Name : Fiza

Roll number: M-17258

Assignment : 3

Contraindications of Cryotherapy

These are as follows

• Cold hypersensitivity
• Cold intolerance
• Cryoglobulinemia
• Paroxysmal cold cryoglobinuria
• Raynaud's disease or phenomenon
• Over a regenerating peripheral nerve
• Over an area with circulatory compromise or
peripheral vascular disease

1. Cold Hypersensitivity
 • Some individuals have a familial or acquired hyper-
sensitivity to cold
• Develop a vascular skin reaction in response to cold
exposure.
• Can occur only in the area of cold application or all
over the body.
Vascular skin reaction results in:
• Smooth, slightly elevated patches
• Which are redder or more pale than the surrounding
skin
• Often attended by severe itching.

2. Cold Intolerance
Severe pain, numbness, and color changes in response to
cold. Occur in patients following severe accidental or
surgical trauma to the digits

3. Cryoglobulinemia
 • Uncommon disorder
• Characterized by the aggregation of serum proteins
in the distal circulation when the distal extremities
are cooled
• Aggregated proteins precipitate that can impair
circulation
Cause ischemia and gangrene
May be idiopathic Or may be associated with:
• Multiple sclerosis
• Systemic lupus erythematosus
Rheumatoid or other hyperglobulinemic states

4. Paroxysmal Cold Cryoglobinuria

• The release of hemoglobin into the urine from lysed
red blood cells
• In response to local or general exposure to cold.

5. Raynauds Disease and Phenomenon

Raynaud's disease: It is the primary or idiopathic form of
paroxysmal digital cyanosis.
Raynaud's phenomenon : which more common, is
paroxysmal digital cyanosis due to some other regional
or systemic disorder.
Characterized by:
• Sudden pallor and cyanosis
• Followed by redness of the skin of the digits
• Precipitated by cold or emotional upset relieved by
warmth.
• Occur primarily in young women

6. Over Regenerating Peripheral Nerves

• Cryotherapy should not be applied directly over a
regenerating peripheral nerve
• Local vasoconstriction or altered nerve conduction
may delay nerve regeneration.

7. Over an area with circulatory compromise or

peripheral vascular disease
 • Cryotherapy should not be applied over an area with
impaired circulation
Because it may aggravate the condition by causing
vasoconstriction and increasing blood viscosity
Circulatory impairment may be the result of peripheral
vascular disease, trauma to the vessels, or early healing,
and is often associated with edema