scholarly journals Transcutaneous Electrical Nerve Stimulation: Mechanisms, Clinical Application and Evidence

2007 ◽  
Vol 1 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Mark Johnson

• Transcutaneous electrical nerve stimulation (TENS) is a non-invasive, inexpensive, self-administered technique to relieve pain. • There are few side effects and no potential for overdose so patients can titrate the treatment as required. • TENS techniques include conventional TENS, acupuncture-like TENS and intense TENS. In general, conventional TENS is used in the first instance. • The purpose of conventional TENS is to selectively activate large diameter non-noxious afferents (A-beta) to reduce nociceptor cell activity and sensitization at a segmental level in the central nervous system. • Pain relief with conventional TENS is rapid in onset and offset and is maximal when the patient experiences a strong but non-painful paraesthesia beneath the electrodes. Therefore, patients may need to administer TENS throughout the day. • Clinical experience suggests that TENS may be beneficial as an adjunct to pharmacotherapy for acute pain although systematic reviews are conflicting. Clinical experience and systematic reviews suggest that TENS is beneficial for chronic pain.

Using electricity to relieve pain is an age-old technique that pre-dates the discovery of electricity. The ancient Egyptians used electric fish to treat various ailments. Transcutaneous electrical nerve stimulation (TENS) is a technique that delivers pulsed electrical currents across the intact surface of the skin to stimulate peripheral nerves using a ‘standard TENS device’ and conductive electrodes. TENS is principally used as a stand-alone treatment or as an adjunct to core treatment for symptomatic relief of most types of pain. TENS is popular with patients and practitioners because it is non-invasive, easy to administer, and has few side-effects or drug interactions. The purpose of this chapter is to overview what TENS is, why it is used, its history, and terminology used in the TENS literature


Author(s):  
Vaibhav Pandita ◽  
Vidya Ajila ◽  
G. Subhas Babu ◽  
Shruthi Hegde ◽  
Mohamed Faizal Asan

AbstractTranscutaneous electrical nerve stimulation or TENS is a nonpharmacologic method that is used to alleviate pain from various acute and chronic conditions. TENS works through activation of descending inhibitory neurons of the central nervous system. In dentistry, TENS has applications for pain reduction in temporomandibular disorders and postherpetic neuralgia. It has also been studied for its role in increasing salivary secretion in subjects with xerostomia and as a local anesthetic agent in pediatric dentistry. Its wide applications in the orofacial region make it an important treatment modality. The purpose of the present review was to describe the general principles and its applications in dentistry along with its indications, advantages, and disadvantages. A web-based search was conducted using the keywords “transcutaneous electrical nerve stimulation,” “temporomandibular joint,” “TENS,” “TMJ,” “orofacial pain,” and “Management.” The manuscripts thus obtained were evaluated and used for compiling the present narrative review. The present review focuses on the mechanism of action, applications, and effectiveness of TENS in the management of diseases of the maxillofacial region.


Author(s):  
Nikhil Aggarwal ◽  
Nidhi Ved

Corona Virus Disease (COVID-19) is a highly contagious disease mainly affecting the respiratory system, the virus is transmitted from person-to-person through large droplets from coughing, sneezing or rhinorrhea, it remains viable for at least 24 hours on a hard surface and up to eight hours on a soft surface. If it enters into the human respiratory system, it attacks the lungs and induces serous fluid, fibrin exudates, and leads to hyaline membrane formation in the alveoli which highly affects the respiratory system. The aim of this review is to collect the present evidence on effect of Acupuncture-Transcutaneous Electrical Nerve Stimulation (Acu-TENS) on pulmonary function which can help the clinicians to do further clinical trials and recommend the usage of Modality TENS which can significantly improve lung function among COVID-19 patients. Till now, it is found that few breathing techniques improve lung function among hospitalised COVID-19 patients but yet no study has been found which shows the effect of modality like TENS on lung function among COVID-19 patients. TENS is a non-invasive and inexpensive peripheral stimulation technique that markedly improves lung function after a single session of 30-45 minutes. Hence, usage of TENS can be recommended for COVID-19 patient treatment.


2021 ◽  
Author(s):  
Allie Claire Halverson

Abstract Background This project aimed to create a device optimal for mobilizing scar tissue. To do this, a Transcutaneous Electrical Nerve Stimulation (TENS) circuit and a rotating scar massage ball was constructed into one cohesive device. The TENS portion of the device aims to help relieve pain around the scar tissue, and the massager works to mobilize the scar tissue and relieve extra tension in the area. Mobilization of scar tissue can help patients who have undergone surgery or other physical trauma to attain proper skin function without pain and/or excessive tension. Results The rotating scar massage ball puts out 16 Newtons of centrifugal, rotating, force. This means that it is powerful enough to properly massage the area, but not too strong to the point where it would cause pain for the user. Conclusions This device utilizes two effective methods of pain relief and scar mobilization, making it optimal for the painless mobilization of scar tissue. It could be used by patients at home and by physical therapists in an office setting to help patients both mobilize their damaged, scarred tissue and relive pain around the affected area.


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