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Paraffin wax bath is a type of heat treatment that heats up small joints in the hands and feet and is done to alleviate pain in the joints. and non-greasy wax infused with oil. . Paraffin wax bath recipe involves soft. pliable.
y The heat transfer occurs through conduction from the layer of solid paraffin wax into the skin. .The melting point of wax is 51-54. y If the method wax is poured directly on the body tissue it may cause thermal injury.4°C y For therapeutic purposes paraffin wax bath at a temperature of 42-45°C is used. to avoid this melting point of wax is lowered by an addition of an impurity in the form of paraffin oil with a ratio of 6:1 or 7:1.
-Check the thermal sensation of the part to be treated using 2 test tubes. -After that. -A comfortable position need for the patient. . check for palpation. -Remove jewellery from the part to be treated. wash the part and make it dry completely to prevent water from entering wax bath.y Preparation of the patient -Treatment procedure is explained to the patient & the area to be treated is inspected for contraindication. so that correct method can be easily followed.
.y Preparation of the apparatus -The apparatus is connected to the power plug & thermostat is fixed to maintain the temperature between 42-45°C.
y There are four methods: -Dipping -Brushing -Pouring -Wrapping .
The procedure is repeated 5 times to produce a coating of wax 2 or 3 mm thick over the body part. After 20 minutes of solidification the wax is removed & put inside the tank for reuse. The part is then covered in a plastic bag or towel to prevent heat loss. then it should be elevated. If the body part has oedema. The part is dipped for a second & then removed to cool for 2-3 seconds & then re-immersed.y Commonly used for the distal parts of the extremities such y y y y y as hands & feet. .
y After 20 minutes of solidification the wax glove is removed into tank for reuse. . elbow. y This method is used for areas like hip.y If the part can not be dipped inside the bath. y After 2-3 mm thickness of wax is painted the part is covered by a plastic sheet or towel to prevent heat loss. the part can be coated on surface by painting through the use of a large brush. knee. shoulder and more body parts.
y The part is covered with a plastic sheet or towel to prevent heat loss. y After 20 minutes of solidification the wax glove is removed into tank for reuse.y Other then brushing and dipping is pouring for areas like knee & elbow and other body parts. . y In this method the part is positioned over a large bowl or on top of tank itself & wax is poured over the part using a swallow spoon with insulated handle.
After wrapping part is covered by a plastic sheet or towel to prevent heat loss. Additional wax can also be use for bandage. The bandage of wax is removed after 20 minutes.y In this method bandages of a suitable size & mesh are y y y y soaked in hot wax & then wrapped around the limb. shoulder and hip. This method is suitable for areas like back. .
The net effect of this is effective low temperature heating of the part. Since wax treatment prevents water loss from the skin it tends to leave the skin moist making it feel soft & pliable. the low thermal conductivity prevents much heat loss from the skin surface. further improving the insulation. It also prevents any evaporation of water from the skin. . The temperature of the thin layer of wax on the skin falls quickly on its outside surface.y The wax transmits heat energy to the skin & tissues by giving y y y y up energy as it solidifies.
Wax softens the adhesion and scar in the skin and thus facilitates the mobilization and stretching procedures . particularly in the sub-acute and early chronic stages of inflammation. and relieves pain.y Pain and Muscle Spasm -Wax reduces the pain and muscle spasm seen in hands and feet. y Adhesions and Scars . y Edema and Inflammation -The gentle heat reduces post-traumatic swelling of the hands and feet and also swelling in hands affected by rheumatoid arthritis or degenerative joint disease. as the moist heat encircles each finger and toe.
y Open wounds -Wax may enter into the wound as a foreign body & aggravate the condition so it should be avoided. y Skin infection -Patients with skin infection should not be treated with wax as it may aggravate the inflammation. y Deep X-ray Therapy -Within three months prior to treatment decrease blood flow in the area and may cause impaired skin sensation y Skin allergy -Some patients develop an allergic reaction in the skin on prolonged treatment & in such cases treatment should be avoided. .