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Transcutaneous electrical nerve stimulation for pain relief

Transcutaneous electrical nerve stimulation for pain relief

Assess the Transcutaneous electrical nerve stimulation for pain relief Does it operate with wlectrical and adhere to industry felief practices? Elite Stimulaion Touchscreen Remote Deluxe With Remote Standard Without Remote. TENS may be more effective if people place the electrodes on acupuncture points. It may also cause skin irritation due to the inability to feel currents until they are too high. How to Contact Us at TensUnits. These currents are used to relieve pain. Transcutaneous electrical nerve stimulation for pain relief

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Does TENS Actually Work? - Expert Physio Review

Transcutaneous electrical nerve stimulation for pain relief -

The electrical impulses flood the nervous system, reducing its ability to transmit pain signals to the spinal cord and brain. The same electrical impulses also stimulate the body to produce natural pain relievers called endorphins. In this article, learn more about the uses of a TENS machine and the research on its effectiveness.

A TENS unit has controls that allow people to administer an appropriate level of pain relief. People can achieve this by altering the following aspects of the electrical current:. Intensity : A dial allows the user to adjust the intensity of the electrical stimulation.

Frequency : The frequency refers to the number of electrical pulses per second. High-frequency HF pulses range from 80 to cycles per second and may help manage acute pain. Low-frequency LF pulses range from 1 to 20 cycles per second and are suitable for the treatment of chronic pain.

Duration : The duration is the number of microseconds that the current enters the skin for during each pulse. TENS is a noninvasive method for relieving pain. People who experience pain relief from TENS may be able to reduce their intake of pain medications, some of which can be addictive or cause adverse side effects.

TENS units are also convenient because they are small, portable, and relatively discrete. People can carry a TENS unit in their pocket or clip it onto a belt to ensure that they have immediate access to pain relief throughout the day.

It is safe for most people to use a TENS unit, and they will not usually experience any side effects. However, the electrical impulses that a TENS unit produces may cause a buzzing, tingling, or prickling sensation, which some people may find uncomfortable.

Some people may be allergic to the adhesive pads. Anyone who experiences skin redness and irritation can switch to using hypoallergenic ones instead. It is vital never to place the electrodes on either the front of the neck or the eyes. Putting electrodes on the neck can lower blood pressure and cause spasms.

On the eyes, the electrodes can increase pressure within the eye and possibly cause an injury. Although it is safe for most people, experts recommend that some groups of people avoid TENS treatment unless a doctor advises its use.

Due to a lack of high-quality research and clinical trials, researchers have not yet determined whether TENS is a reliable treatment for pain relief.

One study found that TENS treatment provided temporary pain relief for people with fibromyalgia while the machine was in use. While there is a lack of strong clinical evidence for its effectiveness, TENS is a low-risk pain relief option for many people.

Research shows that people who use a TENS unit on a daily basis at the same frequency and intensity can develop a tolerance to the treatment.

A person who develops tolerance will no longer feel the same level of pain relief that they did when they first used the unit. To prevent this from occurring, people can alternate between LF and HF TENS within each treatment session. The range of intensities of the electrical stimulation may account for some of the differences in research findings.

According to a review , HF TENS treats pain more effectively than LF TENS. In fact, many studies have found LF TENS to be ineffective. Given that HF TENS is a more effective pain reliever, experts recommend that people apply the highest-intensity TENS that they can tolerate.

TENS may be more effective if people place the electrodes on acupuncture points. Acupuncture is a practice that uses needles to stimulate the nerves beneath the skin at specific locations known as acupuncture points.

Experts believe that this assists the body in producing endorphins. One review found some evidence that people who receive TENS through acupuncture points may experience a reduction in pain.

The duration of pain relief after using a TENS unit can vary. Some people report that their pain returns as soon as they switch off the device. Others continue to experience an adequate level of pain relief for up to 24 hours. A review suggests that the duration of pain relief increases after repeated TENS treatments.

However, this repetition can also increase the likelihood of a person building up a tolerance to the treatment. The research on using a TENS unit for pain relief has so far yielded inconsistent results due to a lack of high-quality scientific studies and clinical trials.

Some research suggests that TENS treatment can relieve pain, but this may be dependent on certain factors, such as the affected area of the body and the treatment intensity. Knowing how these factors affect TENS can help people use it more effectively.

Most people can use a TENS unit safely, and few will experience side effects. However, it is best to speak to a doctor before trying TENS either as an alternative treatment or in combination with other methods of pain management.

