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DANMETER
Vasodilation and
Promoted Healing
of Chronic Ulceration by TNS
The well known Norwegian doctor,
Birger Kaada, MD - has in recent years performed several research works,
primarily on Vasodilation induced by TNS. A secondary effect -
viz. Promoted Healing of Chronic Ulceration was discovered and may well
prove to become another major finding. Dr. Kaada suggests that the
burst stimulation releases a vasodilating agent, not previously found.
ELECTRODE PLACEMENT
Negative black electrode is to be
placed on the web between the 1st and 2nd metacarpal bones of a hand.
Positive white electrode is to be place on the ulnar edge on the same
hand.
TYPE OF STIMULATION
Acupuncture like stimulation
(bursts) of 2 Hz, and an amplitude of 15-30 mA. The amplitude is
individual and is suggested to be increased until local visible
contractions occur without producing pain. Note that after about 5
minutes, stimulation usually the amplitude can be increased, as a
regional blockade is established.
DURATION AND FREQUENCY OF
STIMULATION
3 daily sessions each of 30-45
minutes duration. Subsequent to skilled instruction the method is
ideal for home use, with regular ambulatory check ups.
ETIOLOGIES
Raynaud's disease, Diabetic
Polyneuropathy, and chronic ulceration of various etiology i.e.
Neuropathy, Arteriosclerosis, Varices, Thrombophlebitis, Decubitus, and
Scleroderma.
LITERATURE
Kaada, B, MD., Neurophysiological
mechanisms of pain suppression and cutaneous vasodilation induced by
transcutaneous nerve stimulation (TNS) and acupuncture - A review., Pg.
64-94 in Legevitenskap og Livsvisdon, Festschrift to Tollak B.
Sirnes on his 60th anniversary, October 17, 1982, Universitetsforlaget,
Bergen, 1982.
Kaada, B, MD., Promoted healing
of chronic ulceration by transcutaneous nerve stimulation (TNS). VASA,
1983, 12, 262-269.
INCREASED SKIN TEMPERATURE
OF COLD EXTREMITIES WITH ACUPUNCTURE LIKE STIMULATION
The following figures show the
immediate effect of AP-stimulation on a hand as described above - on a
cold left 5th toe (skin temperature before stimulation: 24°
Centigrade). The increase during the stimulation to about 34°
Centigrade, is a dramatic 10° Centigrade. This level is sustained
for about four hours, where after the skin temperature quickly returns
to the initial level. Note that the pain disappears for the same
period of time. Note also that measurements on body regions of
normal skin temperature show only a slight increase of 0.5 - 2 degrees
C.
PROMOTED HEALING OF CHRONIC
ULCERATION
The following 3 figures show the
decrease of size of ulcers. The time of healing is dependant on
the size of the ulcer, and on whether the treatment is interrupted or
not. Ordinate is the size of the ulcer in mm² or cm³.
Abscissa is time in weeks.
You can try this technique
using the ELPHA II 3000
Muscle and Nerve Stimulator.
To verify its effectiveness use
the SC-911 or T3
Skin Temperature sensors.
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