Dear MendMeShop,

When I use the knee Inferno wrap consistently it makes a difference. I need a knee replacement but because of my weight issues I can't get the surgery. The wrap gives me much relief. I also tore my rotator cuff and had major reconstructive surgery and 1 year of rehab. Over the years I have stiffness and the shoulder wrap has helped to maintain range of motion. In addition, I have the tortoise shell for the back and I can't say enough. It hits the whole back up to the neck. Wonderful. My sister has planter fasciitis she used the foot wrap consistently for several months, now she only needs to use periodically. I love and use all the products I have purchased and would recommend.

Rating: Five Star Rating

virginia jackson


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 

Dear MendMeShop,

Dear Mendmeshop, I would like to thank Mendmeshop for being such a blessing. I have always been a runner all my life and last November 2010 it finally caught up to me. I was in severe pain with my foot and I didn't understand why after further investigation I realized that I had tendonitis of my foot. I was devastated because the pain was almost unbearable at times. I could barely sit down or stand up for periods of time without being in excruciating pain. I never thought that I would be able to work out again, until finally, I discovered your shop. Needless to say that after using the inferno wrap and Night tread foot splint I am running again!!!! Every now and then I experience some discomfort with my foot after work out or whatever but that s understandable you guys are truly, truly, truly, a blessing thank you all and God Bless because I got my life back!

Rating: Five Star Rating

Emerrald Hutchison


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 


Bursitis Injury Facts Part 2:

Normally, bursa are flat and contain very little fluid. An injured bursa however, is swollen with fluid and not so flat anymore.


The most common bursitis injuries are:
Prepatellar Bursitis (housemaid's knee),
Superficial Infrapatellar Bursitis (clergyman's knee),
Trochanteric Bursitis (hip),
Olecranon Bursitis (student's elbow) and
Subacromial Bursitis (shoulder bursitis).


Deep Bursae separate bare areas of bone from overlapping muscles.
Superficial Bursae separate bare areas of bone from skin or tendons.


Deep Bursae develop in the womb.

Superficial Bursae develop within months to several years after birth.


Household names for various bursitis injuries include: Popeye's Elbow, Miner's Elbow, Weaver's Elbow, Housemaid's Knee, Hod-Carrier's Shoulders, Dustman's Shoulders, Student's Elbow, and Clergyman's Knee

 

Dear MendMeShop,

My ankle wraps (Inferno and Freezie) have done me good. I used to have pain so intense that I could not sleep. I still work and when I come home from work, I would be in such pain that I could not find a way to get comfortable or relax. I use my freeze wrap for fifteen minutes and my inferno wrap for another fifteen minutes and I can relax the rest of the night. I have also been getting a full night of sleep and wake up pain free. I shall continue to use the ankle wraps along with my (medication) and my stretching exercises, I'll be able to go on working until my retirement in three years. Thank you so much for making this product available to Achilles pain sufferers.

Rating: Five Star Rating

Felipe Martinez


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 

Dear MendMeShop,

I have been using the Inferno & Freezie Wraps since November,2012. I saw an orthopedic doctor after Thanksgiving and have been going to occupational therapy (3) days per week. I was told by my ortho doctor to continue to use the items that I had purchased from you (I brought them in on my initial visit with him). I am currently using the inferno wrap as soon as I wake up in the morning, then continue to do my daily wrist and arm exercises. I use the freezie wrap when I am finished. While working I use a tennis elbow brace and I am also using it while doing housework or other chores where I am using my arm alot. My arm is improving slowly as I am working (4) days a week as a chef for 12-14 hours per day. My ortho doctor told me that it would take some time to heal completely. I don't see him until the end of February (3 months since initial visit). So far I am seeing improvement in both pain management and flexibility. I believe the combination of therapy sessions and the use of your wrap treatments are the key to a successful treatment plan. I'll keep you informed of my progress. Thanks again for your help and guidance.

Rating: Five Star Rating

Nancy Georges


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 


Bursitis Injury Facts Part 3:


On occasion, bacteria can invade a bursa and cause an infection. An infected bursa is known as septic bursitis and can be life-threatening if left untreated. So make sure you see a physician!


