Arthritis, muscles, joints and tendons
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1 SECTION 3 TRAUMATOLOGY Arthritis, muscles, joints and tendons 58 comra user guide [ENGLISH, REV 4.0]
2 TRAUMATOLOGY SECTION 3 59 IMPORTANT 3 comra therapy is particularly good for fractures, dislocations and other trauma. However, bandages and plaster casts will distort the radiances, and render the Delta / Palm laser ineffective. Therefore bandages should be removed prior to treatment, and then put back after the treatment. Plaster casts should have a hole cut the same size as the Medical Terminal, directly opposite the fracture or broken bone in order to facilitate using comra therapy. Skin scabs and ossification of bones develop very rapidly. In the case of bone fractures and broken bones laser treatment also eliminates deformation that can result from poor adhesion. For deforming rheumatoid joint inflammations it is also necessary to check the correct functioning of the pancreas, the liver, the kidneys, the alimentary canal and the immune system, and if necessary to treat these too at the same time as treating the rheumatism. 4 In treating the heart area (4 th intercostal, left of sternum) NEVER use a frequency other than 5 Hz. 5 A number of treatments in this user guide are complex treatments in which several standalone treatments have been combined to form one course of treatment. If in such cases more than one of the individual treatments calls for the heart area (4 th intercostal, left of sternum) to be treated, ensure that this is done only once. Pro NOTES Treatment times given in this user guide were designed for the home user with the Delta or Palm 980 nm laser to give a conservative starting point. Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience.
3 In treating the heart area NEVER use a frequency other than 5 Hz. Do NOT use on patients who have had heart transplants, who have hearts with artificial valves or who have cardiostimulators. SECTION 3 TRAUMATOLOGY 9 mins ± OSTEOCHONDROSIS retardation of bone growth in children. OSTEOPOROSIS deterioration of bones. SCOLIOSIS* TREATMENT POINT MINS HZ From coccyx to occiput at 0 cm intervals 000 Delta Medical Terminal or comra Palm. Along both sides of vertebral column through long extensors at 0 cm intervals per point th intercostal, left of sternum (only once per day) 5 x daily for x days Allow weeks rest and repeat cycle as necessary. Do one course every 6 months for continued well-being. For osteochondrosis do course every 6 months until growth is normal. 4 5 Liver, points 0 cm apart in right subcostal space Pancreas, points 0 cm apart in left subcostal space per point 50 Scoliosis also requires physical exercise over and above laser treatment in order to be corrected. As the vertebrae and discs can be very easily damaged in this condition, it is highly recommended that the patient seeks the help of a qualified practitioner of the Alexander Technique for this type of exercise. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 60 comra user guide [ENGLISH, REV 4.0]
4 TRAUMATOLOGY SECTION
5 SECTION 3 TRAUMATOLOGY 30 mins ± TREATMENT POINT MINS HZ Treat affected muscles at intervals of 5 cm 5 per point Variable (V) MYOSITIS inflammation of muscles. A Scan paravertebral zone to treat nerve source of the affected area Delta Medical Terminal or comra Palm. B If the affected muscles are in the legs scan both sides of the lumbosacral spine 5 per side 000 x daily Until full relief is achieved. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 6 comra user guide [ENGLISH, REV 4.0]
6 TRAUMATOLOGY SECTION 3 63 Cervical (C-5) Thoracic (T-) Sacral (S) Lumbar (L-5) Sacral (S) A B Sacral (S-) Lumbar (L-5) Thoracic (T-) Cervical (C-5)
