"Cryotherapy": Presented By

Presented by:-
“Cryotherapy”
Arwa abdelmohsen 202101040
Rowan shabara 202101945
Sara sameh 202101969
Mariam Mustafa 202102028
Omar mohamed 202101946

Yara Abo Zeid 202101987
Definition of Cryotherapy
cryotherapy: Literally, "cold therapy." Cryotherapy, sometimes
referred to as cryosurgery, is a procedure used to destroy tissue of
both benign and malignant lesions by the freezing and re-thawing
process. Liquid nitrogen is the most commonly used freezing source for
cryotherapy. Examples of the uses of cryotherapy in medicine are the
treatment (removal) of various types of skin lesions , the treatment of
dysplastic (precancerous) tissue of the uterine cervix, and the
treatment of some prostate cancers.
Note: Another use of the term cryotherapy refers to the use of ice or
cold packs applied to a part of the body after an injury to reduce
inflammation.
Why cryotherapy??
Ice therapy is safe, inexpensive, and can be used in the home or in
the therapist's establishment.
Benefits:-
1.Reduced edema
2. Decreased tissue damage
3.Reduced pain
4. Reduced muscle spasm
5.Reduced inflammation
Indications:-
-Chronic pain
-Sleep disorders
-fibromyalgia “Especially effective for bursitis and tendinitis”.
-Decreases fluid filtration into interstitium by vasoconstriction.
-Decreases inflammation.
-Decreases metabolic rate.
-Reduction of feverd.
-Patients with acute spinal cord injury.
-In acute injury cold is used most often in conjunction with
compression and elevation.
Clinical indications for cryotherapy:-
-Allergy
-Traumas
-Psoriasis
-Asthma
-Blood-stroke
-Heart attack
-Small ,superficial first degree burns whichcooling burns can
decrease magnitude of injury by reduction in edema,pain,
local fluid loss, tissue injury, and blood volume during the first
48 hours after injury.Post orthopaedic surgery e.g. TkR, Acl
reconstruction arthroscopic shoulder.
-Post -exercise Arthritis
-Fractures
-Menopause
-Diabetes
-Neurodermatitis
-Infertility
Contraindication
-Impaired sensation. Patients cannot report when they become
anesthetic from cold. Tissue damage occurs slightly below
temperatures that produce numbness.
-Impaired circulation: tissue damage may result from vasoconstriction.
-Open wounds after 48 hours.
-Hypersensitivity to cold, such as Raynaud's phenomenon, cold
urticaria, cryoglobulinemia, and paroxysmal cold hemoglobinuria.
-Angina pectoris or other severe cardiac disease.
-Regenerating peripheral nerves.
Contraindication
Mechanism of
application
Ice packs:-
i. Wrapped in dry or moist

