How to Make Injections Less Painful

Subcutaneous and intramuscular injections can often be quite painful. That's why we recommend using the SCENAR device — to make your injections more comfortable and help prevent post-injection complications.

After selecting the injection site, the skin should be treated with a disinfectant solution. The device built-in electrode should also be wiped with the same disinfectant solution.
*Treatment settings: F = 120 Hz, Int = 8 (for professional models)
                                    F = 340 Hz (for personal models)

The electrode is placed on the skin, exactly at the intended needle insertion point.
For a subcutaneous injection, the treatment time is 30 to 60 seconds. For an intramuscular injection, the treatment time is 1 to 2 minutes. The less pronounced the subcutaneous fat layer, the shorter the treatment time.

Following the SCENAR application, the skin is disinfected again, and the injection is administered.

After your injection, use the SCENAR device to relieve discomfort from the medication.
Set FM = On, Int = 8 (for professional models)
       FM (for personal models).

Place the pre-disinfected built-in electrode on the injection site for 2 to 3 minutes. You can move the electrode with light massaging motions. This also helps reduce any bleeding from the needle site.

Frequent injections often lead to infiltrates (indurations) under the skin. The SCENAR device can help.

Treatment time per zone: 5 to 7 minutes.
The less pronounced the subcutaneous fat layer, the shorter the treatment time. This therapy can be performed twice a day.

GENERAL TREATMENT TECHNIQUES

 These techniques are used for pain relief in any kind of diseases and in sake of disease prevention. They should be used:

• If it is particularly specified in recommendations for pain relief in case of particular disease;
• If the complaint cannot be linked to a particular area of skin surface;
• If it is impossible to determine the painful area’s boundaries or if that area is extremely big, for example, it covers the entire part of the body, like back, leg, abdomen, etc.;
• If there are multiple complaints and the patient cannot tell which is the main one.

 All general treatment techniques can be performed both in subjectively dosed mode (SDM) and individually dosed mode (IDM).

The treatment should be carried out with the comfortable level of energy and standard frequencies (60-90 Hz). 

"Three parthways, six points" technique

"Collar area" technique

"Palms" Technique

"Abdominal squares" technique

"Pain relief for injections"

Fig. 7

How to carry out THE ‘AbdomINAL SQUAREs’ TECHNIQUE

The distinctive feature of the Abdominal Squares technique is that it should not be completely carried out in SDM, i.e. IDM is used when selecting treatment areas (see item 5.1).

After treatment areas are selected, treat them in SDM or IDM as areas of complaint projection (see section 2.4 hereof).

 Treatment areas should be marked with a pen or marker.

The areas should be marked when patient is standing but the technique itself is performed when patient is lying down.

Put the patient’s right palm above the pubic bone. The skin area which is covered with the palm is the first treatment area. The patient’s right palm should be placed behind the back and put on the coccyx area. The skin surface which is covered with the right palm is the second treatment area.  

The seventh cervical vertebra and the suprasternal notch make the third area (Fig. 6).

Fig. 6

The power level is comfortable and the frequency is standard.

After treatment areas are determined, treat them in SDM or IDM as areas of complaint projection (see section 2.4 hereof).

Treatment areas

This technique includes three treatment areas:

а) direct cervical-collar area (the first treatment area);

1. b) forehead (the second treatment area);
2. c) projection of the adrenal glands (the third treatment area).

The first area is located on the back surface of the neck and partly on the back. That’s why such area resembles a collar.

The second area is located on the forehead.

The adrenal glands projections constitute the third area. This area is located in the point of crossing of a line passing down from the sharp scapula angle with the last rib (Fig. 4).

Fig. 4

First, treat the cervical-collar area and then the forehead and adrenal glands projection.

The device’s electrode should be applied vertically.

How to carry out ‘collar area’ TECHNIQUE in SDM

The manner to be observed while performing the technique in SDM is almost the same for Professional devices and Home devices.

The left and right sides of the first area should be treated separately; the line passing along the backbone spines is considered as a separating line.

Start treating on the left from the area locating in conjunction with the hairy part of the head. The long edge of the electrode should be set at distance of one centimeter from the backbone spines.

