Danmeter elpha ii 1000 Instruction Manual

Practical Guide
TENS Therapy
Danmeter A/S
Kildemosevej 13, DK-5000 Odense C
www.danmeter.dk [email protected]

Contents
INTRODUCTION.......................................................................................................................... 1
PAIN RELIEF WITH TENS AND BURST.......................................................................... 1
PROGRAMMES.............................................................................................................................. 2
TENS WITH P0 & P1 .......................................................................................................................... 2
TENS WITH P2 ................................................................................................................................... 2
BURST WITH P3................................................................................................................................. 2
GET STARTED............................................................................................................................... 3
NECK.................................................................................................................................................. 4
BACK ................................................................................................................................................. 5
SHOULDER ..................................................................................................................................... 6
ELBOW ............................................................................................................................................. 7
ARM, HAND AND WRIST........................................................................................................ 8
GROIN .............................................................................................................................................9
QUADRICEPS..............................................................................................................................10
KNEE & ANKLE...........................................................................................................................11
SCIATIC PAIN............................................................................................................................12
PULL & CARDIOVASCULAR INSUFFICIENCY...........................................................13
LEG ULCER...................................................................................................................................14
GENERAL PAIN TREATMENT WITHBURST...............................................................15
HEAD ...............................................................................................................................................16
ANGINA PECTORIS.............................................................................................17
PHANTOM PAIN...................................................................................................18
NOTES FOR SETTINGS SELECTED....................................................................19

1
Introduction
This guide offers supplementary information to the general operation manual for ELPHA II
1000 TENS stimulator; it gives advice and recommendation to most frequent stimulation
occurrences within pain therapy. For detailed information and settings of the device, we advise
you to read the operation manual. We recommend getting a diagnosis before starting the
treatment.
The ELPHA II 1000 includes a pain stimulator with four programmes which are preset based on
recommendations from authorities within the field of electro therapy and well researched
through clinical studies. Thanks to the user-friendly design private persons, doctors and
physiotherapy clinics are using the ELPHA II 1000. Operating the ELPHA II 1000 is easy and
clean and the user can carry out the treatment as required, i.e. at the very moment the pain
occurs. And important: the treatment can be carried out at home.
On the last page of this guide you have the opportunity to write your own notes, your setting
and placement for electrodes.
Pain Relief with TENS and BURST
TENS = Transcutaneous Electrical Nerve Stimulation
Pain therapy without taking drugs and without side effects.
TENS is a treatment method based on electrical stimulation of the nerve paths with the aim to
relieve pain or make the pain cease. The idea of TENS is, after having located the pain, to
place two electrodes on the skin, so that the electric current runs from one electrode to the
other and passes through the pain location.
Stimulating with TENS blocks the pain signal, which normally is being transmitted through the
nerves to the central nervous system, where the signal is registered as pain. The effect of the
treatment sets in promptly, when treatment is used locally.
When stimulating with BURST at low frequency and strong enough to achieve strong muscle
contractions in the stimulations area the pain relieving effect is achieved after approx. 30
minutes and with long cycle result.
People feeling pains and keep feeling pains are often victims of a self-increasing effect. One
example is muscle tension, following the wake of pain experience. If pain occurs in one area of
the body, the natural action is to flex the muscles to protect the aching area. However, when
muscles are being kept tense, they become sore and get painful. Pain tires and tiredness
makes it difficult to sustain pain. Chronic pain causes fear and depression, which increased the
pain experience. A vicious circle has started! Pain is difficult to get rid of, though the vicious
circle can be broken. As the ELPHA II 1000 can be used at home it is possible to relieve or
eliminate most of the pain symptoms, whenever they occur.

