Greetings! What is the recommendation and feedback for the use of the A9 on a non union distal fracture with orthopedic hardware, intramedullary rod.
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Feedback is almost universally very positive, basic scientific data strongly suggests accelerated bone regeneration in general:
https://www.josam.org/josam/article/view/27
Best approach would be to start with our standard basic setup:
- coils stacked bumpy-side-to-bumpy-side, taped together
- coils placed directly over the injury, hold in place with CoBan, sock, ace bandage, compression sleeve, whatever works for your situation
- plastic or plaster cast will not interfere.
- insert coil plug firmly and fully into the audio jack on the A9
- set the A9 to High “H”
- replace 9V battery with freshly-charged lithium-ion 9V battery every 3 or 4 hours for best performance
- use for 6 to 8 hours per day or night, longer daily use is better if possible
Then: pay attention…
If severe discomfort: discontinue use (very unlikely though)
If real but not severe discomfort: make appropriate adjustments such as: reduce intensity from “H” to “M”, loosen bandage, etc.
If strange tingly feeling around implant hardware: generally a good sign, feeling usually subsides in a few days and hardware engraftment/stability is improved.
Continue to use as long as recovery is happening
Consider trying coils in slightly different locations from time to time.
Please report back here with observations and questions.
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Sorry to hear about your husband’s injury.
My suggestion is to start by stacking coils bumpy-to-bumpy side, tape them together for convenience, then place the stacked coils directly over the injury as close as is practical.
Set the ICES-PEMF device to:
Omni-8 pulse pattern
Set Intensity to 10 or 11: if irritating, reduce power by one or two levels, repeat if necessary
Use as long during the day and/or night as possible, every day.