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Paraffin Wax Therapy Contraindications/Paraffin wax baths or melted paraffin with a small amount of mineral oil (seven parts paraffin, one part mineral oil) are other common forms of superficial thermotherapy. A paraffin bath is another form of conductive heating. Paraffin baths are particularly useful for contractures due to rheumatoid arthritis, burns, and progressive systemic sclerosis (scleroderma). Paraffin is usually applied to the hands, arms, and feet. Higher temperature (55° C) is tolerable without danger of burning the tissue when using paraffin as compared to water, (42° C to 45° C) because the specific heat is one-half that of water and solid paraffin forms a protective and insulating coat over the skin. For therapeutic purposes, the paraffin bath is maintained at the melting point of 51.7° C to 54.4° C in an insulated, thermostatically controlled container.
Indications of Paraffin Wax Baths
Paraffin wax may be used to help relieve pain in the hands of people with:
- pain and stiffness. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।" data-rx-term="osteoarthritis" data-rx-definition="Osteoarthritis is wear-and-tear joint disease causing pain and stiffness. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।">Osteoarthritis of hand and feet
- pain, swelling, stiffness, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।" data-rx-term="arthritis" data-rx-definition="Arthritis means joint inflammation causing pain, swelling, stiffness, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।">arthritis: Rheumatoid arthritis is an autoimmune joint disease causing infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation, pain, and swelling. সহজ বাংলা: রোগপ্রতিরোধ ব্যবস্থার ভুল আক্রমণে জয়েন্টের প্রদাহ।" data-rx-term="rheumatoid arthritis" data-rx-definition="Rheumatoid arthritis is an autoimmune joint disease causing inflammation, pain, and swelling. সহজ বাংলা: রোগপ্রতিরোধ ব্যবস্থার ভুল আক্রমণে জয়েন্টের প্রদাহ।">Rheumatoid arthritis of upper and lower extremities
- Fibromyalgia
- Multiple joints pain
- Morning stiffness
- Post-burn scar or spasticity
- Stroke rehabilitation,
- Planter facilities
- Metatarsalgia
- Post-traumatic ankle sprain or tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।" data-rx-term="strain" data-rx-definition="A strain is injury to a muscle or tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।">strain
- Other joint mobility issues or immobile joint
- Post-traumatic fracture stiffness.
- Trigger finger
- Steroids induce pain, swelling, stiffness, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।" data-rx-term="arthritis" data-rx-definition="Arthritis means joint inflammation causing pain, swelling, stiffness, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।">arthritis
- Pain and muscle spasm
- Edema and infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation.
- Adhesion formation
- Carpal tunnel syndrome
- numbness. সহজ বাংলা: ঝিনঝিন/অবশ/জ্বালাভাব।" data-rx-term="paresthesia" data-rx-definition="Paresthesia means abnormal feelings such as tingling, pins and needles, burning, or numbness. সহজ বাংলা: ঝিনঝিন/অবশ/জ্বালাভাব।">Paresthesia, itching, numbness of hand & feet
- Mobile thumb or Texting thumb
- Dequervain tendinopathy
Paraffin Wax Therapy Contraindications
- Tissues previously treated with deep X-ray or radiation
- Tuberculosis (local)
- Damaged or at-risk skin, i.e. skin rash, eczema
- Anesthetic areas
- Excitable tissue,
- Around the eyes, breasts, or sexual organs
- Over fractured bones
- Near or over an implanted electrical stimulation device
- Women who are pregnant should consult their physician before beginning light therapy treatments.
- Clients with epilepsy should consult their physician before beginning light therapy treatments.
- You must wait five days after Botox or cosmetic fillers.
- Some thyroid conditions.
- Tuberculosis
- People with a history of skin cancer
- Systemic Lupus erythematosus should also avoid this kind of treatment.
- The use of photosensitizing medications (i.e. lithium, melatonin, phenothiazine antipsychotics, and certain antibiotics).
- Acute inflammation
- Infected open wound
- Malignant tissue
- Severe/excessive edema
- Metallic implant
- Cardiac pacemaker
- Over wet dressing
- Unreliable patient
- Impaired thermal sensation
Benefits of Paraffin Wax Therapy
During three subsequent months three treatment sessions per week were performeds
- Paraffin was applied for 20 min prior to manual therapy or together with pegboard work [12].
- Manual Therapy. Mobilization of all joints with the restricted movement was performed over 45 min according to the Kaltenborn technique,
- Two or three patient can be treated at a time.
- May be applied which patient of poor or heat tolerance.
- Use for dry scaly skin after removal of Plaster of Paris following fracture
- Wax is a self-insulating. After removal of wax, the part cools quickly.
- After removal of wax, the part cools quickly. This can be carried to the house and may be useful for the chronic sufferers
- Mobilization of superior and inferior radioulnar joints by applying dorsal and palmar sliding movements of the radius on ulna (to increase supination and pronation of the forearm).
- Dorsal and palmar sliding mobilization of carpus on the radius and of capitate on lunate, and mobilization of the scaphoid, pisiform and triquetrum (to gain wrist extension and flexion);
- Radial and ulnar sliding mobilization of carpus respect on the radius (to gain wrist abduction and adduction);
- Dorsal and palmar sliding mobilization of each metacarpophalangeal and interphalangeal joint (to gain extension and flexion);
- Use for dry scaly skin after removal of Plaster of Paris following fracture
- Wax is a self-insulating. After removal of wax, the part cools quickly.
- After removal of wax, the part cools quickly. This can be carried to the house and may be useful for the chronic sufferers.
- Radial and ulnar, and dorsal and palmar sliding movements of first metacarpus (to gain flexion-extension and abduction-adduction r.o.m., respectively, of the thumb carpometacarpal joint;
- To improve thumb mobility, relieving massage was performed as coadjutant therapy in the first dorsal interosseous and adductor pollicis.
- The remaining time was spent in pegboard work and in the preparation and progressive adjustment of splints.
- Pegboard. Pegboard work was used as a mechanotherapy tool in order to shape the joint and tendon adhesions by active sliding tendon postures and passive joint postures.
References
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809244/
- https://www.ncbi.nlm.nih.gov/pubmed/27876449
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1006816/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1187345/
- https://www.sciencedirect.com/science/article/pii/S0004951414609284
- https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/bone-wax
- https://www.sciencedirect.com/science/article/pii/S1877065718304081
- https://www.sciencedirect.com/topics/medicine-and-dentistry/paraffin
- https://archivesphysiotherapy.biomedcentral.com/articles/10.1186/s40945-016-0028-y
- https://www.healthline.com/health/paraffin-wax
- https://hindmarshphysio.com.au/services/wax-therapy-for-hands
- https://archivesphysiotherapy.biomedcentral.com/articles/10.1186/s40945-016-0028-y
- https://www.livestrong.com/article/217736-what-is-paraffin-treatment/


