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Alternate Ice and Heat Therapy: A Holistic Approach to Pain Management
Author: Dr. Evelyn Reed, PT, DPT, OCS (Doctor of Physical Therapy, Board-Certified Orthopedic Specialist)
Publisher: Physiotherapy Today, a leading publisher of peer-reviewed articles and resources for physical therapists and healthcare professionals.
Editor: Dr. Michael Chen, PhD, PT (Doctor of Philosophy in Rehabilitation Science, Physical Therapist)
Summary: This article explores the principles and practical application of alternate ice and heat therapy, a widely used modality in pain management and injury rehabilitation. It delves into the physiological mechanisms behind each treatment, examines the benefits and drawbacks, and provides real-world examples through personal anecdotes and case studies. The article emphasizes the importance of individualized treatment plans and cautions against the indiscriminate use of ice or heat. Ultimately, it advocates for a holistic approach to pain management that integrates alternate ice and heat therapy with other evidence-based interventions.
Introduction:
Pain is a ubiquitous experience, impacting millions worldwide. While pharmaceutical interventions are often the first line of defense, alternate ice and heat therapy offers a safe, accessible, and often effective alternative or adjunct treatment. This article explores the principles of alternate ice and heat therapy, providing a detailed understanding of its applications, benefits, and limitations. We will examine its efficacy in various conditions and illustrate its use through personal anecdotes and carefully documented case studies.
Understanding the Mechanisms of Ice and Heat:
Alternate ice and heat therapy leverages the contrasting physiological effects of each modality. Cryotherapy (ice) reduces inflammation by constricting blood vessels, decreasing blood flow to the injured area. This reduces swelling, pain, and muscle spasm. Thermotherapy (heat) increases blood flow, promoting healing by delivering oxygen and nutrients to the affected tissues. It also helps relax muscles and increase tissue elasticity. The alternation between these two modalities aims to optimize both the anti-inflammatory and healing processes.
Case Study 1: Acute Ankle Sprain
A 28-year-old female athlete presented with an acute ankle sprain following a basketball game. Initial treatment involved immediate ice application for 20 minutes, followed by elevation and rest. After 48 hours, we initiated alternate ice and heat therapy: 15 minutes of ice, followed by 15 minutes of moist heat, repeated three times daily. This approach significantly reduced her swelling and pain within a week, allowing her to resume light activity. This case perfectly illustrates the effectiveness of alternate ice and heat therapy in managing acute injuries.
Case Study 2: Chronic Lower Back Pain
A 55-year-old male presented with chronic lower back pain due to degenerative disc disease. Pharmacological interventions provided limited relief. We implemented a program of alternate ice and heat therapy, combined with targeted stretching and strengthening exercises. The patient applied ice for 20 minutes in the morning and heat for 20 minutes in the evening, alternating daily. Over a period of eight weeks, he experienced a substantial reduction in pain and improved functional mobility. This exemplifies the role of alternate ice and heat therapy in managing chronic pain conditions.
Personal Anecdote:
During my own training as a physical therapist, I experienced a severe hamstring strain. The initial pain was excruciating. My mentor recommended alternate ice and heat therapy. Initially, I was skeptical, but the results were remarkable. The ice numbed the intense pain, while the subsequent heat helped relax the tight muscles, promoting healing and reducing stiffness. This personal experience cemented my belief in the efficacy of this therapy.
Benefits of Alternate Ice and Heat Therapy:
Reduces inflammation: Ice effectively constricts blood vessels, minimizing swelling.
Reduces pain: Both ice and heat can alleviate pain through different mechanisms.
Improves blood circulation: Heat promotes the delivery of oxygen and nutrients to the injured area.
Relaxes muscles: Heat helps to relax tense muscles, reducing spasms and stiffness.
Promotes tissue healing: The combination of ice and heat optimizes the healing process.
Increases range of motion: Heat can increase tissue elasticity, improving joint mobility.
Limitations and Precautions:
Not suitable for all conditions: Alternate ice and heat therapy is not appropriate for all types of pain or injury.
Potential for burns: Heat application requires careful monitoring to prevent burns.
Individualized approach: Treatment protocols must be tailored to the specific needs of the patient.
Contraindications: Certain medical conditions may preclude the use of ice or heat. Consult a healthcare professional before starting any treatment.
Guidelines for Alternate Ice and Heat Therapy:
Acute injuries: Begin with ice for the first 48-72 hours, then transition to alternate ice and heat.
Chronic conditions: The frequency and duration of ice and heat application may vary depending on the individual’s response.
Application techniques: Ice should be applied indirectly (e.g., using a cold pack wrapped in a thin towel) to avoid frostbite. Heat can be applied using moist heat packs, warm baths, or other methods.
