Македонски (Macedonian)English (United Kingdom)

The term thermotherapy means using heating and cooling in the process of healing and treating the patients. When applying heat i.e. cooling there two types of treatments:

1. Thermo – therapy ( thermos gr. – heat );

2. Kriotherapy ( krios gr. – cold ).

Thermotherapy is based on the ability of the organism to use the surrounding heat, if the warmth from the surrounding is higher ( or energy which comes from outside in another form ), or to give away heat if the body temperature is higher than the outside temperature.

Every curing with some kind of temperature is connected to giving heat away. In order to give heat to the organism, the medical practice uses several types of sources:

1. Natural sources of heat ( the sun, geysers, warm mineral sources etc. )

2. Artificial sources of heat:

- Primary – electrical heating devises, I.R. lamp, electrical pillows which give heat out of themselves etc.

- Secondary – which only transfer the gained heat to the organism: hot water, water vapor, hot air, peloid, paraffin, sand etc.

All of the mentioned heat sources can be used in healing depending on the conditions and circumstances which are established by the following factors: efficiency, practicality, rational usage, treatment place etc. The process of thermotherapy is strictly indicated considering the general effects of the organism to which they can lead.

Physiologically can be noticed increased blood flow, which certainly has a well effect for many pathological conditions, where the volume of the blood vessels widens, the transudation increases, as well as the amount of the lymph. Except for the vasodilator effect, the thermotherapy also has painkilling effect in lowering the pain.

On average, if the heat lasts from 15-30 minutes, the body temperature rises for 1 * C. because of the fast exchange of substances the thermotherapy is used in weight loss treatment. During the perspiring there is elimination of a lot of substances as well as toxins so it is also used in the treatments for detoxication of the organism.

The thermotherapy is most useful in treating:

- Post trauma conditions;

- Rheumatic diseases.


Just like the heat treatments are done with adding heat to the body, by putting liquid, semi liquid or hard substances, heat can be taken away by using the same type of substances which are with a temperature which is lower than the body temperature. On the surface blood vessels the cooling leads to vasoconstriction which leads to reactive hypothermia.

The local packing in a form of plastic ice bags, are a regular procedure in medical and home practice. The cooling leads to analgesic and antalgic effect on the periphery nerve system. The ice bag is not directly applied to the body but it is wrapped in a cloth in order to regulate the cooling. While the ice is melting, it gets some of the body temperature.

In conservative medical practice, the ice packaging is used for different types of inflammatory processes: tonsillitis, appendicitis, adnexitis. Lately, the kriotherapy has a broad use as an analgesic because it breaks the conduction of the ill sensations.

It functions perfectly in post trauma conditions ( contusion and distortion ) where except for the analgesic effect also has a vasodilator effect of the blood and lymphatic vessels so that it decreases the swells and possible bleeding.

This application of the heating or cooling enables shortening the length of disability and fast recovery of the lost functions.