Transcutaneous electrical nerve stimulation (TENS) / Electrical muscle stimulation (EMS)
Transcutaneous electrical nerve stimulation (TENS) is a clinically proven, non-invasive, non-pharmacological and effective analgesic therapy. It is widely applied to relieve both chronic and acute pain. Its particular popularity results from the availability of small and portable TENS devices, which can be used individually by the patient at home. It is sometimes used as a complementary method for the treatment of poorly healing wounds.
Electrical stimulation treatment is a procedure in which as the stimuli affecting the organism one applies pulsed currents or currents irritating nerve endings in the skin, causing electrokinetic reactions or muscle contractions. As part of the supported motor rehabilitation one applies transcutaneous electrical nerve stimulation performed with surface electrodes attached to the skin.
Reference books show that the TENS method is effective not only in the treatment of acute pain (which, according to some authors pass regardless of the adopted therapy), but also in chronic pain. This results from a multidimensional impingement of the TENS method on the patient, including:
- stimulation of the nerve endings
- increased secretion of endorphins,
- evocation of actual physiological muscle contraction.
Indications for electrical stimulation
- Acute and chronic muscle pain,
- rheumatic pains,
- spine pain syndromes
- Post-traumatic, post-operative pain
- Phantom pain after amputation,
- Pain in migraine,
- Menstrual pain, even travail
- Enthesopathies (eg .: tennis elbow)
Contraindications to electrical stimulation:
- heart diseases (arrhythmia, myocardial infarction)
- diseases of the nervous system (epilepsy)
- severe hypertension,
- Metal implants (joint or tooth prostheses)
- pain of unknown origin,
- Fungal infection of the urinary tract,
- neoplastic lesions
- physical and mental exhaustion,
- Lack of patient's response to the applied electrical stimulation.