Hot-water bottles: electric, salt, rubber withhot water. Where and how to apply them

Update: October 2018

A heating pad is a device for creating and maintaining a higher
temperature in more or less part of the body. This is one of
the most affordable means of physiotherapy that can be used
in any conditions: at home, in transport and even on the street. In hospitals
They also use heating pads, but rarely do this using
for local or general warming special infrared

There are sources of local heat of the three main types. The most
cheap and durable is a rubber tank filled
hot water, there is also an electric heater and saline
heaters. The last two devices are in the form of various
forms that are convenient for warming certain parts of the body
(for example, sinuses of the nose, legs, or feet). But whatever device
you would not decide to use, know: there is heat to use
indications and contraindications (they are common to all types of heaters).
If used improperly, this source of dry heat can
become dangerous.

The effect of hot water bottles

Any local heat source, be it electric, rubber
or saline, has such effects due to heat:резиновая грелка с горячей водой

  1. increasing the local metabolism increases the speed
    recycling products of inflammation that speeds up the process
  2. relaxes smooth muscles (those muscles that are not subject to
    our consciousness, they control the lumen of blood vessels, work
    intestine, ureter, bladder, bronchus, esophagus, pharynx
    and other organs). Muscle relaxation leads to an increase in diameter
    the organ in whose wall these muscles are contained;
  3. has an analgesic effect;
  4. absorbing action;
  5. relieves spasm of smooth muscle organs;
  6. has a distracting effect, removing the “accent” in the form
    increased blood supply from the diseased organ to a healthy one (this
    the effect is used in hypertension and coughing caused
    non-purulent process.

Indications for use of heaters. When, on the contrary, ice is needed

Disease or symptom Warmer Ice
Radiculitis Yes Not
Neuritis Yes Not
For newborns from colic Yes, только если педиатр точно уверен, что это именно
Frost freezing Yes Not
Neuralgia Yes Not
Constant feeling of freezing of hands or feet Yes Not
Inflammation of the lymph nodes, if it did not occur spontaneously (this
may indicate a tumor) and not due to purulent
Yes Not
Purulent arthritis Yes Not
For the prevention of freezing when planning to
Yes Not
Purulent arthritis, bursitis Not Yes
Abdominal pain has arisen on the background of stress, excitement or any
other experiences. Not accompanied by a rise in temperature
nausea or diarrhea
Yes Not
Myositis Yes Not
Bruise, sprain, injury From the second day onwards, if there is a decrease in edema. If a
it starts to grow from the third day – ice
On the first day, for 20 minutes every 3 hours
�”Pulls” arm, neck, leg, shooting, without raising the temperature,
Yes Not
Hypothermia Yes Not
Renal, biliary or intestinal colic. It should be
firm confidence that it is not purulent cholecystitis, pancreatitis,
pyelonephritis or appendicitis
Yes Not
Lower back pain, changing urine character, increasing
Not Yes
A runny nose with the appearance of light snot, “nasal congestion” of the nose,
sneezing, increased tearing, redness of the eyes, after reduction
temperatures парацетамолом или нурофеном
Yes Not
Toothache, when you see a part of a blackened tooth,
there is pain when tapping on it. There is no swelling on the cheek
Yes Not
Pain in the abdomen of any location, accompanied by the rise
temperatures, тошнотой, рвотой, поносом
Not Yes
Tooth pain after removal Not Yes
Pain in the joint, its redness Not Yes
Dry cough during treatment with antibiotics and
expectorants. На фоне нормальной temperatures
Yes Not
During an attack of “barking” coughing or breathing with a whistling
Yes, на ступни Not
During the pressure rise Yes, на область ног, чтобы объем крови частично остался в
dilated veins of the legs
If a через несколько дней от начала простуды усилилась
nasal congestion, fever or reappearance
Not Not
With painful urination, which can be excreted
blood but no back pain
Can, short course Can
If a на фоне полного благополучия вдруг отмечается
inability to go to the toilet in a small way
Yes Not
After a stroke or encephalitis, due to which
paralyzed one or more limbs
Yes, с 21 суток, на фоне разрабатывающих упражнений для
When swelling from an insect bite Not Yes
If a после инъекции, открытой травмы или раны на теле
there is swelling and redness
Not Yes
When a local allergic reaction Not Yes
If you have a sore throat, if the ENT doctor has not seen on the tonsils
From the second day, if white does not appear on the tonsils
For earache Can, только если исключен гнойный отит ЛОР-врачом Not
Before the competition Yes Not
Flowing blood from the nose Not Yes
Болит половина головы, подъемом temperatures is not
accompanied by
Not Yes
Болит голова, без тошноты и повышения temperatures, на фоне
crunches in the neck and soreness when pressing on the neck
vertebrae. At the same time, the condition did not occur amid injury
spine or head
Yes Not
Before mechanical cleaning of the face, on which there are no areas
покраснения или ulcers
Yes Not
When biliary dyskinesia, according to the recommendation
Yes Not
For insomnia Yes Not
If a у кормящей мамы только появились участки затвердения в
mammary glands
Yes Not
Bleeding from the vagina in a non-pregnant Not Yes, наряду с другими мероприятиями и консультацией
Pain in the scrotum Not Yes