Septic bursitis is most common in knee joints and elbow joints as the bursae in these locations are close to the skin and most susceptible to bacterial invasion.


It is not uncommon for bursitis to be misdiagnosed as arthritis.


Bursitis is best avoided by staying in shape, taking frequent breaks from repetitive or laborious tasks and cushioning joints if on them for long periods (ie. kneepads for gardening).


A Bursa can swell to a surprisingly large size. In cases of heavy swelling, your physician may choose to drain fluid from the swollen bursa. If a lump is present in chronic bursitis cases, excision may be required.


Clergyman's Knee comes from a more upright posture when kneeling in comparison to Housemaid's Knee. Patients suffering from gout or syphilis can be at higher risk of contracting Clergyman's Knee.

 

Our Experienced Sports Injury Specialists are Friendly and Very Helpful.




What is Infrapatellar Bursitis

How to Use Superior Home Treatments to
Heal & Relieve Pain from Knee Bursitis Injuries!

 

There are 2 infrapatellar bursa in each knee, the 'deep' infrapatella bursa and the 'superficial' infrapatella bursa.

Pain below the knee cap is commonly caused by prepatellar bursitis.
- The deep infrapatella bursa lies below the kneecap between the patella tendon and the upper front surface of the tibia (shin bone).

- The superficial infrapatella bursa acts as a cushion between the patellar tendon and the skin. Due to the location of the bursa, pain will make kneeling difficult. This type of bursitis is also called Clergyman's Knee because it was a common condition among clergymen kneeling for prayer.

You might be suffering from Infrapatellar Bursitis if:

  • You have sharp pain on the inside of your knee below your kneecap.
  • You have increased pain when doing anything
  • exercising or even climbing a set of stairs.
  • Your sleep has been interrupted rolling over causes point pressure and more pain in the knee.
  • You have weakness in your knee and leg from the pain.
  • You can see your knee is warm, red and swelling just under your knee cap.
Infrapatellar bursitis causes pain in the knee.

If any of those statements are true for you or you're suffering from on-going pain on the inside of your knee then you might have an injury called Infrapatellar knee bursitis.

Infrapatellar bursitis occurs when one or both of the bursa sacs inside the knee become irritated and inflamed resulting in swelling and knee pain. A bursa is a sac of synovial fluid, rich in protein and collagen. These fluid-filled sacs are located in areas where 2 surfaces in your body, most often where a bone and tendon or a bone and muscle, rub together during movement.

Many people don't know that Infrapatellar knee bursitis is a very real injury affecting the bursa sac in your knee. This form of knee bursitis; can happen to anyone often caused by acute trauma to the knee. A re-occurring injury to the bursa, repetitive pressure to on the knee bursa as part of your job; crawling, scrubbing floors, kneeling on the knees; as in carpet laying.

Fortunately for you, professional athletes have had access to state of the art treatment therapies for years that allow them to heal more quickly and completely than you or I. This is why athletes that have a serious knee infrapatellar bursitis injury can often get back in the game in a matter of weeks while you could suffer for months or even years (in chronic cases).

With some breakthrough products we have engineered, professional treatment is now available to anyone who needs it.

What You Need to Treat Your Bursitis Injury:

  • A Professional Cold Compression ColdCure Wrap® to reduce inflammation of the muscle tissue (as soon as possible).
  • A Deep Tissue Therapeutic BFST Wrap® to increase Blood Flow Stimulation Therapyto the injured soft tissue (BFST®).
  • A Professional, Minimal Impact Stretching Device, known as the Knee-Flex® to prevent muscle atrophy and gently allow stretching of your affected leg muscles (hip, thigh, quadriceps, hamstring, groin, calf, shins, politeus, IT band, etc).
 

What Causes Infrapatellar Bursitis?

Inflammation of the infrapatellar bursae or the surrounding tendons (quadriceps tendon and patellar tendon) usually develops due to overuse, trauma, or degeneration of the protective tissue in the knee. Specific causes include:

Acute Trauma - A direct blow to the knee, at the top of the tibia, can cause injury to the infrapatella bursa during athletics or when falling on the knee. In such cases, blood may leak into the bursa causing irritation, inflammation, swelling and pain.

