zmpczm016000.12.14 hand,wrist,elbow & upperarm electrode placement

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9990 Park Meadows Drive Lone Tree, CO 80124 USA (Phone) +1.303.703.4906 (Fax) +1.303.867.3927 [email protected] www.zynexmed.com A B A B Hand, Wrist, Forearm, Elbow & Upperarm Electrode Placement How a TENS Unit works. There are two types of nerve fibers that come into play: large nerve fibers, and small nerve fibers. Pain signals travel along small nerve fibers. The large nerve fibers are also known as nociceptive fibers, because they do not transmit pain. The electrode transmits electrical currents along these fibers. The TENS unit works by preventing these small nerve fibers from reaching the brain by stimulating the large nerve fibers. The larger nerve fibers “close the gate” in the spinal cord, thus giving pain relief. This is the basis of the “gate control theory of pain” whereby nociceptive fibers can interfere with signals from pain fibers, thereby inhibiting pain.

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Page 1: ZMPCZM016000.12.14 Hand,Wrist,Elbow & upperarm electrode placement

9990 Park Meadows DriveLone Tree, CO 80124 USA(Phone) +1.303.703.4906

(Fax) [email protected]

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Hand, Wrist, Forearm, Elbow & UpperarmElectrode Placement

How a TENS Unit works.There are two types of nerve fibers that come into play: largenerve fibers, and small nerve fibers. Pain signals travel alongsmall nerve fibers. The large nerve fibers are also known as nociceptive fibers, because they do not transmit pain. Theelectrode transmits electrical currents along these fibers. TheTENS unit works by preventing these small nerve fibers fromreaching the brain by stimulating the large nerve fibers. The larger nerve fibers “close the gate” in the spinal cord, thus giving pain relief. This is the basis of the “gate control theoryof pain” whereby nociceptive fibers can interfere with signalsfrom pain fibers, thereby inhibiting pain.

Page 2: ZMPCZM016000.12.14 Hand,Wrist,Elbow & upperarm electrode placement

9990 Park Meadows DriveLone Tree, CO 80124 USA(Phone) +1.303.703.4906

(Fax) [email protected]

Hand, Wrist, Forearm, Elbow & UpperarmElectrode Placement

ELECTRODE PLACEMENTPlace the electrode pads so that they form a box around the surgical site. When connecting the wires from the control unit to the electrodes, always form an “X” over the surgical site by using a diagonal connection as illustrated above. Always be sure that the control unit is turned off before connecting, disconnecting, repositioning the wires to the unit or electrodes, or replacing the batteries.

ADJUSTMENT CONTROLAdjust the two control knobs on the top of the ValuTENS II to the level of highest intensity without causing discomfort. As the battery begins to lose power the control setting may have to be increased accordingly. The controls in the battery compartment have been preset for the recommended levels and should not be touched:

1. The mode switch should be on “M”2. The timer switch should be set at “C.”3. Pulse Width should be set at “150.”4. Pulse Rate should be set at “70.”

Please do not hesitate to contact me if you have questions or concerns. I have listed my mobile phone on the top of the page for your convenience. If I am unable to answer your call immediately, please leave a message so I may address your concerns as soon as possible.