: Piñero et al. 2024, Betz et al. 2025, Petersen & Fyfe 2021The practical implication is clear: if your goal is maximum hypertrophy, avoid cold immersion in the hours immediately following resistance training. If you train twice a day, or have a competition the next morning, cold immersion is a legitimate acute recovery tool. If you have 48 hours before your next session, keeping the post-exercise inflammatory environment intact serves your long-term adaptation better.
What sauna does to the body — the molecular case
Sauna exposure is a hormetic stressor: a mild, controlled stress that activates protective biological responses disproportionately larger than the stress itself. The mechanisms are distinct from cold — and in several ways, more directly aligned with the goals of strength and endurance training.
Heat shock protein activation
Heat exposure triggers the production of heat shock proteins (HSPs) — molecular chaperones that refold damaged proteins, protect muscle tissue from breakdown, and accelerate cellular repair. Consistent sauna use increases HSP production by up to 48%, creating a sustained cellular protection environment that extends beyond individual sessions.
Growth hormone elevation
A single 20-minute sauna session can elevate growth hormone levels by up to 200–500% above baseline — depending on temperature and duration. Growth hormone promotes muscle protein synthesis, fat mobilisation, and tissue repair. Two 15-minute sauna sessions at 80°C separated by a 30-minute cool-down produce especially pronounced GH responses.
Vasodilation and cardiac conditioning
Heat causes profound vasodilation, elevating heart rate to 100–150 BPM — equivalent to moderate-intensity aerobic exercise. This cardiac conditioning effect improves endothelial function, reduces arterial stiffness, and delivers sustained cardiovascular benefit independently of the training session it follows.
Mitochondrial biogenesis
Repeated sauna exposure induces mitochondrial adaptation in human skeletal muscle — increasing mitochondrial density and improving oxidative capacity. This mirrors the adaptation produced by endurance training and directly augments aerobic performance and metabolic efficiency.
Frontiers in Cardiovascular Medicine — 2025
Heat shock proteins (HSPs), AMPK activation, and endothelial nitric oxide synthase (eNOS) upregulation represent the core molecular mechanisms through which sauna therapy delivers cardiovascular and metabolic benefits. These pathways are activated by the same hormetic stress that makes exercise beneficial — sauna is not a passive recovery tool but an active biological stimulus.
Sauna, muscle growth, and longevity: the data
Unlike cold immersion, sauna does not blunt anabolic signalling. In fact, the research suggests it may actively support muscle growth — and the longevity evidence is among the strongest in the broader thermal therapy literature.
Infrared sauna and neuromuscular performance
A 2025 study from the University of Jyväskylä, published in Frontiers in Sports and Active Living (Ahokas et al.), investigated whether regular post-exercise infrared sauna use during a 6-week training period promotes neuromuscular performance and body composition changes in 40 female team sport athletes. The study represents one of the most methodologically rigorous tests of sauna's effect on resistance training outcomes in a real athletic population.
Ahokas et al., Frontiers in Sports and Active Living — March 2025
The study aimed to investigate whether regular use of infrared sauna after training can promote neuromuscular performance and positive changes in body composition during a 6-week training period. Forty female team sport athletes were pair-matched into infrared sauna and control groups. Infrared sauna use did not impair — and in several measures supported — neuromuscular performance and body composition outcomes.
The longevity data: the Kuopio study
The most powerful long-term evidence for sauna comes from the Kuopio Ischaemic Heart Disease Risk Factor Study — a prospective cohort study that followed 2,315 middle-aged Finnish men for over two decades. Its findings established a dose-response relationship between sauna frequency and cardiovascular protection that has anchored the longevity conversation around heat therapy:
| Sauna frequency | Cardiovascular mortality reduction | All-cause mortality reduction | Dementia risk |
|---|---|---|---|
| 1× per week | Baseline comparison group | Baseline | Baseline |
| 2–3× per week | ~22% reduction | ~24% reduction | Reduced risk |
| 4–7× per week | ~50% reduction | ~40% reduction | 65% lower dementia risk vs. 1×/week |
These figures are observational — they cannot establish that sauna directly causes mortality reduction, as they may reflect the lifestyle patterns of frequent sauna users. But the dose-response relationship and the biological plausibility of the mechanisms (HSP production, cardiac conditioning, anti-inflammatory signalling) make the connection compelling. No other low-effort, passive intervention in the literature produces associations of this magnitude with cardiovascular and all-cause mortality.
