Hot packs and electric heat pads
Apply several layers of towels over the area to be heated with a hot pack. Lay the hot pack over the towels. Cover the hot pack with several layers of towels for insulation. Add or remove towels between your skin and the hot pack to vary the heat. You may need to add layers of towels over spots where bones project.
Check your skin every 15 minutes. If you see red and white blotches, stop the treatment at once. Your skin has been heated enough. Continued heating could cause a bum or blister.
To protect your skin from burning, do not lie on a hot pack or electric heat pad or apply pressure during treatment. If your skin has poor sen¬sation or if you have poor circulation, don't use heat treatment.
Heat lamps
Use a radiant heat lamp with a 2S0-watt reflector heat bulb. This bulb produces the type of infrared rays that cause a signifi¬cant increase in local circulation of the skin and underlying tissues. Position the lamp 18 to 20 inches from your skin. Apply the heat for 20 to 30 minutes. Use an alarm clock or timer, or ask someone to waken you if you think you might fall asleep.
You can decrease the intensity of the heat by moving the lamp farther away. Direct the lamp at the skin from the side rather than from above.
Water: baths, showers, whirlpools
One of the easiest and most effective ways to apply heat is to take a 15-minute hot shower or bath. You don't need an expensive hot tub. A standard bathtub can be just as effective. However, in any very warm bath or shower, use extra caution-and the grab bars. You could become light-headed or even faint.
Contrast baths
Contrast baths are helpful to many people with rheumatoid osteoarthri¬tis of the hands and feet, and they may provide more relief than hot or cold alone.
Start with two large pans. Fill one pan with warm water (110 F) and the other with cool water (65 F). Place your joint in the warm water first for 10 minutes and then in the cold water for 1 minute. Cycle back to the warm water for 4 minutes and then to the cold for 1 minute, and repeat this process for half an hour. Always end with the warm water. If pans are not handy, twin sinks work just as welL
Helpful Hint:
Use warm, not hot, water. You can measure water tem¬perature with a mercury-type outdoor thermometer. |