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This brief public-education leaflet provides information about hot therapy and cold therapy. For each the document discusses: what the therapy does, the different types of hot and cold therapy, when it is used, and safety tips
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Heat and ice are the two most common types of passive, non-invasive, and non-addictive therapies. Heat and cold can be used alternatively and are often used as a prelude to exercise therapy
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Cold therapy
Most episodes of back pain are caused by muscle strain. An ice massage can provide Pain relief by slowing the inflammation
By: Stephen H. Hochschuler, MD
Heat therapy
Many episodes of lower back pain result from a strain or over-exertion, creating tension in the muscle
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Patients often ask when it is appropriate to apply heat, and when to apply cold. It used to be thought that cold should only be applied to acute injuries to reduce swelling and inflammation, and to discourage hemorrhage. Heat was applied to areas of chronic pain and spasm to increase blood supply,
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Matthew Karl, MD, and Stanley Herring, MD, point out that the application of superficial heat to your body can improve the flexibility of your tendons and ligaments, reduce muscle spasms, alleviate pain, elevate blood flow, and boost metabolism.
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In contrast to deep heating modalities, superficial heating modalities usually do not heat deep tissues, including muscles, because the subcutaneous layer of fat beneath the skin surface acts as a thermal insulator and inhibits heat transfer.
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The wide array of superficial hot and cold modalities offers physicians many options for treating sports-related injuries.
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