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Chapter-114 Physical Therapy

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. Medical Director of Inpatient, Rehabilitation, Department of Physical Medicine and Rehabilitation Baylor College of Medicine, Houston, TX, USA
2. S Thakur
ISBN
9789386261458
DOI
10.5005/jp/books/14128_115
Edition
3/e
Publishing Year
2018
Pages
5
Author Affiliations
2. The University of Texas MD Anderson, Cancer Center, Houston, TX, USA
Chapter keywords
Physical therapy, therapeutic exercise, modality, superficial heat, deep heat, cold, electrical stimulation, traction

Abstract

Comprehensive physical therapy programs utilize exercise, adaptive equipment, and modalities for their therapeutic effects. This chapter covers the therapeutic exercise, modalities, superficial heat, deep heat, cold, electrical stimulation, and traction. Exercise and maintaining physical activity helps prevent disability in those with chronic pain. Formal physical therapy is particularly beneficial as it allows for a structured and set exercise regimen, rather than the ill-advised notion of “let pain be your guide.” Heat is beneficial for many subacute and chronic conditions including muscle spasm, myofascial pain, low back pain, neck pain, postherpetic neuralgia, joint stiffness, arthritis, and chronic inflammation. Cold is generally beneficial for acute injuries as well as acute exacerbations of chronic injuries. It is used in acute traumatic injuries for reduction of edema and inflammation (24–48 hours postinjury).

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