One type of conservative treatment is magnetic physiotherapy.
A course of magnetic treatment can be completed both in a hospital and at home. The Almag 01 device, manufactured at the Elatom Instrument Plant, is suitable for home use. A traveling pulsed magnetic field is emitted by the device in periodic pulses lasting ≈ 2 ms, with a frequency of 6 Hz. The impulse penetrates quite deeply, up to 7 cm. The body has the following effects:
- metabolic processes accelerate;
- blood circulation increases locally;
- swelling subsides;
- drugs are absorbed much faster.
These properties are effective in curing more than 50 diseases.
PURPOSE AND PRINCIPLE OF OPERATION. HOW TO APPLY ALMAG-01 CORRECTLY
The ALMAG-01 device is intended for therapeutic effects on the human body using a pulsed traveling magnetic field for the treatment of radiculitis, arthrosis, osteochondrosis, etc.
in the conditions of physiotherapeutic departments of medical institutions and at home. The ALMAG-01 device consists of a control unit (current pulse generator), an emitter consisting of four interconnected inductor coils used to influence individual affected parts of the body, an emitter cable and a power cord.
After turning on the device to a 230 V network, the control unit within 22 minutes ensures the formation and distribution of current pulses over the inductor coils, in which they are converted into magnetic induction pulses. As a result, a cyclically changing running (from the 1st coil to the 4th, from the 1st to the 4th...) pulsed magnetic field is formed distributed in the space of the emitter.
The inductor coils are connected by elastic jumpers and form a flexible radiating line - an emitter, which, when using the device for its intended purpose, can be applied to the lumbar or collar areas, spine, wrapped around the knee joint, etc.
Contraindications
- Acute purulent-inflammatory diseases
- Aortic aneurysm
- Pregnancy
- Systemic blood diseases
- Malignant neoplasms
- Thyrotoxicosis
- Alcohol intoxication
- Atrial fibrillation
- Presence of an implantable pacemaker in the affected area
The presence of metal inclusions inside bone tissue is not a contraindication to the use of the device in therapeutic doses.
The presence of metal crowns in the oral cavity is not a contraindication to the use of the device in therapeutic doses.
ORDER OF INTENDED USE
After long-term storage during transportation at temperatures below plus 10 °C, before turning on, keep the device indoors at room temperature for at least 4 hours. If necessary, disinfect the outer surfaces of parts of the device by wiping twice with a calico or gauze napkin soaked in a solution approved for use in medical practice for plastic products (for example, a 3% solution of hydrogen peroxide and a 5% solution of chloramine) with intervals between wiping of 10- 15 minutes. In this case, the napkin must be wrung out to prevent the solution from getting inside the device.
There are two light indicators on the control unit housing. Green lights up when the device is turned on to the power supply. Simultaneously with the green indicator, the yellow one lights up, indicating the formation of a traveling magnetic field. It is connected to a timer and goes out 22 minutes after the device is turned on, and the effect stops.
Notes.
1. To continue operating the device, you must disconnect the device from the power supply and turn it on again (turn it on after a period of at least 10 minutes). 2. After finishing working with the device, you must disconnect the product from the power supply.
The presence of a magnetic field and the operability of ALMAG is confirmed by the blinking of green indicators in the center of each of the four inductor coils. When the product is operating, the indicators should flash at an equal frequency.
Additionally, the performance of ALMAG can be checked using a magnetic field indicator, one by one applying it to the inductor coils, from the side of the “N” sign connected to the device’s network. The presence of a pulsed magnetic field will be indicated by a flashing green light in the center of the indicator.
Both sides of the inductor coils are working, however, in the vast majority of techniques, the effect is carried out by the sides of the coils with the north pole (indicated by the sign “N”).
The direction of movement of the traveling pulsed magnetic field from the first inductor coil to the fourth. The first coil is considered to be the one to which the cable from the control unit fits.
Treatment is carried out by influencing the lesion, surrounding tissues and reflex zones, placing the device’s inductors directly on the skin.
Due to the high penetrating ability of the device’s magnetic field, treatment can also be carried out through clothing, a dry or wet gauze bandage, or a plaster cast up to 1 cm thick.