Duration: Typical application times range from 15-20 minutes for each modality.
Frequency: The frequency of treatment depends on the condition and the patient's response, ranging from several times a day to once a day.
Integrating Alternate Ice and Heat Therapy into a Holistic Approach:
Alternate ice and heat therapy is most effective when integrated into a comprehensive pain management strategy. This should include other therapies such as exercise, manual therapy, patient education, and, in some cases, medication. A holistic approach considers the individual’s overall health, lifestyle, and psychosocial factors.
Conclusion:
Alternate ice and heat therapy is a valuable modality in pain management and injury rehabilitation. Its effectiveness stems from the contrasting physiological effects of ice and heat, which together optimize the healing process. While it offers significant benefits, it's crucial to use it judiciously, under the guidance of a healthcare professional, and as part of a broader treatment plan. The success of alternate ice and heat therapy hinges on a tailored approach, considering the individual’s specific needs and condition. Always consult a doctor or physical therapist before starting any new treatment plan.
FAQs:
1. Can I use alternate ice and heat therapy on any type of pain? No, it's not suitable for all conditions. Consult a healthcare professional.
2. How long should I apply ice and heat? Typically 15-20 minutes for each, but this can vary.
3. What are the potential side effects? Burns from heat, frostbite from ice if applied incorrectly.
4. Can I use alternate ice and heat therapy during pregnancy? Consult your doctor.
5. Is it better to start with ice or heat? Generally, ice for acute injuries initially.
6. How often should I alternate ice and heat? It depends on your condition and response; your therapist will guide you.
7. Can I use alternate ice and heat therapy with other treatments? Yes, it often complements other therapies.
8. How do I know if alternate ice and heat therapy is working? You should notice a reduction in pain and inflammation.
9. What are the common contraindications for alternate ice and heat therapy? Open wounds, impaired circulation, certain skin conditions.
Related Articles:
1. Ice Therapy for Muscle Soreness: This article explores the specific use of ice in reducing muscle soreness and promoting recovery after exercise.
2. Heat Therapy for Arthritis Pain: This article focuses on the application of heat therapy in alleviating the symptoms of arthritis.
3. Combining Ice and Heat for Tendinitis: Examines the effectiveness of combining ice and heat therapies for treating tendonitis.
4. The Role of Cryotherapy in Sports Injuries: Explores the use of cryotherapy (ice) in the treatment and prevention of sports injuries.
5. Heat Therapy for Back Pain Relief: Focuses on heat therapy's role in managing back pain.
6. Alternate Ice and Heat Therapy for Carpal Tunnel Syndrome: Discusses the use of this therapy in carpal tunnel syndrome management.
7. Evidence-Based Practices in Alternate Ice and Heat Therapy: Reviews the scientific evidence supporting the use of this therapy.
8. Precautions and Contraindications for Ice and Heat Therapy: Details the important safety considerations and contraindications.
9. Home Remedies for Pain Relief: The Role of Ice and Heat: Explores the place of ice and heat in home-based pain management strategies.
| alternate ice and heat therapy: The Wim Hof Method Wim Hof, 2022-04-14 THE SUNDAY TIMES BESTSELLING PHENOMENOM 'I've never felt so alive' JOE WICKS 'The book will change your life' BEN FOGLE My hope is to inspire you to retake control of your body and life by unleashing the immense power of the mind. 'The Iceman' Wim Hof shares his remarkable life story and powerful method for supercharging your strength, health and happiness. Refined over forty years and championed by scientists across the globe, you'll learn how to harness three key elements of Cold, Breathing and Mindset to master mind over matter and achieve the impossible. 'Wim is a legend of the power ice has to heal and empower' BEAR GRYLLS 'Thor-like and potent...Wim has radioactive charisma' RUSSELL BRAND |
| alternate ice and heat therapy: Minerals - The Forgotten Nutrient , 2017-01-08 Minerals are, in many ways, the unheralded and often forgotten heroes of keeping our bodies functioning at their best. While the nutrients carbohydrates, proteins and fat may be better well known, minerals are equally vital for helping us get and stay healthy. They play a key role in combatting disease, helping your body heal, managing ongoing chronic health problems such as high blood pressure, minimizing the impact of such common maladies as headaches and PMS, helping children grow up strong, enhancing mental performance at all ages, and fatigue. They truly are your secret weapon for getting and staying your healthiest.In this easy-to-read and easy-to-use guide, pH Lab's team of recognized medical doctors and specialists tell you about the role minerals play with common health issues along with detailed information about individual minerals. You'll also learn more about the relationship between minerals and prescription medicines, why you need more than routine blood tests to see what minerals your body may need, and where you can get these tests.Enjoy your healthy life! |