TENS units are available to purchase at some pharmacies and online. Lower back and leg pain can result from poor posture and overstraining the back muscles. However, persistent or recurring pain can be a sign of an…. Fibromyalgia is more common in women than in men, so men might find it harder to get a diagnosis.

Besides controlling pain, this type of electrical stimulation can also improve local circulation and reduce or eliminate muscle spasm. Recent research has also shown that autosuggestion or the placebo effect is a powerful way many people experience pain relief or decrease their symptoms.

This means that by simply believing a treatment it has a beneficial effect on the nervous system. This effect can be true for the positive effects of using TENS as well. You will be shown how to use your TENS device by your physiotherapist at Sidney Physiotherapy.

Round or square rubber electrodes are applied to the skin over or around the painful area. The electrodes are self-adhesive with a protective layer of gel built in to prevent skin irritation or burning.

Usually four electrodes two pairs are used to get maximum benefit from this treatment although two electrodes can also be used and in many cases provide sufficient relief.

The unit is battery-operated with controls you manipulate yourself to alter the strength of the electrical signal. The unit can be slipped into a pocket or clipped to your belt. The electrodes will be placed on your body at positions selected by your physiotherapist. Most often the electrodes are placed either directly over the painful area or on either side of the pain.

Once the electrodes are in place, the intensity of the unit is turned up until you feel a buzzing, tingling, or thumping sensation that is strong but comfortable. Your physiotherapist will guide you through the trial-and-error process for finding the best electrode placement for you and will make any changes needed in the program to suit your comfort level and your needs.

Another way to use TENS is over spots in the muscles called trigger points TrPs. Trigger points are areas of hyperirritability in the muscles that can cause chronic pain. Your physiotherapist will identify any TrPs present during their physical examination.

Significant pain relief may be achieved with as little as minutes of TENS use. Some patients find relief of symptoms for hours even after the unit is removed. How long you use it will depend on the cause of your symptoms i.

post-operative pain vs chronic low back pain , the pain intensity, and the chronicity of your pain. For certain conditions like chronic pain or for women in labour, TENS can be used for several hours at a time.

The unit should not be used however, for extremely long periods of time e. If you experience increased pain be sure to let your physiotherapist know.

In some cases electrodes placed below the level of a peripheral nerve impairment might actually block the input from the TENS unit and cause increased pain. Placement over an area of scar tissue from surgery can cause increased skin resistance and decreased transmission of the electrical impulses.

Fortunately there are no significant adverse effects from the use of TENS. Some guidelines when using TENS. It is recommended to keep a daily journal pain levels, the settings used, and a record of the medications being taken for pain relief. By reviewing these notes the best combination of electrode placement and unit settings that gives the most pain relief may be found.

You should feel a mild to moderately strong tingling or buzzing sensation. Some people experience a more unpleasant sensation described as burning or prickling; continued use of the TENS in this case may not be appropriate, however this sensation may dull and become comfortable.

Depending on the intensity and duration of your pain, you may or may not get immediate results. It can take several days or even several weeks to get the desired results. Differences in results may occur based on properties of skin resistance, type of pain, and individual differences in the mechanism of pain control.

When using the TENS be persistent and patient and discuss any concerns you have with your physiotherapist. Many patients report good-to-excellent results, first with pain control, then pain relief, and finally with a reduction in the use of medications.

As each of these benefits from the TENS treatment occur, you may find yourself increasing your activity level either with the same level of TENS usage or even with reduced frequency of use, intensity of signal, or duration of time that the unit is turned on.

First, check the TENS unit for any malfunction, the need to recharge the batteries, or the need to replace the electrodes with new ones. If your unit is battery-operated, you may find it necessary to turn the intensity up to obtain the same sensation when the batteries are low.

This should alert you to the need for battery replacement. Needing to turn the intensity up high enough to cause muscle contraction is an indication of breakthrough pain. Sometimes a different setting for the stimulator may be needed when breakthrough pain occurs. Most units have a setting that allows for random pulse frequency, duration, and amplitude.

The use of this setting helps keep the nervous system from getting used to a specific amount of stimulation and becoming accustomed to it, which is called habituation or adaptation.

If you have a loss of skin sensation or even decreased sensation. With altered sensation, there is a risk of turning the unit up too high and causing an injury.

If you have a cardiac pacemaker as the electrical signals could interfere with the pacemaker. Call Today: Second Street, Sidney, British Columbia Book An Appointment Online. Home TeleRehab Orthotics Staff How can we help you?

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