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With regards to the modalities of heat and cold, each works to modify the blood flow to the muscles and joints in the area applied, says Rahul Shah, M.D., board-certified orthopedic spine surgeon ...
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Heat creates higher tissue temperatures, which produces vasodilation that increases the supply of oxygen and nutrients and the elimination of carbon dioxide and metabolic waste. [12] Heat therapy is useful for muscle spasms, myalgia, fibromyalgia, contracture, bursitis. [12] Moist heat can be used on abscesses to help drain the abscess faster. [13]
Cold therapy reduces inflammation, edema, pain, and muscle spasms associated with acute back injury. [19] Heat therapy is used to reduce pain and alleviate sore and stiff muscles. [19] Heat therapy is proposed to work by facilitating delivery of nutrients and oxygen to the site of injury to accommodate healing. [19]
A strain is a type of acute injury that occurs to the muscle or tendon. Similar to sprains, it can vary in severity, from a stretching of the muscle or tendon to a complete tear of the tendon from the muscle. Some of the most common places that strains occur are in the foot, back of the leg (hamstring), or back. [2]