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What electrophysical agents can be safely used on leukaemia patients

Message I have a patient, in his late 60's, with low back pain from a car accident of one year ago. I discontinued treating him in April 2019 as he had plateaued with his residual back pain with prolonged sitting. He was given a home exercise program and was to continue with his previous activity of 3x/week swimming. He was going to try massage/acupuncture. According to his wife who I spoke with October 11, he has had a recent flare up of low back pain that necessitated a visit to Emergency in the past 2 weeks. He wants to return to physio for treatment. He has been diagnosed in the last 6 months since I have seen him with CLL (Chronic Lymphocytic Leukemia) that is at Stage Zero. He is on no medication for the CLL, but will be followed with blood work in 6 months by the oncologist. My question is that: for patients with CLL, are there any modalities (i.e. heat, E-stim, laser, ultrasouund, manual therapy) that are safe for me to use on him for his recent flareup? I have the "Physiotherapy Canada" journal Volume 62 Number 5 Special Issue 2010 "Electrophysical Agents-Contraindications and Precautions: An Evidence-Based Approach to Clinical Decision Making in Physical Therapy" done by Houghton, Nussbaum and Hoens that basically states that electrophysical agents should not be used locally on malignancies, so I assume with blood cancers you aren't suppose to use them at all based on the 2010 research. But, is there an update on research as to whether these modalities can now be used on someone with blood cancers? (I will of course do a thorough subjective/objective assessment to determine whether the recent flareup is musculoskeletal related)

Shauna Dennert

5 months ago

Back to General Electrotherapy

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