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
Real-World Evidence for the Widespread Effects of Fixed-Site High- Frequency Transcutaneous Electrical Nerve Stimulation in Chronic Pain
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,...
Intraoral Sensory Abnormalities Caused by Tooth Extraction in a Patient with Chronic Inflammatory Demyelinating Polyneuropathy
Background: Chronic inflammatory demyelinating polyneuropathy (CIDP) is considered to be an immunemediated, acquired disease of the peripheral nerves. CIDP patients infrequently develop neuropathy with various clinical f...
TAP Blocks: A Recent Review of Anesthetic Combinations
Multimodal analgesia is an approach to optimize pain relief by treating pain through several mechanisms along multiple sites of the nociceptive pathway. This approach not only improves pain, but also patient satisfaction...
Nursing in the Attention of the Evaluation of Pain as a 5th Vital Sign
Objective: The objective of this study was to identify the view of nurses in the application of the pain scale in patients hospitalized in intensive care and medical clinic. Method: An exploratory-descriptive study was c...
Proposal for Portable Shower for Comfort and Relief of Patients, Family, and Professionals
The hospital scenario or home hospitalization brings feeling of insecurity to patients and families that accentuate when they depend on basic care such as hygiene, food, and physical mobility. The professional has the op...