Contraindications and precautions HOT and COLD Flashcards
What are the cold modalities contraindications?
Raynauds, cryoglobulinemia, over a regenerating peripheral nerve, compromised circulation.
Cold modalities precautions
PVD (peripheral vascular disease), compromised circulation, cold sensitivity, multiple myeloma, leukemia, systemic lupus, cold urticaria, hypertension, frostbite in the area or proximal to the area, over open wound, poor sensation
Hot modalities and Thermal US contraindications
acute injury or inflammation, impaired sensation (therapist to assist), cancer/tumor/undiagnosed pain, cardiac disease (advanced or acute), pregnancy, bleeding tendencies, infection in area, early stages of tendon repair or tenolysis, impaired cognition - unreliable in self report.
Hot modalities precautions & thermal US
cardiac disease, DVT (deep vein thrombosis), infection (including signs of cold or upper respiratory infection), impaired mental status, RA - vigorous heat can exacerbate joint inflammation
For fluidotherapy: respiratory conditions
What is raynaud’s syndrome
small arteries that supply blood to skin narrow when cold causing skin to turn white or purple.
what is urticara
hives from cold
cryoglobulinemia
the presence of abnormal proteins in the blood. These proteins thicken in cold temperatures
multiple myeloma
a cancer that forms in a type of white blood cell called a plasma cell
DVT (deep vein thrombosis)
occurs when a blood clot (thrombus) forms in one or more of the deep veins in the body, usually in the legs.
Thrombophlebitis
an inflammatory process that causes a blood clot to form and block one or more veins, usually in the legs.
Peripheral vascular disease (PVD)
is a slow and progressive circulation disorder. Narrowing, blockage, or spasms in a blood vessel can cause PVD. Causes sensory changes in hands and feet.
lymphodema
swelling due to build-up of lymph fluid in the body
for impaired sensation contraindication what is the semmes weinstein measurement
greater than 2.83
Cold pack application
for: pain, edema, pain reduction
Time: 10-15 min
layers: towel or pillowcase
Ice massage
2-5 minutes