| alternate ice and heat therapy: Scientific Foundations and Principles of Practice in Musculoskeletal Rehabilitation David J. Magee, James E. Zachazewski, William S. Quillen, 2007-02-14 Musculoskeletal Rehabilitation, Volume 2: Scientific Foundations and Principles of Practice provides a thorough review of the basic science information concerning the tissues of the musculoskeletal system impacted by injury or disease, as well as the guiding principles upon which rehabilitation interventions are based. This volume divides information into two sections: scientific foundations and principles of intervention, providing readers with a guiding set of clinical foundations and principles upon which they can easily develop treatment interventions for specific impairments and functional limitations. Clinical application case studies help readers apply what they learn in the classroom to real life situations. Evidence-based content uses over 5,000 references to support the basic science information principles for rehabilitation interventions and provide the best evidence and physiological reasoning for treatment. Over 180 tables and 275 text boxes highlight key points within the text for better understanding. Expert editors David Magee, PhD, PT, James Zachazewski, DPT, SCS, ATC, Sandy Quillen, PT, PhD, SCS, FACSM and over 70 contributors provide authoritative guidance on the foundations and principles of musculoskeletal rehabilitation practice. |
| alternate ice and heat therapy: Integrative Sexual Health Barbara Bartlik, Geo Espinosa, Geovanni Espinosa, Janet Mindes, 2018 Integrative Sexual Health explores beyond the standard topics in men's and women's health, drawing on a diverse research literature to provide an overview of sexual biology and sexual dysfunction, diverse lifespan, lifestyle and environmental impacts on sexual function, integrative medicine solutions to sexual problems, and traditional eastern and western treatment approaches to healing sexual difficulties. This comprehensive guide written by experts in the field provides clinical vignettes, detailed treatment strategies for mitigating the side effects of both medications and sexual dysfunction associated with medical illness and poor lifestyle habits, and extensive further reading resources. Integrative treatment modalities not typically consulted in mainstream medicine, such as traditional Chinese medicine, Ayurvedic medicine, aromatherapy, and botanical medicine, are presented with the best evidence, in a clinically relevant manner. Part of the Weil Integrative Medicine Library, this volume is a must read for the specialist and non-specialist alike who wish to address sexual problems using an integrative medicine approach, and acquire tools to maintain lifetime optimal health and vitality that supports healthy sexuality. Integrative medicine is defined as healing-oriented medicine that takes account of the whole person (body, mind, and spirit) as well as all aspects of lifestyle; it emphasizes the therapeutic relationship and makes use of appropriate therapies, both conventional and alternative. Series editor Andrew Weil, MD, is Professor and Director of the Arizona Center for Integrative Medicine at the University of Arizona. Dr. Weil's program was the first such academic program in the U.S., and its stated goal is to combine the best ideas and practices of conventional and alternative medicine into cost effective treatments without embracing alternative practices uncritically. |
| alternate ice and heat therapy: Thermal Agents in Rehabilitation Susan L. Michlovitz, 1996-01-01 -- Reviews the applications of thermal agents to reduce pain, improve joint motion, and enhance healing -- Heat and cold agents are described and their methods of application are discussed; rationales are included for use of each modality based on physiologic and physical effects, patient safety, and therapeutic goals -- Guidelines for safety, maintenance of equipment, and current research for each agent are outlined |
| alternate ice and heat therapy: Evidence-Based Rheumatology Peter Tugwell, Beverley Shea, Maarten Boers, Peter Brooks, Lee Simon, Vibeke Strand, George Wells, 2009-07-10 Compiled by Cochrane collaborators and members of OMERACT (Outcome Measures in Rheumatology), Evidence-based Rheumatology is an essential resource for evidence-based medicine as applied to the musculoskeletal disorders. The introductory section covers the principles of evidence-based medicine in rheumatology, followed by clinical chapters covering all the major disorders. Each chapter includes non-drug therapy, drug therapy, and consumer evidence-based summaries. Evidence-Based Series: Evidence-based Rheumatology, part of the acclaimed series BMJ Evidence-based medicine textbooks that have revolutionised clinical medicine literature, comes with a fully searchable CD-ROM of the whole text. The text is kept up to date online at www.evidbasedrheum.com Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file. |
