For Interventional Pain & Physiatry Practices

The calf that stopped working because the patient stopped walking.

Rx Only. FDA-cleared NMES device. Class II.

VEINOPLUS® is a prescription neuromuscular electrical stimulation device. Among its cleared indications: prevention or retardation of muscle disuse atrophy.

Request Provider Info Pack Call (312) 804-1050

VEINOPLUS neuromuscular electrical stimulator with two self-adhering calf electrodes and lead wire

Who Prescribes

Interventional pain, physiatry and PM&R.

Cleared Indication Used

Prevention or retardation of muscle disuse atrophy.

Where It Is Used

At home, seated, operated by the patient on a prescribed schedule.

The Clinical Picture

This patient is already on your schedule

Chronic pain drives activity avoidance. Lumbar radiculopathy, post-laminectomy syndrome, peripheral neuropathy, chronic lower-extremity pain — each of them reduces a patient's daily step count, month over month.

The gastrocnemius and soleus are no longer being asked to work. What is left is disuse atrophy of the calf: measurable circumference loss, weakness and a deconditioned limb — in a leg whose motor supply is still intact.

Where the disuse has a non-neurological cause and the motor supply is intact, prevention or retardation of muscle disuse atrophy is a cleared indication for this device.

Two self-adhering electrodes positioned over the calf, with the handheld stimulator held by the seated patient — Electrode placement over the calf. The patient operates the device seated.

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How it is applied

Electrodes are placed over the calf. The device produces rhythmic, visible contractions of the gastrocnemius and soleus while the patient is seated — no gym, no weight-bearing requirement, and nothing the patient has to be able to walk to do.

Confirmed at the point of care

A brisk visible contraction on an in-office trial demonstrates that the motor supply is intact.

Workflow

In practice

1 · Identify

A lower-extremity pain patient with declining ambulation and visible or measurable calf wasting.

2 · Trial in office

Place electrodes over the calf and confirm a brisk visible gastrocnemius / soleus contraction.

3 · Document

Calf circumference and side-to-side asymmetry, the functional decline in ambulation, the non-neurological cause of the disuse, and the trial response.

4 · Prescribe

Home-use protocol. C2 Medical handles fulfilment and patient set-up — nothing is stocked or fitted in your office.

Prescribing Information

Indications & contraindications

Indications for use

Relaxation of muscle spasms; prevention or retardation of muscle disuse atrophy; increasing local blood circulation; muscle re-education; immediate post-surgical stimulation of calf muscles to prevent venous thrombosis; maintaining or increasing range of motion.

Contraindications

Cardiac pacemaker or other implanted electronic device. Active DVT at the treatment site. Severe arterial insufficiency. Uncontrolled congestive heart failure.

CautionFederal law restricts this device to sale by or on the order of a physician. Rx only.

Specifications

The device

Class: Class II neuromuscular electrical stimulator, prescription only
Form: Pocket-sized, battery-powered, reusable
Electrodes: Self-adhering, placed over the calf, replaceable
Session: 60 minutes, automatic shut-off
Operated by: The patient, seated, at home, on the prescribed schedule
Practice inventory: None. Nothing is stocked or fitted in the office.

Safety profile

Low-intensity impulses, with a waveform designed for patient comfort during stimulation. Reported skin reactions are rare, mild and self-limiting. The device is non-invasive, drug-free and patient-administered.

Regulatory & Availability

Clearance and distribution

510(k): K072252 — VEINOPLUS Neuromuscular Stimulator
Cleared: 30 January 2008, Substantially Equivalent
Classification: 21 CFR 890.5850 · product code IPF (powered muscle stimulator)
U.S. distributor: DynaPulse Medical LLC
Authorized distributor: C2 Medical Distributors LLC, Lake Mary, Florida
In use since: 2004. 150,000+ patients across 40 countries (per DynaPulse Medical)
Federal availability: Available to VA and federal health systems on Federal Supply Schedule 36F79723D0020, held by Government Solutions and Services, LLC

Evidence

Published literature

Ten peer-reviewed publications and 49 international congress presentations are reported by DynaPulse Medical. Selected references are listed below for reference only; full texts are available on request.

Lobastov KV et al.: Int Angiol. 2014;33(1):42–49.
Griffin M et al.: Eur J Vasc Endovasc Surg. 2010;40:766–771.
Ryzhkin VV.: doi:10.17116/phlebo2017113131-141
Bogachev VY et al.: Int Angiol. 2011;30(6):567–590.
Zuccarelli F et al.: Angéiologie. 2005;57(2):48–54.
ELECTRO-PAD RCT: Le Faucheur A et al. Eur J Prev Cardiol. 2026. doi:10.1093/eurjpc/zwag080

For The Practice

Common questions

Do we stock or fit anything?

No. The device ships to the patient. Nothing is held or managed by the practice.

Does it add chair time?

Only the in-office trial. There is no fitting appointment and no supervised treatment session.

Does it replace physical therapy?

No. It is used alongside the plan you already set, for the patient who cannot yet tolerate ambulation-based reconditioning.

What documentation is available?

The instructions for use, indication details, a coverage and documentation reference, and ordering information — all available on request.

Request the info pack

Instructions for use, indication details, the coverage and documentation reference, and ordering information. Clinicians and practice staff can request them directly.

Email C2 Medical

Telephone

(312) 804-1050

hello@thecalfpump.com

HIPAA-secure fax

(321) 641-4230