National Board of Chiropractic Examiners (NBCE) Practice Test

Which of these treatments is contraindicated for a patient with advanced peripheral vascular disease?

1. Heat therapy

2. Ultrasound therapy

3. Electrical stimulation

4. Massage therapy

The correct answer is: Heat therapy

Heat therapy is contraindicated for a patient with advanced peripheral vascular disease because it can exacerbate existing circulatory problems. This condition is characterized by reduced blood flow to the extremities, and applying heat may dilate blood vessels, potentially leading to further complications such as increased tissue damage or exacerbating ischemia in areas already deprived of adequate blood supply. In contrast, treatments like ultrasound therapy, electrical stimulation, and massage therapy may still be performed with caution and careful assessment, depending on the patient's specific health status and risk factors. These therapies can often be adjusted to improve circulation and relieve symptoms without the added risks associated with heat therapy in patients suffering from significant vascular compromise. Always, a thorough evaluation of the individual patient's condition is crucial when determining the appropriateness of any treatment modality.