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Dr. Gary Stefanick's Use of Hot/Cold Therapy

In office, we have access to an array of therapies to assist your spine in healing. Depending on your condition, one or more of the following may be suggested:

Cryotherapy (Cold Therapy)

Purpose: Cold therapy stimulates vasoconstriction, the narrowing of blood vessels to slow down blood circulation in an area.

  • Cold therapy reduces pain and swelling after an injury.
  • It is the preferred therapy for spinal pain within the first 72 hours.
  • Cold reduces the flow of fluid into tissues and stunts the chemicals that inflame and cause pain.
  • Cold decreases swelling and bleeding and nerve ending conduction of pain impulses.
  • Deep tissue cooling with ice diminishes muscle spasm by lessening muscle contraction.

Note: If you have circulation problems, can’t feel cold or are allergic to cold, ice may not be the recommended therapy for you and may not be used.

Application: A towel is always put between you and the cold pack. Since inflammation and pain often accompany acute injury in the first 72 hours after an injury, ice only may be used. Ice alleviates swelling and numbs the pain in short spurts like 10 minutes at a time.

New York chiropractic application of cold therapy

Thermotherapy (Heat Therapy)

Purpose: Heat therapy stimulates vasodilation, the widening of blood vessels to bring more blood to an area.

  • Heat is generally sedating due to its ability to decrease the transmission of pain signals and calm tense muscles.
  • Heat opens blood vessels near a painful area, adding oxygen and nutrient flow to the muscles which helps heal damaged tissue.
  • Heat also decreases stiffness and increases flexibility which is very important in a healthy back to assist you in taking back your quality of life.

Application: In office, hot packs may be applied to your spine with a towel around them for 10 to 30 minutes.

heat in New York chiropractic office

 

Cryotherapy/Thermotherapy Combined (Hot/Cold/Hot Therapy)

Purpose: Combining cryotherapy and thermotherapy is often recommended. This generates stimulation of blood flow by drawing blood into a swollen and painful area with heat and pushing out the blood with an ice pack application.

Application: For most patients coming to our office, a 10 minute hot/10 minute cold/10 minute hot routine is used. This routine is recognized as the Hunting’s Effect whereby too long an ice session reflexively pushes the blood back into the inflamed area resulting in more pain. Hunting’s Effect is useful to the body when you may find yourself in trouble of severe cold, but not when trying to regulate pain and swelling. Heat calms muscles and joints and cold drives out swelling. A balance of the two is best.

 
Cryotherapy/Thermotherapy/Electrotherapy Combined

Purpose: Often this hot/cold/hot therapy is applied along with electrical stimulation which is doubly-effective for your pain alleviation. This produces stimulation of blood flow by bringing blood into an inflamed and painful area with heat and driving out the blood with ice pack application and nerve pain sedation with electrotherapy.

Application: Typically each modality with cryotherapy or thermotherapy is 10 minutes each but may change depending on your condition.

 heat therapy with electrical stimulation
(1) heat with electroptherapy 
 
 electrical stimulation combined with ice
(2) cryotherapy with electrotherapy 
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