Visual analog scale pain scores trended lower in the experienced group when ice was applied ( experienced ice vs experienced control : mean visual analog scale 15.9 18.9 vs 25.1 22 mm , P = .15 ; median visual analog scale 8 mm , IQR 0.5-26 .5 vs 23 mm , IQR 3.5-40 mm , P = .08 ) .