INDICATIONS FOR USE

Gebauer's Fluori-Methane is a topical anesthetic intended to treat restricted motion associated with myofascial pain caused by trigger points. It will also control pain associated with injections and provide temporary relief of minor sports injuries.

ADVERSE REACTIONS

Cutaneous sensitization may occur but appears to be extremely rare. Freezing can occasionally alter pigmentation.

CONTRAINDICATIONS

Fluori-Methane is contraindicated in individuals with a history of hypersensitivity to dichlorodifluoromethane and/or trichloromonofluoromethane. This product should not be used on patients having vascular impairment of the extremities.

For external use only. Contents under pressure. Store at controlled room temperature. Do not store above 120°F. Do not store on or near high frequency ultrasound equipment.

PRECAUTIONS

Avoid contact with eyes. Do not apply to the point of frost formation.

CAUTION:

Federal law restricts this device to sale by or on the order of a physician or other practitioner licensed by state law to use or order use of the device.

HOW SUPPLIED

3.5 fl. oz. (103 ml)

DIRECTIONS FOR USE

To apply Gebauer's Fluori-Methane, invert the bottle over the treatment area. Open the dispenseal valve completely, allowing the liquid to flow in a stream from the bottle.

1. TEMPORARY RELIEF OF MINOR SPORTS INJURIES:

The pain of bruises, contusions, swelling and minor sprains may be controlled with Fluori-Methane.

The amount of cooling depends on the dosage. Dosage varies with duration of application. The anesthetic effect of Gebauer's Fluori-Methane rarely lasts more than a few seconds to a minute. This time interval is usually sufficient to help reduce or relieve the initial trauma of the injury.

Spray the affected area from a distance of 3" to 9[Prime ] (8-23 cm) for 3 to 7 seconds until the skin just turns white. Avoid spraying the skin beyond this point.

2. PRE-INJECTION ANESTHESIA:

Prepare the syringe. Spray the target area with Gebauer's Fluori-Methane continuously for 3 to 7 seconds from a distance of 3" to 9[Prime ] (8-23 cm). Spray the area until the skin just turns white; do not frost the skin. Swab the target area with antiseptic and quickly introduce the needle with the skin taut.

3. SPRAY AND STRETCH TECHNIQUE FOR MYOFASCIAL PAIN:

Gebauer's Fluori-Methane may be used as a counterirritant in the management of myofascial pain, restricted motion and muscle tension. Clinical conditions that may respond to Gebauer's Fluori-Methane include low back pain (due to tight muscles), acute stiff neck, torticollis, acute bursitis of the shoulder, tight hamstrings, sprained ankle, tight masseter muscles, certain types of headache and referred pain due to irritated trigger joints. Relief of pain facilitates early mobilization and the restoration of muscle function.

The Spray and Stretch technique is a therapeutic system involving three stages:

EVALUATION, SPRAYING AND STRETCHING:

The therapeutic value of Spray and Stretch becomes most effective when the practitioner has mastered all stages and applies them in the proper sequence.

a. Evaluation

If the patient has been evaluated to have pain caused by an active, irritated trigger point, then proceed as follows:

b. Spraying

  1. Have the patient assume a comfortable position.
  2. Take precautions to cover the patient' eyes, nose and mouth if spraying near the face.
  3. Invert the bottle and open the dispenseal valve. From a distance of approximately 12" to 18[Prime ] (30-46 cm), aim the jet stream so that it meets the skin at an acute angle to lessen the shock of impact.
  4. Direct the spray in parallel sweeps 1.5 to 2 cm apart at the rate of approximately 4 in/sec (10cm/sec). Continue until the entire muscle has been covered. The number of sweeps is determined by the size of the muscle. The spray should be applied from the muscle attachment over the trigger point through and over the reference zone.

c. Stretching

Passively stretch the muscle during the spray application. Gradually increase the force with successive sweeps. As the muscle relaxes, smoothly take up the slack by establishing a new stretch length. It is necessary to reach the full normal length of the muscle to completely inactivate the trigger point and relieve the pain.

Rewarm the muscle. If necessary, repeat the procedure. Apply moist heat for 10 to 15 minutes following the treatment.

For lasting benefit, eliminate any factors that perpetuate the trigger mechanism.

NOTE: The indented statement below is required by the Federal Government's Clean Air Act for all products containing or manufactured with chlorofluorocarbons (CFCs):

Warning: Contains Dichlorodifluoromethane and Trichloromonofluoromethane, substances which harm public health and environment by destroying ozone in the upper atmosphere.

Your physician has determined that this product is likely to help your personal health. USE THIS PRODUCT AS DIRECTED UNLESS INSTRUCTED TO DO OTHERWISE BY YOUR PHYSICIAN. If you have any questions about alternatives, consult with your physician.

Manufactured by:

Gebauer Company

Cleveland, OH 44104

800-321-9348                                       Rev. 8/00

www.gebauerco.com                                 © 2000