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Transcutaneous Electrical Nerve Stimulation (TENS) is a trusted,
clinically-proven, noninvasive therapy used for the management of, and
relief from, chronic (long-term) intractable pain and
post-surgical and
post-trauma acute pain.
- It is an effective and safe alternative to prescription, pain control
medication with NO known side-effects or risk of overdose.
- TENS decreases pain and helps the patient remain
functional and productive.
- It is easy to administer, typically reimbursed, and
cost effective - by often reducing the need
for PT or OT services.
- TENS allows for patient control over pain
management.
The primary aim of TENS is to provide symptomatic pain relief by exciting
sensory nerves and thereby stimulating either the Pain Gate Mechanism
and/or the Endogenous Opioid system.
Pain management via the Pain Gate Mechanism involves excitation of the
A beta sensory
fibers, which reduces the transmission of the pain
stimulus from the 'c' fiber through the spinal cord to other parts of the
body.
Alternatively, pain management via the Endogenous Opioid system
involves excitation of the
A delta fibers which causes the release of an endogenous opiate
(encephalin) in the spinal
cord - hence reducing the activation of the
pain sensory pathways.
- Relief of chronic (long-term)
intractable pain
- Reduce Muscle Guarding
- Relief of post-surgical acute pain
- Relief of post-trauma acute pain
- Can affect the operation of demand
type cardiac pacemakers
- Not recommended for patients with known heart disease
without physical evaluation of risk
- Do NOT Apply over the
anterior aspect of the neck or carotid sinus
- Do not apply TENS for undiagnosed pain syndromes until
etiology is established
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Electrodes should not be placed over the eyes
- Avoid active epiphyseal
regions in children
- Use of abdominal
electrodes during labor may interfere with fetal monitoring equipment
- Turn the stimulator off before applying or removing
electrodes
- Electrotherapy may cause skin
irritation beneath the electrodes
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TENS Treatment Protocols
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Electrode Placement
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Clinical References
-
Electrotherapy
- BioStim M7
- TENS 2000 Device
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