| alternate ice and heat therapy: Pain Management in Special Circumstances Nabil Shallik, 2018-11-21 Like management of disease, management of pain is as old as the human race. When patients come to us with their pain, they present us with a wonderful opportunity: the chance to understand them, to understand how their pain is affecting their lives, the challenge of discovering what is causing their pain, and finally the opportunity to prescribe medications and lifestyle changes to help them gain relief from their pain. It is hoped that this book will provide the latest evidence-based updates on pain management in special circumstances and will serve as a ready reference for those embarking on pain management. Its intent is not to be a heavy book that can only be stored on a bookshelf, but a pocket-sized reference that can be carried, be easily navigated, and be available whenever a conceptual gap compromises pain physicians and their ability to treat their patients. |
| alternate ice and heat therapy: Treatment of Chronic Pain by Interventional Approaches Timothy R. Deer, Michael S. Leong, Asokumar Buvanendran, Philip S. Kim, Sunil J. Panchal, 2014-12-08 From reviews of Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches is a major textbook... [I]t should be a part of all departmental libraries and in the reference collection of pain fellows and pain practitioners. In fact, this text could be to pain as Miller is to general anesthesia. Journal of Neurosurgical Anesthesiology Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a soft cover version of the Interventional sections of the acclaimed Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. It is intended as a primary reference for busy clinicians who seek up-to-date and authoritative information about interventional approaches to treating chronic pain. State-of-the-art coverage of full range of techniques: neural blockades, neurolysis blocks, and neurostimulation Review of clinically relevant anatomy and physiology Key Points preview contents of each chapter |
| alternate ice and heat therapy: Human Herpesviruses Ann Arvin, Gabriella Campadelli-Fiume, Edward Mocarski, Patrick S. Moore, Bernard Roizman, Richard Whitley, Koichi Yamanishi, 2007-08-16 This comprehensive account of the human herpesviruses provides an encyclopedic overview of their basic virology and clinical manifestations. This group of viruses includes human simplex type 1 and 2, Epstein–Barr virus, Kaposi's Sarcoma-associated herpesvirus, cytomegalovirus, HHV6A, 6B and 7, and varicella-zoster virus. The viral diseases and cancers they cause are significant and often recurrent. Their prevalence in the developed world accounts for a major burden of disease, and as a result there is a great deal of research into the pathophysiology of infection and immunobiology. Another important area covered within this volume concerns antiviral therapy and the development of vaccines. All these aspects are covered in depth, both scientifically and in terms of clinical guidelines for patient care. The text is illustrated generously throughout and is fully referenced to the latest research and developments. |
| alternate ice and heat therapy: Therapeutic Modalities Kenneth Knight, Kenneth L. Knight, David O. Draper, 2012-02-15 Authored by two leading researchers in the athletic training field, the Second Edition of Therapeutic Modalities: The Art and Science provides the knowledge needed to evaluate and select the most appropriate modalities to treat injuries. The authors use an informal, student-friendly writing style to hold students' interest and help them grasp difficult concepts. The unique approach of the text teaches aspiring clinicians both the how and the why of therapeutic modality use, training them to be decision-making professionals rather than simply technicians. The Second Edition is revised and expanded to include the latest research in therapeutic modalities. New material has been added on evidence-based practice, and other areas, such as pain treatment, are significantly expanded. It retains the successful format of providing the necessary background information on the modalities, followed by the authors' 5-Step Application Procedure. New photos, illustrations, and case studies have also been added. |
| alternate ice and heat therapy: Exertional Heat Illnesses Lawrence E. Armstrong, 2003 The only text to focus exclusively on heat-related illnesses. Full of practical advice for professionals in a variety of medical, academic, & commercial settings. Learn how to identify, treat & prevent exertional heat illnesses & ensure your sporting events are safe. |
| alternate ice and heat therapy: My Pregnancy Guide Attilio D'Alberto, 2021-01-01 My Pregnancy Guide is based on my 20 years clinical experience in helping women during pregnancy and the latest scientific evidence sourced from over 750 research studies. This self-help guide blends modern fact-based research together with the ancient theories of Chinese medicine to deliver a powerful and concise understanding of pregnancy and labour. My Pregnancy Guide explains what to expect in pregnancy, problems you may experience and what to do about them, the impact of COVID-19, an optimal pregnancy diet, supplements to take, pregnancy for dads and how to reduce your baby’s chances to developing autism. It explains what tests you can have and the various dangers to your baby and how to avoid them, from chemicals in the environment, in foods, cosmetics and household products to pollution, plastics, heavy metals and pharmaceutical drugs. Advice is given on how to minimise your baby