When used as intended, pay attention to the correct placement of the emitter in accordance with the recommendations specified in the treatment method (direction of the traveling pulsed magnetic field and exposure to the north or south magnetic pole).
Combined use of the device and medications for external use
The combined use of magnetic therapy and topical medications for external use is called magnetophoresis (A17.30.040 magnetophoresis). The use of this technique for diseases and injuries of the musculoskeletal system significantly increases the effectiveness of the therapy .
For athropathies, magnetophoresis is carried out in the first week of treatment with the device in combination with local forms of non-steroidal anti-inflammatory drugs (ointments, gels, creams), then in combination with local forms of chondroprotectors.
When treating varicose veins, it is possible to combine the use of magnetotherapeutic procedures from the device and local forms of anticoagulants .
The magnetophoresis procedure is carried out as follows:
- The drug for external use is applied to the affected area in accordance with the instructions for use of the drug.
- In order not to contaminate the device, the area on which the drug is applied is covered with cellophane film.
- The inductors of the device are applied over the affected area covered with cellophane film in accordance with the recommendations of the section “Methods for applying inductors for various diseases” of this instruction manual.
- The magnetotherapy procedure is carried out in compliance with the regime and duration indicated in Tables 2-6.
MAINTENANCE
The ALMAG-01 device does not require special maintenance and, if treated with care, can serve for a very long time.
Maintenance of the device is as follows:
Job title | Periodicity |
1. Check the appearance of the device body and the power cord for damage. | Once a week. |
2. Cleaning from dust and dirt, disinfection. | Once a month or when transferred to other hands |
The operation of the device is checked using indicators on the control unit and inductor coils of the emitter, or using a magnetic field indicator.
If a malfunction is detected, contact the manufacturer or its representative office.
INDICATIONS FOR USE
Diseases of the musculoskeletal system:
- spinal osteochondrosis with reflex radicular syndrome:
- cervical,
- chest,
- lumbar regions;
Injuries to the musculoskeletal system and their consequences:
- bone fractures;
- internal joint injuries;
- wounds, soft tissue contusion, hematoma, post-traumatic edema;
- damage to ligaments and muscles;
- postoperative wounds;
- keloid scar;
- sluggishly healing purulent wounds, phlegmon, burns.
Neurological diseases:
- diseases of the peripheral nervous system;
- neuritis:
- neuritis of the facial nerve,
- radial neuritis,
- ulnar nerve neuritis,
- median nerve neuritis,
- neuritis of the sciatic nerve (sciatica),
- peroneal nerve neuritis,
- plexitis;
- trigeminal neuralgia,
- occipital neuralgia,
- intercostal neuralgia;
- spine and spinal cord injury;
Diseases of the cardiovascular system:
- hypertension stage I – II;
- renal hypertension;
- vegetative-vascular dystonia of the hypertensive type;
- coronary heart disease with stable angina pectoris (under the supervision of the attending physician);
- obliterating atherosclerosis of the vessels of the lower extremities (obliterating endarteritis).
Complications of diabetes:
- diabetic angiopathy;
- diabetic polyneuropathy.
- Dermatological diseases:
- itchy dermatoses;
- conditions after skin plastic surgery.
Chronic nonspecific lung diseases:
- Chronical bronchitis;
- chronic pneumonia;
- bronchial asthma.
Diseases of the gastrointestinal tract:
- pancreatitis in the subacute and chronic stages of the disease;
- biliary dyskinesia;
- chronic gastritis;
- peptic ulcer of the stomach and duodenum.
Diseases of the female genital organs:
- inflammatory diseases of the uterus and appendages during the subsiding period
- acute process;
- diseases caused by ovarian hypofunction;
- condition after surgical delivery (caesarean section).
- Diseases of the venous system of the upper and lower extremities:
- deep vein thrombosis of the leg;
- chronic thrombophlebitis in the stage of trophic disorders;
- varicose veins.
How to use the ALMAG-01 device. Instructions for use
Diseases of the musculoskeletal system
Inductor coils are placed along the projection of the pathological focus (the area of the cervical spine, shoulder blades, shoulders, hands, thoracic vertebrae, along the ribs, lumbar and sacral vertebrae, etc.).
