Decrease Pain, Promote Healing, Decrease Muscle Spasm, Increase ROM
Impaired Circulation, Areas of Malignancy, Hemophilia, Pos Acute Trauma, Liniments or Heat Rubs, Unreliable Patient (child and elderly), Debilitated patients, Pregnancy, Blood Clots, cardiac Insufficiency.
Previously Existing Edema- elevate part, mild heat
Patients w/ Sensory Loss- Mild heat
Patients who are confused- extreme caution
Questioning Patient (Heat)
When did injury occur? Do you have bruising/bleeding?Do you have blood clot in the are? Lost sensation in area? Pregnant? Trying to get pregnant? think you might be pregnant? Have any heart problems? Any metal in the body? Have you applied any cream/ointment/liniments today?
Acute Pain, Acute Inflammation, Muscle Spasms, Edema, Pain and Swelling, Spasticity, Management of Symptoms related to MS.
Cold sensitivity/intolerance (severe pain, numbness, color changes), Over regenerating peripheral nerves, Peripheral Vascular Disease, Open wound, Raynaud's Phenomenon, Cold Uticaria, Cryoglobulinemia, Paroxysmal cold hemoglobinuria.
Hypertension, Very old and very young patients, Patients who are unreliable judges of temperature, Over the superficial main branch of a nerve.
Questioning Patients (Cold)
Have any unusual responses to cold? Develop a rash when cold? Have sever pain, numbness and color changes in your fingers when exposed to cold? Get blood in your urine after being cold? Poor cirulation in this limb? Hanve any nerve damage in this area? Numbness or tingling in this limb?
pain; increase muscle extensibility; achieve a balance of agonist/antagonist function; trigger points; enhance muscle performance; increase tissue mobility; increase joint mobility; separate and lengthen fascia; achieve normal postural alignment; decrease dyspnea; increase rib cage mobility; stimulate peristalsis; increase airway clearance/mobilize secretions
Acute inflammation; Hemophilia; Infection/fever; Thrombus; Thrombophlebitis; Malignancy; Fracture; Brittle ribs; Recent chest or spinal surgery; Superficial nerves (trigger point compression)
Wound healing; Pain management-muscle/joint pain; Arthritis; Stiffness; Increase tensile strength of scars; Decrease scar tissue; Decrease inflammation; Bone healing; Decrease edema
Suspicious lesion or cancerous tumors; Pacemakers; Fever(over 100.4F); Areas previously exposed to radiotherapy; Active hemorrhagingareas; Over the thyroid or other endocrine glands; Eyes; Pregnancy(abdomen & low back) and lactating women; Epiphyseal plates in children; Areas of impaired sensation; Impaired mentation.
Acne; Aseptic wounds; Psoriasis; Folliculitis (hair follicle inflammation); Skin conditions; Sterilization(air, water); Pressure ulcers; Vitamin D; Tanning
Porphyrias; Pellagra(niacin defficiency); Lupus erythematosus; Sarcoidosis; Acute psoriasis; Acute eczema; Herpes simplex; DM; Renal and hepatic insufficiencies; Hyperthyroidism; Generalized dermatitis; Advanced arteriosclerosis; Active & progressive pulmonary tuberculosis.