Hot and cold therapy

[Immortal25]

Have used contrast bathing for same area...i.e. ankle etc for persistant chronic swelling (not hot) and has worked sucessfully. Don't know about 2 different areas on the same limb.

Is this for the same patient that you posted about regarding bilat. shoulder pain?
If so please consider rheumatological conditions, vascular status, neurological involvement etc...

No, this is a different case. It's a fracture elbow actually. The shoulder is stiff now probably caused by the prolonged sling. So patient asked me if two things could be done at the same time to save time and I wondered...

Canuck, yeah same limb. I've heard of alternate but how about at the same time of the same limb?

Thanks for the read though!

[physio.smith]

Thanks. Not sure physiologically what the implications would be...I would tend to treat one at a time personnally.

If you come across any info on this let me know.

[Yarok]

hi

as far as i remember should be ok re limphatic flow hot on proximal part let easy flow of limph from the distal (cold). and i think in theory should help improving treatment.

thanks