The duration of the procedure is up to 20 minutes. Procedures are carried out 1 or 2 times a day. The course of treatment is 15-20 procedures, carried out with breaks of 1 day after the 6th and 12th procedures.
Damage to the musculoskeletal system
Inductor coils are placed along the projection of the lesion. It is allowed to carry out the impact through gauze or plaster bandages.
The duration of the procedure is up to 20 minutes. Procedures are carried out 1 or 2 times a day. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
Diseases of the cardiovascular system
- In case of hypertension stages 1 and 2, the patient is in a supine position. Inductor coils are located on the collar area. For renal hypertension, in addition to the collar area, inductors are applied to the adrenal gland area: 2 inducers on the right and 2 inductors on the left of the lumbar spine. The duration of the procedure for each zone is 15-20 minutes. The course of treatment is 12-15 days, carried out with breaks of 1 day after the 6th day of treatment
- In case of atherosclerotic occlusion of the arteries of the lower extremities, inductor coils are placed along the course of the vessels (from top to bottom) and nerves. The duration of the procedure is 20 minutes. The course of treatment is 12-15 days, carried out with breaks of 1 day after the 6th day of treatment.
Diseases of the gastrointestinal tract
- For pancreatitis in the subacute and chronic stages of the disease, the patient should lie on his back. Inductors are placed on the left hypochondrium from the midline to the mid-axillary. The duration of the procedure is 20 minutes. The course of treatment is 12-15 days, carried out with breaks of 1 day after the 6th day of treatment.
- With biliary dyskinesia, the patient is in a supine position. Inductor coils are placed on the right hypochondrium from the midline to the mid-axillary. The duration of the procedure is 20 minutes. The course of treatment is 12-15 days, carried out with breaks of 1 day after the 6th day of treatment.
- For chronic gastritis, gastric ulcer and duodenal ulcer, the patient should lie on his back. The inductor coils are alternately placed in two fields:
- Field I – epigastric region. Exposure time is 15-20 minutes.
Field II – on the lower thoracic spine. Exposure time 15 minutes.
The course of treatment is 12-15 days, carried out with breaks of 1 day after the 6th day of treatment.
Diseases of the female genital organs
In subacute and chronic inflammatory processes, inductors are placed on the lower half of the anterior abdominal wall. The duration of the procedure is 15-20 minutes. The exposure is carried out 1-2 times a day. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment. Menstruation is a contraindication for procedures.
Diseases of the venous system of the upper and lower extremities
- For varicose veins of the extremities, inductor coils are located along the course of the vessels (from bottom to top) and nerves. The duration of the procedure is 20 minutes. The course of treatment is 12-15 days, carried out with breaks of 1 day after the 6th day of treatment.
- For ileofemoral thrombosis of the lower extremities, inductor coils are placed alternately:
- on the lower leg - from the ankle to the popliteal region;
- the inner surface of the thigh - to the groin area. The exposure is carried out 1-2 times a day for 15 minutes per zone. For varicose veins of the extremities, inductor coils are located along the course of the vessels (from bottom to top) and nerves. The duration of the procedure is 20 minutes. The course of treatment is 15 days, with breaks of 1 day after the 6th day of treatment.
- In case of chronic thrombophlebitis in the stage of trophic disorders, inductor coils are placed on the area of the trophic ulcer of the lower leg - around the lower leg. The exposure is carried out 1-2 times a day for 20 minutes. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
- In case of thrombosis of the subclavian vein, inductors are placed on the subclavian region and on the area of the inner surface of the shoulder. The exposure is carried out 1-2 times a day for 20 minutes. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
- After phlebectomy, treatment is carried out from 3-4 days after surgery. The inductor coils are placed in two fields: the inner surface of the shin and the inner surface of the thigh. The exposure is carried out once a day for 15 minutes per field. The course of treatment is 10-12 days, carried out with breaks of 1 day after the 6th day of treatment.
