In office, we have the ability to use a number of therapies to assist your spine in healing. Depending on your condition, one or more of the following may be recommended:
Cryotherapy (Cold Therapy)
Purpose: Cold therapy stimulates vasoconstriction, the narrowing of blood vessels to slow down blood circulation in an area.
- Cold therapy alleviates pain and swelling after an injury.
- It is the therapy of choice for spinal pain within the first 72 hours.
- Cold reduces the flow of fluid into tissues and slows the chemicals that inflame and cause pain.
- Cold reduces swelling and bleeding and nerve ending conduction of pain impulses.
- Deep tissue cooling with ice diminishes 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 alleviates inflammation and numbs the pain in short spurts like 10 minutes at a time.
Thermotherapy (Heat Therapy)
Purpose: Heat therapy stimulates vasodilation, the widening of blood vessels to bring more blood to an area.
- Heat is typically sedating due to its nature to decrease the transmission of pain signals and relax tense muscles.
- Heat enlarges blood vessels near a painful area, adding oxygen and nutrient flow to the muscles which helps heal damaged tissue.
- Heat also reduces stiffness and adds flexibility which is extremely 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 bringing blood into a swollen and painful area with heat and driving 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 swollen 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 attempting to manage pain and inflammation. Heat sedates muscles and joints and cold drives out inflammation. A balance 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 relief. This allows stimulation of blood flow by drawing blood into an irritated 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 vary depending on your condition.
(1) heat with electroptherapy
(2) cryotherapy with electrotherapy