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Protocols of treatments

TENDINOPATHIES

(Tendonitis, Tenosynovitis, Bursitis, Groin, Fasciitis)

WHICH NOZZLE TO USE:

  • Small/gold:
  • Middle/gray:wrist, elbow (medial epicondyle, epicondyle) shoulder (supraspinatus, long part of biceps), foot etc …
  • Large/black:ADD, knee (patellar quadriceps), hamstrings etc …
  • Contact-Head:with any sprain, if surface where applying is large enough

PURPOSE: To stop the pain with the cold by high thermal shock. Breaking the vicious circle: pain, inflammation, irritation.


CRYO TREATMENT: Regular jet paths 4 inches from the skin, around the inflamed area and the tendon. Or in a circle around the tendon either by scanning on the path itself, or both associated techniques.


DURATION OF TREATMENT: 45 seconds to 1 minute of treatment, constantly monitoring


FREQUENCY: Start with five sessions of Cryotherapy. The treatment should not be spaced out more than one week apart for optimal physical therapy results. Depending on the result of these five sessions we can do five more. If there are no results after five sessions, do not continue treatment.


Warning: Watch for bony areas to prevent burns.

SCIATICA AND CRURAL NEURALGIA

WHICH NOZZLE TO USE:

  • Large/black: for use on large areas
  • Medium / gray:
  • Large / anthracite: wide area of use
  • Contact-Head: for use on large areas

PURPOSE: To reduce contractures paravertebral reflexes and decreased inflammatory zone.


CRYO TREATMENT: Treatment during the painful phase of low back pain, during physical therapy sessions. Regular jet 4 inches from the skin around the area of spinal muscular contraction and paravertebral, and centered on L4L5 and L5S1.


DURATION OF TREATMENT: Between 45 seconds and 1 minute on paravertebral and on L4L5 and L5S1


FREQUENCY: Up to five sessions, Results seen around third session.


Warning: Beware of burns due to a loss of skin sensitivity. If there are no results discontinue use.

TEARING MUSCLE OR TENDON

WHICH NOZZLE TO USE:

  • Small / gold: reserved for small muscular surfaces or hard to reach areas (eg fingers)
  • Medium / gray: Achilles tendon
  • Large / black: big muscle body, big break with large hematoma
  • Contact-Head: partial rupture of the quadriceps

PURPOSE: To stop the pain with the cold by high thermal shock. Decreased initial edema by vasoconstriction and vaso expansion of the artery venous network as well as drainage by the jet pressure of Cryo diffuser.


CRYO TREATMENT: Treat as soon as possible after an accident, in some cases immediately after impact (sport field). Regular jet at 4 inches from the skin, around the inflamed area and on the muscular and tendinous paths. No treatment on a strapping, be very careful of the accumulation of cold on the bands of elastic tissue (major risk of burns).


DURATION OF TREATMENT: Between 45 seconds and 1 minute depending on the area being treated. Start on the area that is most important in treatment. Generally patients see extraordinary results


FREQUENCY: In immediate post accident two to three applications per day for three days, then decrease to one application per day. If the tear is several days old, you want to administer five applications of cold during physical therapy sessions. The application of cold will occur late in the session, in order to reduce the pain and hematoma.


Warning: Beware of strapping never make it cold. On significant breaks the pain can be severe, stop any application if pain occurs. Either stop 1 to 2 minutes and then continue where possible, or increase the distance between the skin and the Cryo diffuser or totally cease all treatment, based on patient reaction.

POST SURGICAL

WHICH NOZZLE TO USE:

  • Small / gold:Hand Surgery (flexor and extensor tendon ruptures), foot (Allux valgus) and maxillofacial surgery (plastic surgery of the cheekbone, lifting)
  • Medium / gray: ankle, wrist, and elbow surgery
  • Large / black: high knee, spine surgery
  • Contact-Head: use if area is large enough

PURPOSE: To reduce post surgical hematoma, pain, edema and inflammation reaction. To assist in the recovery of joint and muscle mobility


CRYO TREATMENT: Treat as soon as possible after surgery, after approval by the surgeon on the treatment area and surrounding area. By regular concentric jets 4 inches from skin. Never remain static over the area that is being treated.


DURATION OF TREATMENT:

Between 45 seconds and 1 minute (or less) depending on the size of the treatment area. If large hematoma proceed with treatment area and repeat as many times as necessary


FREQUENCY: In a hospital or clinic, immediately postoperative, after the patient received surgeon’s opinion. Two applications per day for three to four days. In an office, we recommend five sessions in five days. Another five sessions may be necessary. If the patient has had a large surgery especially with a large hematoma like knee prostheses, it is better to space applications out over twenty sessions to allow reduction of the hematoma and to allow better mobilization.


Warning: Around heavily bruised areas, the skin is very thin and very sensitive to cold (risk of burning). Beware of the scar tissue, there can be loss of sensitivity to variations in temperatures. Do not apply through any type of dressing always remove dressings if possible; if not, application of cold treatment should be done around the dressing.

EDEMA (POST SURGERY)

WHICH NOZZLE TO USE:

  • Small / gold: an area of little importance and delicate access requiring a very precise spray including near mucous membranes or eyes.
  • Medium / gray: an area of average importance edema, notably after ankle surgery
  • Large / black: an important edema, notably after knee surgery (prosthetics or LCAE)

PURPOSE: Reduce pain by cold anesthesia, then decrease edema to allow earlier joint mobilization and of greater range without departing surgical protocols. Decreasing edema is by vasomotor reflexes and by drainage tissue due to the pressure of the spray.

