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How to use the Heat Pack Benefits of the Heat Pack    



Frequently Asked Questions


 

1. How Do I Apply My Pack - I Can Hardly Move?

Applying the Pack is easy and needs no one to help you. Heat Treat understands how difficult acute pain movement can be and we kept that in mind. You can quickly adjust to cover any area of the back simply by using the extra long looped straps to raise or lower your Backpack anywhere over your back without physical difficulties. A small tug on the bottom edge of the Backpack correctly positions it over the spine.

Even though the area of actual damage is very likely smaller then your pain is telling you it is – your Pack provides the opportunity to ‘treat’ a much larger area – the more muscle area subjected to heat, the more heat signals pass into the pain gateway (the Central Nervous System) interrupting your back pain.

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2. How Do I Keep My Backpack In Place While Using it?

It has no “belts or ties” to hold it in position. Your Backpack was never meant to be used to ‘walk around’ with. To receive the most effective treatment you should be as relaxed as possible. The Pack’s ability to not cause inflammation in and around the delicate nerve roots and joints of the spine is the most important aspect of your treatment – being completely relaxed is the second. No matter what you must do to be as relaxed and in the most comfortable position possible – Please do that. Your Pack can be used no matter what position is best for you -- sitting or laying down – on your back or tummy

There is a further benefit to designing the Backpack without the ability to move around. Stress is a major factor adding to the intensity of your pain. It sets the ‘clock’ for the length of time your pain continues. Every treatment with your pack provides you an opportunity for at least 25 – 40 minutes of “stress time-out” and because the use of heat has a systemic (all over) ability to “relax” you – why not use that time to listen to some music or just take a little quiet time for yourself.

You can also relax with the knowledge that each Heat Treat Backpack treatment is quickly helping to move you toward freedom from pain, and will continue to help you as you move through the suggested rehabilitative steps outlined in most “Conservative Approaches” followed by both natural and medical physicians

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3. How Long Does a Treatment Take?

The Heat Treat Backpack was designed to provide therapeutic heat treatment for an average of 30 to 60 minutes each time. We recommend no less than 25 minutes. If you are in a hurry – 25 minutes is better than no minutes.

Your actual treatment time is most effective when used for the 40 - 60 minutes.

Once your treatment is finished and your level of pain has decreased you are encouraged to begin as much gentle movement as possible - rather than immediate reapplying. This is for your benefit as well as for the benefit of your Pack. Heat Treat understands the desire to reapply heat when you are in severe pain. However, movement is a most vital part of the healing process – no matter how small those movements are at first. Movement also assists in the continuation of toxin removal begun with your heat treatment. It also is assists to make healthy and appropriate use of the new cellular tissues you brought into the area of damage with your treatment. In fact, if you decide to reapply immediately, in order to reheat your Pack, you actually are forced into moving, just a little, (unless you cheat and have someone do it for you).

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4. How Often Can I Use My Backpack?

We do not recommend using your Backpack more than 4 – 5 times per day. This recommendation is to given to protect the useful life expectancy of your Backpack. More Importantly - while continuous applications of heat may provide you with a longer overall pain free time – it inhibits the efficient healing of your inflamed and damaged tissues by interfering with the recommended times and temperatures for the successful inflow and outflow of blood. You may have less pain today if you apply the Backpack continuously, but you may find your pain level has increased the next day.

If another person in your household would also like to use your pack – you must consider the total number of times it is to be used in one day. Careful attention and adherence to the Instructions and Precautions sheet {included with your purchase} are necessary when using the Pack. Sufficient time must be allowed for the Backpack to recover the grain’s moisture content. If this is not done it is very hard on the life span of the grain and ultimately the lifespan and usefulness of your Backpack. We strongly suggest you purchase a second pack if you need to use it more often then is recommended.

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5. How Can I Know if My Starting Temperature is Correct?

Heat Treat has provided an approximate heating time based on the wattage of your microwave in the Instructions and Precaution Sheet, which is enclosed with each pack sold. These times correspond to the average temperature for the average person wearing a mid-weight sweatshirt. – Your Backpack is never to be applied to bare skin at any time.

