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Electrical Stimulation Therapy

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Electrical Stimulation Therapy, Electrical Muscle Stimulation, Transcutaneous electrical nerve stimulation, TENS, E-Stim

  • Background
  1. TENS Units are available as of 2014 in U.S. without a prescription
  • Mechanism
  1. Electrical current stimulates a nerve action potential
  2. Results in muscle contraction or altered sensation
  • Indications
  1. General electrical stimulation
    1. Tissue and Wound Healing
    2. Localized inflammation
  2. Electrical Muscle Stimulation
    1. Relief of muscle spasm or Muscle Strengthening (via isometric contraction)
  3. Transcutanous electrical nerve stimulation (TENS Unit)
    1. Localized neuropathic pain
  • Contraindications
  1. Cardiac arrhythmia or Pacemaker
  2. Thrombophlebitis
  3. Avoid over the Abdomen and Pelvis in pregnancy
  4. Avoid at sites where local sensation is diminished
  5. Seizure disorder
  • Precautions
  1. Apply to clean, dry, intact skin only
  2. Do not apply over topical medications or patches
  3. Start at low power and increase dose gradually
  • References
  1. (2015) Presc Lett 22(2): 9-10