Non-Pharmacologic Mngmt of Pain Control Flashcards
Cold therapy
Cryotherapy
The cold stimulates these fibers.
A-delta
A-delta fibers inhibit what?
Pain transmission down C fibers.
Cold temps cause vasodilation or constriction?
Dilation
Heat increases the speed of this.
Nerve conduction
This is for a deep application of heat.
Ultrasound
Low frequencies of ultrasound penetrate how deep?
1-2 cm
High frequencies of ultrasound penetrate how deep?
5 cm
The use of ultrasound to drive medications (like steroids or anesthetic creams) deep into tissues.
Phonophoresis
Inhibits reflex contraction and pain transmission so that the muscle can stretch more.
Fluorimethane (counter irritant).
TENS stands for what?
Transcutaneous Electrical Nerve Stimulation
Drives a current to produce paresthesia where you have pain.
TENS
What nerve fibers are stimulated in TENS?
A-Delta
High or Low frequencies in TENS requires high intensity, and produces painful muscle contraction?
Low frequencies
TENS is used to treat chronic or acute pain?
Acute
Types of acute pain treated by TENS?
- Traumatic pain (rib fractures).
- Orofacial pain
- Post-operative pain
- Childbirth
% success rate of TENS in treating acute pain?
77
% success rate of TENS in treating chronic pain?
30
Using a direct current to drive meds like steroid creams, lidocaine, and salicylates into the tissues.
Iontophoresis
Contraindications for Iontophoresis.
- Pacemakers, automated defibrillators.
- Placing it over the anterio neck-carotid sinus area.
- Transcranial or direct spinal placement.
- Gravid uterus (preggers)
This creates ill-defined tissue changes that reduce pain.
Low-power laser therapy.
Low-velocity movements within normal range of motion.
Joint mobilization
High-velocity movmeents which forces the joint beyond normal physiologic range.
Joint manipulation
Acupuncture at this point reduces dental pain.
Hoku Point
