Hot And Cold Therapy


PROGNOSIA treats everything from arthritis to pulled muscles to inflammation with ice packs or heating pads. Treating pain with hot and cold can be extremely effective for a number of different conditions and injuries, and easily affordable. The tricky part is knowing what situations calls for hot, and which calls for cold. Sometimes a single treatment will even include both.

As a general rule of thumb, use ice for acute injuries or pain, along with inflammation and swelling. Use heat for muscle pain or stiffness

Fast Facts On Cold and Heat Treatment

  • Here are some key points about cold and heat treatment. More detail is in the main article.
  • Cold treatment reduces inflammation by decreasing blood flow. Apply within 48 hours after an injury.
  • Heat treatment promotes blood flow and helps muscles relax. Use for chronic pain.
  • Alternating heat and cold may help reduce exercise-induced muscle pain.
  • Never use extreme heat, and never put ice directly on the skin.
  • Hydrocollator – Hot Therapy

Hydrocollator Moist Heat Hot Packs are the first choice for physiotherapists, physicians, chiropractors, athletic trainers and kinesiologists for over 60 years. PROGNOSIA has a Chattanooga hydro collator unit that is the inventor of the original Hydrocollator Hot Pac and proud to still be producing this all-natural product today.

Hot packs are a type of physical modality often used in therapy clinics. They are applied to your injured body part by your physical therapist. Physical therapists wrap moist hot packs in several layers of towels and the hot packs are then applied directly to the exposed area that needs treatment. It provides up to 30 minutes of deep-felt, soothing, moist heat.


  • Relieves Pain
  • Relaxes tight muscles causing tissues to relax.
  • Decreases pain caused by muscle tension or spasms.
  • Causes vasodilatation of the blood vessels which increases circulation to the area.
  • Re-usable & Good for Hundreds of Treatments
  • Drug-Free Pain Management

How It’s Beneficial

Patients with certain conditions typically benefit from using hot packs in the physical therapy clinic. These conditions may include:

  • Arthritis
  • Chronic pain
  • Joint contracture
  • Muscle spasms
  • A chronic injury where increased blood flow is desired

After an injury, heat helps to increase tissue extensibility and improve the way your muscles move, so just about anyone can benefit from using heat and hot packs as part of a physical therapy program

Contra Indication

There are certain conditions where using moist heat and hot packs should be avoided. These may include
In areas of impaired or altered sensitivity (like having numbness or tingling)

  • In people with impaired mental capacity
  • Over open wounds
  • After acute injury
  • Over joint with acute hemarthrosis
  • In persons who are over-sensitive to heat

COLD Therapy

  • Cold therapy is also known as cryotherapy. It works by reducing blood flow to a particular area, which can significantly reduce inflammation and swelling that causes pain, especially around a joint or a tendon. It can temporarily reduce nerve activity, which can also relieve pain.
  • People with sensory disorders that prevent them from feeling certain sensations should not use cold therapy at home because they may not be able to feel if the damage is being done. This includes diabetes, which can result in nerve damage and lessened sensitivity. You should not use cold therapy on stiff muscles or joints. Cold therapy should not be used if you have poor circulation

Applying cold therapy

For home treatment, apply an ice pack wrapped in a towel or ice bath to the affected area. You should never apply a frozen item directly to the skin, as it can cause damage to the skin and tissues. Apply cold treatment as soon as possible after an injury. Use cold therapy for short periods of time, several times a day. Ten to 15 minutes is fine, and no more than 20 minutes of cold therapy should be used at a time to prevent nerve, tissue, and skin damage. You can elevate the affected area for the best results.

Risks of Cold therapy

If you’re not careful, cold therapy applied for too long or too directly can result in skin, tissue, or nerve damage. If you have cardiovascular or heart disease, consult your doctor before using cold therapy.