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16
CARPAL TUNNEL SYNDROME
Usually, this is a small area to be treated.
AFTER THE TREATMENT:
Check for workplace situations that could cause
repetitive use injuries. If the carpal tunnel is bi
-
lateral,
check for low thyroid, rheumatoid arthritis, and other
medical conditions.
PATIENT INSTRUCTIONS:
If the problem
stemmed from computer use, advise the patient to
assess their work environment for correct ergonomic
design—the angles involved with the desk and
keyboard and chair may be contributing to a repetitive
use injury.
DUPUYTREN'S CONTRACTURE
Aim the shockhead on the area of the palm and the fingers where the tightening is
apparent, keeping the shockhead sliding gently
around on the gel. If another treatment will
help, do it 2 weeks after the first.
AFTER THE TREATMENT:
Improvements
will continue 1 year after the last treatment
because the intense pulses are causing new cells
to grow thanks to the stem cells called to the
site.
SHOCKHEAD
# OF PULSES
ENERGY
LEVEL
INTERVAL
BETWEEN
TREATMENTS
NUMBER OF
TREATMENTS
(AVERAGE)
5 mm or
Infinity
300
4
3 weeks
2
-
3
SHOCKHEAD
# OF PULSES
ENERGY
LEVEL
INTERVAL
BETWEEN
TREATMENTS
NUMBER OF
TREATMENTS
(AVERAGE)
5 mm or
Infinity
1,000
5
2 weeks
1
-
2
Summary of Contents for VIPP
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Page 29: ...29 PATIE NT TREATMENT PROTOCOL WORKSHEET 1 ...
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