Cryotherapy for acute haemarthrosis in haemophilia – attempts to understand the ‘ice age’ practice

Tilak, Merlyn; Paul, Alexander Chandran; Samuel, C. S.; David, Judy Ann; Viswabandya, Auro; Srivastava, Alok

doi:10.1111/hae.12581

Cited by 6 publications

(5 citation statements)

References 15 publications

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“…,b, Tilak et al . ). During scleral buckling surgery, passive extension of the extraocular rectus and cryocoagulation result in tissue swelling and errhysis.…”

Section: Discussionmentioning

confidence: 97%

Ice compresses aid the reduction of swelling and pain after scleral buckling surgery

Wang

2016

Journal of Clinical Nursing

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“…,b, Tilak et al . ). During scleral buckling surgery, passive extension of the extraocular rectus and cryocoagulation result in tissue swelling and errhysis.…”

Section: Discussionmentioning

confidence: 97%

Ice compresses aid the reduction of swelling and pain after scleral buckling surgery

Wang

2016

Journal of Clinical Nursing

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“…Based on postsurgical and wound healing models rather than closed soft tissue injury, a review paper 26 debated cryotherapy use in managing acute bleeding, concluding it might have potential to increase bleeding by impairing coagulation and haemostasis. In contrast, another review 27 concluded there was no evidence to suggest a negative impact on haemostasis or clinical outcome following acute haemarthrosis in PWH. It is important to acknowledge that attaining temperatures for influencing cellular metabolism of 5–15°C is difficult to achieve in muscles and joints.…”

Section: Are Physiotherapy Treatments or Rehabilitation Interventionsmentioning

confidence: 97%

Recent advances in musculoskeletal physiotherapy for haemophilia

Stephensen

Bladen

McLaughlin

2018

Therapeutic Advances in Hematology

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Physiotherapy is directed towards the movement needs and potential of individuals, providing treatment and rehabilitation to develop, maintain and restore maximum movement and functional ability throughout the lifespan. Recent systematic reviews and randomized controlled trials have extended evidence for the clinical efficacy of physiotherapy interventions and rehabilitation for people with haemophilia. This narrative review synthesizes recent evidence to discuss; differentiating musculoskeletal bleeding and haemophilic arthropathy, efficacy of physiotherapy and rehabilitation for acute musculoskeletal bleeding and arthropathy, as well as monitoring musculoskeletal health. Whilst robust evidence is emerging, there is a need for more well designed randomized clinical studies with larger numbers and homogeneity of participants and collaboration of all researchers and clinicians to identify a core set of outcome measures that can be used to monitor musculoskeletal health.

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“…During acute phases, the RICE principle ( R est, I ce, C ompression, E levation) is frequently used to treat pain [ 1 , 8 , 62 ]. In cases of acute joint and muscle bleeds, cryotherapy reduces pain and hypoxic damage, and improves ischemic tolerance in the affected area [ 63 ]; however, due to possible negative effects on platelet function and clotting factor activity, the literature reflects some controversy in this area [ 64 ]. Cooling is recommended for a maximum of 15–20 min at a minimum of 2‑h intervals.…”

Section: Pain Therapy In Hemophilia Patientsmentioning

confidence: 99%

“…Cooling is recommended for a maximum of 15–20 min at a minimum of 2‑h intervals. The ice should be wrapped in a dry cloth to avoid direct skin contact [ 1 , 62 , 63 ].…”

Section: Pain Therapy In Hemophilia Patientsmentioning

confidence: 99%

Pain management in hemophilia: expert recommendations

Stromer¹,

Pabinger

et al. 2021

Wien Klin Wochenschr

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Summary Introduction As a typical consequence of bleeding into muscles and joints, patients with severe hemophilia suffer from acute and chronic pain. In spite of its high prevalence, pain in this patient group is not always sufficiently considered or treated in an effective manner. Aim The recommendations presented in this paper address possible improvements in pain management in hemophilia patients and particularities that have to be taken into account in this patient group. Method The manifold aspects of pain management in hemophilia patients were discussed within the framework of an expert meeting. Based on the available literature and the experts’ clinical experience, the participants developed a set of recommendations presented in this paper. Results Pain management in patients with hemophilia is often insufficient, a fact that not only influences the patients’ quality of life but also implies the risk of difficult to manage chronic pain. Both the prevalent polypharmacy (due to comorbidities) as well as the underlying disease itself present special challenges to pain therapy in this patient group. The present review and recommendations are intended to support medical professionals in recognising the risks of pain chronicity, applying basic principles of multimodal pain therapy, including the options of psychological intervention and modalities of physical medicine in therapy concepts, and reaching a comprehensive understanding of the range of analgesic options available.

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Cryotherapy for acute haemarthrosis in haemophilia – attempts to understand the ‘ice age’ practice

Cited by 6 publications

References 15 publications

Ice compresses aid the reduction of swelling and pain after scleral buckling surgery

Ice compresses aid the reduction of swelling and pain after scleral buckling surgery

Recent advances in musculoskeletal physiotherapy for haemophilia

Pain management in hemophilia: expert recommendations

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