Each person is unique in how they sense temperature. For instance, are you thick or thin-skinned? Do you have a high or low tolerance for heat and cold? Are you wearing a lightweight shirt or a heavy sweater?

Our recommend heating time should rarely need to exceed 4 minutes (microwave) total [unless you have a very old microwave.] We do have customers who heat their pack at that maximum time and in some cases several seconds more. These rare people do not have any problems with nerve damage that could be the cause of their lack of heat perception – they simply enjoy and require a higher level of heat than most people, but they are unusual.

During your first treatment – a good rule of thumb to follow regarding you personal therapeutic temperature is covered below under, “How to Adapt Your Backpack for Optimal Treatment Temperature.


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6. Why Can’t I Just Use My Hot Water Bottle or Heating Pad?

The most obvious and important answer is
1. You cannot ensure the heat will not cross your spine using either method.
2. You cannot regulate the temperature
It is too tempting to use the available high heat with these two methods and to use them for too long – preventing the overall effectiveness of a heat treatment in the first place.
3. HOT WATER BOTTLES –
A hot water bottle will throw your body position out of alignment placing further stressors on spine, ligaments and supporting muscles.
The only way this can be avoided is if care is taken to “center” it – but this means crossing the spine with dangerous heat.
4. HEATING PADS
a) Use of a heating pad provides, uneven, hot spots
b) the possibility of falling asleep on these can be dangerous.
c) Pain and inflammation messages travel through the CNS as chemical/electrical signals - adding outside electrical fields to the equation is not recommended.

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7. Is There Anyway to Determine if I Have Inflammation
that Falls in that 1-4 day range?

Yes. There is a fairly general rule you can use:
1. If you can find no pain free position – use ice
2. You can find Pain-free positions – but you have pain with movement – use heat or a combination of ice/heat if your prefer.
Always remember – if using either ice or heat makes your pain worse, stop using it – try your heat a day or two later. For some people using ice, even on inflamed tissues causes them additional pain. Often that problem is due to sensitivity to the lower level of cold when using an ice pack. Try wringing out a towel soaked in very cold tap water – this often will work, but you may need to immediately reapply this form of cold treatment to achieve the overall “cooling down” that is necessary.

Remember, at this stage of your pain relief and recovery – do nothing that causes you more pain.

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8. Why is the Third Rule to “Not Worry” So Important?

While this certainly is not an explanation in the truest medical tradition these lay terms should help you to understand the answer to this question.
There is a major connection between the pain you “experience” (how intense it is and how long it lasts) and how worried or even angry you are about that pain. This connection happens naturally when a pain signal reaches the brain. The brain is considering this pain signal, along with other chemical signals it is receiving, trying to determine the severity of the problem and what information it needs to send to best help the body heal in the most efficient way.

Acute back and neck pain, regardless of what creates it, has a ‘built-in’ depression response in the body. This is a part of the natural protective mechanisms – you feel ‘down’, may even lose your appetite, or need to sleep more often. Think how tired and awful you feel when you get a flu bug. This is a way of ‘forcing’ the body to tone down its normal activities so the body can make full use of its “energy” to aid in the healing process. However, these signals are always a two-way-street. Your brain also recognizes the amount of ‘outside’ or conscious worry and/or fear you are attaching to your pain. The brain reacts to this worry, concern and fear you are attaching to the pain by saying to itself, “well maybe the root cause of this pain is way more serious than it seems to be”. You could say that the brain has learned to “trust your judgment” and takes this into consideration in its efforts to help you heal.

So in its consideration of your worry, and fears about your pain the brain then sends ‘stronger’ pain messages and “depression” chemicals to make sure you understand the gravity of the situation and to make really sure you ‘don’t move around too much.’ (this is not good for more then a couple of days ) On top of that, the brain “remembers” this pain episode and the next time you have a back or neck pain episode (especially if it is in the same area or due to the same cause) it can automatically go into that “over protective mode.” Because it has “learned” the previous, “normal” pain you had, was not so “normal” you can experience an exaggerated intensity of pain that is an over blown reaction to the actual ‘damage’ that has occurred. Once this over reactive two-way-street begins you can quickly find yourself suffering from unecessary heightened pain and a real chemically activated form of depression that feeds off itself.

