In office, we have the ability to use a variety 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 therapy of choice for spinal pain within the first 72 hours.
- Cold decreases the flow of fluid into tissues and slows the chemicals that inflame and cause pain.
- Cold decreases swelling and bleeding and nerve ending conduction of pain impulses.
- Deep tissue cooling with ice reduces muscle spasm by lowering muscle contraction.
Note: If you have circulation issues, can’t feel cold or are allergic to cold, ice may not be the preferred therapy for you and may not be used.
Application: A towel is always placed between you and the cold pack. Since swelling and pain often accompany acute injury in the first 72 hours after an injury, ice only may be used. Ice reduces inflammation and numbs the pain in short spurts like 10 minutes at a time.
Thermotherapy (Heat Therapy)
Purpose: Heat therapy fosters vasodilation, the widening of blood vessels to bring more blood to an area.
- Heat is typically sedating because of its nature to decrease the transmission of pain signals and relax tense muscles.
- Heat opens blood vessels around a painful area, increasing oxygen and nutrient flow to the muscles which aids in healing damaged tissue.
- Heat also reduces 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 used on your spine with a towel around them for 10 to 30 minutes.
Cryotherapy/Thermotherapy Combined (Hot/Cold/Hot Therapy)
Purpose: Combining cryotherapy and thermotherapy is generally preferred. This allows 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 nearly all of the patients coming to our office, a 10 minute hot/10 minute cold/10 minute hot routine is used. This routine is known as the Hunting’s Effect whereby too long an ice session reflexively forces 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 manage pain and swelling. Heat calms muscles and joints and cold pushes out inflammation. A combination of the two is best.
Purpose: Often this hot/cold/hot therapy is applied along with electrical stimulation which is extremely effective for your pain management. This allows stimulation of blood flow by drawing blood into an inflamed and painful area with heat and pushing 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.
(1) heat with electroptherapy
(2) cryotherapy with electrotherapy