Monday, August 27, 2007

Heating Pads - Pain Management

Heating Pads

A heating pad is a device that is used to warm up parts of the body in order to manage and alleviate pain. Localized application of heat dilates the blood vessels and increases the flow of oxygen and nutrients to the muscles, stimulates sensory receptors in order to decrease pain signals to the brain and facilitates stretching of soft tissue, all of which helping to heal the damaged area. In the past mostly "hot water bottles" were used for this purpose, now heating pads usually are made electrical or chemical.
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Electrodes
Lead Wires
Tape Patches/Gels/Lotion
Hot/Cold/Therapy
Pain Management Miscellaneous
TENS/EMS/Electrotherapy
Hot & Cold Therapy

For muscle pain, sprains and injuries, hot & cold treatments can give you fast relief and reduce the amount of pain medication needed. Heat and cold therapies work in different ways and provide different benefits. That means that sometimes, knowing which is the best treatment to use can be confusing.
Both hot & cold therapies work with your body’s own physiological methods to reduce pain, stiffness and prevent further injury. When an acute injury occurs, the body’s response is to open the blood vessels in the area. Increased blood flow sends more oxygen, nutrients and cells that can fight damage or infection to the site. Increased blood flow also creates swelling, your body’s natural way of restricting movement so there is no further injury.
Heat Therapy
Any increase in temperature of the skin or deeper structures causes the blood vessels to open, or dilate. A greater amount of blood can flow into the area when the vessels are dilated. This increases the temperature in the area, allows more infection fighting cells to work, changes the amount of fluid that can flow through the blood vessels and raises the metabolic activity of the cells that surround the damaged tissues. Because heat causes increased blood flow, it should not be used for the first 24-48 hours after an injury.

Cold Therapy
Lowering the temperature around an injured area works in the opposite way. Blood vessels respond to cold by constricting or closing down. This vasoconstriction restricts blood flow to an injured area. If there is an open wound, it will help to limit the amount of bleeding. Although less blood can enter the area, the blood vessels in the skin can dilate and the skin may look redder due to reactive hyperemia. The overall result of cold treatment is a decrease in swelling and the metabolic activity of the local cells. Ultimately, pain relief occurs for a combination of these factors.
Immediate application of cold packs can reduce the pain and severity of injuries and burns. Cooling injured areas prevents swelling, or edema from occurring or becoming worse. If applied quickly enough, cold treatment can reduce or prevent the formation of blisters.
Effective Use of Heat and Cold Therapy

Applied heat and cold therapies can be very effective in controlling pain and speeding recovery from injuries or muscle and joint pain. To effectively use these treatments, just follow some simple guidelines.
Heat therapy
Heat therapy can be divided into superficial and deep modalities. Superficial heat therapies include heating pads, heat lamps, warm moist compresses and medicated creams or gels. Pain associated with muscle spasms, leg cramps, menstrual cramps and superficial thrombophlebitis responds quickly to heat treatments.
A physical therapist or medical technologist usually applies deep heat therapies. These include ultrasound treatment, electric stimulation, paraffin baths.

Cold therapy
The acronym “RICE” reminds us how to treat acute injuries like sprains, strains bumps and bruises. It stands for:
REST
ICE
COMPRESSION
ELEVATION

By following these guidelines, most minor injuries to skin and soft tissue like muscles, ligaments and tendons can be minimized. The body’s response to injuries like this is to swell quickly. Swelling prevents injuries in two ways. First, increased pressure from body fluids compresses the area and makes the nerves more sensitive to pain. The highly sensitized nerves respond more easily to painful stimuli, discouraging you from putting weight on the area or moving it. Next, the swelling acts like a splint, and reduces mobility at the site of the injury.
Applying cold therapy to these injures short circuits the body’s natural swelling response. By closing down blood vessels to the area, less blood and fluids enter the area, thus less swelling can occur. With diminished swelling, there is less pain and stiffness. Recovery can progress faster with less loss of strength, and therefore, less rehabilitation. Compression of the injured area also helps to prevent excessive swelling. Elevation uses gravity to encourage blood and fluid to flow away for the injured area, also working to decrease swelling.

Contrast Therapy
By combining the beneficial effects of heat and cold therapy, more chronic conditions can be improved. This method is most effective for long standing pain and stiffness associated with arthritic problems and joint pain. Persistent swelling after an acute in jury such as a sprain responds very well to contrast therapy. To perform contrast therapy, simply apply heat for 5 minutes, then apply cold for about 5 minutes. Repeat the cycle for 20 to 30 minutes.
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Pain Management

Pain Management
Transcutaneous Electrical Nerve Stimulator, more commonly referred to as a TENS unit and pronounced tens, is an electronic device that produces electrical signals used to stimulate nerves through unbroken skin. It is usually applied to the skin using two or more electrodes. A typical battery-operated TENS unit consists of a pulse generator, small transformer, frequency and intensity controls, and a set of electrode lead wires.
Uses
TENS is considered a method of pain management, and has a wide following for use in obstetric care particularly labor. Nevertheless, there is little data on its actual efficacy, and many obstetricians maintain that it is ineffective.
In palliative care and pain medicine, TENS is occasionally attempted for neuropathic pain (pain due to nerve compression). Although results are modest, some patients benefit from this approach. To generate more conductivity from the electrode to the skin a cream should be used. The position of the electrodes on your skin can alter which muscle is stimulated.
There is a secondary market for TENS units in the BDSM community, where the units are used for erotic play involving electrical stimulation.

Safety
Electrodes should never be placed near or on the eyes, neck, or on an open wound or cut. If placed on an open wound, the veins in your body will serve as wires sending a mircoshock directly to your heart, sending you into ventricular fibrillation. Also a TENS unit should not be used if you have a pacemaker in you, as it will interfere with the electrical structures on the pacemaker.

Pain Management - Electrodes, Hot and Cold Therapy

Tens Electrical Nerve Stimulators
The patient may use a Tens unit at home for pain management on a long or short-term basis. TENS units are about the size of a pack of cigarettes and typically cost $100 - $700. All TENS units allow the user to adjust the intensity of the stimulation; some units also allow the user to select high-frequency stimulation (60 - 200Hz) or low-frequency stimulation (<10 href="http://www.diabeticcorner.com/products_subcategory/electrodes.html">Electrodes can be placed over the painful area, surrounding the painful area, over the nerve supplying the painful area, or even on the opposite side of the body. TENS users need to try the unit for several days with several electrode placements prior to deciding if it will be useful. A home trial for several days to weeks is preferable.
Electrodes
Lead Wires
Tape Patches/Gels/Lotion
Hot/Cold Therapy
Pain Management Miscellaneous
TENS/EMS/Electrotherapy
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Diabetic Equipment, Diabetic Machines, Insulin products, insulin syringes, diabetic strips, lancets and other diabetic testing supplies

Tens Units, TENS unit electrodes, electric heating pads, moist-heat heating pads and other Pain Management equipment and supplies

Ostomy pouches, wafers, pastes, Ostomy adhesives, catheters, Ostomy belts, skin care and other Ostomy Supplies