Saturday, January 14, 2017

When to Use Cryotherapy and Superficial Heat (ex Ice Packs/Heating Pads)

Indications For Cryotherapy: (When to Use)

  • To decrease muscle spasm and spasticity
  • Reduction of Bleeding and acute edema
  • Pain reduction and control
  • Acute trauma or inflammation
  • Chronic Inflammation (tendinitis)
  • Management of M.S.
  • Cryokinetics, Cryostretch, to prepare for other PT treatments, or after workout/treatment

Precautions for Cryotherapy: (Be careful when using)
  • Over a superficial main branch of a nerve or open wound
  • With hypertension, poor sensation or poor mentation
  • With very young or very old patients

Contraindications for Cryotherapy: (When to Avoid)
  • Cold hypersensitivity (cold induced uticaria) or Cold intolerance (severe pain, numbness etc)
  • Paroxysmal Cold Hemoglobinuria - release of hemoglobin into the urine from cold exposure
  • Raynaud''s Phenomenon - Disease digital cyanosis
  • Impaired circulation or Peripheral Vascular Disease

Indications for Thermotherapy: (When to use)
  • Before active exercise because of analgesic effects
  • Before passive range of motion and stretching due to greater extensibility of connective tissue
  • Before traction because of general relation
  • Before massage for increased blood flow
  • Muscle spasms
  • Before Joint mobilizatio

Precautions for Thermotherapy: (can be treated with extra care)
  • Pregnancy
  • Impaired circulation
  • Poor thermal regulation
  • Edema, open wounds
  • Cardiac insufficiency
  • Metal in the area

Contraindications for Thermotherapy: (When to avoid)
  • Recent or potential hemorrhage
  • Thrombophelbitis 
  • Impaired sensation or mentation
  • Malignant tumor
  • IR irradiation of the eyes 

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