General Guidelines Ensure that treatment is not contraindicated and that eye protection is worn. Advise patient they may experience a slight inflammatory response initially - indicates expected physiological response. Application Guidelines Treat locally with infra-red 820nm probe at points 1cm apart across the affected area. Follow up with the multi-wavelength Cluster to cover area. Probe Time per point Dose per point Pulse Range 820nm 200mW 15-20 secs 24-32 J/cm2 5-10 kHz 60 (or 20) Cluster 1 minute 6 J/cm2 20-73-146 Hz Ideally supplement with distal trigger point work - see below. Frequency of Treatment At least once per week but ideally 2-3 times in first week with weekly follow up as necessary. Pulse repetition rate with infra-red can be reduced from high as advised above to medium (i.e. 146Hz) after improvement. For Trigger Point Work Palpate and locate with a focus on the calf, then treat as below. Do not use the trigger point finder function if the patient has a pacemaker. Probe Time per point Dose per point Pulse 820nm 200mW 20 secs 24 J/cm2 1 kHz