A blow to the knee can cause damage to the infrapatellar bursa.

Excess Stress - Without exercise or activity, muscles can weaken and your knee no longer has the muscle support it needs to move correctly. This can cause excess load on the knees and hips or your weight may be distributed unevenly within your knee joint. Uneven distribution of weight will put extra stress on some areas compared to others leading to abnormal wear and tear on the stressed areas.

In addition, if you are overweight, the knee joints have to work harder to carry a greater load causing more stress on the tendons, ligaments, muscles, bones, and bursae in the knees. The excess stress can lead to irritation and inflammation of any of the soft tissue over time, including the infrapatella bursa.

Overuse Injury (Chronic) - Excessive friction, or rubbing, on the infrapatella bursa can aggravate it over time. If your work or exercise routine requires frequent climbing, running, jumping, or hiking you may be at higher risk of infrapatella bursitis due to the frequent knee bending. This risk increases if there is anything that many cause abnormal wear and tear within the joint.

Kneeling for extended periods of time can cause bursitis in the knee.

Pressure on the Bursa - Work and frequent activities that place repetitive pressure on the infrapatellar bursa can cause infrapatellar bursitis. Although the bursae in your knee function as cushions to protect the tendons and other soft tissue, frequent kneeling during your work or activities often creates more stress than they can handle. The excess pressure causes the bursa to become irritated and inflamed, leading to swelling and thickening of the bursa lining. When kneeling on hard surfaces, knee pads are recommended to treat or prevent infrapatellar bursitis.

Infection (Septic Bursitis) - The closer the bursa is to the surface of the skin, the more likely the chance of infection from specific bacteria that are commonly found on the surface of the skin. This infection is known as septic bursitis and common bacteria that create this infection are known as Staphylococcus Epidermis (or Staphylococcus Aureus). This bacteria can affect the bursa if the knee is cut or scraped, allowing it to get under the skin.


What are the Symptoms of Infrapatellar Bursitis?
  • Knee Pain - you may experience pain and tenderness over top of the kneecap as the bursa sits over the kneecap. The pain may radiate down your leg to the midcalf.
  • Pain around and below the knee cap is commonly caused by prepatellar or infrapatellar bursitis.
  • Knee bursitis pain becomes worse during exercise or when you are climbing stairs, but can also increase by simply bending and straightening your knee. The knee pain caused by bursitis usually starts gradually and develops over a few days or even months.
  • Difficulties Sleeping - Patients suffering from knee bursitis may also have interrupted sleep patterns. Simply bending your knee or rolling over during sleep can cause pressure on the inflamed bursa, increasing your pain. The pain can range from mild to very sharp depending on the amount of swelling and inflammation in the bursa. Many knee bursitis sufferers recommend placing a pillow between your knees/thighs while you sleep to reduce pain throughout the night.
  • Swellling, Tenderness, Warmth, and Redness - Swelling is usually evident with infrapatellar bursitis and often appears as an abscess over or below the kneecap. This swelling may appear immediately following trauma, over a couple of hours, or up to 7-10 days after the event that caused the irritation.
  • You may also notice warmth and visible redness on your skin in the area as inflammation in the bursa and along the tendons becomes more severe.
  • Limited Range of Motion and Weakness - Pain often limits your knee movements as you stop performing motions that make the pain worse. If bursitis is left untreated the inflammation can increase, causing more pain, limiting movement even more. Eventually, weakness in the leg muscles and and tendons around the knee can set in. As you lose strength in your quadriceps, your legs may begin to give out during daily activities.


We are more than happy to help you heal your wrist injury with conservative treatment options such as BFST and ColdCure Technology

We have tools that will help you with bursitis knee pain and healing. When it comes to your injured knee, it's best to start effective long term healing right away. Our Advisers are highly trained individuals and will help find the long term healing goal that's right for YOU. Why wait?
Call today and get on the road to recovery faster than ever before!

All it takes is 1 call - 1-866-237-9608
International: +1-705-445-3505

 


How Do I Diagnose Infrapatellar Bursitis?
A doctor visit is always recommended.

