Role of transcutaneous electrical nerve stimulation in post-operative analgesia

Kerai, Sukhyanti; Saxena, Kirti N; Taneja, Bharti; Sehrawat, Lalit

doi:10.4103/0019-5049.138966

Cited by 36 publications

(35 citation statements)

References 18 publications

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“…is electrical stimulation of nerve endings to produce an analgesic effect. 19 NMES has been shown to strengthen quadriceps muscles 17,18 and TENS has been shown to decrease pain in post-TKA patients. 18,20 Cooling therapies and compression show promise in the management of pain, and prehabilitation literature demonstrates compelling evidence for muscle strengthening following TKA.…”

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confidence: 99%

Nonpharmacologic Pain Management and Muscle Strengthening following Total Knee Arthroplasty

et al. 2015

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Despite technological advances in total knee arthroplasty (TKA), management of postoperative muscle weakness and pain continue to pose challenges for both patients and health care providers. Nonpharmacologic therapies, such as neuromodulation in the form of neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS), and other modalities, such as cryotherapy and prehabilitation, have been highlighted as possible adjuncts to standard-of-care pharmacologic management to treat postoperative pain and muscle weakness. The aim of this review was to discuss existing evidence for neuromodulation in the treatment of pain and muscular weakness following TKA, and to shed light on other noninvasive and potential future modalities. Our review of the literature demonstrated that NMES, prehabilitation, and some specialized exercises are beneficial for postoperative muscle weakness, and TENS, cooling therapies, and compression may help to alleviate post-TKA pain. However, there are no clear guidelines for the use of these modalities. Further studies should be aimed at developing guidelines or delineating indications for neuromodulation and other nonpharmacologic therapies in the management of post-TKA pain and muscle weakness.

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confidence: 99%

Nonpharmacologic Pain Management and Muscle Strengthening following Total Knee Arthroplasty

et al. 2015

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“…Acupuncture TENS using low frequency, high-intensity current activates small diameter fibers arising from muscles and produces nonpainful muscle contraction over the myotome which causes pain. Intense TENS using high intensity and highfrequency current that patient can tolerate, this type of TENS activates small diameter Aδ nerve fibers [7].…”

Section: Discussionmentioning

confidence: 99%

“…A TENS unit contains an electrical signal generator, a battery in addition to a set of electrodes. The TENS is small, programmable and the generator can deliver stimuli with different current intensities, pulse rates, and pulse width [7]. The mechanism of analgesia by TENS has been explained by many theories.…”

Section: Introductionmentioning

confidence: 99%

“…It has been postulated that conventional TENS is the optimal treatment for pain relief during ESWL [10], this is achieved by a median stimulation frequency (pulse rate) of 85 Hz [11], pulse rate can range from 1 or 2 Hz to 200-250 Hz [7], and the current intensity ranges from 1-100 mA, which is raised gradually to a level at which the patient perceives the stimulation with no pain, and the pulse width adjusted to 50-250µsec [12].…”

Section: Introductionmentioning

confidence: 99%

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Transcutaneous Electric Nerve Stimulation (TENS) for pain relief during Extracorporeal Shock-Wave Lithotripsy (ESWL)

Shoukry

Al-Ansary

2019

Egyptian Journal of Anaesthesia

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Background: Anesthesia for ESWL must provide good analgesia, rapid recovery with least side effects. Opioids are commonly used analgesics during ESWL, but are not devoid of side effects. TENS is a non-pharmacological, non-invasive analgesic technique, which has been recommended for pain control in many clinical settings. Methods: Sixty patients scheduled for ESWL were randomly assigned to group-A (30 patients): received IV fentanyl 1µg/Kg with the application of conventional TENS. Group-B (30 patients) received IV fentanyl 1µg/Kg. IV increments of 20 µg of fentanyl were given if VAS was≥3 in both groups. Fentanyl consumption, discharge time, adverse effects, and satisfaction score for patients were compared. Results: VAS was lower among group-A than group-B throughout the procedure but that was statistically non-significant. There was significantly lower fentanyl consumption in group-A compared to group-B (P-value < 0.001). Discharge time was significantly shorter among group-A (36.2 ± 0.6 min) than group-B (47.2 ± 0.8 min). Adverse effects were significantly less frequent in group-A compared to group-B. Incidences of O 2 desaturation, nausea and vomiting were higher in group-B compared to group-A. Patients' satisfaction was significantly higher among group-A than among group-B. Conclusion: TENS is an effective and safe practice in controlling pain during ESWL, it decreases fentanyl consumption and its side effects, with greater patients' satisfaction. It decreases discharged time compared to fentanyl so it is ideal for outpatient procedures. ARTICLE HISTORY

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“…Additionally, acupuncture was an invasive therapy which was not well accepted by most patients. TENS was introduced in the 70s of the last century as a method of pain management including chronic pain and malignancy related pain [2]. However, the TENS device was too large to carry easily, and the placement of the electrodes is technological required.…”

Section: Introductionmentioning

confidence: 99%

Design and Testing of a Novel Electrical Stimulator Base on Wrist- Ankle Acupuncture and Transcutaneous Electrical Nerve Stimulation

Ou¹,

Shi²,

Yu³

et al. 2018

dtbh

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Abstract. This paper developed a novel electrical stimulator. This electrical stimulator, based on wrist-ankle acupuncture in traditional Chinese medicine and transcutaneous electrical nerve stimulation (TENS), aimed at reliving pains. The electrical stimulator has wide band voltage adjustment (0V-100V with 3.3V power supply) with voltage-mode electrical stimulation (ES) circuit. The novel topology of the circuit was implemented without operational amplifier (OPAM) and the transformer was used. A boost converter was applied in the circuit to produce treatment voltage, meanwhile an H-Bridge to produce the required biphasic pulses to effectively reduce the tolerance and polarization reaction. The low treatment voltage was used to make this circuit safer for users. The circuit tests were carried out and a pain model was established on healthy volunteers. The experiment suggested that the stimulator had good effect on pain relief and meanwhile increased the pain threshold.

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Role of transcutaneous electrical nerve stimulation in post-operative analgesia

Cited by 36 publications

References 18 publications

Nonpharmacologic Pain Management and Muscle Strengthening following Total Knee Arthroplasty

Nonpharmacologic Pain Management and Muscle Strengthening following Total Knee Arthroplasty

Transcutaneous Electric Nerve Stimulation (TENS) for pain relief during Extracorporeal Shock-Wave Lithotripsy (ESWL)

Design and Testing of a Novel Electrical Stimulator Base on Wrist- Ankle Acupuncture and Transcutaneous Electrical Nerve Stimulation

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