The treatment should be carried out by slowly moving the electrode firmly pressed to the skin. Avoid forming the ‘skin wave’ before the device.

The scheme of the electrode movement is given in Fig. 5.

Fig. 5

Repeat treatment until secondary signs appear but no more than five times. If secondary signs are detected, treat areas of their manifestation as specified in section 2.4 hereof.

Treat the right side in the similar manner.

Then, select the most pronounced sign among all secondary signs detected on the left and right sides and treat that area additionally as specified in section 2.4 hereof.

The forehead is the next area to be treated.

Warning! Reduce power to minimum before treating the forehead areas and then increase the power level smoothly to reach its comfortable level. The power level should be selected on the side surface of the neck.

Do not take off the electrode while treating the forehead but set it in sequence on skin areas in the order specified in Fig. 5. Each setting lasts 1 minute.

Treat the secondary sign areas on each side of the forehead additionally as specified in section 2.4 hereof.

Treat the area of the adrenal glands projection by moving the electrode for short distance. First on the left, then on the right.

Select the power level before treatment.

Treat the secondary sign areas additionally as specified in section 2.4 hereof.

How to carry out ‘collar area’ TECHNIQUE in IDM

The areas should be treated in IDM in sequence by moving the electrode in the order specified in Fig. 4.

If using Home devices, set IDM. (LED ‘D’ is switched on, see Operating Manual).

Each position should be treated till a completed dose, i.e. when all four LEDs are switched on and a sound signal beeps (see Operating Manual).

The secondary sign areas should be detected according the longest time period required to obtain a completed dose. The area with the longest dose period should be considered as the most active (a small asymmetry area). If some areas are detected with almost equal maximum time periods required to obtain a completed dose, the area which is located above all other areas should be selected.

The most active areas (small asymmetry areas) on the left and on the right should be treated three times in sequence till a completed dose.

The area where the treatment till a completed dose takes more time should be treated additionally, three times in sequence till a completed dose with the frequency modulation mode (the oscillating frequency) switched on.

Then, continue the session on the forehead.

At distance being equal to the electrode width from the center line of the forehead – make tree settings to the temple on the left and three settings to the temple on the right. Determine the most active areas on the left and on the right and treat them additionally three times in sequence till a completed dose.

The area on which the treatment till a completed dose requires more time should be treated three times in sequence till a completed dose and the frequency modulation mode (the oscillating frequency) should be switched on.

The area of the adrenal glands projection is located in the point of crossing of a line passing down from the sharp scapula edge with the last rib.

Treat the left and the right areas till a completed dose.

If using devices of Professional series in IDM, treat the areas in sequence as specified in Fig. 4. The actions should be taken in the same order as has been observed to carry out ‘3 pathways’ technique, the most active areas should be treated in sequence till a completed dose, zero and finish the treatment of the most active area in ‘FMVar’ mode.

The left and the right part should be treated independently, i.e. the most active areas of the left and the right part should not be compared.

The last electrode setting in all three areas should be always treated till a completed dose.

Treatment areas

This technique includes two treatment areas. The first area is three pathways. i.e. three tracks or lines one of which is going along the backbone and other two lines goes in parallel of it on the right and on the left. The first pathway passes along the backbone spines, from the 7^th cervical vertebra to the coccyx, then it continues from the hairy part of the head to the 7^th cervical vertebra. Patient should be sitting while being treated. If this position is not comfortable for a patient, a session can be given when he or she is lying on the bed.

The electrode should be applied along the backbone spines during a session.

The second and the third pathways are located in parallel to the first one, on the left and on the right from it at the distance of 2-2.5 сm from the line passing along the spines (see Fig. 1).

Fig. 1

The second area is called ‘six points’. These points are trigeminal nerve exit points on the face.

Fig. 2

How to carry out ‘Three PAthways, six points’ technique in SDM

The manner to be observed while carrying out this technique in SDM is almost the same for
Professional devices and Home devices.

The pathways should be treated by slowly moving the electrode, firmly pressing it to the skin.

Prior to a session you should define where the seventh cervical vertebra is located: this is the most expressed vertebra in the lower part of the neck, when the head is inclined forward.