When you are experiencing knee pain, the best way to diagnose this condition is with a quick visit to the your doctor for a physical examination of your knee. Getting a proper diagnosis is important so you can treat your condition correctly. An untreated chronic inflammation of knee bursitis condition can lead to calcification of the bursa. This change to the tissue your becomes even more painful than before.

Range of motion movements / tests, will be done to see how much movement has been lost in your knee. Your knee might hurt from the doctor poking and prodding at it, but by doing this the doctor will better understand the source of your pain, the level of tenderness in and around your knee and how well your knee can move with this condition.

Your doctor may also consider any previous knee injuries or joint stiffness that you may have had in the past. This will help the doctor to determine if you have a more complex injury in your knee and rule out any other foot injuries that may be present.

The doctor will discuss your symptoms and visually assess the bones and soft tissue in your knee.

If a soft tissue injury is suspected, an MRI will likely be done to view where and how extensive the damage is. An x-ray may be recommended to rule out a bone spur or other foreign body as the cause of your knee pain.

As the bursae in the knee are close to the surface of the skin, they are more likely to be septic, or infectious, bursitis caused by a cut or scrape on the knee. Septic bursitis requires antibiotics to get rid of the infection. Your doctor will be able to determine whether there is an infection or not by drawing a small sample of the bursa fluid with a needle.


How Do You Treat Infrapatellar Knee Bursitis?
What You Can Do!

We Have Advanced Treatment Tools to Help You
Speed Up Healing of Your Knee Bursitis!

The good news is that most cases of knee bursitis will heal with simple home conservative treatments and surgery is often not needed!

It's generally understood by doctors and surgeons, that surgery will introduce more scar tissue into the tendons and ligaments in your knee. This added scar tissue will be problematic, requiring physical therapy and conservative treatment options post-surgery. When it comes to infrapatellar bursitis there's only a few surgical options for treatment - removal of the bursa sac, scraping of the bone(s) to allow more room for the new bursa to grow back. This is why surgery is only performed as a last resort for chronic knee bursitis that won't heal with conservative treatment methods.

Some conservative treatment methods recommended include:

quickly relieve goosefoot knee pain with a Freezie
  • Rest - This is important for initial healing because without proper rest you're at risk for increased pain, inflammation. If you are not pro-active with your resting of your knee you may even worse and turn an acute injury into a chronic one.
  • Avoid Activities that Caused Your Injury - While resting your knee and leg it's also important to avoid all actvities that may have caused your knee bursitis.
  • Apply Effective Cold Compression
    Effective Cold Compression = Treatment with a ColdCure Wrap® Immediate cold (using a ColdCure Wrap®) will help you to manage pain while getting rid of the pain and inflammation. Immediate pain relief and reduced inflammation can also relieve some of the pressure that's being placed on your knee tissue(s) and stop your injury from getting worse.
  • Use Blood Flow Stimulation Therapy - After any inflammation and/or swelling has been reduced, you can use your own blood flow to maximize healing of damaged tissue and maintain healthy blood flow to your all your knee bursa. This also boost overall long-term healing of this injury.



Effective Conservative Treatment
Options are Available

The most important factor in healing bursitis is resting your knee. This can be difficult when you have to carry on with daily activities, but resting whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that stress your knee bursa until your pain and inflammation settle.

Treatments should involve decreasing swelling, relieving stress on the knee, treating scar tissue, and then restoring strength and movement in your leg and knee. Blood Flow Stimulation Therapy (BFST®) is recommended once inflammation has been calmed to heal the bursa and surrounding tissue faster and reduce the risk of bursitis returning.

Step 1 - Reduce Pain & Swelling with Cold Compression

The 1st step for conservative treatment of your infrapatellar bursitis is to reduce the swelling to "open up" the area for more blood flow. Anyone in the health-care business knows that your blood supplies the oxygen and much needed nutrients required to heal bursitis injuries. This is why for years doctors, trainers and other medical professional have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, and after any re-injury.

Fortunately you no longer have to settle for these ice cold methods that are uncomfortably cold against your skin, provide short term relief, cause ice burns, numb your skin and underlying tissue beyond feeling so you don't even notice the ice burn until it's too late and pool around your injury putting the cold everywhere except for where you need it most.

