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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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