Electrical Stimulation

TENS • Transcutaneous Electrical Nerve Stimulation
MUSCLE STIMULATOR (NMES) • Neuromuscular Electrical Nerve Stimulation 
HVPG • High Volt Pulsed Galvanic Stimulation 
INF • Interferential Stimulation
MENS • Microcurrent Electrical Nerve Stimulation 
Kinesio Taping Method 
Micro-Z Mini Treatment for Neuropathy and Idiopathic Pain

TENS • Transcutaneous Electrical Nerve Stimulation

Primarily used for managing chronic pain. Works by blocking the pain signal, and by increasing endorphins in the body. Can be worn all day or on an as needed basis. Device features include adjustable pulse rate, pulse width, and amplitude (intensity). Higher priced units offer modulation (variations) of pulse rate, width, and/or amplitude settings, and other user friendly features. Placements of electrodes are usually at pain site or along the nerve channels, called dermatomes.

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MUSCLE STIMULATOR (NMES) • Neuromuscular Electrical Nerve Stimulation

Primarily used for preventing disuse atrophy (muscle wasting). Stronger than a TENS unit, with a wider pulse width to elicit muscle contraction for a period of time. More than just nerve stimulation, muscles are contracted and relaxed on and off to strengthen muscles, increase blood circulation to the area, and/or to reduce edema. Device features include adjustable pulse rate, width, amplitude, ramp, alternating or synchronous stimulation. Higher priced devices offer accessory jacks for remote switches, AC Adapters, and other user friendly features. Electrode placement is very important, mostly over motor points or on the belly of muscles.

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HVPG • High Volt Pulsed Galvanic Stimulation

Primarily used for quickly increasing circulation or reducing edema in a specified area. Also used widely by PT’s for wound healing. Uses high voltage and direct current (DC) as opposed to low voltage and alternating current (AC) common in TENS or NMES. Device features include adjustable pulse rate, positive or negative polarity switch, alternating or synchronous stimulation. Large “dispersive” pad is needed to ground the current. Smaller “active” pads are placed over treatment site.

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INF • Interferential Stimulation

Primarily used to manage deep chronic pain. INF current uses very high pulse rate. usually 4001-4150 pulses per second. This higher frequency goes through the skin and muscle better than TENS or other modalities thus can be more effective in pain control. Provides more analgesic, or nerve blocking effect. Device features include adjustable pulse rate, two or four electrode treatment selection, and modulation of pulse rate. Because of such frequency, these devices will require a lot of power. Batteries will not last long. AC Adapters are usually provided with device. Electrode placement should be in an “X” pattern, as the point of intersection provides a third stronger frequency.

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MENS • Microcurrent Electrical Nerve Stimulation

Microcurrent electrical nerve stimulation (M.E.N.S) uses micro-amperage current as opposed to millamperage current which is found primarily in T.E.N.S. devices. Microamp current is 1/1000 of a milliamp current and is closer to our own body’s natural healing current. Whereas TENS is used generally for relief of pain, MENS is thought to work more on a cellular level and aids in the healing process while relieving pain. It has been found that MENS can help increase levels of a chemical called ATP (adenosine triphosphate) which promotes protein synthesis and healing in tissue cells. MENS is a very subtle, yet powerful current, and treatment levels are usually sub-sensory–the patient barely feels the stimulation. In many cases where TENS or other electrotherapy modalities have been unsuccessful, MENS has been proven to be effective.

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Kinesio Taping Method

Biomechanical Taping and Splinting for Sport and Over-use Injuries

Dr. Diamond specializes in biomechanical and support taping for a wide range of sport and over-use injuries. He offers structural taping and is ‘expert’ in the Kinesiotape system.

How Kinesio Works

Kinesio taping provides support and stability to your joints and muscles and activates the neurological and circulatory system… This innovative taping technique is also used for preventive maintenance, edema (swelling) and pain management.

The Kinesio tape system basically stems from the science of Kinesiology, hence the name “Kinesio”. It is well accepted that muscles cause movement to the body, and thereby creates blood and lymphatic fluid circulation. When the muscles function properly and efficiently, then many musculoskeletal symptoms improve.

This taping system became publically respected by several of Olympic teams and by the well known use by Lance Armstrong.

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Micro-Z Mini Treatment Protocol for Neuropathy, Diabetic Neuropathy and Idiopathic Pain

The Micro-Z™ and The Micro-Z MINI™ is a small, lightweight stimulator that allows patients to receive electrotherapeutic treatment in comfort. It is programmed for two treatment protocols, the first is a 30-minute daytime treatment and the second is an eight-hour nighttime treatment that is administered while the patient sleeps. The Micro-Z™ and The Micro-Z MINI™ can be used to treat acute and chronic injuries, to treat sources of pain, to increase circulation while improving range of motion, and to minimize soft tissue atrophy and injury. Its compact size and ease of use increases patient compliance and when used with Prizm’s Electro-Mesh, Silver-Thera, and Stim-Support garment electrodes, they offer opportunity for rapid patient recovery.

The Silver-Thera™ stocking is a patented stocking woven from silver nylon and Dacron to provide conductivity over the complete treatment surface area. Since the stocking covers the entire target area, there is no guess work with the placement of the electrodes. Patients simply wear the stocking as they would a normal stocking, connect the Micro-Z MINI™ stimulator and choose one of the treatment protocols.

Micro-Z

Clinically proven, Medicare approved, non-pharmaceutical alternative for the treatment of Neuropathy, Diabetic Neuropathy and Idiopathic and Chronic Intractable Pain

FDA INDICATIONS:

  • Pain Relief
  • Increase Microcirculation
  • Increase Range of Motion
  • Retard Disuse Atrophy
  • Comfortable to use
  • Very effective
  • High patient compliance