Transcutaneous electrical nerve stimulation is superior than placebo and control for postoperative pain relief

2020 ◽  
Vol 10 (4) ◽  
pp. 235-246
Author(s):  
Maraísa Rodrigues Borges ◽  
Nuno Miguel Lopes de Oliveira ◽  
Izabella Barberato Silva Antonelli ◽  
Maristella Borges Silva ◽  
Eduardo Crema ◽  
...  

Aim: To determine whether transcutaneous electrical nerve stimulation (TENS) is more efficient than placebo TENS and control groups for pain relief. Design: Randomized, single-blinded, placebo-controlled trial. Setting & participants: A total of 78 adults with postoperative pain, after cholecystectomy, at the University Hospital. They were randomized into active TENS, placebo TENS and control. Intervention: A total of 30-min interventions applied in the first 24 h after the surgery. Outcome: Pain intensity. Results: Pain significantly decreased for both TENS; however, the active TENS was better. A decrease of 2 points or more on the visual analog scale for 53.8% active TENS and 11.5% placebo. Conclusion: There was a greater reduction in pain of important clinical relevance in the active TENS group. Clinical Trial registration: Brazilian Clinical Trial (REBEC): RBR-6cgx2k.

1980 ◽  
Vol 08 (01n02) ◽  
pp. 190-194 ◽  
Author(s):  
Joseph O. A. Sodipo ◽  
S. A. Adedeji ◽  
O. Olumide

In prospective, random assignment of 2 groups of 15 patients, relief of postoperative pain with narcotic medications was evaluated and compared with transcutaneous electrical nerve stimulation (TENS) for 2 days immediately following surgery. Presence of ileus and hospital stay were identifical in both groups. Patients on TENS demonstrated a marked significant decrease in the amount of narcotics administered. There was favorable nursing, physician and patient acceptance to these devices. Further clinical evaluation is, therefore, in progress.


2019 ◽  
Vol 26 (4) ◽  
pp. 401-411
Author(s):  
Mehrnoosh Zakerkish ◽  
Davood Raeisi ◽  
Shahram Rafie ◽  
Mohammad Jafar Shaterzadeh Yazdi ◽  
Zahra Kosarian ◽  
...  

Abstract Background and aims: Diabetic peripheral neuropathic pain (DPNP) is one of the most common complications of diabetes and is difficult to treat. Existing treatments are often inadequate at controlling pain and limited by side-effects and drug tolerance. This study assessed the efficacy of nortriptyline versus Transcutaneous Electrical Nerve Stimulation (TENS) in patients with DPNP. Material and method: This is a randomized clinical trial study conducted on 39 patients with DPNP referring to Golestan Hospital in Ahvaz in 2017. Patients were randomly treated with TENS (18 sessions, each session 30 minutes; n=20) or nortriptyline (25 to 75 mg, once daily; n=19) for 6 weeks. Patients were evaluated for side effects and pain relief using visual analog scale (VAS). Results: There was a significant improvement in pain with both treatments compared with baseline (p˂0.001). The patients in nortriptyline group experienced more pain relief (7.21±1.51 to 0.84±1.34) than the TENS group (7.6±1.47 to 2.75 ±2.43) (P=0.001). The 50% pain relief was observed in 14 patients (73%) in nortriptyline group, 6 patients (30%) in TENS group. Moreover, the side effects were seen in 15% of TENS and 55% of patients in nortriptyline groups (P=0.019). Conclusion: Both TENS and nortriptyline were effective and safe in the management of DPNP. But nortriptyline showed a better performance on pain relief.


2015 ◽  
Vol 39 (2) ◽  
pp. 262-269 ◽  
Author(s):  
Milla Pompilio da Silva ◽  
Richard Eloin Liebano ◽  
Victor Ales Rodrigues ◽  
Luiz Eduardo Felipe Abla ◽  
Lydia Masako Ferreira

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