ELITE NS

• Use of pacemakers or other electronic implants.
• Pregnancy
• Thrombophlebitis

Precautions

• Oncological patient:
  • Cured patient. Can be treated.
  • Active tumour. Avoid tumour and regional ganglions.
  • During oncological treatment. Refer to the oncologist.
• Infections: do not treat the involved area.
• Anticoagulant medication: ask the doctor in charge.
• Impaired cognition. Apply less output power, close attention to skin colour changes and skin palpation by the therapist to control the local heat.
• Impaired sensation: Apply less output power, close attention to skin colour changes and skin palpation by the therapist to control the local heat.
• Wounds and burns: Work under aseptic conditions and under subthermal mode.

Side effects

After treatment, it is normal for clients to feel a warm sensation in the treatment zone. The client may also notice some temporary discomfort in this zone. On rare occasions, the application of INDIBA® PROIONIC® Creams may cause mild skin irritation.

TECHNOLOGY

How does INDIBA therapy work?
INDIBA uses an electromagnetic current that is sent to the body through electrodes at a radiofrequency of 448 kHz. This energy current gradually raises the temperature of the treated tissue. This increase leads to the body’s natural regeneration, repair, and defense responses. Through the power frequency of 448 kHz, other effects can also be achieved without warming up the body’s tissues, such as biostimulation.

Why 448 kHz?
INDIBA is investing a lot of resources into the research of its technology, in order to guarantee the best results. During this process, a team from the recognized Spanish University Hospital Ramón y Cajal in Madrid (Dr. Úbeda and his team) have been studying what happens to the body’s cells when INDIBA is applied. They have discovered that the 448 kHz frequency of INDIBA is effective at stimulating stem cells to proliferate and differentiate, and that normal, healthy cells are not affected in the process. Tests were also performed on certain types of cancer cells in vitro, where it was found that the number of these cells decreased, but not the number of normal cells, making it a safe process to be used in humans and, therefore, also in animals.

Which are the main biological effects of INDIBA therapy?
Depending on the temperature reached, different effects are achieved:

• At non-heating intensities, due to the effect of the single 448 kHz current, biostimulation happens. This can help in the early stages of an injury by accelerating the body’s healing actions. It can also help relieve pain by speeding it through the inflammatory pathway.
• At moderate temperatures, the principal effect is vascularization, which makes the deep blood flow increase, providing more oxygen and nutrients for repair. Muscle spasms decrease and there is also a reduction in pain. Edema can be drastically reduced.
• At high temperatures, there is a hyperactivation effect, making both the volume and intensity of deep blood flow increase (Kumaran & Watson 2017). In beauty, high tissue temperature can reduce wrinkles and fine lines, as well as the look of cellulite (Kumaran & Watson 2017). In beauty, the high tissue temperature can reduce wrinkles and fine lines, as well as the appearance of cellulite.

What is INDIBA used for?
INDIBA technology can be applied in rehabilitation and physiotherapy treatments, and for pelvic health, aesthetic medicine, beauty, and animal health. According to their specific purpose, the equipment has been designed to suit the needs of each professional. They can recommend INDIBA treatments, if they believe they will be effective in your situation.

Do I have to be a professional to use INDIBA?
Yes, it is necessary to be certified to receive INDIBA equipment and to take specific training.

How many INDIBA therapy sessions are needed?
This depends on the type of treatment. Chronic pathologies usually need more sessions than acute ones. It can range from 2 or 3, to many more. Ask your health professional for more information.

Is there a limit on the number of INDIBA therapy sessions?
There is no limit. The number of sessions will depend on the disease or condition to be treated and its severity. Your doctor may recommend follow-up treatments to prolong the results if you suffer from chronic conditions or if you wish to enjoy longer-lasting effects.

How often can INDIBA treatments be performed?
There is no restriction, but the amount will depend on the type, severity, condition and progress of the patient. In the early stages, this may be very frequent. In most cases, it is 1 to 3 sessions per week; in professional sports, it can be twice a day! This is different in aesthetic therapy.

Is INDIBA therapy painful?
No, in fact, it is a pleasant experience. If you feel any discomfort, you should immediately inform your health professional who is applying the treatment to you.

Are there any side effects as a result of INDIBA therapy?
INDIBA therapy is harmless to the body. Nevertheless, you may experience a slight reddening that will fade rather quickly and/or a brief tingling of the skin when it is very delicate or when very high temperatures are reached. Your health professional will tell you everything you need to know about it.

What are the main contraindications for INDIBA therapy?

• Pacemakers or other types of electronic implants
• Pregnancy
• Thrombophlebitis

Devices working at 448 kHz are not restricted for metal implants (hip and knee prostheses, metal pins and plates).

What are the precautions to be taken when using INDIBA?
If you are taking anticoagulant or oncological medication, check with your doctor first to see if it is possible to apply INDIBA. If he/she gives you permission, inform your health professional, so that the treatment can be adapted.
If you have any of the following pathologies or disorders, please inform your health professional before the session, so that he/she can evaluate and adapt the treatment:

• Active infections
• Altered cognition
• Lack of sensation
• Recent wounds and burns
• Tumors

Can I receive INDIBA treatment if I have a metallic prosthesis?
Yes, the presence of a metal prosthesis is not a medical contraindication for the treatment because the system does not heat the metal.

