97018 Application of a modality to 1 or more areas; paraffin bath

Name of the Procedure:

Application of a Modality to 1 or More Areas; Paraffin Bath
Common names: Paraffin Wax Bath, Paraffin Therapy

Summary

A paraffin bath involves immersing a particular area of the body, usually hands or feet, into warm liquid wax. The wax forms a warm coating that helps to relieve pain, improve circulation, and soften the skin.

Purpose

It addresses conditions like arthritis, muscle pain, and stiff joints. The goal is to provide pain relief, increase blood flow, and improve joint mobility and skin condition.

Indications

• Arthritis
• Rheumatoid conditions
• Joint stiffness
• Muscle spasms
• Sports injuries
• Tissue damage

Preparation

• No specific fasting or major preparations required.
• Patients should remove jewelry and wash the treatment area.
• Diagnostic tests are generally not required unless specified by the healthcare provider.

Procedure Description

1. The paraffin wax is melted in a specialized bath unit and heated to a specific temperature (around 125°F-130°F).
2. The patient dips the affected area into the warm wax several times to build up a thick layer.
3. Once a sufficient coating is achieved, the treated area may be wrapped in plastic and a towel to maintain heat.
4. The wax is left to cool and solidify around the area for about 15–20 minutes.
5. The wax is then peeled off, and the area is cleaned.

Tools used: Paraffin bath unit, medical-grade paraffin wax, plastic wrap, towels.

No anesthesia or sedation is required.

Duration

The entire procedure typically takes about 30–45 minutes.

Setting

Performed in outpatient clinics, physical therapy centers, or sometimes at home under professional guidance.

Personnel

• Physical therapists
• Occupational therapists
• Trained medical assistants

Risks and Complications

• Minor burns or skin irritation
• Allergic reactions to paraffin
• Secondary infections (rare) Proper technique minimizes these risks, and any complications are typically manageable with appropriate care.

Benefits

• Reduction in pain and stiffness
• Improved blood circulation
• Enhanced joint mobility
• Soften and moisturize the skin Benefits are often realized immediately and can last for several hours post-treatment.

Recovery

• Patients can resume regular activities immediately after the procedure.
• Avoid excessive movement of the treated area to prolong benefits.
• Follow-up sessions may be scheduled as needed.

Alternatives

• Hot water therapy
• Ultrasound therapy
• Physical therapy exercises Each alternative has its pros and cons; for example, hot water therapy might be less effective for deeper tissues compared to paraffin wax.

Patient Experience

Patients typically feel a comforting warmth during the procedure, which most find relaxing. Minimal discomfort is expected, and pain management is usually not necessary. Afterward, the treated area feels softer and more mobile.