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On Tuesday, November 19, 2013
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Practical Application Of Tens (transcutaneous Electrical Nerve Stimulation)
Chronic pain and disabling muscle tissues aches is one of the most typical factors why a lot of people seek physical therapy. Though the history of physical therapy is as old as practically 140 years, inside the final handful of decades a lot of machines and devices are also constructed around the physical therapy principles and techniques that are of wonderful support in managing chronic pain symptoms in workplace and property based settings. TENS (Transcutaneous electrical nerve stimulation) is possibly one particular in the most successful physical therapy technique employed in alternative medicine today.
TENS refers for the transcutaneous passage of electric currents within a pre-determined frequency across peripheral nerves. A present of a particular wavelength and intensity is delivered by way of electrodes that are attached towards the skin. The frequency or intensity could be controlled manually.
TENS are broadly classified as traditional TENS and low-frequency TENS on the basis of the frequency utilised inside the process. Traditional therapy makes use of a present frequency of 50Hz or above; whereas in low- frequency TENS, a significantly decrease frequency is used (significantly less than 10Hz). Distinct frequencies have diverse effects on the physiological perception of pain by modulation of electric nerve signaling across nerve fibers.
The working principle bargains with excitation of peripheral nerves in an attempt to suppress the nerves that carry discomfort signals towards the brain. This could be accomplished in the event the device stimulates nerve fibers having a greater frequency in comparison to discomfort nerve fibers.
Transcutaneous electrical nerve stimulation is extensively utilized in managing acute discomfort at residence or in a clinical setting. The most preferred use is in labor discomfort. Although not really effective, TENS is amongst the preferred discomfort management methods employed in the course of the later stages of labor and females who choose to provide vaginal birth with no anesthesia can get rewards from TENS.
TENS is one of the safest and most risk-free approaches offered today to treat chronic discomfort of diabetic neuropathy and musculo-skeletal injuries refractory versus ordinary pain medicines. TENS can also be utilised in the management of osteoarthritis discomfort by physical therapists.
TENS is very efficient inside the management of acute discomfort quickly after major surgeries and accidents to minimize the dose of morphine or other prescription pain-killers.
Chronic pain may possibly be functional, post-surgical or neuro-muscular in origin. Unfortunately, there are restricted possibilities for the management of discomfort in most situations. Traditionally, essentially the most common management strategy adopted by most physicians and basic public is OTC pain killers. For moderate to serious pain, over-the-counter NSAIDs (Non- steroidal anti- inflammatory drugs) are ineffective and much more potent opoids are needed for relief; nevertheless, opoids along with other pain drugs have a quantity of complications including addiction possible, phenomena of tolerance and multi- organ damage.
Use of TENS supplies extended lasting discomfort relief which is totally free from complications. A Meta-analysis recommended that TENS provides a 43% reduction in chronic pain instances as opposed to just 23% reduction with opoid use.
For security and optimal benefits, it is important to think about these points: Do not put TENS electrodes directly onto eyes or around peri-orbital area on account of substantial danger of an alarming rise in intra- ocular stress that might cause discomfort or perhaps damage to visual apparatus. It truly is contraindicated to apply electrodes over a tumor or malignancy because the electric existing may stimulate the development in the tumor. Never put electrodes around the anterior aspect from the neck as the threat of vaso-vagal reflex is very high that may culminate in hypotension, cerebral ischemia as well as other complications. Putting electrodes on wounds, open or abraded skin or abscess need to also be avoided. For greatest results, often consult a physical therapist in regards to the correct use of TENS devices for person or residence use.
TENS may be provided as an adjuvant therapy with other discomfort medicines in sufferers with chronic pain (in terminal stages of cancer, chemotherapy induced discomfort and neuromuscular abnormalities) along with potent pain killers. This aids in reducing the dose necessary to make pain-relief whilst decreasing the risk of addiction or tolerance.
For optimal benefits, it is mandatory to think about the etiology of discomfort and accordingly other interventions must also be regarded as simultaneously (because TENS perform ideal as an adjuvant therapy).