CRYO TREATMENT: Continue spraying around the treatment area and on the area to be treated. By regular jets 4 inches away, spray the skin. Never remain static on the area. On an important edema, treatment will determine treatment zones.


DURATION OF TREATMENT: Between 45 seconds and 1 minute of spray according to the importance of the area to be treated and take into account patient’s tolerance. On important edema divide into several zones and repeat on each area.


FREQUENCY: The first application should be not long after the surgery unless surgeon informs the patient otherwise. Two to three applications in a professional structure (hospital, clinic, rehabilitation center). In a practice try two applications per day one in the morning and one in the afternoon (one of the sessions may be in the patient’s home). If unable to treat twice daily, one session is sufficient. Repeat the operation for ten days or ten sessions.


Warning: On significant edema, skin can be very fine, pay close attention to burns therefore decrease the time of treatment. Some are very painful swellings; in this case reduce the treatment time or even stop it if the patient seems to be having a bad reaction.

CERVICOBRACHIAL NEURALGIA

WHICH NOZZLE TO USE:

  • Medium / gray: use on large area
  • Large / black: use on medium sized area to treat
  • Contact-Head: use on shoulder

PURPOSE: Reduce cervical contractures, reduce the primary inflammation in nervous system.


CRYO TREATMENT: Treatment during the painful phase of low back pain, during rehabilitation sessions. Regular jet 4 inches from the skin around areas of para vertebral muscle contractions. Possible treatment around the cap on painful areas that the patient feels (psychological treatment more than anything else).


DURATION OF TREATMENT: Between 45 seconds and 1 minute of treatment on para – cervical vertebrae. Repeat as necessary on painful areas.


FREQUENCY: No more than five sessions of Cryotherapy treatment. This is more than enough to reduce muscle spasms and reduce pain. In early sessions, it allows an easier and more effective mobilization rehabilitation.


Warning: Do not persist if the treatment is not effective or if the patient does not react well.

BACK PAIN

WHICH NOZZLE TO USE:

    • Medium / gray: use on large area
    • Large / black: use on medium sized area to treat
    • Contact-Head: use on shoulder
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PURPOSE: Reduce cervical contractures, reduce the primary inflammation in nervous system.


CRYO TREATMENT: Treatment during the painful phase of low back pain, during rehabilitation sessions. Regular jet 4 inches from the skin around areas of para vertebral muscle contractions. Possible treatment around the cap on painful areas that the patient feels (psychological treatment more than anything else).


DURATION OF TREATMENT: Between 45 seconds and 1 minute of treatment on para – cervical vertebrae. Repeat as necessary on painful areas.


FREQUENCY: No more than five sessions of Cryotherapy treatment. This is more than enough to reduce muscle spasms and reduce pain. In early sessions, it allows an easier and more effective mobilization rehabilitation.


Warning: Do not persist if the treatment is not effective or if the patient does not react well.

NECK PAIN

WHICH NOZZLE TO USE:

  • Medium / gray: possible use with either, or the large
  • Large / black: possible to use either, or the medium

PURPOSE:Relaxation of paraspinal and cervical muscles and trapezoid muscles. Stabilizer of shoulder blades.


CRYO TREATMENT: Treatment for the painful phase of low back pain, during rehabilitation sessions. Regular jet 4 inches from skin areas around paravertebral muscle contractions and trapezoids


DURATION OF TREATMENT:Between 45 seconds and 1 minute of treatment on paravertebral and trapezes.


FREQUENCY:No more than five sessions of Cryotherapy treatment. This is more than enough to reduce muscle spasms and that reduce pain. Early in session, it allows easier mobilization. Late in the session, it allows pain relief.


Warning: Stop treatment if there are no results or or if the patient reacts poorly; contrary effects could happen. The cervical zone is a very sensitive area and is very receptive to cold, it’s important to stop treatment if the patient reacts poorly.

INJURIES AND DISLOCATIONS

WHICH NOZZLE TO USE:

  • Small / gold: Sprains to fingers, toes, metacarpophalangeal or metatarsophalangeal
  • Medium / gray: Sprained ankles LLI LLE or earlier, acromio-clavicular dislocation – glenohumeral dislocation, cervical sprain or wrist sprain
  • Large / black: Sprains of unoperated knee LLI, LLE, LCAE, LCPI Contact-Head: Possible to use on all sprains, if surface area is large enough.

PURPOSE: To numb the pain by the cold due to the large thermal shock. Decreased initial edema by vasoconstriction and vasodilation of arterial venous network – and finally drainage by the pressure of the cryo diffuser jet.

CRYO TREATMENT: Treat as soon as possible after the accident, in some cases possibly immediately after the impact, particularly in sport fields. Regular jet 4 inches from the skin, around the inflammatory zone and on the ligament paths. No treatment above a strapping as cold accumulation on the bands of elastic tissue can cause burns (significant risk of burns).

DURATION OF TREATMENT: Between 45 seconds and 1 minute regarding the treatment area. If major sprain, or large area including treatment for sprained knees, proceed by treating the area individually (outer surface and for example front of face). Repeat on each area.


FREQUENCY: Immediately after accident two to three applications per day for three days then one application per day. In most cases, the treatment of sprains is in an office, and usually a few days after the shock. In this case do five applications of cold during physical therapy sessions. The session can be divided into two stages: first application in early session to allow easier mobilization by numbing of pain, then an application at the end of the session to reduce edema.


Warning: On large hematoma, if pain is indicated, discontinue treatment. Either stop 1 to 2 minutes and then resume where possible; increase the distance between the skin and the cryo diffuser or end the treatment, if the patient cannot tolerate the treatment.