For athletes specifically, the sauna's value extends beyond longevity. Regular use improves heat acclimation — the body's ability to maintain performance in warm environments — and has been shown to improve time to exhaustion and reduce muscle soreness as a standalone recovery modality. Unlike cold immersion, none of these effects come at the cost of blunted adaptation when used post-resistance training.
Contrast therapy: what happens when you alternate hot and cold
Contrast therapy — the deliberate alternation of heat and cold exposures in repeated cycles — has become the defining recovery protocol of elite sport. LeBron James has used it for over two decades. Cristiano Ronaldo has a cryotherapy chamber installed at home. The current NBA standard, per Sports Illustrated, is approximately 3 minutes of cold at 39–42°F alternating with 15-minute infrared sauna sessions across multiple rounds.
The mechanism is physiologically elegant. Heat causes vasodilation — blood vessels expand, delivering oxygen and nutrients to fatigued tissue. Cold causes vasoconstriction — vessels contract, flushing metabolic waste and reducing inflammation. Alternating the two creates what researchers call a "vascular pump" effect: a rhythmic expansion and contraction of the vascular system that clears lactate, delivers nutrients, and modulates inflammatory signalling far more efficiently than either modality alone.
Trybulski et al. RCT, MMA athletes — April 2025
A randomised clinical trial of 30 MMA athletes using contrast therapy found increased pressure pain thresholds, improved maximum isometric strength, and reduced muscle stiffness and elasticity — benefits observed as early as 5 minutes post-treatment and lasting up to an hour. Both traditional contrast water immersion and device-assisted protocols produced similar results, suggesting the thermal alternation itself — not the delivery method — drives the outcome.
Contrast therapy vs. cold alone for recovery
A 2023 systematic review and meta-analysis published in Sports Medicine concluded cold water immersion was equal to or better than alternatives for recovering athletic performance after strenuous exercise. Crucially, the addition of heat phases in contrast therapy produces superior outcomes to cold alone for reducing delayed-onset muscle soreness (DOMS) and improving joint range of motion — findings confirmed by a 2025 scoping review in Medicina.
The hypertrophy caveat from cold immersion applies equally to the cold component within contrast therapy. If building maximum muscle is the priority following a resistance session, the sauna component is the element to preserve — the cold dips should be delayed or minimised. If the priority is recovery between two training sessions within 24 hours, the full contrast protocol is the most effective tool available.
Inflammation and CRP reduction
Combining infrared sauna sessions with cold plunges has shown a reduction in CRP (C-reactive protein — a primary marker of systemic inflammation) of approximately 30% in research settings, alongside activation of antioxidant pathways. This anti-inflammatory effect is stronger for contrast therapy than for either modality used in isolation.
When to use what — the evidence-based guide
The research supports a clear decision framework based on your training goal and session timing. This is not one-size-fits-all — it is goal-dependent.
Evidence-informed contrast therapy protocol
Total session: approximately 45–60 minutes. Frequency: 2–4× per week for general health; daily for athletes in active recovery phases. Hydrate consistently throughout.
Use it / skip it: the goal-based guide
-
Use it
Cold plunge after endurance or cardio training. CWI does not blunt endurance adaptations. For cyclists, runners, and team sport athletes recovering from aerobic sessions, cold immersion accelerates recovery without the hypertrophy trade-off.
-
Time it
Cold plunge after resistance training — wait 24 hours. If building muscle is a priority, avoid cold immersion in the window immediately following your weights session. Separate by at least 24 hours, or use cold only on off-days and endurance days.
-
Use it
Sauna after any training session. Sauna does not blunt anabolic signalling. Post-resistance sauna supports growth hormone elevation, heat shock protein production, and cardiovascular conditioning without attenuating hypertrophy. 15–20 minutes at 80–90°C is the evidence-informed dose.