Chronic pain and disabling muscle tissues aches is one of the most typical factors why a lot of people seek physical therapy. Though the history of physical therapy is as old as practically 140 years, inside the final handful of decades a lot of machines and devices are also constructed around the physical therapy principles and techniques that are of wonderful support in managing chronic pain symptoms in workplace and property based settings. TENS (Transcutaneous electrical nerve stimulation) is possibly one particular in the most successful physical therapy technique employed in alternative medicine today.
TENS refers for the transcutaneous passage of electric currents within a pre-determined frequency across peripheral nerves. A present of a particular wavelength and intensity is delivered by way of electrodes that are attached towards the skin. The frequency or intensity could be controlled manually.
TENS are broadly classified as traditional TENS and low-frequency TENS on the basis of the frequency utilised inside the process. Traditional therapy makes use of a present frequency of 50Hz or above; whereas in low- frequency TENS, a significantly decrease frequency is used (significantly less than 10Hz). Distinct frequencies have diverse effects on the physiological perception of pain by modulation of electric nerve signaling across nerve fibers.
The working principle bargains with excitation of peripheral nerves in an attempt to suppress the nerves that carry discomfort signals towards the brain. This could be accomplished in the event the device stimulates nerve fibers having a greater frequency in comparison to discomfort nerve fibers.
Transcutaneous electrical nerve stimulation is extensively utilized in managing acute discomfort at residence or in a clinical setting. The most preferred use is in labor discomfort. Although not really effective, TENS is amongst the preferred discomfort management methods employed in the course of the later stages of labor and females who choose to provide vaginal birth with no anesthesia can get rewards from TENS.
TENS is one of the safest and most risk-free approaches offered today to treat chronic discomfort of diabetic neuropathy and musculo-skeletal injuries refractory versus ordinary pain medicines. TENS can also be utilised in the management of osteoarthritis discomfort by physical therapists.
TENS is very efficient inside the management of acute discomfort quickly after major surgeries and accidents to minimize the dose of morphine or other prescription pain-killers.
Chronic pain may possibly be functional, post-surgical or neuro-muscular in origin. Unfortunately, there are restricted possibilities for the management of discomfort in most situations. Traditionally, essentially the most common management strategy adopted by most physicians and basic public is OTC pain killers. For moderate to serious pain, over-the-counter NSAIDs (Non- steroidal anti- inflammatory drugs) are ineffective and much more potent opoids are needed for relief; nevertheless, opoids along with other pain drugs have a quantity of complications including addiction possible, phenomena of tolerance and multi- organ damage.
Use of TENS supplies extended lasting discomfort relief which is totally free from complications. A Meta-analysis recommended that TENS provides a 43% reduction in chronic pain instances as opposed to just 23% reduction with opoid use.
For security and optimal benefits, it is important to think about these points: Do not put TENS electrodes directly onto eyes or around peri-orbital area on account of substantial danger of an alarming rise in intra- ocular stress that might cause discomfort or perhaps damage to visual apparatus. It truly is contraindicated to apply electrodes over a tumor or malignancy because the electric existing may stimulate the development in the tumor. Never put electrodes around the anterior aspect from the neck as the threat of vaso-vagal reflex is very high that may culminate in hypotension, cerebral ischemia as well as other complications. Putting electrodes on wounds, open or abraded skin or abscess need to also be avoided. For greatest results, often consult a physical therapist in regards to the correct use of TENS devices for person or residence use.
TENS may be provided as an adjuvant therapy with other discomfort medicines in sufferers with chronic pain (in terminal stages of cancer, chemotherapy induced discomfort and neuromuscular abnormalities) along with potent pain killers. This aids in reducing the dose necessary to make pain-relief whilst decreasing the risk of addiction or tolerance.
For optimal benefits, it is mandatory to think about the etiology of discomfort and accordingly other interventions must also be regarded as simultaneously (because TENS perform ideal as an adjuvant therapy).
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