Contraindications for heat and cold therapeutic modalities

Heat	Cold
Acute injury/trauma/hemorrhage	Ischemia
Insensate skin	Insensate skin
Ischemia	Inability to communicate/respond to pain
Edema	Impaired thermal regulation
Inability to communicate/respond to pain	Raynaud phenomenon
Impaired thermal regulation	Pronounced cold pressor response
Malignancy
Cardiac disorders (eg, decompensated heart failure)

Adapted with permission from: DeLisa's Physcial Medicine and Rehabilitation: Principles and Practice, 5th edition, Frontera WR (Ed), Lippincott Williams & Wilkins, 2010. Copyright © 2010 Lippincott Williams & Wilkins. www.lww.com.

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