General Guidelines Ensure that treatment is not contraindicated (see manual) and that eye protection is worn. Advise patient they may experience a slight inflammatory response initially in the chronic case - 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. Acute Probe Time per Point Dose per point Pulse Range 820nm 200mW 15-20 secs 24-32 J/cm2 146-700Hz 60 (or 20) Cluster 1 min 6 J/cm2 20-73Hz Chronic Probe Time per Point Dose per point Pulse 820nm 200mW 20-30 secs 32-48 J/cm2 5-10 kHz 60 (or 20) Cluster 1 min 6 J/cm2 20-73-146Hz 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) if addressing acute case or after improvement in chronic case. 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 1kHz