Cryo application tools

• Cold packs - simplest and convenient. - filled with a gel composed of silica, they are usually covered with vinyl stored in a refrigeration tank.
• cold packs: treatment duration - 10 to 15 mins; may go up to 20 mins but never exceed
• Ice towels: - this contains ice towels, wet terry cloth wrapped with ice shavings on it.
• ice towels: treatment duration - 10 to 15 mins
• ice packs: - plastic bags filled with ice cubes/crushed ice - provide more aggressive cooling than cold packs
• ice packs: treatment duration - 5 to 15 mins or maximum of 20 to 40 mins (for deeper muscles)
• Ice massage: - for smaller areas of the body -circular, smooth and rhythmical strokes over area, avoid bony area
• ice massage: treatment duration - 3 to 10 mins, varies on the size of the area
• controlled compressed cold compression unit: -alternately pump cold water and air into a sleeve that is wrapped around a patients limb - most commonly used after surgery for the control of postoperative inflammation and edema
• vapocoolant sprays: used for brief and rapid cutaneous cooling. - indicated for treatment of myofascial pain syndromes, trigger points, and minor sports injuries.
• quick icing: use of three to five swipes of ice on area to be facilitated; used to patients with CNS or PNS damage(???)
• PRICE therapy or RICE: Treatment should be about 20 mins and can be repeated after about 30 mins to an hour
• indications:

  • reduction of acute pain
  • reduction of local bleeding and swelling
  • reduction of spasm
  • reduction of spasticity
  • Treatment pf acute burns

  note!!!! di ito complete, basahin mo nalnag sa trans
• cold hypersensitivity: the reaction is marked by the transient appearance of smooth, slightly elevated patches, which are redder or player than the surrounding skin and are often attended by severe itching.
• cold induced urticaria: itching/elevated patches on the skin
• cold intolerance - form of severe pain, numbness, and color changes in response to cold; occurs on pts w/ rheumatic disorders or after severe accidental or surgical trauma to the digits
• cryoglobulinemia: uncommon disorder characterized by the aggregation of serum proteins in the distal circulation when that distal ex are cooled; leads to impaired circulation which causes local ischemia or gangrene
• paroxysmal cold hemoglobinuria: condition in which the hemoglobin from RBS is released into the urine in response to local or general exposure to the cold
• Raynaud's disease: primary or idiopathic form of paroxysmal digital cyanosis
• raynaud's phenomenon: a paroxysmal digital cyanosis that results from some other regional or systemic disorder
• Tissue Death

  ➔ Due to prolonged vasoconstriction, ischemia, and thrombosis the smaller vessels would collapse/be damaged

  ➔ Tissue damage = Tissue temp of 15deg C

  ➔ Frostbite – between 4-10deg C or lower
• Nerve Damage (Temporary or Permanent)

  ➔ Application should be limited to less than 45 minutes and the tissue temperature should be maintained above 15 deg C.