Home Care

Cold/Heat Therapy

  • Never put heat on an area immediately following an injury.  Use ice applications on and off for the first 24-72 hours, or until swelling subsides.
  • When using either heat or ice, utilize the on and off routine:  On for 15-20 minutes and off for 15-20 minutes.
  • After the first 24-72 hours, you may begin to alternate between ice and heat. The rule is to begin and end with ice during this period:  15-20 minutes of ice, 15-20 minutes of neither, 15-20 minutes of heat, 15-20 minutes of neither, and 15-20 minutes of ice again.  Repeat this as often as possible.
  • As long as you are using the proper type of therapy, and continue to alternate on and off, there is no limit to the number of treatments that can be applied.
  • Never sleep on an electric heating pad.  You can burn yourself, plus you can cause swelling to the area over prolonged usage.
  • If you become stiff, swollen or painful after using heat, wait 15 minutes and then apply ice.  Continue with only ice, on and off, for 24-72 hours.
  • When using ice packs, be careful of frost bite.  It is best to use a gel pack that stays soft in the freezer, and insulate it with a towel.
  • If you become sore following a spinal adjustment, return to ice if you are using heat or alternating.  Always inform your doctor if soreness arises from a treatment.
  • If you are unsure of wheat you should or shouldn't do, do not hesitate to contact your doctor. 

Topical Analgesics

  • There are many good topical analgesics available.  Our office uses and recommends Biofreeze.
  • Never use heat immediately after applying Biofreeze.
  • Never apply Biofreeze under tight garments or supports.
  • Keep Biofreeze away from your eyes and always wash your hands when you have finished applying it.


Bed Rest

  • There are times when bed rest is necessary.  During this time, try to lie either on your back with several pillows under your knees, or on your side with a pillow between your knees.

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Office Hours

Paola Office Hours


8:30 am-5:30 pm


8:30 am-5:30 pm


8:30 am-5:30 pm


8:30 am-5:30 pm


8:30 am-5:30 pm


9:00 am-11:00 am



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