:: Pain treatment with electrical stimulation
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Pain treatment with electrical stimulation
Pain treatment with electrical stimulation
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ELECTRICAL STIMULATION
Electrical stimulation of denervated skeletal muscle and innervated muscle that cannot contract voluntarily may help treat or prevent disuse atrophy and muscle spasticity, especially in patients with hemiplegia from cerebrovascular accident, traumatic paraplegia and quadriplegia, and peripheral nerve injury. A large dispersive electrode is placed at a distant part of the body, and a smaller active electrode, on the muscle being treated. This unipolar technique uses a low current and is preferred. Usually, 10 to 20 muscle contractions per session are sufficient. Overstimulation may cause muscle fatigue, which may result in damage. Electrode burns may result from poor skin contact or too much current. Contraindications include advanced heart disease and a pacemaker. This technique should not be used over the eyes.
Transcutaneous electrical nerve stimulation (TENS) uses low current at low-frequency oscillation for pain relief. The patient feels a gentle tingling sensation without increased muscle tension. Depending on the severity of pain, 20 min to a few hours of stimulation may be applied several times daily. Often, patients are taught to use the TENS device and decide when to apply treatment. Because TENS may cause arrhythmia, it should not be used on a patient with advanced heart disease or with a pacemaker. It also should not be used over the eyes.
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