The use of a salt water bottle, as well as any other, is contraindicated

  1. Purulent process, especially if the inflamed area is located
    inside the cavity:

    • mastitis;
    • sinusitis;
    • otitis;
    • appendicitis;
    • abscess or cellulitis (purulent “fusion” subcutaneous
    • acute cholecystitis, pancreatitis, colitis;
    • bursitis (inflammation of the articular bag);
    • purulent arthritis (inflammation of the joint itself);
    • meningitis, encephalitis.
  2. Oncological diseases.
  3. When autoimmune pathologies of the thyroid gland, liver,
    retina, testicles and other organs, fenced from its own
    immunity with a special cellular “barrier”.
  4. Bleeding – external (nasal, from the wound hole, from
    ear) or internal.
  5. Acute and sudden pains in the abdomen, head, or chest
  6. If a участок кожи в любом месте покраснел, отечен, его
    temperature is higher than over neighboring areas.
  7. In the postoperative period after any operation.

How to use a heating pad

Since there are three main types of this simplest
�”Heater” of the body, consider each.

Salt heater

This is a very good invention, which may have different
form: be in the form of a toy, insole, have a shape convenient for
palms, joints or neck area (like a hot water bottle
�”collar”). The color of the polyvinyl fluoride “package” in which the
heating elements may also have a different color.

This device is a chemical type in which heat
produced by chemical reaction. Instructions to
Salt warmer indicates that you need to push hard
finger or soft side of the pencil on the metal
switch to salt (sodium acetate), which before
were in a liquid state, but in the form of a supersaturated solution,
reacted with an injectable reagent. Wherein
the metal stick (button) that you click on is
center of crystallization.

В инструкции также указано, до какой temperatures разогревается
this or that heater. So, a salt water bottle for newborns,
the main purpose of which is salvation from colic is warming
up to 50-54 degrees, some salt “insoles” for the feet
adult heated to 80 ° C.

The advantages of this device is that it is made of
safe and non-toxic materials, durable, not cause burns
maybe, heating up, it takes the form of a body, and it is very convenient.
Being released as a toy, it allows you to create good conditions.
for treating babies.

How to use a salt water bottle:

  1. Click on the activator button from the wide side of the metal
    starter, with a click should be heard – so activated
    crystallization process.
  2. In seconds, the device warms up and you can
  3. Location of the heating device:
    • Colic is treated only after examining a pediatrician who must
      eliminate all serious and surgical diseases that may cause
      anxiety of the child and pain in the tummy. In this case, the heater
      wrapped in a dry cloth in 2 layers and located in the area
      around the baby’s navel so that neither the left nor the right hypochondrium is
      warming up If a нагревающее устройство чересчур большое для этого
      baby, you need to try to roll or twist, fixing
      on top of the cloth, but the hypochondria must not be heated. If a
      colic возникают после переедания газообразующих продуктов у
      a child older than 1 year old (again, the presence of colic should
      set pediatrician), salt heater can be applied to
      T-shirt or T-shirt child.
    • Warmer солевая лор, используемая для лечения отитов и синуситов
      of nonpurulent origin, has the form of human lungs, only
      smaller size. It overlaps the area of ​​the nose and sinuses,
      or on the ear cartilage. If a речь идет о ребенке до года, ее нужно
      wrap in cloth and not get on the eye area.
    • Warmer-воротник накладывается, в основном, на воротниковую
      zone. She can also wrap the knee, elbow and hip
      joints that hurt due to the presence of degenerative
      process. In children, such a device can be used during
      treatment of spastic torticollis. Only it will need to be wrapped
    • If a тепло используется для согревания ног недоношенного
      child, it is placed at a distance of 5-7 cm from the feet.
    • On the device Orlett, having the form of a mattress, you can go to bed.
      It is used to treat spinal abnormalities and nearby
      the muscles holding it.
    • Insoles put in shoes, under socks.
  4. The time that the heat source holds is different. He must
    appoint a doctor:

