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  • In the O’Sullivan NPTE study tool, it says that for contrast baths, arterial insufficiency is a contraindication and peripheral vascular disease is an indication. I thought these were very similar conditions, so I am very confused. Please help! Thank you.

The available literature corroborates the fact that arterial sufficiency and Peripheral Vascular Disease (PVD) are the same condition. Other alternative names for PVD are; Peripheral Artery Disease (PAD), arteriosclerosis obliterans, blockage of leg arteries, claudication, intermittent claudication, vaso-occlusive disease of the legs, arterial insufficiency of the legs, recurrent leg pain and cramping, and Calf pain with exercise. [1]

Furthermore, PVD is listed as a contraindication for the use of contrast bath for pain relief. A contrast bath involves immersing a joint in, and alternating between, hot and cold water. Since heat dilates the blood vessels and cold causes vasoconstriction, this hydrotherapy treatment helps to increase blood flow in the immersed area, thereby accelerating recovery in the muscles from strenuous exercise. Contrast baths also prove helpful in the treatments of infections because they increase white blood cell activity. Fore more on contrast baths, its indications and a detailed procedure of its application, I recommend this article.

A 1996 study by Weitz JI (MD) et al; Diagnosis and Treatment of Chronic Arterial Insufficiency of the lower Extremities: A Critical Review, explores PVD in detail including the epidemiology, risk factors, diagnosis and a host of medical and surgical interventions (excluding contrast baths). The researchers further expatiate on the rules of evidence used to develop clinical recommendations for the treatment of lower extremity arterial disease. You can read the entire article here.

Reference 1, Reference 2, Reference 3

in Cardiopulmonary

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