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PTupdate.com -> Re: when to use ice and when to use hotpacks (March 25, 2002 6:25:00 PM)
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Hello PTstud,
It depends on when they are using the ice. I heat TKA's first, and ice them afterwards, often in the position they most lack (extreme flexion or extension).
I never use US on a TKA as there is still a debate as to whether the plastic or the methylmethacrylate cement would or could be affected. Risk vs. reward indicates that the benefits from US probably would not outweigh damage to the implant. Metal, however, is a homogeneous substance and transmits US energy.
You should purchase a book from Kenneth L. Knight called "Cryotherapy in Sport Injury Management" This book is OUTSTANDING, and the cryokinetics program inside has allowed me to return athletes to sport significantly faster than any other program I have seen!
John Duffy, PT OCS [URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
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