Indications and Contraindications for Therapeutic Modalities
Therapeutic Modality


Electrical stimulating currents
- High voltage







Electrical stimulating currents
- Low voltage


Electrical stimulating currents
- Interferential 




Electrical stimulating currents
- Russian

Electrical stimulating currents
- LIS (MES)

Shortwave and microwave Diathermy










Cryotherapy
- Cold packs
- Ice massage



Thermotherapy
- Hot whirlpool 
- Paraffin
- Hydrocollator 
- Infrared lamps



Low-power laser


Ultraviolet










Ultrasound







Intermittent compression
Contraindications and Precautions


Pacemakers
Thrombophlebitis
Superficial skin lesions





   
Malignancy
Skin hypersensitivities
Allergies to certain drugs

Same as high-voltage

  

  

Pacemaker


Malignancy
Infections

Metal implants
Pacemakers
Malignancy
Wet dressings
Anesthetized areas
Pregnancy
Acute injury and inflammation area 
Eyes
Areas of reduced blood flow
Anesthetized areas

Allergy to cold
Circulatory impairments
Wound healing
Hypertension
 


Acute and postacute trauma
Poor circulation
Circulatory impairments
Malignancy




Pregnancy
Eyes

Psoriasis
Eczema
Herpes
Diabetes
Pellagra
Lupus erythematosus
Hyperthyroidism
Renal and hepatic insufficiency
Generalized dermatitis
Advanced atherosclerosis

Infection
Acute and postacute injury
Epiphyseal areas
Pregnancy
Thrombophlebitis
Impaired sensation
Eyes

Circulatory impairment
Physiologic Resources
(Indications for Use)


Pain modulation
Muscle re-education 
Muscle pumping contractions
Retard atrophy
Muscle strengthening
Increase range of motion
Fracture healing
Acute injury

Wound healing 
Fracture healing
Iontophresis

Pain modulation
Muscle re-education
Muscle pumping contractions 
Fracture healing
Increase range of motion

Muscle strengthening 


Fracture healing 
Wound healing 

Increase deep circulation
Increase metabolic activity
Reduce muscle guarding/spasm
Reduce inflammation  
Facilitate wound healing
Analgesia
Increase tissue temperatures over a large area



Acute injury  
Vasoconstriction – decreased blood flow
Analgesia 
Reduce inflammation 
Reduce muscle guarding/spasm 


Vasodilation – increased blood flow
Analgesia 
Reduce muscle guarding/spasm
Reduce inflammation 
Increase metabolic activity
Facilitate tissue healing


Pain modulation (trigger points)
Facilitate wound healing

Acne  
Aseptic wounds 
Folliculitis  
Pityruasis rosea 
Tinea   
Septic wounds  
Sinusitis
Increase calcium metabolism



Increase connective tissue extensibility
Deep heat   
Increased circulation 
Treatment of most soft tissue injuries
Reduce inflammation  
Reduce muscle spasm  


Decrease acute bleeding 
Decrease edema