For some people cold helps sleep too. I've read that the head is the most important organ (so to speak) for cooling and that many people who were too hot to sleep responded favorably to a cold pack wrapped around their heads. I've tried other locations and it's pretty soothing at times. The head wrap is a bit unwieldy, but it''s probably effective if you have a comfortable wrap. Body temperature tends to drop as people move toward sleep.
On the other hand, for certain muscles aches, heat is very soothing-- so it depends.
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