GUNA MD SMALL JOINTS 10X2.0ML

MD-SMALL JOINTS is a medical device that improves the range of motion of small joints, such as the joints in the FOOT, HAND and ANKLE.
MD-SMALL JOINTS injections may only be administered by qualified personnel in private and public medical facilities in order to:

Indications
MD-SMALL JOINTS can be used alone or in combination with other medical devices in the same series, in order to adapt the treatment to the clinical situation.


If maintenance treatment is required for acute pain, MD-SMALL JOINTS can be given in combination with MD-NEURAL, MD-POLY and MD-MUSCLE (concomitantly). In addition, if it is necessary to support the connective tissue matrix or when the physiological ageing process is sought, MD-SMALL JOINTS can be administered in combination with MD-MATRIX and MD-TISSUE.


The product can also be used as a mechanical support in the treatment of the following diseases:

• Degenerative disease of the interphalangeal joints of the hand
• Degenerative changes in the metacarpal joint of the thumb
• Pain associated with degenerative disease in the hammer finger
• Carpal tunnel syndrome (in combination with MD-NEURAL)
• De Quervain syndrome (in combination with MD-NEURAL)
• Metatarsal pain
• Metatarsal pain with concomitant Morton's neuroma (in combination with MD-NEURAL)
• Rheumatoid arthritis of the hand/foot (in combination with MD-POLY)
• Hand/foot tendon pain caused by prolonged immobilization
   

The administration regimen may vary, depending on individual needs


How to use
Treatment protocol: 1 treatment once a week for 10 weeks.
Periarticular injection method: (the injection site must be sterile; insert the needle to a depth of 2-4 mm).
For this purpose, it is recommended to use the following materials and instruments:
Materials for aseptic skin surface preparation: sterile gloves, iodine solution, alcohol solution, sterile gauze pads, ethyl chloride spray for skin
Needles: sterile 27 g
Syringes: 5 or 10 ml size, depending on the volume of solution to be injected


Intra-articular injection method:
For this purpose, it is recommended to use the following materials and instruments:
Materials for aseptic skin surface preparation: sterile gloves, iodine solution, alcohol solution, sterile gauze pads, ethyl chloride skin spray.

It is recommended to apply local anesthesia to the skin in the area where the procedure is performed.
Needles: sterile 22 g
Syringes: 2 ml size, according to the volume of the solution for injection

Ankle joint – intraarticular injection method:
Foot joints can be treated by using intraarticular injections in the ankle area. The preparation can also be administered directly into the ankle joint.

For the medial and lateral approaches, the foot is first positioned at a 45° angle in the plantar fold.


Contraindications
No cases of hypersensitivity to MD-SMALL JOINTS have been observed. However, patients who have been observed to be hypersensitive to any of the ingredients of the product should be subjected to an allergy test of 0.1 ml of the product in the forearm or arm area prior to use, and should then be observed for 1 hour.


Warnings and Precautions

Hand/foot and small joint pain requires differential diagnosis to detect possible primary neurogenic pain, post-traumatic pain, secondary pain caused by current or past bone fractures.
A slight redness in the puncture area may be due to the mechanical effect of needle insertion or to a skin reaction.
Administration of the preparation may cause symptoms such as burning/pain at the injection site, which usually disappear spontaneously within 5-10 minutes after the procedure.
Cleansing and disinfection of the skin are necessary before and after the administration of the preparation. Saprophytic bacteria can cause an abscess to form at the injection site.

 
Shelf life and storage
Protect from sunlight and freezing.
Storage and use conditions: 2-30°C