Knee Freezie Wrap treats pain, inflammation of knee bursitis while reducing tissue damage.

A Knee ColdCure Wrap® allows you to treat your knee in an effective and convenient way. Our ColdCure Wraps® will wrap around your knee keeping the cold right over your bursitis injury for the entire length of your treatment. Our food-grade, non-toxic gel packs can be chilled in the fridge or freezer to tailor the amount of cold that you need for your injury. It doesn't matter how you cool it down, because our gel packs are chock full of gel that's designed to cool down into millions of tiny snowflakes. This method of cooling means our gel packs aren't icy-cold. The cushioned gel will wrap around your knee and it won't budge for the entire treatment period. You'll no longer have to deal with annoying pooling around your knee or have to hold a hard block of ice on your injury!

Step 2 - Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with Blood Flow Stimulation Therapy

After the inflammation in your bursa has been reduced, providing extra blood flow and helping to heal your damaged bursa is recommended for complete healing.

The Knee Inferno Wrap speeds the healing of bursa tissue and the surrounding area

Using Blood Flow Stimulation Therapy (BFST®), will help with your recovery and heal your damaged tissue more completely. BFST® increases the amount of blood that flows naturally to your bursa and soft tissue to nourish your injury, improving elasticity and speeding the healing process. This increased Blood Flow Stimulation Therapy to your bursa is greatly needed.

The only way to get BFST® is through use of a Knee BFST Wrap®. The Knee BFST Wrap® is the only treatment method that improves blood flow and circulation on a deep tissue level. Other methods of warming / heating tissue (hot water bottles, hot baths, etc) will only ever increase blood flow on a surface / skin level. These methods need a LOT of time to even reach your bursae on a deep tissue level. And even if you were to use them this long your skin would heat up to an uncomfortable level and may even burn you.

The Knee Inferno Wrap speeds the healing of bursa tissue and the surrounding area

The best source of heat treatment is from a product where you don't even feel that much heat. When you don't feel the heat, it means the therapy is working in your deep soft tissue which is really where you need it. It's kind of like how your heart works in your body. You can't "feel" your heart pumping blood all around your body to your arms and legs. You can't even hear your own heartbeat without listening very closely. This is exactly how deep tissue BFST® works too! You're not supposed to "feel" a lot of heat because the heat isn't treating your skin, it's treating your damaged bursa by increasing the blood flow right in your soft tissue. Over time with consistent treatments you'll even notice that the warmth you feel from BFST® will decrease. This is a sign that you've successfully increased blood flow right at the source of your pain and your body is doing everything it can to speed up the healing process.

Our knee BFST Wrap® is made from medical-grade material - this should be as important to you as it is to us! Other products that are sold in stores are considered "consumer goods" meaning the material only needs to be as good as a sweater that you wear. Clothing articles like this don't need to meet high standards of production or materials and may include materials that irritate your skin.

Since our wraps are medical-grade products registered with the FDA, they are of a higher quality and need to meet way more standards for manufacturing (ISO 10993 - biocompatibility testing). This makes our wraps the safest product for heating treatment. Our manufacturer has spent years perfecting the wrap design to make sure you get the treatment you deserve!

Use BFST® BFST Wraps®:

  • After swelling and inflammation have been reduced with cold compression.
  • Before exercise or workouts to warm up your knee to prevent re-injury.
  • Before and after surgery during rehabilitation to warm up your tissues before physical therapy exercising or stretching.
  • Anytime you feel the tissue in your knee has stiffened up, is tight and your mobility is reduced causing you more pain.
  • Anytime you have sore or aching.
  • Any other situation where you need to increase blood flow to your the ball of your foot to relax your soft tissue, relieve pain, prevent re-injury and enhance flexibility of your tissue.
 

Continue the healing process by resting your knee. Limit the activities that may be aggravate your knee. Without proper rest and limitation on activities, being active as if your knee is healthy can lead to re-injury. To get back to doing the things you love you need to give your body proper care and attention. Why risk having to limit or give up your favorite weekend activity, your exercise routine, or even your job due to a bursitis injury?

