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Ice packs and heating pads are the way to go when in pain. Treating pain with hot and cold therapy can be very effective for several conditions or injuries and easily affordable as well. However, the tricky part can be deciding when to apply hot and when to apply cold. At times, the therapy can include both the types.
As a general rule of thumb, ice is used for acute injuries or pain with characteristics of swelling or inflammation and heat is used for easing muscle pain or stiffness. Ultimately, both the therapies work well for treating pain.
How does heat and cold therapy relieve pain?
Both the therapies stimulate the body’s healing response. Heat therapy dilates the blood vessels, promotes blood circulation and alleviates muscle spasms. Additionally, it also alters the sensation of pain. Heat therapy employs heating pads or heating lamps for direct application of heat and also moist heat like warm baths, heated wash cloths or heated pads.
On the other hand, cold therapy constricts the blood vessels, reduces swelling and numbs any deep pain. At first, applying ice may be uncomfortable, but it helps by soothing acute pain. Cold therapy employs ice packs, coolant sprays, ice bath and also cryo-stretching, which uses cold to reduce muscle spasms during stretching.
- Using heat and ice. Whether you are using a hot pack or a cold therapy, ensure you apply the right temperature.
- When applying heat, it should not be too hot or it may lead to burns or scalds. The skin must be checked at regular intervals. Heat should not be applied to a new injury as it can increase bleeding around the injured area and make it worse. Heat is helpful for the following problems:
- Ice has been used for a long time to treat soft tissue injuries, where there is swelling. It is used to manage pain in the short term and can also be used on a long term basis to treat pain. Cold therapy is helpful in the following ways:
- Precautions when using ice and heat
Hi Sir, I taking MDT medicine for leprosy still 10 months going on but still I am not feeling (Sensation) in my left leg. Please I want reasonable precautions. So that I can recover Soon.
Suggest me medicines for any kind of pain like joint pain and body pain and Also suggest how can reduce constipation.
Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:
- Numbness in little and ring finger as the fingers fall asleep
- A tingling sensation, usually like the pinch of pins and needles in ring and little finger
- Pain in forearm
- Weakness in the hand
- Some of the severe symptoms include:
- Reduction in overall hand grip
- A claw like deformity in hand
- Wasting of muscles of the hand
Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve.People People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment.Generally, Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time
How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.If If you wish to discuss about any specific problem, you canconsult a physiotherapist.