Besides, there is really no reason you should be worrying about your back or neck pain – it can be simply and easily managed – the first key rule being to stop the pain immediately if not sooner. Faithful following of all the rules - from the beginning - can find you back to work and play before you know it. Make sure to locate a doctor (natural or medical) who will work with you.

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9. What is the Best Way to Treat My Neck or Upper Back and Shoulder Pain?

Your Pack comes equipped with two larger ‘free standing’ heat application pockets that can be placed on each side of your neck. They can also be placed over the trapezius muscles of the shoulder or they can be ‘dropped’ to provide coverage to the entire upper back. When treating the upper back, shoulder or neck we recommend placing your hands through the either the upper or lower loop (which ever is most comfortable). This places your shoulder muscles into a neutral or relaxed position and thereby provides the most effective treatment. Don’t forget to support your head and/or neck. Use a small rolled towel under the neck or a folded towel to support your head. You must be in as comfortable and relaxed position as possible.

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10. What is the Best Way to Treat My Lower Back Pain?
Simply lower the Pack until it covers your painful low back area. If sitting makes your pain worse use your pack under your body while lying on your back in bed. Use pillows under your knees, and/ or a small roll under your head or neck to enable you to be as comfortable as possible. Hold both straps in one hand once you have secured the correct area to treat as you gently roll onto your back. If you find your pack has come out of its proper alignment along your spine simply give a little tug on the bottom corner and this will ‘shift’ the entire pack into proper alignment ensuring you do not cover the spine with any heat.

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11. Does the Backpack Provide a Moist or Dry Heat Application?

Your Heat Treat Backpack applies moist heat. The heat-retaining fill used in the Backpack is 100% whole grain oat seed. This seed contains its own natural 12-15% moisture content and this provides the moist heat. You should never apply moisture to your Backpack. The grain is capable of renewing its natural moisture content, from the atmosphere, between applications.

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12. How to Adapt Your Backpack for Optimal Treatment Temperature
Each person will have to experiment a bit, the first couple of times they use their Backpack, while basing their time and temperature settings against the average charting times and temperatures. These are outlined in the Recommendations and Precautions sheet shipped with each backpack.

Because your Heat Treat Backpack is not to be used on bare skin the level of temperature you experience is also directly related to the thickness of clothing you are wearing

Immediately after removing from the microwave or oven, and testing the temperature, give your Backpack a good shake-up making sure the grains are well mixed in each of the pockets.

When first applied, your Backpack should begin to feel “hot” but not uncomfortably hot and it certainly should not be painful. After a very few minutes you will, suddenly, notice that the “heat” you are feeling has gone. The pack has not actually lost more than 1 or 2 degrees of temperature. The brain has sent blood to the skin in an effort to cool it down. Once that occurs, the blood flow then moves into the deeper muscle tissues. And you experience a less intense temperature at the skin level.

In learning how to adapt your Backpack’s temperature – during your first and/or second treatment - if the heat makes you uncomfortable in any way – remove the pack for one minute, and then reapply. You get no gold stars for suffering through painful or excess heat and in fact could be causing a burn to your skin as well as adding to the body's pain load.

For each minute you cool down the pack use 10 second less heating time the next time you heat your Backpack from room temperature. You should have your personal and unique temperature needs worked out within 1-3 treatment starts. Conversely, if your starting temperature does not feel hot enough to suit you then increase your heating time by a total of 10 to 20 second each time until the temperature level suits you.

Over the remainder of your treatment time the Pack will begin to lose heat, naturally. This period of time allows the blood to begin to leave the tissues taking away the toxins leaving behind more appropriate cells to aid in the resolution of inflammation and the overall healing process. Before you have reached the end of your treatment time you may think your Pack has lost all of its heat. We assure you it has not.

If you choose to continue your treatment time to the full 60 minutes – your pack will still be at a therapeutic level of heat – slowly returning to “body temperature” over that one hour. Allowing the outflow of blood to complete its process, based on the decreasing temperature of your Backpack, over this entire 60 minutes, can be a little more helpful in some cases. And, it also gives you up to 30 extra precious “time-out minutes.”