miscarrying or developing any abnormalities and how you can enhance your health for optimal breast-milk production and post labour health. In-depth explanations are given on how to optimise your lifestyle from exercising, work, sleep to clothing, footwear and even baths versus showers all based on the latest cutting-edge research together with the tried and tested theories of Chinese medicine. Week by week explanations on how your baby is growing is given along with advice on how to enhance your baby’s development. A large range of supplements are listed to improve mother and baby's health. Based on the latest scientific research, My Pregnancy Guide also explains how to deal with various pregnancy problems that may develop from gestational diabetes, preeclampsia to constipation and slow baby growth. Explanations are given on the stages of labour and how to prepare for each step. Fact-based research is given advising on going over 40 weeks and how to prepare for labour, treat a breech baby, pain relief options and acupressure points to encourage labour and a reduction in labour pain. A large range of natural herbs are given to help reduce miscarriage and aid labour. Dr (TCM) Attilio D’Alberto has been supporting women in pregnancy and labour since 2004, from those who fell pregnant naturally to those that conceived with IVF. This book is a treasure-trove of information that is invaluable to all women who are pregnant. ”I safely delivered a baby boy. I defiantly feel he helped to reduce the pain too, as I felt ready to give birth all over again the next day”-Dr (TCM) Attilio D'Alberto - Bachelor of Medicine (Beijing), BSc (Hons) TCM |
| alternate ice and heat therapy: Primer on the Rheumatic Diseases John H. Klippel, Cornelia M. Weyand, Robert Wortmann, 1997 A comprehensive textbook for health-care professionsl and students covering the rheumatic diseases, including arthritis, lupus, osteoporosis, fibromyalgia and more. |
| alternate ice and heat therapy: Clinical Case Studies for the Family Nurse Practitioner Leslie Neal-Boylan, 2011-11-28 Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use. |
| alternate ice and heat therapy: Low Back Disorders Stuart McGill, 2007 This second edition of 'Low Back Disorders' provides research information on low back problems and shows readers how to interpret the data for clinical applications. |
| alternate ice and heat therapy: Poems of Healing Karl Kirchwey, 2021-03-30 A remarkable Pocket Poets anthology of poems from around the world and across the centuries about illness and healing, both physical and spiritual. From ancient Greece and Rome up to the present moment, poets have responded with sensitivity and insight to the troubles of the human body and mind. Poems of Healing gathers a treasury of such poems, tracing the many possible journeys of physical and spiritual illness, injury, and recovery, from John Donne’s “Hymne to God My God, In My Sicknesse” and Emily Dickinson’s “The Soul has Bandaged moments” to Eavan Boland’s “Anorexic,” from W.H. Auden’s “Miss Gee” to Lucille Clifton’s “Cancer,” and from D.H. Lawrence’s “The Ship of Death” to Rafael Campo’s “Antidote” and Seamus Heaney’s “Miracle.” Here are poems from around the world, by Sappho, Milton, Baudelaire, Longfellow, Cavafy, and Omar Khayyam; by Stevens, Lowell, and Plath; by Zbigniew Herbert, Louise Bogan, Yehuda Amichai, Mark Strand, and Natalia Toledo. Messages of hope in the midst of pain—in such moving poems as Adam Zagajewski’s “Try to Praise the Mutilated World,” George Herbert’s “The Flower,” Wisława Szymborska’s “The End and the Beginning,” Gwendolyn Brooks’ “when you have forgotten Sunday: the love story” and Stevie Smith’s “Away, Melancholy”—make this the perfect gift to accompany anyone on a journey of healing. Everyman's Library pursues the highest production standards, printing on acid-free cream-colored paper, with full-cloth cases with two-color foil stamping, decorative endpapers, silk ribbon markers, European-style half-round spines, and a full-color illustrated jacket. |
| alternate ice and heat therapy: The sports medicine Book Gabe Mirkin, Marshall Hoffman , 1978 |
| alternate ice and heat therapy: Essentials of Physical Medicine and Rehabilitation Julie K. Silver, Thomas D. Rizzo, 2008-01-01 DIAGNOSTIC STUDIES -- TREATMENT -- POTENTIAL DISEASE COMPLICATIONS -- POTENTIAL TREATMENT COMPLICATIONS -- Chapter 11. Biceps Tendinitis -- DEFINITION -- SYMPTOMS -- PHYSICAL EXAMINATION -- FUNCTIONAL LIMITATIONS -- DIAGNOSTIC STUDIES -- TREATMENT -- POTENTIAL DISEASE COMPLICATIONS -- POTENTIAL TREATMENT COMPLICATIONS -- Chapter 12. Biceps Tendon Rupture -- DEFINITION -- SYMPTOMS -- PHYSICAL EXAMINATION -- FUNCTIONAL LIMITATIONS -- DIAGNOSTIC STUDIES -- TREATMENT -- POTENTIAL DISEASE COMPLICATIONS -- POTENTIAL TREATMENT COMPLICATIONS -- Chapter 13. Glenohumeral Instability -- DEFINITIONS |