INTIMATE HEALTH

Can I be treated if I have an intrauterine device (IUD)?
If you have a metallic IUD, a power of 448 kHz is not contraindicated. In case of a hormonal IUD, direct and sustained hyperthermia in the uterus must be controlled because it may reduce the efficacy of contraceptive protection.

Can I be treated with INDIBA if I am underdoing hormonal therapies?
Yes, INDIBA is not contraindicated if you are on hormonal treatment. Please ask your healthcare professional for advice.

Can I receive INDIBA during my period?
Yes, menstruation is not a contraindication in any case. The health professional can apply any treatment to a woman during her period. If she feels comfortable, there is no problem.
INDIBA therapy is completely safe because it does not affect the hormonal cycle directly. As there is an increase in metabolism because of the current effect, it may be the case that the period is heavier on the day of treatment. If you do not feel comfortable receiving treatment at the perineal level (extra or intracavitary), please inform your health care professional to address the situation differently.

Can an INDIBA procedure affect a transvaginal mesh?
Having a transvaginal mesh is not a contraindication, if you do not have any complications or symptoms directly related to the use of this material. Ask your healthcare professional for advice.

Is INDIBA suitable for menopausal women?
Yes, INDIBA can treat the dryness and itching associated with menopause by helping to restore the vaginal mucosa. Ask your health care professional for advice.

If I am pregnant, can I receive INDIBA treatment?
No, it is an absolute contraindication to receive INDIBA treatment at any stage of pregnancy, even if the procedure is not applied to the abdominal area. If you are pregnant, please inform your health professional.

Can I be treated with an implanted electronic device (such as neobladder implants or electrodes for neuromodulation of pain)?
No, this is an absolute contraindication. We can only work with removable electronic implants, so if the patient cannot remove or switch off the device, it is a condition that excludes INDIBA treatment.

Can I exercise after INDIBA therapy?
If high temperatures have been used on the injured area during treatment, you should avoid any excessive training that day. The area should be kept at “semi-rest”. The analgesic effect is very strong and you may place too much pressure on the injured area without even noticing.

Does the intracavitary electrode cause any pain during an INDIBA treatment?
Not at all. In some cases, the patient may feel uncomfortable during the procedure of electrode insertion or removal; this depends on the distensibility of the area to be treated. The healthcare professional will analyze any concerns you may have and must have your consent before any internal/external examination or treatment is made.
The patient may sometimes be asked to use the pelvic floor muscle as he or she is being treated and notices an increase in thermal sensation. This is completely normal, just let your healthcare professional know so that they can set the intensity.
The intracavitary electrode does not need to be used in all pelvic floor treatments. Based on the patient’s pathology, the professional will decide the most efficient method of treatment and, therefore, the type of electrode to be used.

Aesthetic Medicine, Surgery and Dermatology

Can I be treated with botulinum toxin on the face?
There is a specific protocol for combined treatments where it is defined how long after the botulinum toxin you should wait to apply INDIBA. Check with your professional.

Can I be treated with deep peels, microdermabrasion, laser, IPL, etc.?
Yes, as long as there is no extreme sensitivity induced by the other treatment techniques and the skin has returned to its natural state. Ask your health professional for more information.

Can I use INDIBA with thread lifts?
A thread lift is not a contraindication for the use of INDIBA. There are specific protocols to guarantee the results and safety of the application of tensor threads.

Can I receive INDIBA following a micro-needling session?
Yes, INDIBA can be used in conjunction with micro-needling sessions. It is recommended to start INDIBA treatment the day before the micro-needling procedure and one week after.

Can INDIBA be used to treat scars?
Yes, INDIBA can help in the healing process and in the aesthetic recovery of old scars. Ask your health professional for advice.

Can I sunbathe before or after an INDIBA session?
Unlike other technologies, such as lasers, sunbathing is not restricted with radiofrequency therapy. However, if hyperthermia has been used, it is best to avoid exposure to the sun.

Can I wear make-up after a session?
Yes, you can apply make-up after a session. Your health professional may have a specific protocol by which he/she apply creams to your face after a session, so he/she could ask you not to do so. Please ask before your session.

Can I use INDIBA to lose weight?
No, however, INDIBA can be used as a body remodelling treatment because it supports lipolysis in fat deposits. It can help to show results more quickly in those who are working on getting into healthy habits regarding nutrition and exercise. Ask your health specialist for a healthy lifestyle plan.

Can I apply INDIBA after liposuction?
Yes, INDIBA can be used in the subthermia after surgery to reduce edema, hematoma, and pain associated with the procedure, as well as to produce a biostimulation effect and speed up recovery. After the acute stage, it can be applied to encourage skin tightening and reduce fibrosis.

Can INDIBA be used on breast implants?
Yes, INDIBA can be applied to breast implants immediately after surgery to reduce swelling and pain, and continue in non-acute stages to improve tissue healing and prevent implant encapsulation.

Is INDIBA useful for hair problems?
Yes, INDIBA can increase local blood flow to the scalp with positive effects on the hair cycle. It also has a biostimulatory effect that favors hair growth. Due to the time it takes for hair to grow, the treatments should be conducted over 2-3 month periods. There is no issue with combining INDIBA hair treatments with other pharmacological treatments, such as minoxidil.

Can I use INDIBA if I have a hair transplant?
INDIBA can be applied to prepare the tissue before receiving the transplant. After implantation, the treatment can be performed once there is a complete recovery.