Removal of your backpack before 60 minutes means that you need to take time for your muscles to come back to their normal temperature. The level of pain relief you experience, immediately after your first treatment, is due to the “heat experience” that includes the inflow of blood to the painful tissues. We do not recommend that you instantly jump up from your 30-minute treatment and start excessive movements until your tissues have cooled down to ‘body temperature’. At this point you will have a ‘truer’ perception of your pain level. Let that be your guide for increasing your movements. Successive treatments should bring successively highly levels of longer lasting pain relief – but not if you irritate those tissues by excessive movements.

The first day or two of pain relief treatments requires that you pay close attention to the messages your body is sending and treat it carefully, gently and with respect. Actually, you should be doing that all the time, but its most important for the first couples of days, and during your rehabilitative programs.

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13. Treating Severe Sudden Acute Pain with Known or Suspected Inflammation

This type of pain would find you confined to home and rest, unable to continue at your job or in any regular activities. If you suspect you may have inflammation but are not sure, read, Is it Inflammation or Simply Muscle Spasms". If it is inflammation that started this pain you will want to use ice for the first 1-4 days after your pain started. Then move ahead with using your Backpack from then on. Ice can help manage the pain you are having during this 1-4 days.
If it is simply muscle spasms, begin your Backpack treatments immediately.

At any point, from the first day on, depending on how fast you get to see your doctor, you may receive Pain and/or anti-inflammatory medication of some kind – either natural or chemical. Your Heat Treat Backpack will complement this pain relief and inflammation reduction. And, if used correctly, you may find you require less medication. Do not forget Rule #1 – and ensure your pain is completely controlled as fast as possible and that it stays that way. Use every available tool you can muster.
You may be prescribed a series of ice/heat treatments as a part of your ongoing pain and inflammation control and you can read more about this process below under, "When Would I Have to Use ICE/HEAT Treatments?.".

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14. I’ve Had Back/neck Pain Off and On for a While – Will
the Backpack Get Rid of It?

NO, but it will help to relieve and control these painful episodes when they occur, and it will do it with far less or no dangerous drugs. You have an underlying condition that needs to be found and addressed before these episodes can be stopped or controlled. We can’t say this often enough – immediate and complete control of pain is vital. It is a major player in your ability to recover from each pain episode. As well, it helps to keep that underlying condition from progressing any faster then necessary – while you seek out and receive proper treatment.
We are sure you have already read that:

1. Unless your have been involved in some type of accident, 90% of all sudden acute back or neck pain is usually the result of sprained or strained soft tissues (muscles and tendons) inflammation and muscle spasm. Pain from a simple muscle spasm can be agonizing and immobilizing – it can be far worse than any other type of back or neck pain. This definitely true.

2. Statistics from the medical model states that 90% of this type of acute back or neck pain will spontaneously resolve in 1 day to 3 months (up to 6 months if the tissue damage is severe) - with the greatest number of people achieving pain relief in 1 day - 3 weeks. This is definitely not true.

This is incorrect information based on one flawed study from years ago. However, information from the newest studies indicate that at a minimum 50% of sudden back/neck pain sufferers will have a reoccurrence within 1 month to 2 years. On average the majority of these people will experience 1 - 4 additional episodes within the first 12 months.

This is likely what has been happening to you. Niggling, nagging sore, tired muscles, or even muscle spasms that continue to “pop up” are a warning signal of an underlying condition that needs to be addressed. Back/neck pain can be caused by literally hundreds of “conditions.”

Unfortunately, the majority of medical model physicians continue to follow the diagnostic information this flawed study implies.
Following this flawed treatment model is a double-edged sword for back/neck pain recovery
First, it says to the patient that there is not much wrong with them implying it is some flaw in them that they are still having pain. They go home and suffer in silence continuing to worry and fret and try to “soldier through” their pain and decreasing ability to function in their lives.

Second, it means that they are not being properly diagnosed for whatever underlying condition may be the cause. As time progresses, so does the underlying condition.

Seek out a natural or medical model physician who is willing to work with you to find out what even underlying condition may be at the root of your pain and one who will also work with you to properly and completely treat your pain.