| alternate ice and heat therapy: A Tooth from the Tiger's Mouth Tom Bisio, 2009-11-24 A renowned expert in Chinese sports medicine and martial arts reveals ancient Eastern secrets for healing common injuries, including sprains, bruises, deep cuts, and much more. For centuries, Chinese martial arts masters have kept their highly prized remedies as carefully guarded secrets, calling such precious and powerful knowledge a tooth from the tiger's mouth. Now, for the first time, these deeply effective methods are revealed to Westerners who want alternative ways to treat the acute and chronic injuries experienced by any active person. While many books outline the popular teachings of traditional Chinese medicine, only this one offers step-by-step instructions for treating injuries. Expert practitioner and martial artist Tom Bisio explains the complete range of healing strategies and provides a Chinese first-aid kit to help the reader fully recover from every mishap: cuts, sprains, breaks, dislocations, bruises, muscle tears, tendonitis, and much more. He teaches readers how to: Examine and diagnose injuries Prepare and apply herbal formulas Assemble a portable kit for emergencies Fully recuperate with strengthening exercises and healing dietary advice Comprehensive and easy to follow, with drawings to illustrate both the treatment strategies and the strengthening exercises, this unique guidebook will give readers complete access to the powerful healing secrets of the great Chinese warriors. |
| alternate ice and heat therapy: The Complete Book of Enzyme Therapy Anthony J. Cichoke, 1999 Describes a variety of ailments and medical conditions, and lists and current treatments that feature enzymes, vitamins, and minerals |
| alternate ice and heat therapy: Aging Stronger Jack Wong, 2019-09-17 Avoid Costly Mistakes and gain CLARITY on how to make the best decision for your health. If you're aged 50+ and suffering with pain or stiffness that is affecting your ability to stay active or independent, this book is for you. Don't waste more time resting or taking it easy until the pain becomes unbearable. Take action to overcome pain, stiffness, and injury without relying on pain medications, injections, or surgeries. Dr. Jack reveals ➔The 6 biggest health myths most people believe that simply aren't true➔ False beliefs around aging, and how to stay active, healthy, and mobile without pain pills, injections, or surgeries ➔How to create a plan to achieve better health in a few simple steps➔The top mistakes people make about their health that keep them stuck ➔How the holistic medical model treats the CAUSE rather than just symptoms➔What to look for when choosing a healthcare provider that best fits your needs ➔And Much More!! Dr. Jack Wong is the owner of Next Level Physical Therapy in Kingwood, Texas. He specializes in using natural solutions to treat the cause of your problems, not just the symptoms. Next Level Physical Therapy helps people aged 50+ keep ACTIVE and MOBILE in their 60s, 70s, and beyond without the need for pain pills, even if they've been told nothing could be done! |
| alternate ice and heat therapy: Caring for the Painful Thumb Jan Albrecht, 2008-05-01 Caring for the Painful Thumb - More Than a Splint by Jan Albrecht, an Occupational Therapist and Certified Hand Therapist. It is a teaching tool for patients and therapists. With over 200 color illustrations, it is two books in one: half the book for the right hand and half for left to help patients visualize mobilization and stabilization techniques. Terminology a patient can understand. Textile taping for the painful thumb CMC joint described in detail. 52 sturdy pages, spiral bound. This durable book can be used at the treatment table, or independently by the patient at the completion of therapy. Pages can be copied for handouts. |
| alternate ice and heat therapy: International Medical Guide for Ships World Health Organization, 2007 This publication shows designated first-aid providers how to diagnose, treat, and prevent the health problems of seafarers on board ship. This edition contains fully updated recommendations aimed to promote and protect the health of seafarers, and is consistent with the latest revisions of both the WHO Model List of Essential Medicines and the International Health Regulations.--Publisher's description. |
| alternate ice and heat therapy: Ask a Manager Alison Green, 2018-05-01 From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together |
| alternate ice and heat therapy: Mayo Clinic on Arthritis Gene G. Hunder, 1999 Covers the causes and symptoms of arthritis; offers tips on pain control, diet, and exercise; and describes such treatment options as medications, surgical procedures, and alternative therapies. |
| alternate ice and heat therapy: Michlovitz's Modalities for Therapeutic Intervention James W. Bellew, Thomas P. Nolan Jr., 2022-01-24 A volume in the Contemporary Perspectives in Rehabilitation Series, curated by Steven L. Wolf, PhD, PT, FAPTA Implement a current, evidence-based approach to the selection, application, and uses of therapeutic modalities as an essential tool for functionally based rehabilitation and as a complement to other types of interventions in a patient-centered model of care. The 7th Edition of this groundbreaking text fosters an in-depth understanding of the science behind each modality, its advantages and limitations, its appropriateness for specific conditions, and its implementation. A hands-on problem-solving approach promotes the development of essential clinical decision-making skills through a wealth of full-color photographs and illustrations, special features, and challenging cases studies. See what students and practitioners are saying about the previous edition… Recommend this book. “Great clinical reference for young therapists and seasoned therapists alike. Great information in a nicely organized book.”—Jane D., Online Reviewer Excellent book “Excellent content. Therapeutic modalities and many more... including spinal decompression devices.”—Online Reviewer |
