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Placement of electrodes

for
IFT
By
Prof Subin Solomen

Prof Subin solomen MPT Manipal


Placement of electrodes
• Most common Placement is
• Painful area method than spinal nerve root
placement

Prof Subin solomen MPT Manipal


Painful area placement

Pain Description- Acute pain


Localised to one side

Prof Subin solomen MPT Manipal


Acute pain

Triangular
Base 80, Spectrum 100 Hz
OR
Base 41 , Spectrum 60 Hz
Rectangular
Base 42,Spectrum 100 Hz

Prof Subin solomen MPT Manipal


Painful area placement

Pain Description- Chronic pain


Localised to one side

Prof Subin solomen MPT Manipal


Chronic Pain
Triangular
Base 26, Spectrum 39 Hz
OR
Base 1 spectrum 10 HZ
OR
Base 16 spectrum 26
Rectangular
Base 5, Spectrum 30 Hz
or
Base 5, spectrum 20 Hz
or
Base 20, spectrum 30Hz
Trapezoidal
Base 5, Spectrum 30 Hz

Prof Subin solomen MPT Manipal


Painful area placement

Pain on both side of the spine

Prof Subin solomen MPT Manipal


Painful area placement

Placement same for Acute & Chronic Pain

Prof Subin solomen MPT Manipal


Radiating Back pain-acute

• Option I:

Prof Subin solomen MPT Manipal


Radiating Back pain-acute

• Option 2:

Prof Subin solomen MPT Manipal


Spinal root placement

Quadripolar method- Used only in case of pain on


either side of spine
Bipolar method- used when pain localizes to one
side

Prof Subin solomen MPT Manipal


Spinal root placement

Prof Subin solomen MPT Manipal


Electrode placement in sciatica

Prof Subin solomen MPT Manipal


IFT settings
• For Paraesthesia & • Use of Vector
numbness – No Vector if it is
– Keep above 100 Hz Localized
– 45 degree large area
– 90 degree diffused or
cannot be localized

Prof Subin solomen MPT Manipal

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