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15. What if My Pain is Due to a More Serious Problem

There is less than a 2% chance your pain is due to a problem with a ‘slipped’ or ‘blown’ disc. Even if this is true – invasive procedures (surgeries, nerve blocks, etc) are generally recommended less than 1% of the time.
There are certainly cases where your pain could be due to more serious conditions and even though the medical model often recommends you just wait and see before contacting them – we do not recommend this. We recommend that you make contact with your doctor of choice so she/he can evaluate your pain situation and decide if it is due to a more serious problem.
Also so you can make sure your doctor is able to assist you with complete elimination of your pain during this time.
(Don’t forget your Backpack’s excellent ability to provide relief of your pain during this time)

In deciding if you may have a more serious underlying problem you should consider these symptoms and consult your doctor if you have any of them
1. If your back or neck pain (especially low back pain) was preceded by an accident, auto or a fall, a significant blow, or participation in “weekend sports”. Sometimes pain symptoms from these situations may not show up for weeks or months.
2. If your pain increases after the 3rd or 4th day
3. increasing pain and/or “burning” in arms or legs
4. loss of bowel or bladder control
5. Loss of function in arms, legs, hands and feet
6. If you already have an underlying condition such as degenerative disc disease, osteoarthritis, any form of rheumatoid arthritis, kidney dysfunction, osteoporosis, have been taking some of the new medications to treat these or other conditions, or have or previously had a known cancer.
We are assuming you have not been irritating the originally damaged tissues during this time. This could be the reason your pain is getting worse.

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16. Treating the Pain of Discomfort, Tired, Overworked, Achy Back Muscles

The First Rule, once again, is to apply your Backpack as soon as you become aware of these “discomforts” -- discomfort is just another name for pain.

These types of pain will generally see you able to continue to work – However, they can start becoming more frequent and/or cause you to start to cut down on some of your normal work, home, hobby and leisure activities.
Once again we need to state - these niggling, annoying pains can be early warning signs - generally of normal wear and tear, degenerative, changes taking place. They can also be due to hundreds of other underlying conditions. But no matter the cause they indicate the need to make changes in your life habits and work habits. Without these necessary changes you could find yourself managing more painful acute episodes in the future. Consistent use of the Heat Treat Backpack while putting new lifestyle changes into effect can greatly help to ensure your underlying condition progresses at the slowest possible rate and that you pain level is always as low as it can be.

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17. Treating a Pain Flare Up

Apply your Backpack as soon as possible to start your pain control. If treatments with your pack do not quickly begin to reduce your back pain, you my have to include Pain and/or Anti-Inflammatory Medications of your choosing, either prescribed or natural. Once again, take care that you have controlled your pain as quickly and as completely as possible.
Generally an acute pain flair up is due to either further degenerative changes or because the person has not yet completed a program to help rehabilitate the underlying degenerative problem. A back or neck pain “flare” is a reminder of that.
The less one partakes in rehabilitative programs – the more often they will experience these painful “flairs”. For those who are totally unable to spend the time and/or money required for these rehab programs consult with a Doctor of Naturopathy, Doctor of Chiropractic, a Physical and/or Occupational Therapist. Explain your situation. These people are well trained in many alternative rehab methods and can target exercises very specific to your needs that you can do at home, costing you zero dollars and without taking up a great deal of your time.
Doctors of Naturopathy, Chiropractic, and many DO’s, as well as medical doctors licensed as naturopaths, are all very well trained to treat the “Whole Person” utilizing methods that encourage the natural healing processes of the body.

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18. Can the Backpack Help Treat My Chronic Pain?

Most Definitely. It can treat your Acute Pain episodes when they arise. AND it can treat ongoing, everyday miserable chronic pains as well.
Some chronic pain sufferers have plastic CNS changes that result in severe peripheral skin sensitivities to heat, cold, and pressure. Some only have sensitivity to either cold or heat. If you are in the small minority having problems with extreme sensitivity to heat – our product cannot help you.
We provide a great deal of cutting-edge information on our site that can be of considerable help to you – after all the driving force behind this site, has been dealing with the disease of chronic pain for almost 30 years.

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19. When Would I Have to Use ICE/HEAT Treatments?

