How Hot Compress for Pain is Used

September 19, 2011

Millions of people worldwide use a hot compress to relieve different kinds of aches and pains. About half of these people have no idea how to use it properly. How long are you supposed to leave a hot compress on? How hot is too hot?

How to prepare a hot compress

  • Use a clean and absorbent cloth, such as a fresh towel.
  • Soak in warm water (not boiling water!) for a few seconds.
  • Squeeze to minimize dripping without totally wringing out all the water.
  • Fold to achieve an ideal size based on the affected body part. It should cover enough surface area on the affected part to effectively relieve pain.

Many hot packs are also available in the market. They are easy to use but potentially carry the risk of burns, especially if they are overheated and not tested properly before use.

What happens when a hot compress is too hot

A hot compress should not be too hot that it scalds your skin. It should be comfortably warm, just enough to bring you comfort. If a compress is too hot, it can cause burns or erythema ab igne.

hot compress Burns can cause more pain and swelling; a second degree burn can even cause blistering of the skin and potential infection. Erythema ab igne, on the other hand, results in a marbled appearance of the skin due to heat insufficient to cause burns but still enough to cause tissue damage.

Compresses are usually used for 5 to 15 minutes every two hours. Some health practitioners will recommend continuous use of hot compresses as needed, but this can compromise the integrity of the skin.

When to use hot compresses

Hot compresses are effective in alleviating inflammation, especially after the first 24 hours. The warmth helps dilate blood vessels, making nutrient transport more efficient. Toxins are also cleared more effectively because of the increased caliber of the blood vessels.

During the first 24 hours, a cold compress is used. The low temperature constricts blood vessels, decreasing the seepage of inflammatory chemicals and water from vessels into tissues. This helps stop swelling and inflammation. One day after the initial insult, a hot compress is instituted.

Using a cold compress compress can also help relieve pain. Learn more about cold compresses and pain relief.

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