2
Programmes
TENS with P0 & P1
Suitable for pain relief. The Therapy consists of short electrical pulses where the stimulation
may never be so strong that any muscle contractions occur. Electrodes are usually placed on
the nerve paths around the pain site.
TENS stimulation can be used for pain therapy for the following:
Muscle pain, arthralgia, tennis elbow, arthritis, osteoarthritis, gout, fibromyalgie,
tenosynovitis, carpal tunnel, hip and back pain, muscle tension (myalgia), sinusitis, neuritis
etc.
TENS with P2
Similar to P1 however with the difference that the stimulation pulses vary for both pulse width
and stimulation current. The variation is random and built up as: pulse width multiplied by
stimulation current being constant. This modulated TENS prevents any habituation to a set
pulse width. P2 has the following variables: frequency, pulse width and treatment time.
Modulated TENS stimulation can be used for pain therapy as mentioned for P1. However, for
chronic conditions where long-term treatment is required modulated TENS is recommendable.
BURST with P3
Stimulation form consisting of short series of pulses with high frequency that are repeated with
low frequency. BURST stimulation is used for general pain relief and stimulation must be so
strong that muscle contraction is perceived. In general terms the electrode is placed on a large
muscle near the pain location. BURST has the following variables: frequency, pulse width and
treatment time.
The effect of the stimulation has to be strong to achieve visible muscle movement; the muscle
tension will be affected and forced to movement. A long-cycle pain relief is given with BURST
stimulation due to the fact that the body increases its own production of the natural painkillers,
the endorphins.
BURST stimulation can be used for relief of radiating pain like:
Sciatic pain, back pain, scleroses, tinnitus, circulatory disturbances, whiplash, etc.

3
Get Started
ELPHA II 1000 has 2 output channels; channel A and B. Both channels are operated alike.
1. Retract the sliding lid. Insert the battery and replace the
lid.
2. Connect the lead wires to the output channels on the
device.
3. Connect the lead wires to the electrodes.
4. Clean the skin. Remove the plastic cover from the
electrodes before attaching to the skin. The electrodes
must not touch each other.
5. Turn on the ELPHA II 3000 by pressing the blue on/off
button.
6. Choose programme and adjust the stimulation level.
When the keyboard lock symbol appears , turn
down the level to allow further adjustment of the
required stimulation level.
7. The stimulation automatically stops when treatment
time expires.
-
+

4
Neck
Pain in shoulder & neck cervical syndrome
Indications:
• Rheumatism (P2+P3)
• Whiplash (P1)
• Slipped disk (P2+P3)
• Cervical strain (P2)
• Head ache (P1+P3)
• Arthritis (P2)
• Suppleness (P3) etc.
Use P1 when pain has been located.
For long-term treatment use P2.
P3 BURST for non-focused neck pain and removal of the waste products in the neck if it has
been immobilized for a long period.
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P2 TENS
Long term pain relief
Tingling - Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm
50 x 90 mm

5
Back
Indications:
• Back pain (P1+P3)
• Scoliosis (P1)
• BWS syndrome (P1+P3)
• Bilateral radiation (P1+P3)
• Dysmenorrhoea (P1)
• Labor pain (P1)
• Slipped disk (P1)
• Suppleness (P3) etc.
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm
50 X 90 mm
Lower back pain &
dysmenorrhoea Back pain
The area above Os Sacrum
is a junction of the sensory
nerve pathway for the lower
back and the abdomen.
Electrode placement if pain
is located in the upper part
of the back.

6
Shoulder Subluxation
Shoulder
Indications:
• Rheumatism (P1+P3)
• Subluxation (P1)
• Shoulder dislocation (P1)
• Shoulder sprain (P1)
• Arthritis (P1)
• Frozen shoulder (P3)
• Suppleness (P3) etc.
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm
Shoulder Pain
If the shoulder feels cold, P3 is particularly
beneficially as BURST stimulation increases
the local blood circulation

7
Elbow
Indications:
• Rheumatism (P2)
• Tennis elbow (P2+P3)
• Golf elbow (P2+P3)
• Sports injuries (P1)
• Arthritic pain (P1)
• Pain radiation (P3)
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P2 TENS
Long term pain relief
Tingling - Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm
Elbow pain &
epocondylitis lateralis

8
Arm, Hand and Wrist
Indications:
• Tendonitis (P1+P3)
• Carpal tunnel (Mouse Are)
(P1+P3)
• Rheumatism (P2)
• Nausea & Vomiting (P3)
• Suppleness (P3) etc.
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P2 TENS
Long term pain relief
Tingling - Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm
Pain relief:
Nausea & Vomiting

