⚠️ Contraindications of Electrotherapy Modalities: Learn Fast

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Electrotherapy is a powerful tool in physiotherapy — but using it safely is just as important as using it effectively. Here's a fast-track guide to the contraindications of common electrotherapy modalities for students, interns, and clinicians.

🚫 What Are Contraindications?

These are conditions or situations where electrotherapy should NOT be used due to risk of harm or complications.

⚡ Common Electrotherapy Modalities & Their Contraindications

🔌 1. TENS (Transcutaneous Electrical Nerve Stimulation)

Avoid if:

  • Patient has a pacemaker or implantable defibrillator

  • Over pregnant abdomen or uterus

  • Over malignant tumors

  • Broken, infected, or anesthetic skin

  • On carotid sinus area (risk of cardiac reflex)

  • Epileptic patients (caution advised)

🔄 2. IFT (Interferential Therapy)

Avoid if:

  • Metal implants in the treatment area

  • Open wounds or skin conditions

  • Pregnancy (especially lower abdomen/lumbar)

  • Over the eyes, carotid sinus, or chest in cardiac patients

  • Patients with sensory loss or poor cognition

🔥 3. SWD (Short Wave Diathermy)

Avoid if:

  • Metal in or near the treatment area (e.g., implants, jewelry)

  • Pacemakers or hearing aids

  • Active bleeding or open wounds

  • Over malignancies or infections

  • Over growing epiphysis in children

  • Pregnancy (strictly contraindicated)

🌊 4. Ultrasound Therapy

Avoid if:

  • Over bony prominences at high intensities

  • Thrombophlebitis (risk of embolism)

  • Eyes, reproductive organs, or CNS tissue

  • Pregnant uterus

  • Active infections or cancer

🧴 5. Iontophoresis (Using Galvanic Current)

Avoid if:

  • Allergy to medication used

  • Broken or inflamed skin

  • Metal implants under treatment area

  • Cardiac devices (pacemaker)

  • Impaired skin sensation

🧠 Smart Mnemonic: “P-PROMISE”

For general contraindications, remember:
P – Pacemaker
P – Pregnancy (abdomen/lumbar)
R – Reduced sensation
O – Open wounds
M – Metal implants
I – Infection/inflammation
S – Skin conditions
E – Epilepsy (for some modalities)

💡 Clinical Tip:

Always ask about implants, medical history, and pregnancy before starting any electrotherapy session. When in doubt — don’t treat until it's safe.

📚 Safety first is success always.
Study smart and treat safely with @HopeLinePhysio.

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