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.