| alternate ice and heat therapy: Integrated Electrophysical Agents[Formerly Entitled Electrotherapy: Evidence-Based Practice] Tim Watson, Ethne Nussbaum, 2020-03-28 Electrophysical Modalities (formerly Electrotherapy: Evidence-Based Practice) is back in its 13th edition, continuing to uphold the standard of clinical research and evidence base for which it has become renowned. This popular textbook comprehensively covers the use of electrotherapy in clinical practice and includes the theory which underpins that practice. Over recent years the range of therapeutic agents involved and the scope for their use have greatly increased and the new edition includes and evaluates the latest evidence and most recent developments in this fast-growing field. Tim Watson is joined by co-editor Ethne Nussbaum and both bring years of clinical, research and teaching experience to the new edition, with a host of new contributors, all leaders in their specialty. |
| alternate ice and heat therapy: Practical Pain Management C. David Tollison, John R. Satterthwaite, Joseph W. Tollison, 2002 Thoroughly revised to reflect contemporary diagnostics and treatment, this Third Edition is a comprehensive and practical reference on the assessment and management of acute and chronic pain. This edition features 14 new chapters and is filled with new information on invasive procedures...pharmacologic interventions...neuraxial pharmacotherapy...physical and occupational therapies...diagnostic techniques...pain in terminally ill patients...cancer pain...visceral pain...rheumatologic disorders...managed care...and medicolegal issues. Reorganized with two new sections focusing on diagnostics and cancer pain. A Brandon-Hill recommended title. |
| alternate ice and heat therapy: Explain Pain David S Butler, G Lorimer Moseley, 2013-07 Imagine an orchestra in your brain. It plays all kinds of harmonious melodies, then pain comes along and the different sections of the orchestra are reduced to a few pain tunes. All pain is real. And for many people it is a debilitating part of everyday life. It is now known that understanding more about why things hurt can actually help people to overcome their pain. Recent advances in fields such as neurophysiology, brain imaging, immunology, psychology and cellular biology have provided an explanatory platform from which to explore pain. In everyday language accompanied by quirky illustrations, Explain Pain discusses how pain responses are produced by the brain: how responses to injury from the autonomic motor and immune systems in your body contribute to pain, and why pain can persist after tissues have had plenty of time to heal. Explain Pain aims to give clinicians and people in pain the power to challenge pain and to consider new models for viewing what happens during pain. Once they have learnt about the processes involved they can follow a scientific route to recovery. The Authors: Dr Lorimer Moseley is Professor of Clinical Neurosciences and the Inaugural Chair in Physiotherapy at the University of South Australia, Adelaide, where he leads research groups at Body in Mind as well as with Neuroscience Research Australia in Sydney. Dr David Butler is an international freelance educator, author and director of the Neuro Orthopaedic Institute, based in Adelaide, Australia. Both authors continue to publish and present widely. |
| alternate ice and heat therapy: Chronic Postsurgical Pain Gérard Mick, Virginie Guastella, 2014-02-20 Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book. |
| alternate ice and heat therapy: Onsite Wastewater Treatment Systems Manual , 2002 This manual contains overview information on treatment technologies, installation practices, and past performance.--Introduction. |
| alternate ice and heat therapy: Outsmart Your Pain Christiane Wolf, 2021-05-11 “Mindfulness and compassion practices should be in everybody’s toolbox for a happier and healthier life. [This] book is essential reading for providers who treat chronic illnesses and for those suffering from them.”—Arianna Huffington Pain can be a big, unwieldy box that we struggle to carry all day. But what if we could put down this box, unpack it, and tackle the contents one by one? Outsmart Your Pain is Dr. Christiane Wolf’s radically clear, evidence-based guide to relieving chronic pain with mindfulness, complete with twenty easy guided meditations and self-compassion practices, including: rewriting the “pain story” you tell yourself practicing loving acceptance of your body as it is mindfully working through negative emotions strengthening your inner and outer support systems. By separating your pain from the stressful thoughts and troubled feelings that come with it, you can lay down your burden and live with joy. |
| alternate ice and heat therapy: Kitchen Companion , 2008 |
