A TYPICAL CHRONIC PAIN PROTOCOL
Week One: Day One of Treatment Cycle: Patient receives a non steroid injection with an anesthetic agent to block pain. EST therapy follows immediately post injection. The electronic signal helps to focus and deliver a higher concentration of the injected anesthetic agent into the nerve cell to produce a more profound nerve block.
The EST treatment will also produce a sustained depolarization of the cells in the targeted area. This triggers the production of cAMP, an important key to healing the assaulted cells and mitigating the inflammatory process.
This process is usually performed a minimum of three times per week, or, in very chronic cases the patient may be treated daily in the first week. Reimbursement is the same each time the patient is treated. This concentrated therapeutic series not only produces profound positive results in most patients, it has a very positive impact on the bottom line. Most patients will require a treatment protocol from 12 to 20 visits. There is not a global on peripheral injections when performed for pain management. For all questions regarding billing coding and compliance, please contact Angela Dixson, our certified coding, billing and compliance expert, by phone at (404) 428-9293 or by email at: angela@outcomemedical.com.
The specific electronic signal programs that depolarize cells, increase blood flow and stimulate the nerves as well as many other features, are programmed into a computer chip placed on a credit card sized card called a Smart Card. When the smart card is inserted into the EST device, it sets up all treating parameters with the specific wave forms required to achieve the multiple mechanisms of action for a specific treatment objective.
Unlike most other electrical devices with a single wave form, the EST system, because of its ability to simultaneously modulate amplitude (AM) and frequency (FM) has the ability to produce ANY known waveform, This allows EST to stimulate multiple of mechanisms of action within a single treatment. For example if you need to increase blood flow, and reduce edema, there are specific wave forms imbedded in a smart card, that will address both issues during a single treatment. You simply insert that smart card into the device and follow instructions in the manual for electrode placement and intensity level.
