Indications for heat and cold therapeutic modalities

Heat	Cold
Analgesia	Analgesia
Muscle relaxation	Muscle relaxation (eg, spasticity)
Assist with connective tissue extensibility (ie, joint contracture, musculotendinous stretching)	Edema/hemorrhage resolution (eg, initial 24 to 48 hours after acute musculoskeletal trauma)
Hyperemia/acceleration of metabolic processes (eg, tenosynovitis, bursitis)	Reduction of metabolic processes
Hematoma resolution	Reduction of metabolic processes

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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