Using the Infrex FRM or Infrex Plus machines it's important, in order to understand how we enhance recovery and/or improve athletic performance, to understand what are valence electrodes. It is these electrodes we affect to accelerate recovery from injury and also to possibly enhance total overall health by reducing the free radicals found in our body. It is also the increased quantity of free radicals produced by exercising that we want to minimize to protect overall long term health. The process of exercising produces more free radicals. It's that production and the destruction free radicals cause that possibly leads to the danger of the "weekend warrior" injuries and health deteoriation.
This video, by Tyler DeWitt, is a very good example of what is a valence electrode and how it fits in the periodic table.
Below is a list of non covered diagnosis, and diagnosis codes, by Medicare for the rental and purchase of a tens machine ( transcutaneous electrical nerve stimulator) , and the purchase of tens supplies. MedFaxx is an accrediated provider of tens machines for Medicare patients, FOR NOW.
Functional Electrical Stimulation In Multiple Sclerosis
The below article is a very good summary article written by J. M. Campbell, Ph.D, P.T. explaining some of the electrical stimulation results for multiple sclerosis patients.
For clarity purposes the term "ES" or "Estim" is a generic declaration of an external device in most cases, that produces a flow of electrons from one electrode to the other of the same channel. The flow of the electrons produces an ionic reaction in the body in the areas between the electrodes, in most cases motor nerves and muscle tissue. The most common use of a specific form of ES with multiple sclerosis patients is the term "Functional Electrical Stimulation", or FES. This is a form of estim where one stimulates motor nerves, at the same time as attempting to move mentally. The breaching of the gap between movement and the brain's message to move is preserved or restored. The FES process is accomplished with voluntary repeated movement assisted by functional stimulation.
A quicker method of accomplishing functional electrical stimulation would be to use "medium frequency Infrex interferential stimulation" with volitional movement at the same time. Typical FES applications involve multiple daily sessions ( 5 - 15), for 10 - 20 minutes whereas "functional stimulation" protocols are 1- 2x daily for 15 minutes at maximum output. Functional stimulation is designed to also increase muscle bulk and strength.
The reference to "healing decubitus ulcers" ( bed sores ) is generally a form of estim known as "pulsed galvanic stimulation", or "high voltage".
The "reduce spasticity" can be accomplished by using FES to fatigue the muscle(s) however most studies fail to then continue to use estim for extended time periods to avoid future spasticity. This accomplished by "interferential therapy" over night for 6 - 12 hours either sensory or subsensory. The process of constant, low amperage stimulation of muscles stops spasticity. Spasticity should be prevented, not treated.
Often chest pain is associated with heart attacks but costochondritis, or Tietze's syndrome, can be successfuly treated with medium frequency interferential therapy provided by the Infrex Plus. The process of inflammation of the costal cartilage can result in pain and the negative charge of the Infrex helps reduce the inflammation while reducing or eliminating the pain.
Specific protocols are provided for self treatment using interferential therapy at home. The goal is to eliminate the source of the costochrondritis pain.
Non Invasive Interferential Stellate Ganglion Block
An interventional stellate ganglion block is used often for chronic intractable pain. The purpose is to stop sympathetically mediated pain by injecting a local anesthetic. The actual procedure does involve a considerable degree of risk, including death, if the insertion is not done properly. Serious life threatening situations can develop and that is why it's crucial the physician become totally aware of the surrounding anatomy to prevent injury during the procedure. In recent years the inclusion of fluoroscopic dyes has led to better placements and better outcomes while reducing some of the risks. For a video of how the stellate ganglion block procedure is done go here.
Samuel Davis, P.T. reported the use of interferential current therapy in his book "Interferential Current Therapy in clinical practice" , 1993, ISBN 09624032-6-1, detailing a study done in 1972 in the clinical setting. The use of medium frequency interferential current is not new, however it has required clinical visits, or in some cases hospitalization for the treatments. The machines capable of creating the interferential currents were only available to clinics, not patients for personal use. Today the Infrex Plus and the Infrex FRM are available for home use.
The medium frequency interferential currents should be tried before any interventional block is done. The risk of injury or further harm using interferential therapy is practically non existent. The higher medium frequency beats allow deeper penetration into the actual stellate ganglion and the decrease of pain, possibly elimination, will be known in less than 20 minutes. If the interferential current works the patient can self treat, possibly requiring no more than 2 ea. , 20 minute treatments daily until carryover pain relief is established. If the procedure does not work then traditonal interventional blocks may be done. After carryover established the pain may cease to exist or require only monthly 20 minute treatments.
The medium interferential frequency stellate ganglion block is preferable to interventional procedures due to safety. The patient and physician know in 1 treatment, without causing any harm to the patient or risks from traditional ganglion blocks.
The below video explains how home treatment with interferential therapy produces longer lasting carryover pain relief: