EHF-therapy. Advice to the practicing doctor


Group of Companies CEMMED
Scientific Practical Consultation Centre

EHF-therapy. Advice to the practicing doctor

Saint-Petersburg, 2010

Authors: Berestova N.N. Masharova S.A.

The present edition is prepared by experts of Scientific Practical Consultation Centre of CEMMED Group. It is based on the following: methodology recommendations, new updated medical technologies, instructions issued by the Ministry of Health and Social Development of Russian Federation; methodology recommendations developed and recommended by the Scientific and Methodology Counsels of High Medical Schools as well as specialized research institutes, and they include as well Instructions on application of IR EHF therapy apparatus TRIOMED (approuved by the Order of the Russian health Supervision Board Roszdravnadzor - dated 28.12.2009 #10684-Pr/09).

The edition clarifies only methods which medical doctor can recommend to the patient undergoing treatment in hospitals and policlinics or at home independently (under medical supervision) in order to ensure continuity, prophylaxis of exacerbations and complications of the main ailment, and as supporting treatment at the time of between the courses.

Recommended methods can be used subject to the prior familiarization with Instruction on application of IR EHF therapy apparatus TRIOMED.

Supporting-motor apparatus diseases


Osteochondrosis of the spinal column (disease of the spinal column due to the degenerative changes of joints of the spinal column, intervertebral discs, spinal ligaments).
Symptoms: pain in the affected area of the spinal column calming down at the state of rest.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV movements along spinal column from top to bottom, from bottom to top for 10 minutes 1 or 3 times per day,
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful points of the zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time: starting from several weeks up to several months.

Deforming osteoarthritis (disease of joints due to destruction of articular surface).
Symptoms: pains at the movements and strain of joints, stiffness after rest, crackling at the movements, increase of pain at changing of the weather, limited mobility of the joint.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the most painful areas of the joint and bordering tissue zones for 10 minutes 1-3 times per day.
  2. Oscillator 2F rerecorded every 30 60 minutes with application on the most painful point of the zone.
Use of oscillator IV is recommended during 10 -15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Arthritis, shoulder scapular peri-arthritis (frozen shoulder) (inflammation of inner (synovial) sheath of joint).
Symptoms: pain, local temperature rise, swelling, reddening of the skin above the joint, stiffness of the joint, deformation.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the most painful zones of the area of a joint as well as bordering tissues of the zones for 10 minutes 1 3 times per day,
  2. Oscillator 2F rerecorderd every 30-60 minutes with application on the most painful point of the zone.
Oscillator IV is recommended to use during 10-15 days.
Oscillator 2F can be used for a long period of time from several weeks up to several months.

Meteosensitivity (soreness of joints and tissues before changing of the weather).
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the most painful areas during 10 minutes 1-3 times per day.
  2. Oscillator 2F rerecorded every 30-60 minutes with application opn the most painful point of the zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Epicondylitis (inflammation of tendon in the place of fastening to condyle and epicondyle of humeral bone).
Symptoms: painful syndrome at the motion by hand in the area of the part of elbow joint.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the most painful areas of the joint zone and bordering tissues for 10 minutes 1-3 times per day,
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful point of the zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Osteomyelitis (sharp or chronic inflammation of bone marrow, usually of the compact and spongy substance of the bone and the periosteum).
Symptoms: pain, edema, hyperemia of tissues above the affected area, limitation of movement of the affected limb, sore or draining fistula.
Treatment: action on the place of lesion (it is possible to use dry bandage) during 10 minutes, then by round movements along the borders of focus of the lesion covering healthy tissue as well during 10 minutes.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV - action on the place of lesion (it is possible to use dry bandage) during 10 minutes, then by round movements along the borders of focus of the lesion covering healthy tissue as well during 10 minutes 1 or 2 times per day.
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful point of the zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Myofascitis of muscles of the back (inflammatory disease of muscles).
Symptoms: pain in the muscles at the motion.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the most painful zone of the affected muscle during 10 minutes 1 or 3 times per day.
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful point of the zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Bursitis (inflammation of periarticular bag).
Symptoms: pain, tumor, edema, limitation of mobility of the affected joint.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the most painful zone of the affected muscle during 10 minutes 1 or 3 times per day.
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful point of the zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Injuries of the locomotor apparatus

