Alternate Shower / Contrast Shower
Please read Important Points to be Observed with all Treatments before performing this treatment.
Contraindications
  1. Heart Diseases
  2. Kidney Failure
  3. Severe Arteriosclerosis
  4. Hyperthyroidism or exophthalmic goiter/goitre
  5. Nervous System Irritability
  6. Hypertension
  7. Hot spray should not be directed over the area of Varicose Veins
  8. Neuritis
  9. Rheumatoid Arthritis​
​This video is for demonstration purposes, if the patient has COVID-19, the carer must wear personal protective equipment.
See video here.
Equipment
  1. Stool - non-rust
  2. Shower cap
Procedure
Important Considerations
  • Rubber mat on floor of shower so patient doesn't slip.
Preparation for Treatment
  • Turn on shower and adjust to proper temperature.
  • Make sure patient's feet are warm before entering shower.
  • Use shower cap if patient wishes.
  • Have stool on hand in case patient becomes faint.
  • Have patient get into shower.
Treatment
  • Begin at 38 °C / 100°F and quickly increase temperature to 43 - 44 °C / 110°F (or tolerance).
  • Continue at this point for 1 minute.
  • Turn off hot tap to quickly lower temperature to faucet for 30 seconds
  • Reverse again to hot for about 1 minute and followed by cold for 30 seconds for two more times (total of three hot changes)
  • Gradually lower to neutral (36°C / 94-97°F) for 1½ minutes.
  • Gradually lower the temperature to faucet cold, providing, however, that the temperature should not be lowered if there is the slightest feeling of chilliness.
Completion of Treatment
  • Dry vigorously with friction.
  • Patient may rest.
  • Get dressed.