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DANMETER
Vasodilation
and Promoted Healing of Chronic Ulceration by TNS
The Norwegian doctor, Birger Kaada, MD - has performed several
research works, primarily on vasodilation induced by TNS.
A secondary effect — 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 red 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
Three 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° Celcius). The increase
during the stimulation to about 34° is a dramatic 10°
Celcius. 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°.
PROMOTED HEALING
OF CHRONIC ULCERATION
The following three
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 cm2. Abscissa
is time in weeks.
You can try this
technique using the ELPHA II 1000 Nerve Stimulator or
ELPHA II 3000 Muscle and Nerve Stimulator.
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