I
1
r
NEUROTROPHIC APPROACH:
It is most important that the neurotrophic (nerve root) approach be used
because it generally produces an analgesic effect on the sensory nerves to the
involved tissues. Most physicians recommend that the
area
of involvement be
treated first.
A strip slightly wider than the diameter of the applicator should be treated in
the cervical section. In the dorsal region, the
area
should be about two inches
wide. The strip should be increased from two to four inches as you render
treatment through the lumbar
and
sacral areas.
These
strips should reach to,
but not include, the spinal process.
The
first area is from the cervical through the first dorsal. This area controls
nerve roots leading to the lower neck, upper section of the back, shoulders,
arms, hands
and
fingers. The second is the thoracic area, which extends from
the first dorsal through the first lumbar. This section controls the upper trunk
of the body.
The
third
and
last isthe lower lumbar
and
sacral, starting from the
first lumbar through the coccyx. This section controls the nerve roots to the
hips and legs. (The above is not an exact outline, but it should suffice for
ultrasonic treatment. Since
such
a large group of nerve roots are always
treated at one time, care need not be taken to locate the specific nerve roots
that are indicated.)
ANTERIOR
POSTERIOR
3W55M
3104W
C,rvlc.1
=-"""'--1 5M
5wa
5M
5W55M
4W
5M
Rib
If
II
Dorll'
3104W
6wa
5M
410 5W
5M
5M
5M
5W
lumb.r
IIl;r.1
5W 6W
a 5M
6Wa 5M
5M
3 to 4W
5M
5W
5M
5WJ-------/T-
5M
L-_---I+-
5wa5M
4105W
5M
t===f-4wa
5M
-~-=_-----J
~~.
4W
Note:W=lotal watts output. and M=minutes
An
average
of treatment lime and output
levels used by present day therapists.
POSTERIOR
TREATMENT
(Where
not marked.use
output level shown on
the anterior chart.)
9
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