Intended use:

To improve mobility of the small joints of hand, foot and ankle, help muscle stretching, help to support muscle tissue, soothe local pain and pain due to movement.

MD-SMALL JOINTS is a medical device finalized to help movement by limiting a physiological degeneration of joints and tissues as well as by counterbalancing any damage caused by:

• aging
• bad posture
• concomitant chronic diseases
• blows and injuries

 

MD-SMALL JOINTS is a medical device finalized to help movement of small joints, such as foot and hands, ankle. Its main therapeutic functions include:

1. a barrier effect
2. a lubricating activity
3. a mechanical support while administering other pharmacological treatments

 

MD-SMALL JOINTS is a medical device intended to be used by a qualified staff in private or public health facilities.

 

Directions for use

Treatment protocol;

1 treatment a week for 10 weeks.

• Periarticular technique:

the site of application must be sterile; insert the needle at a 2-4 mm depth

 For this purpose the use of the following materials and accessories is recommended:

• Materials for aseptic skin preparation: sterile gloves, Iodine solution, Alcohol solution, sterile gauze pads, Ethyl chloride spray for the skin.
• Needles: Sterile 27 G.
• Syringes: 5 or 10 cc size, according to the volume of the solution to inject.

Intraarticular technique:

For this purpose the use of the following materials and accessories is recommended:

• Materials for aseptic skin preparation: sterile gloves, Iodine solution, Alcohol solution, sterile gauze pads, Ethyl chloride spray for skin.
• The application of a topical anaesthetic on the skin area to be treated is recommended.
• Needles: Sterile 22 G.
• Syringes: 5 or 10 cc size, according to the volume of the solution to inject.

 Foot joints can be treated via intraarticular s in the ankle. This treatment can be also applied to the ankle joint.

For medial and lateral approach, the foot is first placed at about a 45-degree angle of plantar flexion.

 

Contraindications / Side effects

There is no history of hypersensitivity to MD-SMALL JOINTS. However, patients with a recognized hypersensitivity to any ingredient or excipient should be tested before use, making a spot into one arm and be monitored for 1 hour.

 

Performance

MD-SMALL JOINTS may be used as a single treatment or mixed with other medical devices of the same range, in order to make a customized treatment according to clinical evolution.

When a supportive treatment is needed for acute pain, MD-SMALL JOINTS can be associated with MD-NEURAL, MD-POLY and MD-MUSCLE (together with one or more than one of these).

Moreover, when a supportive treatment is needed for the connective tissue matrix or when the physiological aging process should be slowed down, MD-SMALL JOINTS can be associated with MD-MATRIX and MD-TISSUE.

It may also be used as a mechanical support while treating the following diseases:

• Osteoarthritis of fingers pain
• Rhizoarthrosis of the thumb (Forestier disease)
• Arthrosis pain due to hammer toe
• Carpal-tunnel syndrome (in association with MD-NEURAL)
• De Quervain disease (in association with MD-NEURAL)
• Metatarsal pain
• Metatarsal pain accompanied by Morton’s neuroma (in association with MD-NEURAL)
• Rheumatoid arthritis of hand/foot (in association with MD-POLY)
• Hand/Foot tendon pain due to prolonged immobilization.

Instructions in case of damage to the sterile vials / ampoules

Do not use if the seal is open or if the vial/ampoule is not perfectly sealed.

Once open, the vial/ampoule must be immediately injected. Do not use if the package is damaged.          

 

Warnings and precautions

Hand/Foot and small joints pain requires differential diagnosis for primary nerve pain, post-traumatic pain, secondary pain due to present or previous bone fractures.

A slight reddening at the site may be due to a mechanical effect of the needle or to a skin superficial reaction.

Skin cleansing/disinfection is required before and after application. Saprophytic bacteria may produce site abscesses.

KEEP AWAY FROM THE REACH AND THE SIGHT OF CHILDREN.

Do not use after the expiration date. The expiration date refers to the product properly stored in an unopened package. Use the product immediately after opening the package.