toweling.
ii. Applied for 10-15 minutes
for more superficial areas
and 15-20 minutes for areas
of deeper tissue.
Cold gel packs:-
i. Kept in cooling unit at
temperatures of 0-10�F.
ii. Improper use may cause
frostbite.
iii. They do not lower skin
temperature as much as ice;
thus, patients may not reach
point of anesthesia.
Ice immersion:-
i. Used to treat distal
extremities.
ii. Container big enough to
hold extremity is filled with
ice and water. Body part is
then immersed.
iii. Temperatures range
between 13-18 C for
treatment, which may last
10-20 minutes.
Ice massage:-
i. Involves rubbing plastic or foam cup
(with edges peeled back) of ice over
body part to be treated.
ii. Used mostly for small areas of
inflamed tissue or acute muscle
guarding.
iii. Direction of application should be
parallel to muscle fibers.
iv. Application is continued for 3-10
minutes until anesthesia is reached.
Vapocoolant sprays:- (e.g., fluoromethane, ethyl
chloride)
i. Vaporized liquid nitrogen.
ii. When sprayed on skin, it produces significant cooling
through evaporation.
iii. Container should be held about 2 feet from body part
and sprayed in one direction only at rate of 4 inches/second,
using 1-2 sweeps while maintaining passive stretch.
iv. Ethyl chloride is flammable and may freeze skin on
contact; therefore, fluoromethane is preferred.
vi. Effective in reducing painful muscle guarding and
desensitizing trigger point areas.
Cryocuff:-
The Cryocuff is a machine which consists of a gallon tank of ice
water and a nylon sleeve, into which you place the injured part. The
ice water flows through the cuff to cool the body part.
The tank must be raised to
allow more water to flow into
the cuff and increase the
pressure. In this way,
compression is also applied to
the injury.
To cool the water sitting in the cuff,
the tank is lowered to allow it to
flow back into the tank where it
mixes again with the ice water. The
tank can then be raised again to fill
the cuff. The Cryocuff allows a good
degree of cooling and compression,
is relatively portable and re-usable.
Different shapes and sizes of the
cuff can also be purchased to allow
use for all body parts.
Instant ice packs (chemical)
These are one-use cold packs where
compressing and rupturing a central pouch,
contained with the pack, releases a second
chemical which causes a reaction which
lowers the temperature of the pack.
These packs do not lower in temperature
enough to significantly reduce tissue
temperature. They are however convenient
for emergency use. Any leak from the pack
would cause a chemical burn.
**More recently whole body cryotherapy has become popular
for athletes, to help aid recover, as well as in persistent pain
patients such as rheumatological conditions. More research is
needed to understand the effect on the body and its relation
to pain.
Cryotherapy side effects:-
1- As cryotherapy can reduce unwanted pain and nerve
irritation, it sometimes can leave the tissue affected
with unusual sensations, such as numbness or tingling
2- Cryotherapy can cause redness and irritation of the
skin. But, these effects are generally temporary.
3- If a localized cold pack or ice is left on the skin too
long, it can cause integumentary damage (including
frostbite in extreme cases). Therefore, localized cold
therapy should never be applied longer than 30 minutes,
and the skin integrity should be monitored during treatment.
4- Whole body cryotherapy should not exceed five
minutes (typical treatment sessions are two to three
minutes). Whole body cryotherapy causes decreased
heart rate, increased blood pressure, and lowered
respiration. The patient’s vital signs and disposition
should be monitored before, during, and after treatment.
Oxygen levels inside the chamber should also be
checked.
5- Infection: Infection is usually seen with pus or oozing,
which continues for a certain period. For such patients,
topical antiseptic or antibiotic therapy may be initiated.
6- Swelling with redness: The patient may initially
develop some oozing, later they develop swelling and redness at the
site of the procedure. These side effects
may stay till 3 days. Patients may be treated
with corticosteroids until contraindicated for certain
conditions, such as viral warts.
7-Wounds with fluid: The infection may cause skin

wounds with pus or blood are called blisters. It is a very
common side effect of cryotherapy. They usually heal
within a few days.
8-The patient should ensure that all clothing and skin are
completely dry when stepping into a cryotherapy
chamber. Also, metal or jewelry should be removed. Last,
sensitive body parts should be covered with a facemask,
ear muffs, gloves, and socks or slippers. Burning of the
skin or frostbite can occur when a patient does not follow
proper protocol when entering a cryotherapy chamber.
9-Scars: Cryotherapy may form temporary or

permanent scars depending on the site of the procedure.
10- Burns: At least one user reported a frozen arm after
the treatment, according to the American Academy of
Dermatology. As her arm thawed, she suffered from
painful swelling, blistering, and third-degree burns.
11- Skin changes: The skin exposed to cryotherapy may

lighten or darken in color, especially in dark-skinned
people. This may improve in months, but sometimes, it
may be a permanent change.

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Omar mohamed 202101946

i. Wrapped in dry or moist

7-Wounds with fluid: The infection may cause skin

9-Scars: Cryotherapy may form temporary or

11- Skin changes: The skin exposed to cryotherapy may

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