9
Groin
Indications:
• Sports injury (P1)
• Overworked muscles and ligaments (P1+P2)
• Dysmenorrhoea (P2+P3)
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P2 TENS
Long term pain relief
Tingling - Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm

10
Quadriceps
Indications:
• Radiating pain (back pain) (P3)
• Fibre pull (P0)
• Sciatic pain with impaired L4
sensibility (P3)
• Suppleness (P3) etc.
Programme Type of stimulation Intensity Treatment time
P3 BURST
Chronic pain relief Perceptible contraction 45 min
P4 Muscle stimulation Visible contraction 30 min
bElectrode size: 50 x 90 mm
Sport injury, fibre pull and radiating pain

11
Knee & Ankle
Indications:
• Rheumatism (P2+P3)
• Sports injuries (P1)
• Sprain (P1)
• Gonarthrosis (P2)
• Ligament injury (P1)
• Arthritis (P2+P3)
• Ankle sprain (1)
• Ischaemic pain in the foot
(P1+P3)
• Contusion (P1) etc.
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P2 TENS
Long term pain relief
Tingling - Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm
At lateral pain, place the
electrode as on the right
ankle; left ankle shows
the electrode placements
to threat medial pain
If the pain is located on
the inner side of the leg,
use the electrode
placement shown on the
left knee
Pain at the joint of the
ankle
Knee
p
ain

12
Sciatic Pain
Indications:
• Sciatic pain
• Post–Herpetic neuralgia of sciatic nerve
• Arthritic pain of sacroiliac joint
Channel A:
Negative electrode (black) placed posterior on the upper thigh
and positive electrode (red) below poplitae crease.
Channel B:
Bilaterally at L5 –S1 level.
Programme Type of stimulation Intensity Treatment time
Channel 1:
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
Channel 2:
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm

13
Pull & Cardiovascular Insufficiency
Indications:
• Fibre pull (P1)
• Sports injuries (P1)
• Claudicatio intermettens (P3)
• Thromboplebitis (P1+P3)
• Sciatica (P1)
• Arthritic (P1)
• Traumatic injury (P2) etc.
Treatment dealing with fibre pull can be carried out everywhere
on the body. Electric muscle stimulation removes the metabolic
waste products and improves condition for progress of healing.
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P2 TENS
Long term pain relief
Tingling - Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 90 mm
Ankle plantar flexors, fibre pull &
cardiovascular insufficiency

14
Leg Ulcer
Indication:
• Circulatory disturbances
• Venous stasis
• Wound healing
• Post-surgical pain
• General pain
Notice! The electrodes may not get in contact with any wound tissue.
Programme Type of stimulation Intensity Treatment time
P3 BURST
Chronic pain relief Perceptible contraction 45 min
bElectrode size: 50 x 50 mm

15
General Pain Treatment with BURST
Indications:
• General pain
• Tinnitus
• Raynaud´s phenomenon
• Fibromyalgie
• Circulatory disturbances
• Gout
• Cold hand etc.
Programme Type of stimulation Intensity Treatment time
P3 BURST
Chronic pain relief Perceptible contraction 45 min
b
Electrode size: round Ø32 mm
50 x 50 mm

16
Head
Indications:
• Trigeminus (P1)
• Sinusitis (P1)
• Frontal headache (P1)
• Facial pain (P1)
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
b
Electrode size: round Ø32 mm

17
Angina Pectoris
Indications:
• Angina Pectoris (P1)
• Radiating Pain (P1)
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
b
Electrode size: 50 x 50 mm

18
Phantom Pain
Electrodes can be placed on painful trigger points, correlated to peripheral nerves and spinal
cord segments that innervates the painful area (P1). Use the combinations of the letters.
For general pain management the BURST therapy (P3) as shown at page 17 is
recommendable.
Programme Type of stimulation Intensity Treatment time
P1 TENS
Acute pain relief
Tingling – Just below pain
threshold 30 min
P3 BURST
Chronic pain relief Perceptible contraction 45 min
b
Electrode size: 50 x 50 mm