Indications & Contraindications
General Indications for Cold Therapy
There are general indications for using cold therapy across the body and in various
situations:
• First aid after trauma,
• Relief of pain,
• Fever reduction,
• Control of bleeding,
• Prevention or reduction of swelling of traumatic origin,
• Prevention or reduction of inammation,
• Decrease of muscle guarding and spasm,
• Temporary reduction of spasticity.
Cold is preferred during treatment of acute injury, sub-acute injury where swelling
persists, and acute stages of inammation.
Contraindications for Cold Therapy
Users should be aware of situations where cold therapy may not be appropriate,
detrimental to a specic condition or otherwise contraindicated for use:
• Users with specic cold sensitivity symptoms such as:
— Cold uticaria,
— Cryoglobulinemia,
— Raynaud’s syndrome,
— Proximal cold hemoglobinuria,
— Vasospastic disease,
— Cold hypersensitivity,
— Peripheral neuropathy (as in some cases in diabetes),
— Compromised local circulation.
Users should take caution in applying cold therapy over open sores and abrasions.
At a minimum these areas should be cleaned and bandaged.
When using this system, please check the skin where the wrap is applied
periodically. Discontinue use if continued numbness and skin discolor-
ation are present. Please refer to your health care professional prior
to applying this system and/or using the system for extended periods of
time.
General Indications for Compression
There are general indications for using compression across the body and in various
situations:
• Edema/lymphedema,
• Venous insufciency,
• Post sclerotherapy,
• Venous ulcers,
• Thrombophlebitis.
Contraindications for Compression
Users should be aware of situations where compression may not be appropriate,
detrimental to a specic condition or otherwise contraindicated for use:
• Arterial occlusive disease,
• Any circumstance where increased venous return is desired.
Note: When operating, the VitalWrap will apply additional compression as the uid
bladder inates. Adjust the compression of your VitalWrap so that it is comfortable.
Users should be aware of situations where compression may not be appropriate,
detrimental or otherwise contraindicated for use.
Consult your physician. Not all treatments are appropriate in every
patient, and you should have a discussion with your doctor to determine
which treatments are appropriate for your condition.
Referenced: “Thermal Agents in Rehabilitation” 3rd ed. Susan L. Michlovitz.
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