7 SECTION 3 TRAUMATOLOGY 3 mins CLAVICULAR HUMEROSCAPULAR stiff and lame shoulder. SUBACROMIAL BURSITIS swelling of the bursa. HUMEROSCAPULAR PERIARTHRITIS pain and limited movement in the shoulder joint. TREATMENT POINT MINS HZ Delta Medical Terminal or comra Palm. Acromion area 4 points around the acromion area, 5 cm apart per point per frequency 5, 50 then then 50 x daily Until full relief is achieved. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 64 comra user guide [ENGLISH, REV 4.0]
8 TRAUMATOLOGY SECTION 3 65
9 SECTION 3 TRAUMATOLOGY 4 0 mins TREATMENT POINT MINS HZ Articulation projection from the front HUMERAL ARTICULATION dislocated shoulder. Articulation projection from the back Delta Medical Terminal or comra Palm. 3 Articulation projection from the top 4 Middle of deltoid 5 Axillary cavity per point per frequency 5 then 50 x daily Until full relief is achieved. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 66 comra user guide [ENGLISH, REV 4.0]
10 TRAUMATOLOGY SECTION
11 SECTION 3 TRAUMATOLOGY 5 mins TREATMENT POINT MINS HZ Epicondylar regions (front & back) ELBOW JOINT Ulnar Flexure 3 Elbow tip per point per frequency 5 then 50 Delta Medical Terminal or comra Palm. x daily Until full relief is achieved. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 68 comra user guide [ENGLISH, REV 4.0]
12 TRAUMATOLOGY SECTION
13 SECTION 3 TRAUMATOLOGY 6 6 mins LATERAL EPICONDYLITIS tennis elbow. MEDIAL EPICONDYLITIS golf elbow. TREATMENT POINT MINS HZ Epicondyle Delta Medical Terminal or comra Palm. x daily for 7 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. 4 points on the back of the elbow surrounding the affected area, 5 cm apart Pro NOTES per point per frequency 5 then 50 Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 70 comra user guide [ENGLISH, REV 4.0]
14 TRAUMATOLOGY SECTION 3 7
15 SECTION 3 TRAUMATOLOGY 7 8 mins TREATMENT POINT MINS HZ Sides of the articulation RADIOCARPAL ARTICULATION painful wrist. The articulation from palm side 3 The articulation from back of hand per point per frequency 5 then 50 Delta Medical Terminal or comra Palm. x daily for 0 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 7 comra user guide [ENGLISH, REV 4.0]
16 TRAUMATOLOGY SECTION
17 SECTION 3 TRAUMATOLOGY 8 45 mins SMALL ARTICULATIONS OF FINGERS painful fingers. DUPUYTREN S CONTRACTURE* Dupuytren only affects the small finger, the ring finger and at most also the middle finger. Mostly it is the ring finger which is affected. TREATMENT POINT MINS HZ Delta Medical Terminal or comra Palm Scan one side of articulations Scan articulations from palm side 3 Scan articulations from back of hand per finger scan per frequency 5, 50 then 000 x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. For Dupuytren s contracture there is no need to treat all of the fingers. Treat only the little finger, the ring finger and the middle finger, including the palm of the hand and the top of the hand as given in the treatment, but doing this twice per day instead of only once. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 74 comra user guide [ENGLISH, REV 4.0]
18 TRAUMATOLOGY SECTION
19 SECTION 3 TRAUMATOLOGY 9 5 mins TREATMENT POINT MINS HZ Piriforis, front HIP JOINT ARTHRITIS Delta Medical Terminal or comra Palm. x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. Piriforis, back 3 3 points along the trochanter line, 5 cm apart Pro NOTES per point per frequency 5, 50 then Variable (V) Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 76 comra user guide [ENGLISH, REV 4.0]
20 TRAUMATOLOGY SECTION