-
Use it
Contrast therapy on recovery days or between double sessions. When you need to prepare for training again within 24 hours, the vascular pump effect of contrast therapy is your most powerful recovery tool. This is the elite sport application — prioritise it in periods of high training load.
-
Use it
Sauna 4× per week for longevity, independently of training. The Kuopio data suggests four or more sauna sessions per week produces the strongest longevity and cardiovascular benefit. This is a standalone health practice with a 40% reduction in all-cause mortality at the highest frequency — not merely a training recovery tool.
-
Avoid
Cold plunge immediately after a hypertrophy-focused resistance session. This is the one scenario where the evidence is clearest. Suppressing post-exercise anabolic signalling through vasoconstriction and inflammation blunting directly attenuates the muscle protein synthesis that drives growth. If gains matter to you, protect the post-training window.
Scientific references
- Piñero A, Burke R, Augustin F, et al. (2024). Throwing cold water on muscle growth: a systematic review with meta-analysis of the effects of post-exercise cold water immersion on resistance training-induced hypertrophy. European Journal of Sport Science, 24(2), 177–189. doi:10.1002/ejsc.12074 PMC Link
- Betz MW, Fuchs CJ, Chedd F, et al. (2025). Post-exercise cooling lowers skeletal muscle microvascular perfusion and blunts amino acid incorporation into muscle tissue in active young adults. Medicine & Science in Sports & Exercise. doi:10.1249/MSS.0000000000003723 PMC Link
- Fyfe JJ, et al. Cold water immersion attenuates anabolic signalling and skeletal muscle fiber hypertrophy, but not strength gain, following whole-body resistance training. Journal of Applied Physiology. doi:10.1152/japplphysiol.00127.2019 Link
- Ahokas EK, Hanstock HG, Kyröläinen H, Ihalainen JK. (2025). Effects of repeated use of post-exercise infrared sauna on neuromuscular performance and muscle hypertrophy. Frontiers in Sports and Active Living, 7:1462901. doi:10.3389/fspor.2025.1462901 PMC Link
- Arif B, et al. (2025). Sauna use as a novel management approach for cardiovascular health and peripheral arterial disease. Frontiers in Cardiovascular Medicine. doi:10.3389/fcvm.2025.1537194 Link
- Laukkanen T, Kunutsor SK, Zaccardi F, Laukkanen JA. (2018). Sauna bathing is inversely associated with dementia and Alzheimer's disease in middle-aged Finnish men. Age and Ageing, 46(2), 245–249. Kuopio cohort data.
- Laukkanen JA, Laukkanen T, Kunutsor SK. (2018). Cardiovascular and other health benefits of sauna bathing: a review of the evidence. Mayo Clinic Proceedings, 93(8), 1111–1121. doi:10.1016/j.mayocp.2018.04.008
- Hafen PS, Preece CN, Sorensson JR, et al. (2018). Repeated exposure to heat stress induces mitochondrial adaptation in human skeletal muscle. Journal of Applied Physiology, 125, 1447–1455.
- Trybulski R, et al. (2025). Contrast therapy RCT in MMA athletes — alternating 1-min cold (3°C) and 1-min heat (45°C) exposures for 10 minutes. Arthroscopy, Sports Medicine, and Rehabilitation. doi:10.1016/j.asmr.2025.101143 Summary
- Medicina (2025). Scoping review: contrast therapy reduces pain, improves joint range of motion, and supports functional recovery in musculoskeletal conditions. Cited in Haven of Heat (2026)
- Cell Metabolism meta-analysis (2024). Repeated cold exposure increases brown adipose tissue volume and metabolic rate by 10–15% in healthy adults. Cited in MitoHealth (2026)
- Vrindten KL, Lonati DP, Mazzocca JL, Matzkin EG. (2025). Thermal modalities including hot baths and cold plunges play a unique role in injury prevention and recovery. Arthroscopy, Sports Medicine, and Rehabilitation, 7(2):101143. doi:10.1016/j.asmr.2025.101143
- STAT Wellness (2025). The power of heat and cold: evidence-based benefits of sauna and cold therapy. Protocol data synthesised from clinical research. Link
- The Whole Health Practice (2026). Cold water immersion and ice baths: a review of the studies and scientific evidence. Synthesis of Piñero 2024 and related literature. Link