Real-World Evidence for the Widespread Effects of Fixed-Site High- Frequency Transcutaneous Electrical Nerve Stimulation in Chronic Pain
Journal Title: Journal of Pain & Relief - Year 2018, Vol 7, Issue 4
Abstract
The prevalence of chronic pain among adults in the U.S. is 30% [1], at an annual economic cost of $600 billion [2]. Many people with chronic pain also have debilitating comorbidities including low quality sleep, anxiety, depression and poor overall health [3]. Prescription opioids are frequently used for chronic pain despite concerns about adverse events, addiction and long-term efficacy [4,5]. Alternatives such as non-steroidal anti-inflammatory drugs and antiepileptics also have side effects [6,7] and abuse potential [8]. For these reasons, there is a need for non-pharmacological treatments for chronic pain [9]. Transcutaneous electrical nerve stimulation (TENS) is a noninvasive treatment for chronic pain that has no major side effects. Conventional TENS is delivered through surface electrodes at a frequency and intensity that produces a strong, nonpainful sensation. The resulting stimulation of large diameter, deep tissue afferents [10], produces pain relief by decreasing central excitability and increasing central inhibition [11,12]. TENS provides pain relief or improves function in multiple types of chronic pain [11,12-19].
Authors and Affiliations
Shai N Gozani, Xuan Kong
Keywords
Related Articles
- EP ID EP578614
- DOI 10.4172/2167-0846.1000329
- Views 65
- Downloads 0
Effectiveness of Balloon Kyphoplasty in Patients with Painful Vertebral Compression Fractures
We performed a case series study on the effectiveness of balloon kyphoplasty (BKP) for painful vertebral compression fractures in 60 patients with acute axial lumbar and/or thoracic spinal pain due to osteoporosis, traum...
Taxane-Induced Neuropathic Pain: Current Evidence and Treating Strategies
Chemotherapy-induced peripheral neuropathy (CIPN) is a disabling adverse event of most of commonly used antineoplastic agents. Previous studies have focused on several chemotherapeutic agents and reported that CIPN incid...
Inhalation Burn, Crush-syndrome and Rhabdomyolysis Syndrome
Inhalation burn is responsible for 50% of the mortality associated with thermal burn. Inhalation burns are usually observed in exposure to smoke, heat, toxic gases, and combustion components. Inhalation burn causes damag...
The Role of GABAA Receptor δ Subunit and its Agonist THIP in Thermal Hypersensitivity in a Mouse Model of Neuropathic Pain
Decreased gamma-aminobutyric acid (GABA)-mediated phasic inhibitory transmission in the spinal cord is thought to be responsible for the development of neuropathic pain. However, the role of GABAergic tonic current in su...
Is Paravertebral Block More Effective in Thoracotomy Patients Compared to Thoracic Epidural Block?
Purpose: Paravertebral block (PVB) is a simple and safe technique that can be more efficacious than epidural block (EPB) in controlling postoperative pain. We aimed to confirm this by comparing the two methods in patient...