meso pain management

7/21/2019 MESO PAIN Management

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MESOTHERAPY

PAIN MANAGEMENT

R. Angelina



2

1-st concern of the patients:

IS IT PAINFULL ,

DOC ???



3

OVERALL VIEW

Increasing number ! "e"#e see$ing

%rea%men% !r aging s$in

Csme%ic %rea%men% ab&e a##, 'as % be( )cn&enien%

)sa!e

)e!!ec%i&e )#ess "ain* "ain#ess

)'ig' +esirabi#i%, cm"#iance an+ resu#%



-

For octors:

Pa%ien%s can be %urne+ !! !rm see$ing

aes%'e%ic .r$ because ! %'eir NEEDLE

P/O0IA

A "ain!u# e1"erience bear %'e ris$ ! #sing

"a%ien% ,as i% in&#&es mu#%i"#e &isi%s, an+

+iscuraging !rien+s an+ !ami# % !##. sui%

A g+ e1"erience .i## crea%e #a#%, 'e#"mar$e%ing an+ crea%e a caring an+ gen%#e

image



4 Primum nn ncere5 6Firs%, + n 'arm 7



8

PAI! SE!SATIO!S

I!FL"E!#E$ %Y :

9 In+i&i+ua# "ain %'res'#+

2 Area:s sensi%i&i%

3 Nee+#e:s gauge

- Nee+#e:s s'ar"ness

S"ee+ ! nee+#e "ene%ra%in

8 Nee+#e:s &ibra%in

; S$in:s s%abi#i% < Me+ica%in

= S"ee+ ! in>ec%in



;

1& I!$IVI$"AL PAI!

THRESHOL$

A!!ec%s a##, &aries in +i!!eren% +egrees

Fac%rs a!!ec%ing "ain( PMS, an1ie%, &era##

s%a%es ! min+ an+ 'ea#%' 6 m%i&a%in an+

+esire S 'esi%a%in 7



<

A!'IETY #O!TROL

TAL@ TO OUB PATIENT

)G+ in!rma%in !r %rea%men%, "ain

sensa%in, +ura%in, "s% %rea%men% I% .i## 'e#" !r be%%er %#era%e an+ minimie+

%'e s%ress



=

A!'IETY #O!TROL

Nn P'armac#gica#(

)re#a1ing en&irnmen%

)s!% music ).arm an+ "si%i&e a%%i%u+e

)'% 'erba# %ea, r .ine 6i! %'e "a%ien% n%

+ri&ing7 )acu"unc%ure * acu"ressure !r re#a1ing

P'armac#gica#( %ranui#ier?



9

(& AREAS SE!SITIVITY

N%ice %'e 'ig' sensi%i&e areas

Firs%, + a% %'e #ess sensi%i&e areas



99

AREAS SE!SITIVITY

D a% %'e #ess sensi%i! area !irs%

/ig' sensi%i! area n %'e !ace(



92



93

)&!EE$LES *a+*e

Sugges%( a#.as use

s"ecia# nee+#e !r

mes%'era"

6mesnee+#e7

Mesre##e F

Mesa#se F

2;G, 3G, 32G,

-mm, 8mm, 93 mm



9-

,& !EE$LES SHARP!ESS

Manua## ( c'ange %'e nee+#e a!%er !e.

in>ec%ins, be&e# u"

Mesgun( ) $i% ) mesnee+#e

) be&e# +.n



9

.& SPEE$ OF !EE$LE

PE!ETRATIO!

SNA@E 0ITE

MESOGUN ( &er !as% an+ "recise#

"ene%ra%in



98

/& !EE$LES VI%RATIO!

Usua##, ur 'an+s ma$e sme &ibra%in

be!re in>ec%ing, an+ a!!ec% %'e s$in s%abi#i%,

%'ere!re .i## ma$e mre "ain!u#

MESOGUN( mre s%abi#ie+ nee+#e



9;

0& SI! STA%ILITY

S%abi#ie+ %'e s$in b "inc'ing

MESOGUN ( S@IN STA0ILIEB *

S@IN 0BIDGE



9<

2& ME$I#ATIO!

P/OSPAT/DILC/OLINE

DEOHC/OLATE

L)CABNITINE ITAMINE C



9=

3& SPEE$ OF I!4E#TIO!

In>ec% %'e "r+uc% s#.#, +n:% be in a rus'

MESOGUN( 0e.are ! %'e in>ec%in s"ee+



2

PAI! #O!TROL

PO Me+ica%in

T"ica# anes%'e%ic

C#ing me%'+s Ner&e b#c$s?

e%c



29

P&O& ana5*esics

Mig'% a++ % %'e cm!r%

N% rea## nee+e+, rare# use+ in ur "rac%ice

e1ce"% !r s"ecia# cn+i%in



22

TOPI#AL A!ESTHETI#

SINGLE AGENT

Li+caine ( E#ama1, 0e%acaine, e%c

Pr"i%caine( Anes%"

Mu#%i"#e Agen%(

) Li+caine Pri#caine ( Em#a , T"s

) Li+caine Te%racaine ( S) Caine ) 0encaine Li+caine Te%racaine ( MBS



23

#HARA#TERISTI# OF I$EAL

#REAMS:

Ba"i+ nse% ! ac%in

Li%%#e a+&erse e!!ec%s ( a##erg, irri%a%in

Dura%in ! ac%in ( #ng enug' % c&er"rce+ure %ime an+ s'r% enug' n% %

in%er!ere .i%' +ai# ac%i&i%ies a!%er "rce+ure



2-

TIPS FOR PATIE!T

SATISFA#TIO!

9 LOCAL ANEST/ETIC

A""#ie+ "rir % %rea%men%, n% essensia# bu% mabe 'e#"!u# !rsensi%i&e "a%ien% r % sensi%i&e area

2 ICE

A""#ie+ "rir an+ a!%er %'e %rea%men%, ice .i## ac'ie&e %'enumbness ! anes%'e%ic an+ a#s 'e#" re+uce s.e##ing a!%er PPC

3 LOOSE CLOT/ING

A!%er %rea%men%, #se !i%%ing c#%'es can increase "a%ien% cm!r%,"ar%icu#ar# a!%er PPC

- MASSAGE

Encurage ;2 'urs a!%er %rea%men% an+ cn%inue +ai# be%.een%rea%men%, massage can be e!!ec%i&e in re+ucing n+u#es



2

MESO6"!

A+&an%ages ! mesgun inc#u+ing(

9 Increase+ cm!r% #e&e# b%' !r "a%ien% an+

"rac%i%iner

2 Be+uce+ "ain +ue % s$in s%abi#ier, s"ee+ ! nee+#e"ene%ra%in, an+ cnsis%enc ! in>ec%in

3 Accurac) "rgrammab#e an+ cnsis%en%

- ersa%i#i%) accura%e# "er!rm cn%inues, na""age,mes"er!usin, an+ +mes%ic m+es

S"ee+) "rce+ures are !as%er



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NO PAIN, ALL GAINS !

thank you

meso pain management

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