Apply the electrode below the seventh cervical vertebra and move it slowly down along the backbone spines. After the coccyx is reached, apply the electrode below the hairy part of the head and continue moving down. Finish moving just above the seventh cervical vertebra.

Repeat the treatment until the secondary signs appear but not more than 5 times.

If secondary signs are detected, treat them as specified in section 2.4 of the Instruction.

Treat the second and the third pathway in the similar manner.

Then, select the most pronounced sign among all secondary signs detected on the second and third tracks and treat this area additionally as specified in section 2.4 of the Instruction.

Warning! Reduce power to minimum before treating the face. Then, set the electrode on the side surface of the neck and increase the power level smoothly to reach its comfortable level. Then, you can start treating six points.

‘Six points’ should be treated in a stable manner in the order specified in Fig. 2, one minute per point. If secondary signs areas are detected, treat them additionally as specified in section 2.4 hereof.

‘Tree PATHways, six points’ in IDM

The pathways should be treated in IDM by sequentially applying the electrode from top to bottom, from the seventh cervical vertebra to the coccyx, and then from the hairy part of the head to the seventh cervical vertebra in the order specified in Fig. 1.

If using a Home device, set the IDM (LED ‘D’ is switched on, see Operating Manual).

Each position should be treated till a completed dose, i.e. when all four LEDs are switched on and a sound signal beeps (see Operating Manual).

The secondary sign areas should be detected by the longest time period required to obtain a completed dose. The area with the longest treatment period should be considered as the most active (asymmetry).

If the maximum periods required to obtain a completed dose are almost equal in some areas, select the area which is located above all others.

The active area detected on the first pathway should be treated three times in sequence till a completed dose.

Then, treat the second and third pathways in the order specified in Fig. 1.

Detect the most active areas on the second and the third pathways and treat them three times in sequence till a completed dose.

Select the most active area among three active areas on three pathways (according to the maximum time period required to receive a completed dose) and treat it additionally three times till a completed dose with the frequency modulation mode switched on (the oscillating frequency).

Warning! Reduce power to minimum before treating areas on the face and then increase the power level smoothly to reach its comfortable level (see Operating Manual). A power level should be adjusted on the side of the neck.

Treat each area on the face till a completed dose in the order specified in Fig. 2.

Treat the area with the maximum period taken to receive a completed dose in the first passing additionally, three times in sequence till a completed dose.

If using devices of Professional devices series in IDM when performing the ‘3 pathways, 6 points’ technique, take the following actions:

Set the device in IDM (see Operating Manual). Search for secondary sign areas using the initial reaction (IR) value.

Apply the electrode on the first area and treat till IR is obtained. Then apply the electrode on the next area and also treat it till IR is obtained. Compare IR values with each other.

Treat the area on which the IR value was 4 units or more till a completed dose (‘*’ signal is shown on the device display and a sound signal beeps. See Operating Manual).

Fix (write down) the current reaction value while completing a dose.

Then treat the next area till IR is obtained and compare it with the previous value of IR. Treat the area on which the IR value was 4 units or more again till a completed dose.

Fix the current reaction value while finishing a completed dose. Select the biggest value from two values of the current reaction while completing a dose and treat the area with the biggest value till zero (‘@’ sign is shown on the device display and a sound signal beeps). Fix the current reaction value while finishing a completed zero.

Select the next area which requires to be treated till zero in the similar manner by moving the device from one position to another and fix the current reaction value while finishing a completed zero.

Select the area with the maximum value of the current reaction among all areas which have been treated till a completed zero and then treat it in ‘FMVaR’ mode for two minutes (Fig. 3).

If IRs in all adjoining areas differs from each other for not more than 3 units and an IR value in the last area is equal to or less than four units, the treatment should be carried out in the previous position till a completed dose and the current reaction dose value should be fixed. Then continue applying the electrode in various positions and evaluate IR.

After all four areas are treated till a completed zero, two areas can be detected and each of them should be treated in ‘FMVaR’ mode. In that case, the area with the biggest value of the current reaction while being treated till a completed zero should be treated in ‘FMVaR’ mode during 3 minutes.

Fig. 3

If no difference between the IR values is detected by more than four units along all the lines of ‘3 pathways’, the treatment should be carried out in the last position till a completed dose.