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ionto w/ saline for scar
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ionto w/ saline for scar - November 7, 2001 4:18:00 AM
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lesliediamond
Posts: 1
Joined: November 6, 2001
Status: offline
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anyone use ionto w/ saline for scar? I have w/ one pt, using the neg pole, and it has helped so far. have heard others say that it doesnt matter which electrode you use....any thoughts? Anyone know the polarity of saline? If you have used it, is there a limit on the number of treatments that can be safely used?
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Re: ionto w/ saline for scar - November 7, 2001 6:22:00 AM
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Andrew M. Ball MS MBA PT
Posts: 271
Joined: September 30, 2001
From: Chapel Hill
Status: offline
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The search string:
Iontophoresis AND Saline AND scar
generated 0 hits in MEDLINE
As a result, the experimental technique of using of saline iontophoresis for scar management should not, in my opinion, be used in clinical practice unless the therapist is trying to generate data to publish a case study on the subject. It certainly shouldn't be billed to insurance or to the patient. The question of which pole should be used for delivery is therefore a moot point (but should be the subject of a clinical case study).
Iontophoresis and scar generated 11 hits, among them were:
Schmidt JB, et al. Tretinoin-iontophoresis in atrophic acne scars. Int J Dermatol. 1999 Feb;38(2):149-53.
Shigeki S, et al. Treatment of keloid and hypertrophic scars by iontophoretic transdermal delivery of tranilast. Scand J Plast Reconstr Surg Hand Surg. 1997 Jun;31(2):151-8.
Schmidt JB, Binder M, Macheiner W, Bieglmayer C. New treatment of atrophic acne scars by iontophoresis with estriol and tretinoin. Int J Dermatol 1995 Jan;34(1):53-7
Tannenbaum M. Iodine iontophoresis in reducing scar tissue.Phys Ther 1980 Jun;60(6):792
Were I auditing your records, I'd have to wonder why you chose to use saline, which has no documented benefit for your patient, in lieu of Tretinoin, Tranilast (N-(3,4-dimethoxycinnamoyl) anthranilic acid) , estriol which has been demonstrated to be effective for at least some specific types of scars.
Drew
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