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The SAM (sustained acoustic medicine) ultrasound device is a small, wearable device that delivers over 18,000 Joules of energy when two crystals are worn for 4 hours. This has been shown to decease pain in knee osteoarthritis, trapezius myofascial pain, and low back pain with a herniated disk. The following is a case of a nurse who was limited in her work from a painful lower back strain [Figure 1]

SAM, A New Portable Long Duration Ultrasound Device (Lower Back)