Possible Contraindications of Thermotherapy:

  • Acute injury
  • Autoimmune diseases
  • Clients with an aversion to heat
  • Area over fresh bruise or hemorrhaging under the skin
  • Recent burns, including sunburns
  • Cerebrovascular (CVA, stroke) survivor
  • Edematous conditions
  • Fever or systemic inflammation
  • Hypertension or hypotension
  • Directly over an injection site less than ten days old
  • Area of recent injury (possibility of internal bleeding)
  • Directly over areas of local inflammation
  • Area over joint prosthetics
  • Significant obesity
  • Over open wounds, abrasion burns or blisters
  • Over area with phlebitis or thrombophlebitis
  • Over implanted devices such as a pacemaker and implantable cardiovascular defibrillator
  • Pectoralis angina
  • Pregnancy with the exception of paraffin baths on hands, knees, elbows, and feet
  • Areas with rosacea
  • Sensory impaired individuals who cannot report subjective reactions and clients unable to detect excessive temperature changes (infants, some older adults, some clients with diabetes, mentally handicapped clients, clients with multiple sclerosis or Reynaud’s syndrome)
  • Over areas of skin infections or rashes
  • Area directly over tumor or cyst
  • Clients who are weak or debilitated