Wax Air Rise
Superficial heat treatments are very commonly used for aches and pains by the public although rather less so by physiotherapists nowadays. These types of treatment do not heat deep into the body so cannot affect muscles directly as the subcutaneous fat layer below the skin functions as a heat insulator. Superficial heating also causes increased blood flow through the skin of the heated area, which carries off some of the heat being applied. The methods of heating are varied and are generally described as heat conduction, heat convection and heat conversion. Transfer of heat in conversion heating occurs from the hot object to the cooler one by direct contact and without movement of the medium, the two objects being in close contact for best effectiveness. Typical treatment techniques of conversion heating are hot packs, electric heat pads, wax baths or paraffin baths, hot compresses and electric heat pads. Hot air devices and whirlpools baths which employ convective heating are less commonly used and use motion of the water or air to transfer heat. Light energy from radiant sources such as an infra-red lamp is converted into heat in the superficial tissues in the conversion heating technique. Various parameters of the heat application determine how the bodily tissues react to the temperature changes. This depends on the size of the region under treatment, how quickly the temperature rises, how long the heat is applied for and the level of temperature achieved in the tissues. Hot packs, sometimes called hydrocollator packs, uses the conductive heating effect and can be effective but there is a risk of burns as the tissues can be overheated. Hot packs do not mould very effectively to uneven body parts such as the foot or ankle, making predictable heating unlikely. Reduction in the local blood supply can occur with pressure of the pack on the leg or vice versa, giving increased heating. Refractory ankle swelling after fractures or repeated sprains of the ankle and joint inflammatory problems can be treated by contrast bathing where a 25 degree centigrade difference is established between a cold and a hot bath. Moving from one to the other causes great changes in the circulation and typically initial treatment is ten minutes in the hotter container then one in the colder one, then changing to four minutes in the hotter with one following in the colder. Repeated cycles can be performed for up to thirty minutes a few times a day. Pool therapy or hydrotherapy uses this therapeutic technique also, by convective heating. Pool therapy is a popular option especially for patients with rheumatological diseases due to the joint support and soothing heat provided by water which is thirty four degrees centigrade or higher. Hydrotherapy pools allow several patients to be treated with the physiotherapist and can be very useful provided the contraindications for medical conditions are observed. Infra-red radiation, a form or radiant energy which uses the conversion heating pathway, is commonly used and the effect is produced by the conversion to heat of the high-energy light particles from the source. Infra-red lamps are common domestic appliances and easily bought in shops, usually with a red light visible spectrum added to make the treatment clear as infra-red is invisible. People use them for minor musculoskeletal conditions such as back pain, muscle spasm and arthritic joint pains. The tissues do not undergo deep heating with this method and the superficial heating gives some sensory nerve sedation and heat input to the spinal cord processing areas. Physiotherapists are very careful with the distances between skin and heat source to prevent burns, as a quadrupling of heat intensity is achieved by merely halving the distance between the two. Heat therapy should not be routinely applied and physiotherapists make careful clinical judgements as to whether superficial heating is indicated in the light of the effects being small, short lived and not deep. Skin sensibility should be normal for this method as a deficiency in this could risk a burn as the patient cannot tell when their skin is being overheated. Heating should be avoided in areas of infection and its use in inflammation should be clinically reasoned for appropriateness.
Gatsby Moving Rubber – Air Rise
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