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TENS


A clinically proven method to reduce pain using electrical
stimulus


Transcutaneous Electrical Nerve Stimulation (TENS) is a noninvasive therapy indicated for the
symptomatic relief from, and management of, chronic intractable pain and
post-surgical and post-trauma acute pain.

For over 30 years, the medical community has used TENS as a safe
and effective alternative to pharmacological approaches to pain control for
many patients. TENS has minimal side effects and is non-addictive. Adverse
reactions associated with electrotherapy may include skin irritation beneath
the electrodes.


Advantages of Integrating TENS in Pain Management

  • Decreases pain, increases activity, and promotes return
        to work 1   
  • Reduces the need for pain medication 2-4 and
        its concomitant side effects 2  
  • Reduces the need for muscle relaxants, tranquilizers
        and steroids
  • Reduces the need for PT and OT services 2
  • Has no known side effects, no risk of overdosing, and
        no drug interference
  • Is cost effective, typically reimbursed, and easy to
        administer
  • Helps patients remain alert, functional, and productive
  • Puts patients in charge of their pain control

Mechanism of TENS

Pain messages transmitted by the peripheral nervous system to
the brain are elecro-chemical in nature. Controlling or overriding these
nociceptive impulses can bring about significant pain relief to patients.

With a TENS system, a portable stimulator generates a current
which flows through leads to electrodes placed in specific locations on the
patient’s skin. The low voltage current causes an electrical reaction in
sensory and motor nerve fibers, overriding pain message transmission. The
frequency and intensity of the stimulus are carefully controlled. TENS can also
stimulate endorphin production.


Clinical Application 

TENS
is useful for:

  • Pain treatment and management for general and specialty
        medical practices
  • Patients whose pain therapy is limited by medication
        side effects
  • Patients requiring frequent and costly PT and OT
        services

1 Fisbain D, Chabal C, Abbott A, et al. . Transcutaneous electrical nerve stimulation (TENS) treatment
outcome in long-term users.
Clinical Journal of Pain. 1996;12;201-214.

2 Chabal C, Fishbain D, Weaver M, Heine L.. Long-term transcutaneous electrical nerve stimulation (TENS)
use: Impact on medical utilization and physical therapy costs.
Clinical Journal of Pain. 1998;14;66-73.

3 Erd M, Erdogan A, Erbil N, et al. . Prospective, randomized, placebo-controlled study of the
effect of TENS on post-thoracotomy pain and pulmonary function.
World J Surg. 2005;29;1563-1570.

4 Bjordal J, Johnson M, Ljunggreen A. . Transcutaneous electrical nerve stimulation (TENS) can
reduce postoperative analgesic consumption. A meta-analysis with assessment of
optimal treatment parameters for postoperative pain.
Eur J Pain. 2003;7;181-188.

5 Facchinetti F, Sforza G,
Amidei M, et al. . Central and peripheral beta-endorphin responses to
transcutaneous electrical nerve stimulation.
NIDA Res Monograph.
1986;75;555-558