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Understanding the indications for and contra-indications to hot and cold techniques

Understanding the indications for and contra-indications to hot and cold techniques. Indications. Cold; acute or chronic pain, injury or spasm Post surgical pain or oedema Superficial burns Relieve of pain

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Understanding the indications for and contra-indications to hot and cold techniques

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  1. Understanding the indications for and contra-indications to hot and cold techniques

  2. Indications • Cold; acute or chronic pain, injury or spasm • Post surgical pain or oedema • Superficial burns • Relieve of pain • Heat; sub-acute or chronic injuries, to ease pain or spasm, reduction of oedema, increase ROM

  3. Cold Contra-indications • Decrease in sensitivity test for hot/cold or sharp/blunt • Hypersensitivity • Cold allergy, circulatory or sensory impairment • Raynauds’ Disease or cold urticaria • Hypertension, cardiac or respiratory disease • Rheumatoid arthritis or lupus • Uncovered or open wounds

  4. Heat Contra-indications • Acute injuries • Impaired or poor circulation • Lack of thermal sensitivity test • Area which has had recent bleeding • Any malignant tissue

  5. Adverse reactions • Ice burns or frost bite • Increased pain or neurological effects • Reddening of the skin, increased swelling • Chemical burns, allergic reaction • Increase or decrease in BP • Dizziness or headaches

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