1. Information for the Patient

Each patient should know that as long as he is alive, he is capable of fighting any disease himself.
The patient should understand his problem and have the desire to cope with it.
Remember! No one is able to solve your problem but you!
Having understood the problem the patient himself should substantiate the symptoms of his disease or
condition, with specific answers to the following questions:

a. What is the nature of your complaints (painful sensation, skin manifestations, affected muscle tone,
pathologic discharge, worsening of hearing or eyesight, etc.);
b.  What local area is affected (which part of the head, stomach, etc.);
c.  During which period of the day, or following what activities, does the intensity of the complaint
change (e.g. disappear, become stronger or weaker);
d. what is the degree of severity of the complaint, and what alters it;
e. How does the nature and localization of the complaint change during treatment (disappearance of
pain, sensation of inner warmth, fornication, etc.).
f. It is very important to determine the one complaint which causes the most trouble. Which complaint
is the one which will motivate you to use begin using the device?

In the course of treatment, the localization and nature of complaints will change, even within the space
of several minutes or during a session. This indicates that the self-regulating abilities of the body are
recovering.
It is possible that complaints may temporarily intensify. Do not be concerned at this, but continue to
use the device in the correct manner to treat the main current compliant. This is a good indicator of
the body’s ability to actively fight disease. The body itself indicates where additional help is needed.
It is very important to record the dynamics (development or change) of complaints and share your
observations with the operator.
Though circumstances for each individual may vary, it is possible that with correct treatment, your
complaints may disappear permanently.

2. Reminder to Operator

In order to upgrade qualifications, improve skills and achieve maximum efficiency in use of DENS
therapy devices, it is recommended to regularly contact Barb at www.DenasAmerica.com with any
questions you may have.
Prior to commencing any session, prepare the electrodes of the device according to the instructions
provided.
It is essential that proper sanitary and hygienic requirements are adhered to (wash hands, equipment,
etc.).
Whilst applying the device, only treat skin that is bare and dry (exceptions are possible, for example,
treating a drowned person).
Apply the electrodes onto the skin evenly, firmly and without pressure. The central and at least one of
the side electrodes should be in continual contact with the skin surface.
Remember that each patient has his own threshold of sensitivity.
For efficient treatment with the device, adhere to the principle that selecting a minimum number of
treatment zones is usually sufficient.

3. Device’s Modes of Operation

There are two modes of operation of the DENS-therapy device, which should be combined and
alternated

“MED” Mode

While operating under this mode(Minumum Effective Dose, due to the availability of “biological”
feedback the body itself regulates the required duration of device performance.

A visible and audible signal is then produced upon completion of the required exposure.

While operating under the Dosed mode, the device electrodes should be applied on the required zone of
(only dry) skin. Electrodes should be applied to the next zone only after the ‘completion’ signal is
produced. Electrodes must not be moved along the skin while operating under the dosed mode
(otherwise the bio-feedback signal will be incorrect).

The Dosed mode is applied in order to reveal trigger (starting, pathogenic) zones and zones of
asymmetry. Use it at the skin location of the paired organ, or any part of the body, for complaints that
have an as yet unknown (non-localized) corresponding skin area.

“Therapy” Mode

Under the Constant mode, the devices function as transcutaneous electric neurostimulators (CHENS).

The duration of the sessions should be determined by an operator in compliance with the technique
described in the current manual.

Whilst operating under the Therapy mode, electrodes of the device can be stable as well as moved
along the skin surface with a speed of 1-2 cm per second.

The Therapy mode is suitable for localized complaints, for emergency aid, for therapeutic purposes and
for treatment of (especially Dose mode-revealed) trigger zones and zones of asymmetry.

When using the device to treat the same skin zone with different modes, always perform in this order:
first the Dosed mode, followed by the Therapy mode.

4. Level of Energy Influence of Device

Minimum Energy Level

When electrodes are applied to the skin, the patient will not experience any subjective sensations
(pain, pricking). This level is primarily used for operation under the Dosed mode and for treating
children.

Comfortable Energy Level

When electrodes are applied to the skin, the patient experiences slight non-irritating pricking. This
level can be used with Dosed mode operation, treating teenagers and adults, for emergency aid, for
therapeutic purposes and for treating revealed trigger zones and zones of asymmetry.

Maximum Energy Level

When electrodes are applied to the skin, the patient experiences pricked pain as from a low electric
discharge, which may be accompanied by spontaneous contraction of muscles located near the
electrodes. This level is suitable for use when higher pain levels are present, for emergency aid, or
when the patient is unconscious.

Important! It should be noted that:

the DENAS device at startup always defaults to the minimum energy level; and
the DENAS device has an LED scale indicating the power level which default is 0, which can be used to
assist the patient in comparing the degree of sensations experienced.