| alternate ice and heat therapy: Your Guide to Lowering Your Blood Pressure with Dash U. S. Department Human Services, National Health, Department Of Health And Human Services, Lung, and Blood, National Heart Institute, National Heart Lung Institute, And, 2012-07-09 This book by the National Institutes of Health (Publication 06-4082) and the National Heart, Lung, and Blood Institute provides information and effective ways to work with your diet because what you choose to eat affects your chances of developing high blood pressure, or hypertension (the medical term). Recent studies show that blood pressure can be lowered by following the Dietary Approaches to Stop Hypertension (DASH) eating plan-and by eating less salt, also called sodium. While each step alone lowers blood pressure, the combination of the eating plan and a reduced sodium intake gives the biggest benefit and may help prevent the development of high blood pressure. This book, based on the DASH research findings, tells how to follow the DASH eating plan and reduce the amount of sodium you consume. It offers tips on how to start and stay on the eating plan, as well as a week of menus and some recipes. The menus and recipes are given for two levels of daily sodium consumption-2,300 and 1,500 milligrams per day. Twenty-three hundred milligrams is the highest level considered acceptable by the National High Blood Pressure Education Program. It is also the highest amount recommended for healthy Americans by the 2005 U.S. Dietary Guidelines for Americans. The 1,500 milligram level can lower blood pressure further and more recently is the amount recommended by the Institute of Medicine as an adequate intake level and one that most people should try to achieve. The lower your salt intake is, the lower your blood pressure. Studies have found that the DASH menus containing 2,300 milligrams of sodium can lower blood pressure and that an even lower level of sodium, 1,500 milligrams, can further reduce blood pressure. All the menus are lower in sodium than what adults in the United States currently eat-about 4,200 milligrams per day in men and 3,300 milligrams per day in women. Those with high blood pressure and prehypertension may benefit especially from following the DASH eating plan and reducing their sodium intake. |
| alternate ice and heat therapy: Training for Speed and Endurance Peter Reaburn, David Jenkins, 1996 Authoritative yet accessible coverage of an area of growing importance. |
| alternate ice and heat therapy: Therapeutic Modalities William E. Prentice, 2009 This text is a contributed work by well-known trainers and educators, written under the direction of Dr. Prentice. The 6/e continues to be the only text developed specifically for athletic trainers. This text is also appropriate for those physical therapists that are involved in a sports medicine curriculum. |
| alternate ice and heat therapy: What Doesn't Kill Us Scott Carney, 2017-01-03 What Doesn't Kill Us, a New York Times bestseller, traces our evolutionary journey back to a time when survival depended on how well we adapted to the environment around us. Our ancestors crossed deserts, mountains, and oceans without even a whisper of what anyone today might consider modern technology. Those feats of endurance now seem impossible in an age where we take comfort for granted. But what if we could regain some of our lost evolutionary strength by simulating the environmental conditions of our ancestors? Investigative journalist and anthropologist Scott Carney takes up the challenge to find out: Can we hack our bodies and use the environment to stimulate our inner biology? Helping him in his search for the answers is Dutch fitness guru Wim Hof, whose ability to control his body temperature in extreme cold has sparked a whirlwind of scientific study. Carney also enlists input from an Army scientist, a world-famous surfer, the founders of an obstacle course race movement, and ordinary people who have documented how they have cured autoimmune diseases, lost weight, and reversed diabetes. In the process, he chronicles his own transformational journey as he pushes his body and mind to the edge of endurance, a quest that culminates in a record-bending, 28-hour climb to the snowy peak of Mt. Kilimanjaro wearing nothing but a pair of running shorts and sneakers. An ambitious blend of investigative reporting and participatory journalism, What Doesn’t Kill Us explores the true connection between the mind and the body and reveals the science that allows us to push past our perceived limitations. |
| alternate ice and heat therapy: Textbook of Electrotherapy Jagmohan Singh, 2012-01-01 |
| alternate ice and heat therapy: Excess Postexercise Oxygen Consumption Roald Bahr, 1992 |
| alternate ice and heat therapy: Importing Into the United States U. S. Customs and Border Protection, 2015-10-12 Explains process of importing goods into the U.S., including informed compliance, invoices, duty assessments, classification and value, marking requirements, etc. |
Feedback and Suggestions (Path of Exile 1) - Can we hav…
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Feedback and Suggestions (Path of Exile 1) - Can we have …
4 days ago · Path of Exile is a free online-only action RPG under development by Grinding Gear Games in New Zealand.
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If you think you've lost your weapons, you've probably swapped to the alternate weapon tabs by pressing X. Please try toggling back with the X key before posting a bug report about it. For …