Fracture of bones (violation of anatomical integrity of the bone resulting from the injury).
Symptoms: pain, deformation of the limb, stiffness.
  1. Oscillator IV action on the location of fracture (through alabaster bandage) during 10 minutes 1 or 3 times per day,
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful point of the zone
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Inner injuries of the joints. Symptoms: pain, limitation of the motion scope in the injured joint.
Treatment:
  1. Oscillator IV action on the location of fracture (through alabaster bandage) during 10 minutes 1 or 3 times per day,
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful point of the zone
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Post-traumatic contracture of joints (steadfast limitation of mobility in the joint after injury). Treatment:
  1. Oscillator IV action on the location of fracture and bordering tissue during 10 minutes 1 or 3 times per day,
  2. Oscillator 2F rerecorded every other day with application on the most painful point if the indicated zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Injury of soft tissues, hematoma, damage of ligaments and muscles (mechanical damage of tissues without violation of integrity of the skin).
Treatment:
  1. Oscillator IV action on the affected place for 10 minutes 1-3 times per day.
  2. Oscillator 2F rerecorded every 30-60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Postoperative wounds, scars (mechanical damage of tissues with violation of the skin).
  1. Oscillator IV action on the scar area for 10 minutes 1 3 times per day.
  2. Oscillator 2F - rerecorded every other day with application on the most painful point if the indicated zone.
It is recommended to use oscillator IV during 10-15 day.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Diseases of the cardiovascular and of the peripheral nervous system

Varicose disease (steadfast and irreversible dilatation of veins due to insufficiency of their valvule apparatus).
Symptoms: dilatation of veins, edemas, rapid fatigue of muscles of shin, pain.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the muscles of the shin covering vessels as well during 10 minutes 1-3 times per day; moving from the bottom to the top along the affected vein
  2. Oscillator 2F - rerecorded every other day with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10-15 day.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Chronic thrombophlebitis at the stage of trophic disorders (chronic inflammation of veins, more frequent of lower limbs). Symptoms: pain, reddening along the inflamed vessels, difficulty of motion, and tissue change in the area of affected vessels.
Treatment: in the phase of exacerbation use oscillator 2F. Fix the oscillator on the most painful zones along the affected vein for 15 minutes in the morning and in the evening.
In the phase of remission use oscillator IV. Act during 10 minutes along the affected vessels, 10 -15 times.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the area of liver for 10 minutes 1 or 3 times per day.
  2. Oscillator 2F rerecorded every 60 minutes 3 8 times with application on the most painful point of the zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Diabetic angiopathy (complication of diabetes mellitus, which is characterized by affected vessels). Symptoms: painfulness, temperature drop in extremities, trophic changes along affected vessels.
Treatment:
Oscillator IV is arranged on the lower extremities along the vascular fascicule consecutively on the fields:
1st field - action on the most painful zones of the area of inner surface of the shin;
2nd field - action on the most painful zones of the area of the back of the foot. In case when vessels of femoral segment are affected act on the 3-d field i.e. action on the most painful zones of the area of anterointernal surface of thigh in its upper third.
Time of action on every field is 10 minutes; total time in one manipulation shouldnt exceed 30 minutes. While using two fields manipulations can be carried out daily on both limbs. While using three fields action on every limb should take place every other day. Course 10 days. It is recommended to act after course on the most painful points with oscillator 2F for 15 minutes 1-2 times per day starting from several weeks up to several months.

Diabetic polyneuropathy (complication of diabetes mellitus when peripheral nervous system is affected). Treatment:
Oscillator IV is arranged on the lower extremities along the vascular fascicule consecutively on the fields:
1st field - action on the most painful zones of the area of inner surface of the shin;
2nd field - action on the most painful zones of the area of the back of the foot. In case when vessels of femoral segment are affected act on the 3-d field i.e. action on the most painful zones of the area of anterointernal surface of thigh in its upper third.
Time of action on every field is 10 minutes; total time in one manipulation shouldnt exceed 30 minutes. While using two fields manipulations can be carried out daily on both limbs. While using three fields action on every limb should take place every other day. Course 10 days. It is recommended to act after course on the most painful points with oscillator 2F for 15 minutes 1-2 times per day starting from several weeks up to several months.

Obliterating atherosclerosis of vessels of lower limbs (obliterating endarteritis, inflammation of endarterium manifesting in luminal narrowing of the arteries).
Symptoms: intermittent lameness, pain, necrosis of tissues with trophic ulcers.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV act along vessels starting from the back of the foot up to femoral area during 10 minutes 1-3 times per day.
  2. Oscillator 2F rerecorded every other day with application on the most painful point of the designed zone.
It is recommended to use oscillator IV during 10-15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Hypertonic disease (repeatedly proven increase in the arterial pressure)
Symptoms: headache, vertigo, palpitation and so forth.
Treatment: action on the collar zone during 10 minutes.
  1. Oscillator IV - action on the collar zone during 10 minutes 1-3 times per day;
  2. Oscillator 2F - with rerecording 2-3 times per day with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 - 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Neuritis of trigeminal nerve (inflammatory disease of trigeminal nerve). Symptoms: pain in the zone of innervations. Sharp shooting pains, reduction of sensitivity and trigger points in the zone of innervations.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV acting on the zone, symmetrical to the innervated by affected nerve, during 10 minutes - 1-3 times per day;
  2. Oscillator 2F - with rerecording every 30-60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 - 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Diseases of the urino-genital sphere