You may be prescribed an ice/heat treatment, especially if your acute pain is the result of damaged tissues. If you can tolerate the ice part of this treatment for a few days – please do so – it will hasten your pain relief and resolution of inflammation. This combination therapy moves blood in and out of the injured area much more efficiently. This combination therapy is also recommended if you find you have overdone the ‘movement’ portion of your recovery – including your post pain back-to-work activities. This would include your recovery exercises, stretches – should your initial Chiropractic, Physio or Massage treatments cause you new pain.

At this early point in your recovery it is not difficult to overdo – but when this happens your body will let you know by increasing your pain and/or causing muscle spasms. This is the time to return to using the combination ice/heat treatments. This is nothing to worry about – it is just nature’s way of telling you your body is not quite as ready as you thought it was to move so strongly forward in your activities. It means you need to back-off a little, rest a bit more, reduce your pain again and then – be more gentle with yourself in your recovery processes. In spite of living in the age of always seeking “Instant Results” and “The Quick Fix” – you can’t hurry Mother Nature, so go with the timetable your body is setting for you.

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20. How Easy is this Combination Treatment?

With the Heat Treat Backpack doing a series like this is relatively painless (no pun intended).
Your doctor will tell you how long each modality should be applied for and how many series (sets) you are to do in one day.
The general rule for this treatment is, 2 to 4 sets, two, or more, times per day. Ice is applied for a specified period of time - generally between 6 – 10 minutes. After your body temperature has retuned to normal - heat is then applied. This heat portion can be for 20 – 30 minutes or longer.

With your Heat Treat Backpack the heat portion of the set is fast and easy. This pack was not designed nor intended to be the ice part of the treatment. To use our pack as the ice portion would be very difficult without purchasing 2 or more Backpacks. There is a wide range of inexpensive ice pack products on the market with a wide choice of size. You can use a frozen bag of peas or corm. You can also use a wet towel, wrung out in cold water and placed in the freezer for a few minutes. This is by far the least expensive way to go for this type of therapy.

The sets should go very quickly and while reheating your Pack is quick and easy, your ice pack may not have enough time to ‘re-freeze’ before it is needed again, so you will need an ice pack for each set. Never use any ice pack directly on the skin – wrap it in a towel. Ice, like heat, can actually burn your skin and at this point in your pain recovery you do not want to create any additional source of pain.

A “Set” works like this:
1. Apply Ice for recommended period of time 6-10 minutes – you can apply ice anywhere on your back including the spine. Wait until your body returns to normal temperature BEFORE you get up and move. This includes waiting to get up to begin heating your Backpack. The total time from first application of ice to the first application of heat should take a minimum of half an hour. (Don’t forget to toss the ice pack back in the freezer)

2. Apply your Heat Treat Backpack for 25 – 40 minutes (or longer) because your muscles are coming back down to body temperature during the treatment time and most people like to continue this heat treatment portion as long as possible. Once again allow your body to come to normal temperature - then immediately hang up your Pack allowing it to cool as much as possible as you get ready to start your second set
You can now move on to another set. Follow #1 and #2 above for each set required.

Don’t forget to check out the Instructions and Precautions sheet that is included when you purchase your pack. There is important reheating timetable information for these specific treatments.

NOTE: If your doctor has asked you to do 3 or 4 sets twice a day we recommend you purchase two Backpacks. To protect the life (Minimum - two years) of your Backpack and the natural moisture content of the grain, the Backpack should not be used more than 4 to 6 times per day and that maximum is only recommended if you very carefully follow instructions for use. If you are able to allow the pack to come to room temperature before reheating, your Backpack could be reheated up to 6 times – over time, this will still cut down the useful life expectancy of your Backpack.

If you have a question you did not find in our FAQ file – don’t hesitate to contact us by email( info@heattreat.ca ) or in our Forum

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DISCLAIMER:The information in HeatTreat.ca is not intended as a substitute for appropriate medical professional help or advice but is to be used as a sharing of new knowledge, information and as an aid to a new understanding about back and neck pain and its treatment. A trained, appropriate health professional should always be consulted for back pain or any health problem. HeatTreat.ca provides links to other articles and web sites as a service to our readers and is not responsible for the information, services, or products provided by these web sites, health professionals, or companies. See "Terms and Conditions" for use of this Site