MD-NEURAL

MD-NEURAL is an injectable class III medical device:
- Treatment can be combined with other therapies.
- It improves mobility and reduces associated neuropathic and muscular pain.
- Counteracts physiological or pathological joint deterioration.
- With action to restructure the perinervum.
- It can be combined with other treatments.

- GUNA S.P.A.
- NAME: MD-NEURAL
- COMPOSITION: Collagen of porcine origin, Citrullus colocynthis, Sodium chloride, Water for injection.
- PRESENTATION: 10 x 2ml.
- INDICATIONS: Improves joint mobility and reduces painful symptoms from postural vices.
- INJECTION DEPTH: Peri-articular: 26G x 13 mm needle; intra-muscular: 26G x 13 mm needle.
Note: Carry out thorough skin disinfection with iodopovidone or chlorhexidine.
Peri-articular route: introduce the needle close to the joint at a depth of 6-13 mm.
Intra-muscularly: introduce the needle into the trigger points at a depth of 5-8 mm.
- PROTOCOL: 1 treatment per week: injection into the trigger points and/or peri-articular area of one (2 ml) or two vials (4 ml) per treatment.
Results already evident from the third week but, depending on the patient's clinical situation, treatment can be continued up to the tenth week without risk.
- USE: Strict medical use.

- Vials: 10 x 2ml.

Nerve tissue and peri-articular areas.

Collagen of porcine origin, Citrullus colocynthis, Sodium chloride, Water for injection.

- The product should only be injected by trained operators, in a suitable environment, using aseptic technique.
- Injection test in patients with suspected hypersensitivity: if there is a history of allergic reactions, a preliminary intradermal/injective test and observation of the patient for at least 1 hour is recommended.
- Avoid immediate exercise/prolonged mobilisation of the treated area unless indicated.
- Do not extend treatment beyond 10 weeks unless clinically assessed; follow protocols indicated by the manufacturer.
- Do not use after the expiry date; use immediately after opening; do not use if the bottle is damaged.

MD-NEURAL is contraindicated in the following cases:
- Known hypersensitivity to components (e.g. collagen of porcine origin or other excipients).
- Septic processes or active local/articular infections: do not inject into infected areas or in the presence of an ongoing joint infection.

Scientific evidence shows the efficacy and safety of MD-NEURAL in cases of:
- Morton's Neuroma
- Neuralgia:
- from prolonged lactation
- from ageing phenomena
- from postural defects
- by concomitant chronic diseases
- from trauma and injuries.
- Associated neuropathic pain due to various causes, such as:
- lumbar spine instability from degenerative spondylolisthesis
- herniated disc in the lumbar or lumbo-sacral vertebrae
- non-specific low back pain
- facial nerve palsy.