Prevention and Promotion of Lifelong Health

promote lifelong health to overcome your bursitis and get back to enjoying life with family

If you want to avoid re-injury, or manage pain and increase circulation for lifelong health benefits, a Knee ColdCure Wrap® and Knee BFST Wrap®, will provide exceptional results. Why spend time in pain, off from work, and missing out on your active lifestyle when you can be proactive about your injury and the health of your body? Talk to your doctor about incorporating a regular routine of using a Knee ColdCure Wrap® and Blood Flow Stimulation Therapy into your everyday health regimen.

Call one of our AidMyBursa Advisers at no cost or obligation to address any lingering questions you have about using heat or cold for your bursa knee injury - toll free 1-866-237-9608

 

Learn More About SUPERIOR Infrapatellar Bursitis Treatments

Learn more about how the Knee ColdCure Wrap® is designed to be the most effective cold compression wrap on the market today.

Learn more about how the Knee BFST Wrap® helps with the healing process.


 
 

Bursitis Inflammation Facts:

Bursitis is the inflammation or irritation of the bursa.


Bursitis is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury.


Bursitis high-risk activities include gardening, raking, carpentry, shoveling, painting, scrubbing, tennis, golf, skiing, throwing, and pitching.


If bursitis persists and is left untreated, calcium deposits can form within the bursae. These calcium deposits limit range of motion and can lead to a permanently stiff joint.


Incorrect posture at work or home and poor stretching or conditioning before exercise can also lead to bursitis.

 

Dear MendMeShop,

I can tell you I have already seen the difference and good effect, and i only used them (Back/Hip Inferno and Leg/Arm Inferno Wraps) for one week. Big test was Saturday when I went to cut my grass and after had no pain in my leg. I am glad I found you on the internet and it made sense to me to try it.

Rating: Five Star Rating

Maria Vracic


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 

Dear MendMeShop,

So far, the products seem to be working fine. I have used both but mostly the Freezie Wrap for the inflammation from the meniscus injury. I do like the fact that the Freezie Wrap makes it easier for me to ice my knee than using anything else

Rating: Five Star Rating

Caron Notarmuzi


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 

Specialized Hamstring Customer Service Advisor can help you with product selection.

Dear MendMeShop,

I really never expected such good service! I have a trochanteric bursitis, and have been seriously bothered by it for more than a year. My rheumatologist gave me two steroid injections which helped briefly and then the pain started again, and that pain is almost crippling. Celebrex was recommended and it worked for me except that I have IBS and unfortunately couldn’t continue to take it. Besides it is a systematic drug and who knows what else it may effect. I was in pain and decided to check out the internet and that is where I found you. I was uncertain about the use of electromagnetic therapy, it sounded like it might be in the snake oil category, but fortunately for me I got good confirmation about the legitimacy of the product. I have to say I am so glad that I made the purchase. You are right I felt a difference with the first treatment using the inferno wrap. I have continued to use it about two times a day. I am very impressed with you product. I still have pain, more on same days than others, but it is greatly reduced and I am able to walk without severe pain. I also ordered the freeze wrap but haven’t used it yet. I expect a situation will arise when I may want to. I will recommend you and your product to anyone who may benefit. I am so glad I found you!

Rating: Five Star Rating

Patricia Heacock


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 

Dear MendMeShop,

I am loving the products and have gotten a significant amount of relief. Thank you!

Rating: Five Star Rating

P McInnis


To discuss your particular situation and how our products can help, call toll-free at 1-866-237-9608.

 

This universal leg wrap can increase healing rate of a shin, calf, groin, thigh, or hamstring

Freezie Leg wrap for cold compression of the shin, calf, groin, thigh, or hamstring

Inferno Wrap Knee for meniscus injury acl injury mcl injury or hyperextended knee

Cold Compression Knee Freezie Wrap for meniscus injury mcl injury and acl injury

Blood Flow Stimulation Therapy with an Inferno Back wrap for the ultimate in sore back healing

Freeze Wrap Back - reduce back pain and swelling in sore, strained or overused muscles, especially in the lower back and trapezius muscles

Ceanix Professional Therapist Pad - efficient relief of swelling and pain from a hip injury or sciatica

Contact one of our Mendmeshop Customer Service Advisors for any questions help with ordering and recommended treatment directions