Treatment of complications of diabetes mellitus
- In the treatment of diabetic angiopathy, inductor coils are placed on the back of the foot and the inner surface of the lower leg. If the femoral segment is affected, the inductor coils are placed on the anterior-inner surface of the thigh. The exposure is carried out 1-2 times a day for 20 minutes. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
- When treating diabetic polyneuropathy, inductors are placed along the peripheral nerves of the limb into 2 fields: the posterior surface of the thigh and the posterior surface of the lower leg. The exposure is carried out once a day for 20 minutes per field. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
Dermatological diseases
- When treating neurodermatitis, prurigo, lichen planus, etc., inductor coils are applied paravertebrally to the corresponding segment innervating the rash area and directly to the lesion. The exposure is carried out 1-2 times a day for 15-20 minutes. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
- After skin plastic surgery to relieve swelling, treatment begins 1-2 days after surgery, excluding the suture area. The exposure is carried out 1-2 times a day for 20 minutes. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
Chronic nonspecific lung diseases
The patient is in a prone position on his stomach. The inductors are placed in two fields. The first is the projection area of the adrenal glands: to the right and left of the spine at the level of T 10 - T 12. The second is the inter- and subscapular region.
Inductors are placed 2 to the right and 2 to the left of the spine. The exposure time is 15-20 minutes for each field. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
Neurological diseases
- In case of chronic and exacerbation of chronic radiculitis, inductors are applied along the spine paravertebrally, on one or both sides alternately, depending on the lesion. In case of pain along the nerve trunks, according to the lesion, inductors are applied: to the area of the spine corresponding to the lesion, as well as the upper or lower limb, or along the intercostal spaces. The exposure time for two areas is 15 minutes. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
- For vascular diseases of the brain, inductors are placed on the collar area. Exposure time is 10-15 minutes. The course of treatment is 15-20 days, carried out with breaks of 1 day after the 6th and 12th day of treatment.
Features of the method of using the device in different age categories of patients
Use of the device in patients over 15 years of age
In the case of using the Almag Plus device in a medical institution, in the first three to five days of treatment, the effect is carried out in mode No. 3, then - in mode No. 1.
The procedure time is from 10 to 20 minutes, the course duration is 7-12 days in accordance with the doctor’s prescription.
In the case of home use of the Almag procedure during the course of treatment, it is recommended to release it at regular intervals, once or twice a day. When carrying out the first course of treatment, the first three days of the procedure are released with a duration of 10 minutes, on the 3rd and 4th day of treatment the procedure time is reduced to 7 minutes for 2 days, and then the procedure time increases and is brought to 15-20 minutes.
After the first 6 days of treatment, a break of 1 day is taken, then treatment is carried out for another 6 days and a break of 1 day is taken again, after which treatment is carried out for another 6 days.
Procedures are carried out once or twice a day in compliance with dosages.
The interval between procedures is at least 8 hours.
In persons suffering from hypertension, blood pressure should be monitored in the first 6 days of treatment before the procedure and 20-30 minutes after it. This is necessary to assess magnetic sensitivity and quality of treatment.
If blood pressure increases or decreases after the procedure in the first 6 days using regimen No. 3 by no more than 10-25 mmHg. When carrying out the next procedure, it is necessary to reduce the exposure time by 1/3.
If blood pressure increases or decreases after the procedure in the first 6 days using regimen No. 1 by no more than 10-25 mm Hg. When carrying out treatment over the next 3 days, regimen No. 2 is used. After which treatment with regimen No. 1 is resumed.
In case of an increase or decrease in blood pressure after the procedure by more than 25 mm Hg. Before carrying out the next procedure, you must consult a physiotherapist or attending physician to adjust the treatment method. To assess the dynamics of blood pressure, you should keep a diary, indicating in it the numbers obtained during the measurement.
If it is necessary to treat several diseases with the device: after a course of treatment for one disease, a break in treatment is taken for 10-15 days and treatment of another disease is carried out. if it is necessary to treat only one disease, then the break between courses of treatment is 1.5-2 months. Reducing the interval between courses of treatment is possible only on the recommendation of a physiotherapist.
Use of the device in patients under 15 years of age
When using the device in pediatric practice, the following age-specific dosages should be observed: