Using tens for pain control the state of the evidence

Tens physiological effects

The principle of brain stimulation is based on its potential effects on neuroplasticity and modulation of neural functions at the cortical level, either facilitating or inhibiting neuronal networks. Such plastic mechanisms include synaptogenesis and the generation of changes in affected neurons similar to those known as long-term potentiation and long-term depression observed in laboratory preparations [23]. Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) are the two most widely used noninvasive brain stimulation strategies for the treatment of spinal cord injury.

Transcranial magnetic stimulation (TMS) uses a rapidly changing magnetic field applied via coils on the outside of the skull to induce brief pulses of electrical current in the brain to trigger action potentials in cortical neurons, especially in the superficial parts of the cerebral cortex [24]. It is commonly used in many studies as an assessment measure to evaluate the excitability of the corticospinal tract in order to look for motor evoked potentials [25].

Physiological effects of tens pdf

T.E.N.S. currents (Transcutaneous Electrical Nerve Stimulation)Transcutaneous Electrical Nerve Stimulation (T.E.N.S.) is a technique corresponding to electrotherapy that consists of the stimulation of the thick myelinated nerve fibers (A fibers) seeking a blockage or inhibition at spinal level in the transmission of pain, conducted by the thin unmyelinated fibers (C fibers).

The A-fibers have a higher conduction velocity than the C-fibers. This added to the fact that both fibers and their transmissions pass through cells in the spinal cord that serve as junction, called T cells, before the pain sensation reaches the brain (specifically the thalamus, or pain center), makes this blockage of pain transmission from the C fibers through the A fibers possible (Melzack and Wall's pain control gate theory).

Burst TENS: It is used at low frequency with impulse trains (2-5Hz) with a basic frequency of 100 Hz and high amplitude, each impulse train lasting 70 milliseconds, and each burst consisting of 7 impulse trains. It is indicated for injuries that have been present for a longer period of time or are chronic. They do not produce an immediate analgesia but it is of longer duration.

Tens indications

More and more frequently, we use TENS (Transcutaneous Electrical Stimulation) at home for anesthetic purposes as it has a very simple application. We know that it works and that it is an option to avoid abusing medications, but do you have all the information clear? We provide you with all the information below:

In case of injuries, it should be a complement to sports treatment, cold/heat treatment, compression or whatever we are working on. Your physiotherapist is the person who can make a programming to accelerate the healing process.

Electrostimulator for Menstrual Pain Relief relax EM 50 Beurer51,60 EURThe pad with separately adjustable heat and TENS function can contribute to pain relief and relaxation and, thanks to the rechargeable battery and 15 TENS intensity levels, you can decide for yourself when and where to use it.

Johnson, M. I., Paley, C. A., Jones, G., Mulvey, M. R., & Wittkopf, P. G. (2022). Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults: a systematic review and meta-analysis of 381 studies (the meta-TENS study). BMJ open, 12(2), e051073. https://doi.org/10.1136/bmjopen-2021-051073

Tens dosage for analgesia pdf

Some women get good results using only "natural methods" of pain relief. Many women combine "natural methods" with pain-relieving medications and medical interventions. Creating a positive attitude about childbirth and managing fear can also help some women cope with pain.    Labor pain is not like pain caused by illness or injury. Rather, it is caused by uterine contractions that push the baby down and out of the birth canal. In other words, the pain caused by childbirth has a purpose.[1] The pain caused by labor has a purpose.

Childbirth preparation can impact the amount of pain experienced during labor. It is possible to take childbirth preparation classes, consult with those overseeing the pregnancy, and writing down questions can provide the information needed to help manage pain. Simple interaction with friends and family can help alleviate concerns. [1]