"Combo11(0).Text=FSM - Treating dermatomal nerve pain - Step 1  Reduce Pain"
"Combo11(1).Text=FSM - Treating dermatomal nerve pain - Step 1  Reduce Pain"
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"Text13="
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"Text28=Contact Mode - Maximum constant current of 500 uA
Right Hand/Side +ve  with  Left Foot/Side   -ve
Left Hand/Side   +ve  with  Right Foot/Side -ve

Hydration
 The patient must be hydrated to benefit from microcurrent treatment.
 Hydrated means 1 to 2 quarts of water consumed in the 2 to 4 hours preceding treatment.
 Athletes and patients with more muscle mass seem to need more water than the average patient.
 The elderly tend to be chronically dehydrated and may need to hydrate for several days prior to
treatment in addition to the water consumed on the day of treatment.
 DO NOT accept the statement, I drink lots of water
 ASK How much water, and in what form, did you drink today before you came in?
 Coffee, caffeinated tea, carbonated cola beverages do not count as water.
 Water may be flavored with juice or decaffeinated tea.

Reduce Pain

 40 / 396
Remove pathologies from the nerve

284 / 396
Chronic Inflammation / Nerve

It is essential to reduce the pain by using 40 / 396 before treating the nerve for any other pathology.

Reduce inflammation / in the nerve 40 / 396 polarized positive is consistently effective in reducing nerve pain.

Current polarized positive +
Positive leads at the spine  Negative leads at the distal end of the nerve. See photos for details of set up.

Treatment time. Use 40 / 396 until the pain has been reduced to approximately 2/10 on a 0 to 10 VAS scale. In most cases of dermatomal nerve pain this will take approximately 2030 minutes
but it may take up to an hour. Pain reduction usually begins distally and progresses proximally. If the patient is on narcotics or is dehydrated or has low essential fatty acid levels due to poor diet
or lack of supplementation, response may be slow or poor. See the notes on what to do if response to treatment is slow.

*** Stenosis precaution******

If there is dense scar tissue or bony stenosis of the nerve root or spinal cord or if a disc fragment is compressing the nerve root or cord at the involved level the patients pain may increase when polarized positive current is applied. If the patient is positioned comfortably, it is the only time the pain will increase during polarized positive treatment for nerve inflammation. It may increase in the dermatome or at the spine or both. Assess patient position to determine whether it is contributing to the pain increase. Stop treating immediately if pain goes up during treatment. Move the patient to a seated position if possible. Move the contacts slightly up the spine superior to the nerve root being treated, reduce current levels and change the current from polarized positive to alternating. If this is going to reduce the reaction it will do so in 5 to 10 minutes. If the pain continues to increase, stop treating with current. The pain should go back down in a few hours although it may take up to 24 hours to reduce to base line.

This reaction is diagnostic. If physical examination findings of reduced sensation and deep tendon reflexes at the involved level or hyperactive deep tendon reflexes below the involved level are present this reaction suggests the need to x-ray or perform an MRI to confirm the presence of compression.

****** SECOND SET *******

Remove pathologies from the nerve

284 / 396
Chronic Inflammation / Nerve

Treatment time: Use 284 / 396 for 2 to 5 minutes after treating with 40 396 when the pain is down to a 23 / 10 and when the nerve pain has been present for longer than 3 months. Acute and chronic inflammation coexist and 284 / has a different but complementary affect on chronic nerve pain.

*** Precaution: induced euphoria ***

Treating inflammation and chronic inflammation in the nerve has a curious effect on affect and cognitive function. Most, but not all, patients will experience an induced euphoria that is characteristic of this treatment. It is most pronounced while using 40 / 396 and the practitioner may want to reassure the patient that it is a normal effect as it begins. The first sign will be a reduction in the rate of blinking, respiration and speech that starts within 10 to 15 minutes.
Some patients fall asleep and some get so stoned that they do not wish to or simply cannot speak.

This is a temporary effect and will wear off as the other frequencies are used.

The patient will remain relaxed but will come to full function within an hour or so after treatment. Most patients are in full possession of their faculties by the time they are dressed and ready to leave the clinic. The practitioner should take care to ensure that the patient is safe to drive. In extreme cases patients have been warned against making important financial decisions until the effect has worn off. The effect is most profound in the first few treatments.