    • with colic, it is usually 20-30 minutes;
    • with radiculitis, neurosis, osteochondrosis, you can keep warm until
      4 hours while the device keeps warm;
    • стельки взрослым можно носить до 4 часов, если is not вызывает
    • for “blind sensing” the salt heater is placed on
      right hypochondrium for 20-30 minutes, no more.
  5. Yesльше солевой наполнитель нужно восстановить. For this
    the heater must be wrapped in a clean cloth and boiled 10-15
    minutes – as long as it is written in the instructions.

Heating pads

Electric heater is a heater, which for work
need an electrical network. Зачастую она имеет регулятор temperatures,
with which you can set or recommended by a doctor (if
it is about treatment), or one that is comfortable (if it’s about
warming). The lower the temperature, the longer you can keep it.

It is convenient to use a heating pad, it is enough to put it on
place requiring warming. It is also possible to treat colic.
use, but in this case it should not be placed on the child, but
under the mattress, the baby is spread on the stomach.

The time required for heating with a heating pad may be
different: from 20-30 minutes at a temperature of 40 degrees in the baby 3-5
months, up to 3-4 hours in the treatment of bone, muscle or nerve
diseases in adults. You can not sleep with such a heater, especially
baby – because of the danger of electrical shock.

Water filled rubber heaters

This is the cheapest way to keep warm or warm a certain
region. These heaters have 2 shapes, different sizes, are made in
multiple colors. Such heaters are not recommended.
for the treatment of colic, because, even having a small size, along with
water they will get enough weight that will put pressure on the stomach

The algorithm for using rubber tanks is as follows:

  1. Unscrew the cap of the container.
  2. Open the tap with warm water. Her temperature should not be
    more than 55 degrees.
  3. Type water in the tank, filling no more than 2/3 of its volume
    (water should be spread, and not inflate the heating pad when you put it in
    horizontal position).
  4. Having squeezed the container from the sides, squeeze out air from there (water should
    go to the edge).
  5. Screw the cap tight.
  6. Turn the container upside down: no water should flow out.
  7. Wipe the product dry.
  8. Can use.
  9. Places where you can put a water-filled tank, do not differ
    from those for the salt heater.
  10. Store the hot water tank in a dry state, with
    open lid, upside down. Measures

You can not warm:

  • endocrine organs: thyroid, lumbar region (there
    adrenal glands are located);
  • areas of large vessels: on the sides of the neck, behind the neck, on
    hips – in the area of ​​the inguinal fold, as well as on the soft tissues of the shoulders,
    forearms (on the arms – only in the joints, otherwise you
    raise the temperature of the body, warming the blood);
  • head area;
  • eyeball;
  • abscess, phlegmon.

Only at the doctor’s prescription can the heater be laid:

  • under the right hypochondrium;
  • in the area of ​​the joints;
  • on the lower back so that the treatment of osteochondrosis or spondylosis is not
    complicated by inflammation of the renal tissue;
  • on the stomach – with his pains;
  • on the inflamed lymph node;
  • on legs – with hypertension;
  • plots in the breast of a nursing woman.

You can have a heating pad:

  • cystitis – on the lower abdomen;
  • with arthrosis and non-purulent arthritis – on the affected joint;
  • with sprains, ruptures of muscles, tendons, ligaments – on the patient
  • with myositis – on the inflamed muscles;
  • при радикулите – на больную область, если is not зона, где
    pass large vessels.

If a нужно наложить согревающий источник на кожу человека,
unconscious or who has a pathology
temperature sensitivity, you need to periodically check
the zone on which the heater is applied, especially if it is
electric or water refill for burns.

Автор: Кривега Мария Салаватовна врач-реаниматолог

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