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A grade III or IV pulley injury, especially with bowstringing, may need a hand specialist and sometimes surgery

The regulations at 42 CFR 424.24(c) require that a physician, nurse practitioner (NP), physician assistant (PA), or clinical nurse specialist (CNS) who has knowledge of the case sign the initial certification for the patient's plan of treatment

CoolTone induces muscle contractions to enhance muscle function and may, therefore, be considered a method of muscle training Relaxation of muscle spasms, preventing or slowing muscle weakness due to lack of use, increasing blood flow to a specific area, retraining muscles, and maintaining or increasing the range of motion Use under medical supervision with other therapies for treating certain medical diseases and conditions Stimulating leg muscles for rehabilitation therapy Important Safety Information The CoolTone procedure is not suitable for everyone