· Cold/Hot Applications: By using heat, analgesia is accomplished, muscle spasm relieved and elasticity of periarticular structures obtained. Heat can be used before exercise for maximum benefit. Applications are recommended for 10-20 minutes once or twice a day. Cold application is preferred in active joints where intra-articular heat increase in undesired. Cold pack, ice, nitrogen spray, and cryotherapy are different methods of cold therapy.
· Electrical Stimulation: TENS (transcutaneous electrical nerve stimulation) therapy is most commonly used method. Various studies have reported an increase in hand grip strength after daily application of 15 minutes of TENS. It is also observed that there is reduction in synovial fluid and inflammatory exudate following TENS application in acute arthritis and thus pain relief.
· Hydrotherapy: You will normally share the pool with other people during your treatment sessions. Hydrotherapy can help you in a number of ways;
Ø The warmth of the water allows your muscles to relax and eases the pain in your joints helping you to exercise.
Ø The water supports your weight, which helps to relieve pain and increase the range of movement of your joints.
Ø The water can be used to provide resistance to moving your joints. By pushing your arms and legs against the water, you can improve your muscle strength.