21 SECTION 3 TRAUMATOLOGY 0 5 mins KNEE JOINT OSTEOARTHRITIS IN THE KNEE* TREATMENT POINT MINS HZ Lateral zones of projection Delta Medical Terminal or comra Palm. Zone above the patella 3 Zone below the patella 4 Popliteal fossae per point per frequency 5, 50 then Variable (V) x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. For osteoarthritis in the knee also do the treatment for UNIVERSAL 3 (BLOOD) at the same time. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 78 comra user guide [ENGLISH, REV 4.0]
22 TRAUMATOLOGY SECTION
23 SECTION 3 TRAUMATOLOGY mins TREATMENT POINT MINS HZ Lateral surfaces of joint, under malleolus Front projection of the joint per point per frequency 5, 50 then Variable (V) ANKLE JOINT Delta Medical Terminal or comra Palm. x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. 3 Back projection of the joint Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 80 comra user guide [ENGLISH, REV 4.0]
24 TRAUMATOLOGY SECTION 3 8 3
25 SECTION 3 TRAUMATOLOGY 30 mins SMALL JOINTS OF FEET GOUT* TREATMENT POINT MINS HZ Scan top of foot as shown Scan foot from plantar side per line per frequency 5, 50 then Variable (V) Delta Medical Terminal or comra Palm. Podagra (gout) can also be treated using the treatment above, but treat also the affected area at the same settings, by scanning the affected area for minutes per frequency. x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 8 comra user guide [ENGLISH, REV 4.0]
26 TRAUMATOLOGY SECTION 3 83
27 SECTION 3 TRAUMATOLOGY 3 7mins CALCANEAL SPUR heel spur. PLANTAR FASCIITIS TREATMENT POINT MINS HZ 3 points along the plantar fascia Delta Medical Terminal or comra Palm. x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. Lateral surfaces of Achilles tendon 3 Back of Achilles tendon Pro NOTES per point 000 per point Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 84 comra user guide [ENGLISH, REV 4.0]
28 TRAUMATOLOGY SECTION
29 SECTION 3 TRAUMATOLOGY 4 30 mins TREATMENT POINT MINS HZ Zone of injury or sprain 4 points around injury at 5 cm apart per point per frequency 000, 50 then Variable (V) INJURY TO KNEE JOINT Delta Medical Terminal or comra Palm. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. 86 comra user guide [ENGLISH, REV 4.0]
30 TRAUMATOLOGY SECTION 3 87
31 In treating the heart area NEVER use a frequency other than 5 Hz. Do NOT use on patients who have had heart transplants, who have hearts with artificial valves or who have cardiostimulators. SECTION 3 TRAUMATOLOGY 5 9 mins Delta Medical Terminal or comra Palm. TREATMENT POINT MINS HZ 4 th intercostal, left of sternum (only once per day) Blood irradiation at a point closest to the fracture 3 Fracture 5 5 Day 000 Day Variable (V) TRAUMATIC BONE FRACTURES x daily Until full relief is achieved. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 88 comra user guide [ENGLISH, REV 4.0]
32 TRAUMATOLOGY SECTION
33 SECTION 3 TRAUMATOLOGY 6 5 mins TREATMENT POINT MINS HZ Articulation joint (both sides) 5 per side ARTHRITIS AND ARTHROSIS OF JAW Masticatory muscle near corner of mandible, from the sore side only 5 50 Delta Medical Terminal or comra Palm. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. x daily for 5 x days Allow 3 weeks rest and repeat cycle with 3 weeks rest between courses, until full relief is achieved. 90 comra user guide [ENGLISH, REV 4.0]
34 TRAUMATOLOGY SECTION 3 9
35 SECTION 3 TRAUMATOLOGY 7 6 mins ± TREATMENT POINT MINS HZ From coccyx to occiput at 0 cm intervals 000 SPONDYLOLITHESIS Delta Medical Terminal or comra Palm. 3 Along both sides of vertebral column through long extensors at 0 cm intervals The disc between slipped vertebrae per point 50 x daily Until full relief is achieved. Since spondylolithesis is caused by the back muscles not being strong enough to support the spine adequately, it is also necessary to do exercises to help correct the ailment as well as strengthen the back muscles so that the vertebrae do not continue to become displaced. As the spine of a patient with spondylolithesis is very tender and easily hurt, the exercises which are recommended are those which can be designed specifically for the patient by a qualified practitioner of the Alexander Technique, depending upon where in the spine the Spondylolithesis is situated, and executed under that practitioner s supervision. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 9 comra user guide [ENGLISH, REV 4.0]
36 TRAUMATOLOGY SECTION
37 To make the treatment of the muscles somewhat easier some of the muscles have been grouped where possible, so that one point of irradiation serves to irradiate more than one muscle. SECTION 3 TRAUMATOLOGY 8 mins PLAN EARLY MORNING TREATMENT POINT MINS HZ POLYMYOSITIS Sternocleidomastoid Deltoid Delta Aesthetic Terminal. x daily Do PLAN every day until definite improvement is noticed. Then allow a period of weeks rest before switching to PLAN. 3 Pectoralis 4 Biceps 5 Brachioradialis 6 Flexor carpi radialis and palmaris longus 7 Adductor longus and gracilis 8 Rectus femoris 9 Vastus lateralis per point Variable (V) 0 Vastus medialis Peroneus longus Continued overleaf comra user guide [ENGLISH, REV 4.0]
38 TRAUMATOLOGY SECTION
39 34 mins PLAN MIDDAY TREATMENT POINT MINS HZ Trapezius Teres major Delta Aesthetic Terminal. x daily Do PLAN every day until definite improvement is noticed. Then allow a period of weeks rest before switching to PLAN. 3 Latissimus dorsi/adrenal glands 4 Triceps, 3 points 5 Extensor 6 Flexor 7 Gluteus maximus 8 Adductor magnus 9 Iliotibial per point Variable (V) 0 Semitendinosus and biceps femoris Gastrocnemius Soleus 3 Achilles 0 mins PLAN EARLY EVENING Apply UNIVERSAL 3 (BLOOD) every day Delta Medical Terminal. Do PLAN above every day until definite improvement is noticed. Then allow a period of weeks rest before switching to PLAN as prescribed below. Continued overleaf comra user guide [ENGLISH, REV 4.0]
40 TRAUMATOLOGY SECTION
41 mins PLAN EARLY MORNING MONDAY, WEDNESDAY, FRIDAY TREATMENT POINT MINS HZ Sternocleidomastoid Deltoid Delta Aesthetic Terminal. x daily for x days Monday, Wednesday and Friday. Allow weeks rest and repeat cycle until full recovery is achieved. 3 Pectoralis 4 Biceps 5 Brachioradialis 6 Flexor carpi radialis and palmaris longus 7 Adductor longus and gracilis 8 Rectus femoris 9 Vastus lateralis 0 Vastus medialis per point Variable (V) Peroneus longus Continued overleaf comra user guide [ENGLISH, REV 4.0]
42 TRAUMATOLOGY SECTION
43 34 mins PLAN EARLY MORNING TUESDAY, THURSDAY, SATURDAY TREATMENT POINT MINS HZ Trapezius Teres major Delta Aesthetic Terminal. x daily for x days Tuesday, Thursday and Saturday. Allow weeks rest and repeat cycle until full recovery is achieved. 3 Latissimus dorsi/adrenal glands 4 Triceps, 3 points 5 Extensor 6 Flexor 7 Gluteus maximus 8 Adductor magnus 9 Iliotibial 0 Semitendinosus and biceps femoris Gastrocnemius per point Variable (V) Soleus 3 Achilles 0 mins PLAN EARLY EVENING Apply UNIVERSAL 3 (BLOOD) every nd day Delta Medical Terminal. Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 00 comra user guide [ENGLISH, REV 4.0]
44 TRAUMATOLOGY SECTION
45 SECTION 3 TRAUMATOLOGY 9 4 mins + TREATMENT POINT MINS HZ Scan both sides of the vertebral column along sides of pain/injury 3 per side 000 DISC HERNIATION/BACK PAIN 4 points around injury, 5 cm apart per point Variable (V) Delta Medical Terminal or comra Palm. -4 x daily Until full relief is achieved. 3 Zone of pain/injury per frequency 5 then 50 Pro NOTES Treatments with the professional 905 nm laser are more intense, and therefore these treatment times may be shortened, and also the space between treatments extended further, as determined by feeling and experience. 0 comra user guide [ENGLISH, REV 4.0]
46 TRAUMATOLOGY SECTION
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