A Healthesystems publication

Fall 2015

Thinking Beyond Pain Management with TENS Technology

This well-established technology was developed to suppress pain. But therapy with transcutaneous electrical nerve stimulation (TENS) may also help reduce prescription medication overuse and facilitate physiotherapy.

 Devices that utilize TENS technology have long been used to provide pain relief as an adjunct to other components of an injured worker’s treatment plan, both pharmacologic and non-pharmacologic. However, although TENS is a form of passive therapy, its benefits may go beyond temporary pain management to impact other aspects of a patient’s treatment course. When used properly, TENS may reduce the risk of opioid misuse or slow the rate of opioid dose escalation. It can also help facilitate active treatment modalities such as exercise or physical therapy programs.

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SOURCES

1 -Sluka KA, Deacon M, Stibal A et al. Spinal blockade of opioid receptors prevents the analgesia produced by TENS in arthritic rats. J Pharmacol Exp Ther. 1999;289:840-6.
2 -Kalra A, Urban MO, Sluka KA. Blockade of opioid receptors in rostral ventral medulla prevents antihyperalgesia produced by transcutaneous electrical nerve stimulation (TENS). J Pharmacol Exp Ther. 2001;298:257-63.
3 -Leonard G, Goffaux P, Marchand S. Deciphering the role of endogenous opioids in high-frequency TENS using low and high doses of naloxone. Pain. 2010;151:215-9.
4 -Healthesystems data.
5 -Rakel B, Frantz R. Effectiveness of transcutaneous electrical nerve stimulation on postoperative pain with movement. J Pain. 2003;4:455–464
6 -Rakel BA, Zimmerman MB, Geasland K, et al. Transcutaneous electrical nerve stimulation for the control of pain during rehabilitation after total knee arthroplasty: A randomized, blinded, placebo-controlled trial. Pain. 2014;155:2599- 611.
7 -Johnson M, Martinson M. Efficacy of electrical nerve stimulation for chronic musculoskeletal pain: a meta-analysis of randomized controlled trials. Pain. 2007;130:157-65
8 -Sluka K, Bjordal JM, Marchand S, et al. What makes transcutaneous electrical nerve stimulation work? Making sense of the mixed results in the clinical literature. Phys Ther. 2013;93:1397-402.
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