NeuroCryoStimulation
(also known as hyperbaric gaseous cryotherapy)

Fine Touch Physio introduces NeuroCryoStimulation (NCS), a drug-free, non-invasive treatment for pain, inflammation, and musculoskeletal trauma, for both the acute and chronic phases.  It is used for helping with a faster recovery from sports and orthopedic injuries, such as it has been used in Europe, Australia, UK, and USA, for the last 15 years.   Its patented use has been approved for use in Canada, and will be featured at the 2010 Vancouver Olympics.

All equipment used in NeuroCryoStimulation is patented, and only the Cryonic Medical device can induce a ‘thermal shock’ effect for accelerated tissue cooling and healing.      




Thermal Shock

NeuroCryoStimulation is the stimulation of cutaneous (skin) receptors at very low temperatures, under high pressure, and by vibration from a jet of carbon dioxide microcrystals.  The physiological result is ‘thermal shock’, a rapid skin temperature drop from 32°C to about 2°C, triggering an immediate signal response from cutaneous neuroreceptors to the brain through the spinal cord.  A neurovegetative reflex occurs, triggering the healing process that will assist a rapid recovery.  Thermal shock can be achieved in 30-60 seconds, as the device delivers a cold intensity of -78°C (pressure = 50bar) from a distance of 8cm away from the skin, resulting in a skin-contact spray of -7°C (1bar), and sound waves of 400Hz.

The three types of cutaneous neuroreceptors, found within the top 5mm of the skin, which react to thermal shock are:

  • Nociceptors (react to pain)
  • Ruffini/Krause neuroreceptors (react to heat/cold)
  • Pacini neuroreceptors (react to atmospheric pressure and vibration from sound waves)

Physiological Effects
  • Analgesic – pain relief lasting up to 4 hours.
  • Anti-inflammatory – controls and reduces tissue inflammation response.
  • Vasomotor – creates rapid constriction then dilation to drain the vascular system of substances causing pain, swelling, and inflammation.
  • Muscle relaxant – resulting from the above three effects, combined with the sound wave vibrations.

Benefits Acheived from Physiological Effects
  • Reduced recovery time.
  • Reduced use of anti-inflammatory medications.
  • Control of swelling and quick drainage of hematomas.
  • Increased movement post-surgery

Technique
It consists of a sweeping motion of the medical CO2 gas jet across the treatment area’s dry skin, creating microcrystals on the skin’s surface. For acute injuries, treatments may last 30-90 seconds, depending on the surface area, reaching thermal shock, and the sudden temperature reduction to 2-4°C. For chronic injuries, treatment times vary based on the patient’s sensitivity, feedback, and sensation of a burning feeling; often longer than acute treatments.

Properties of CO2

The use of carbon dioxide (CO2) gas, which is 99.99% pure, allows for dry cold, a more bearable sensation than wet cold, as the pain from cold is primarily caused by humidity.  As such, the patient suffers no discomfort even when the treatment immediately follows injury or surgery.  It can be used while treating a healing wound, sutures, or a fresh scar since CO2 gas also has bacteriostatic properties, inhibiting bacterial and fungal growth.


NCS Compared to Conventional Ice/Cold Compress

The normal skin surface temperature is 32°C. 

A conventional ice pack or cold compress cools the skin via conduction/contact, where there is a slow and regular cooling, as heat  exchanges from the warmer substance to the cooler substance.  This heat exchange occurs through the blood circulation close to the skin. It takes 20 minutes of ice contact to reduce the skin temperature to 1°C, and will return to normal temperature in approximately 40 minutes.

NeuroCryoStimulation cools the skin via convection and sublimation (substance goes straight from solid to gaseous state, without passing through liquid state) of carbon dioxide microcrystals on the skin.  The reaction occurs from the reflex type response of the central nervous system, resulting in a more effective vascular system drainage.   Treatments of 30-90 seconds result in a skin temperature of 2-4°C, and will return to normal temperature within 5 minutes.


Indications (acute and chronic examples)
  • Sprains
  • Strained, pulled, or torn muscle
  • Tendonitis
  • Tenosynovitis
  • Bursitis
  • Epicondylitis
  • Post-dislocation/subluxation
  • Edemas
  • Hematomas
  • Sciatica
  • Carpal tunnel syndrome
  • Arthritis
  • Heel spur, plantar fasciitis
  • Fibromyalgia
  • Osgood Schlatter (knee condition)
  • Post-surgical care:
    • Knee/shoulder prosthesis
    • Post-tendon ruptures

Contraindications
  • Raynaud’s syndrome
  • Cryoglobulinaemia
  • Cold allergy
  • Skin sensitivity disorders

References
The patented Cryonic Medical devices for NeuroCryoStimulation are well established in the European, Australian, United Kingdom, and Middle-East markets.   Since the technology is now licensed for use in Canada, the devices will be used at the Vancouver 2010 Winter Olympics.  Below is a short list of some high profile sports teams that use NeuroCryoStimulation.

  • Anaheim Ducks
  • Chicago White Sox
  • Los Angeles Dodgers
  • French National Football Team
  • Chelsea Football Club (UK)
  • Lawn Tennis Federation (Wimbledon, UK)
  • English Cricket Team
  • London Wasps (UK)
  • French Rugby Federation

For a more exhaustive list, see:


Clinical Studies

Cryonic Medical has gathered a large number of clinical and scientific observational studies to support the use of their NeuroCryoStimulation devices for pain relief, anti-inflammation, muscle relaxation, and a vasomotor reflex response to accelerate tissue healing.  Below is a list of some of the key clinical studies.


Additional Links