Inflammation of the uterus and appendages (in women), of prostate gland (in men)
Treatment: action on the underbelly, then on the lumbar- sacral zone 10 minutes for each zone.
Acute processes or chronic exacerbaitions:
  1. Oscillator IV action on the underbelly then on lumbar- sacral zone 10 minutes for each zone 1-2 times per day.
  2. Oscillator 2F - with rerecording every 30-60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 - 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Abdominal adhesions (cords from the connective tissue, which appear after inflammatory processes in the abdominal cavity or after operational interferences).
Symptoms: pain, disturbance of the functions of organs in the area of adhesions
  1. Oscillator IV - action on the painful area 10 minutes 1-2 times per day.
  2. Oscillator 2F - with rerecording every other day with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 - 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Diffuse cystic mastitis (benign tumor of mammary gland).
Treatment:
  1. Oscillator IV action on affected mammary gland 10 minutes 1-2 times per day;
  2. Oscillator 2F can be used for a long period of time starting from several weeks up to several months.
It is recommended to use oscillator IV during 10 - 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Plugged milk duct (stagnation of milk in the lactating woman).
Symptoms: pain in the mammary gland, sometimes general temperature rise.
Treatment: Action during 10 minutes moving spirally from the nipple to the periphery.
Oscillator IV 7-10 manipulations.
  1. Oscillator IV action on the affected mammary moving from the nipple to the periphery 10 minutes 1-3 times per day.
  2. Oscillator 2F - with rerecording every 30-60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 7 -10 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Premenstrual syndrome (functional disorders of endocrine system in the second-half of menstrual cycle).
Treatment:
  1. Oscillator IV act on the nuchal fold, then on underbelly and lumbosacral zone for 10 minutes 1 time per day.
  2. Oscillator 2F - with rerecording every other day with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Sharp and chronic inflammation of kidneys and bladder Acute processes or chronic exacerbaitions:
  1. Oscillator IY
    1) The circular movements in the area of left and right projections of kidneys (5 minutes for each side) - 1-2 times per day;
    2) Action on the suprapubic area for 10 minutes;
  2. Oscillator 2F with reregistering every 30 60 minutes with application on the most painful point of the zone.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Acute and chronic diseases of digestive system (gastritis, enterocolitis, pancreatitis, cholecystitis, hepatite, ulcer)

Acute processes or chronic exacerbaitions:
  1. Oscillator IV - circular movements in the area of projection of affected organ during 10 minutes - 1-3 times per day;
  2. Oscillator 2F with rerecording every 30-60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Increased excitability. Sleep disturbance.
Treatment: creating the sedative (calming) effect at sleep disturbance and increased nervous excitability:
  1. Oscillator IV - action on the collar zone - for 10 minutes - 1-3 times per day;
  2. Oscillator 2F - with rerecording every other day with application on the most painful point of the indicated zone of the area between the VII cervical vertebra and I thoracic vertebra.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Acute and chronic catarrhal otitis media (sharp or chronic inflammation of middle ear).
Acute processes or chronic exacerbaitions:
  1. Oscillator IV movements around the ear 10 minutes 1-3 times per day;
  2. Oscillator 2F with reregistering every 3060 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Acute and chronic sinusitis (acute or chronic inflammation of air sinuses).
Acute processes or chronic exacerbaitions:
  1. Oscillator IV - circular movements in the area of projection of affected sinusitis during 10 minutes - 1-3 times a day;
  2. oscillator 2F with rerecording every 30-60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

ARVI (acute respiratory viral infection)

  1. Oscillator IV circular movements for 10 minutes 1-3 times per day in the area of projection of:
    1) Maxillary sinuses,
    2) Wings of nose
    3) Tonsils of submandibular lymph nodes.
    Course 5-7 days.
  2. Oscillator 2F with reregistering every 30-60 minutes alternatively on the most painful points in the indicated zone.

Skin diseases

  1. Oscillator IV
    1) circular movements in the areas of projection of the affected part of the skin for 10 minutes 1-2 times per day;
    2) action on the area of projection of the liver for 10 minutes.
  2. Oscillator 2F with reregistering twice per day with application on the most affected areas of the skin.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Conjunctivitis, iridocyclitis (inflammation of the mucous membrane, the iris and cilliary body) Treatment: action on the projection of affected eye (via eyelid) for 10 minutes.
Oscillator IV: 10 15 manipulations.
  1. Oscillator IV movements around the ear for 10 minutes 1-3 times per day.
  2. Oscillator 2F with reregistering every 30-60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 15 days.
Oscillator 2F can be used for a long period of time starting from several weeks up to several months.

Diseases of the bronco-pulmonary system

Acute processes or chronic exacerbaitions:
  1. Oscillator IV:
    1) Action on the area of thorax: movements on the thorax up and down, then 2 cm to the left and to the right again up and down for 10 minutes 2 times per day.
    2) Action on interscapular region by circular movements.
  2. Oscillator 2F with reregistering every 60 minutes with application on the most painful point of the indicated zone.
It is recommended to use oscillator IV during 10 15 days.