*** Treatment application******************************

Current level
100300amps for the average healthy patient.
Use lower current levels of 2060amps for very small or debilitated patients. Current levels above this will be irritating and may make the patient restless or agitated.
Use higher current levels of 300500amps for larger or very muscular patients.
In general, higher current levels reduce pain more quickly and improve response.

Do not use more than 500amps as animal studies suggest that current levels above 500amps reduce ATP formation.
Current Polarized Positive +: Current is polarized positive for most nerve treatments except for shingles (see Chapter 9) and peripheral neuropathies which require alternating DC current.
Nerves respond very well and very quickly to polarized positive current.

Waveslope:

The waveslope refers to the rate of increase of current in the ramped square wave as it rises in alternating mode from zero up to the treatment current level every 2.5 seconds on the Precision Microcurrent and the automated family of FSM units. Other microcurrent instruments may have slightly different wave form choices. A sharp waveslope has a very steep leading edge
on the square wave shape indicating a very sharp increase in current. A gentle waveslope has a very gradual leading edge on the waveform indicating a gradual increase in current.
Use a moderate to sharp waveslope for chronic pain.
Use a gentle waveslope for acute pain or new injuries. A sharp waveslope is irritating in new injuries.

***** Lead placement ****************************

Positive leads.

The positive leads contact wraps around the neck or is placed along the spine at the exiting nerve root. The positive contact must cover at least the foramenal area where the nerve
exits the spine

Negative leads.

The negative leads attached to an adhesive electrode or wrapped in the warm wet fabric towel are placed at the end of the dermatome or nerve being treated. The placement is shown in the photographs.

Electrode Contacts. 

FSM typically uses graphite gloves to conduct the current but any conductor can be used as long as it has low resistance and can be wrapped around the spine at the exiting nerve root and have good contact with the distal end of the nerve being treated.

Adhesive electrode pads can be used if they are long enough (3 inches) to encircle the foramenal area where the nerve exits the spine and to give good contact at the distal end of the nerve.
The graphite gloves need to be kept moist so they conduct the current comfortably. The current will prickle and irritate if the gloves become dry.

Ref:  Frequency Specific Microcurrent by Carolyn McMakin - Pg 121
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"Text7(18)=0"
"Text7(19)=0"
"Text7(20)=0"
"Text7(21)=0"
"Text7(22)=2"
"Text7(23)=2"
"Text7(24)=2"
"Text7(25)=2"
"Text7(26)=2"
"Text7(27)=2"
"Text7(28)=2"
"Text7(29)=2"
"Text7(30)=2"
"Text7(31)=2"
"Text7(32)=2"
"Text7(33)=0"
"Text7(34)=0"
"Text7(35)=0"
"Text7(36)=0"
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"Combo1.Text=Add F1 to F2"
"Combo2.Text=Frequencies Directly"
"Combo3.Text=08:01 pm"
"Combo4.Text=08:01 pm"
"Combo5.Text=Octal"
"Combo6.Text=Do NOT sort frequencies"
"Combo7.Text=Disabled"
"Combo8.Text=Disabled"
"Combo12.Text=Square Ramped"
"Combo14.Text=Square Ramped"
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"Option30(8)=False"
"Option30(9)=True"
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"Option40(6)=False"
"Option40(7)=False"
"Option40(8)=False"
"Option40(9)=True"
"Option40(10)=False"
"Option40(11)=False"
"Option40(12)=False"
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"Label17="
"List2=FSM - Inflammation 40 Hz OUT1 + Dermatonal or Peripheral Nerves 396 Hz OUT2 (CUST)"
"List2=FSM - Dermatonal or Peripheral Nerves 396 Hz OUT2 + Chronic Inflammation 284 Hz OUT1 (CUST)"
"List2=FSM - Dermatonal or Peripheral Nerves 396 Hz OUT2 + Chronic Inflammation 284 Hz OUT1 (CUST)"
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"List5=284;;180;;;;;;;;;0;396;;;;;;;;"
"List5=284;;180;;;;;;;;;0;396;;;;;;;;"
