EMS DOLORCLAST FT-245 Instructions For Use Manual page 4

Acute traumatic disease
This refers to the clinical and organic pictures as a whole,
in which inflammatory aspects and acute injuries prevail
over the vascular and degenerative components typical
of chronicity.
From an etiological point of view, the traumatic event is
the basis for this group of conditions.
Muscular and capsuloligamentous structures are the
most affected, with where tissue lesions caused by
stretching, compression, or crushing, may be observed,
depending on the type of action (direct or indirect) of the
harmful agent.
Anatomopathological changes observed in muscles
range from fiber elongation with perifibrillar edema,
to complete rupture with hematoma or blood effusion,
whereas tendinous and capsuloligamentous structures
are most often affected by acute inflammation with intra-
and peritendinous effusion and stretching of the fibers.
Functional overload conditions
The most reliable data in the literature agree that
approximately 50% of conditions affecting bones,
muscles and joints are caused by overload, meaning
the harmful effect of irritative stress, repeated in cycles
for prolonged periods, or with high intensity affecting
several areas and tissues.
The injuries caused by functional overload and the
relative clinical manifestations can appear in any part
of the locomotor system, but the tendons (and their
appendages) and joint cartilages are those most affected.
Repetitive and persistent microtraumatic action does not
allow adequate repair of the injuries suffered by tendon
tissues because the tendon tissues are in constant use.
The tendon's initial response to irritation generally involves
the onset of an acute inflammatory picture, which evolves
towards tissue degeneration and chronic inflammation
conditions if the trigger factor is not resolved.
Of the numerous classifications available, the one by
Perugia et al. best expresses the anatomopathological
essence of the injury. It states as follows:
• Peritendinitis; with inflammation of the peritenon,
subdivided into serous exudative forms and
chronic adherence forms
• Tendinopathy; with degenerative and metaplastic
processes of the tendon tissue
• Hypertrophic-exudative and stenosing tenosynovitis
• Insertional tendinopathies; areas of degeneration
and metaplasia are visible at the osteotendinous
junction
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• Peritendinitis and tenosynovitis associated with
tendinopathy
• Subcutaneous ruptures; epiphenomenon of a
degenerative condition of the tendon belly
The etiopathogenic considerations made in regard to
tendons also apply to joint cartilage. Indeed, functional
stress can lead to the onset of an injury which, due to
the softening, fissuring, fibrillation and superficial erosion
phases, can lead to the exposure of the subchondral
bone, thereby causing an anatomopathological picture
similar to that of osteoarthritis.
The medical device FT-245 can be used in two different
modes:
- Indications, in relation to the area of the body, the
pathology to be treated is indicated;
-Actions, operating mode chosen based on the desired
effect.
The pathologies and possible actions are listed below:
List of indications
• Rotator cuff tendinopathy
• Glenohumeral arthritis
• Acromioclavicular arthritis
• Proximal biceps tendinopathy
• Subacromial-subdeltoid bursitis
• Epicondylitis
• Arthropathy
• Bursitis
• Medial epicondylitis
• Flexor tenosynovitis
• Extensor tenosynovitis
• De Quervain's tenosynovitis
• Dupuytren's contracture
• Carpal tunnel
• Rhizarthrosis
• Wrist arthritis
• Cervical degenerative disc disease
• Lumbar degenerative disc disease
• Thoracic degenerative disc disease
• Intervertebral arthritis of the neck
• Intervertebral arthritis of the lower back
• Intervertebral arthritis of the upper back
• Trochanteric bursitis
• Hamstring enthesopathy
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