In short, the ice machines did not work for me as well as ice packs.
If you're interested, here are details of what did & didn't work for me:
I injured one knee and had to wait for the swelling to go down to have a total knee replacement. With the extra strain, I ended up injuring the other knee, but it would have to heal completely so I could have the first knee worked on. Knowing my shoulders were soon to follow, I felt investing in 2 ice machines with exchangeable sleeves for knees, shoulders , etc, would be ideal. I loved the idea of temperature settings, timers to turn on and off thru the night while I slept, and I didn't need to wake anyone or get someone to come help me change ice packs throughout the day. I bought one from Amazon with plenty of 4+ star reviews:
(https://www.amazon.com/dp/B08FM8K3PW?ref=ppx_pop_mob_ap_share).
However, even with all the conveniences, and following the ideal settings & frozen bottle recommendations, my knee caps were too hot in the mornings to safely bear weight. So I would still have to use a frozen ice pack. ("Equate Reusable Hot or Cold Small Compress" from Walmart.com work for me for years).
While I may use an ice machine in the future for my shoulders (that don't need to bear weight), I returned both ice machines.
For a similar price, I bought a small freezer ("Arctic King" 1.0 cubic ft at Walmart.com) and I keep it in my nightstand. It actually hard freezes the ice packs better than our larger freezer.
I recommend you try whichever option you choose beforehand.
I agree with you. I've used ice machines after knee arthroscopy and they never worked as well as directly applying ice. The "ice" in those machines is just very cold water passing through a tube or bag.
Anyway, I always find a way to apply ice or an ice sleeve directly. Sometimes a wash cloth or small towel applied first with the ice on top of that can help. There are a lot of freezer-ready products for virtually all the major joints, and the spine.