The Effectiveness of Transcutaneous Electrical Nerve Stimulation on Neuropathic Pain

Luk, M. L. M.

doi:10.1016/s1013-7025(09)70031-4

Cited by 3 publications

(3 citation statements)

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“…The analgesic effect of TENS is similar to that achieved with opioid agonists in the treatment of NP (6). There are only a limited number of studies that use TENS for treatment of different NP conditions (7)(8)(9). These studies suggest that TENS is a reasonable treatment to manage NP (10).…”

Section: Introductionmentioning

confidence: 70%

“…NP due to arthritis can lead to a marked impairment in patients' quality of life (24). In the past years, there have been a number of studies that have investigate defficacy of TENS for pain reduction in people with several pain conditions, but to our knowledge there are only a limited number of studies that use TENS for treatment of NP (7)(8)(9). TENS strengthens local inhibitory controls and is indicated in focal NP (5).…”

Section: Discussionmentioning

confidence: 99%

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The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study

Polat¹,

Doğan²,

Özcan³

et al. 2017

Tod

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ÖzAmaç: Çalışmamızın amacı nöropatik ağrı komponenti olan diz osteoartritinde transkütanöz elektriksel sinir stimülasyonunun (TENS) etkinliğini araştırmaktır. Gereç ve Yöntem: Hastalar ağrı şiddeti açısından görsel analog skala (VAS), fiziksel fonksiyon için Western Ontario ve McMaster osteoartriti indeks (WOMAC), osteoartrit şiddeti açısından Kellgren-Lawrence derecelendirme, nöropatik ağrı varlığı açısından painDETECT ağrı anketi ile değerlendirildi. Hastalar painDETECT puanlarına göre 2 gruba ayrıldı. Grup 1 nöropatik ağrısı pozitif ve muhtemel olan 20 (%39,2) hastadan, grup 2 nöropatik ağrısı olmayan 31 (%60,8) hastadan oluşmaktadır. Bütün hastalar hot pack ve TENS tedavisi aldı, ev egzersiz programı verildi. Fiziksel tedavi ajanları haftada 5 gün olmak üzere 3 hafta verildi. Değerlendirmeler bütün hastalarda tedavi öncesi ve sonrası yapıldı. Bulgular: Demografik özellikler ve radyografik değerlendirme açısından gruplar arasında istatiksel olarak fark yoktu. VAS, WOMAC ağrı ve fiziksel fonksiyon skorları nöropatik ağrı komponenti olan diz hastalarında tedaviden sonra anlamlı derecede azaldı fakat her iki grup arasında anlamlı farklılık yoktu. Sonuç: TENS nöropatik ağrı komponenti olan diz osteoartriti hastalarında ağrıyı azaltmada ve fiziksel fonksiyonu geliştirmede etkilidir. TENS tedavisinin avantajı ilaç tedavisi ile birlikte kullanılabilmesi böylelikle ilaç dozunun ve ilaç yan etkilerinin azaltılmasını sağlamasıdır. Anahtar kelimeler: Nöropatik ağrı, diz osteoartriti, transkütanöz elektriksel sinir stimülasyonu Objective: The aim of our study was to assess the efficacy of transcutaneous electrical nerve stimulation (TENS) in knee osteoarthritis with neuropathic pain component. Materials and Methods:The patients were assessed by visual analogue scale (VAS) for pain severity, Western Ontario and McMaster osteoarthritis index (WOMAC) for physical function and the Kellgren-Lawrence system for severity of osteoarthritis, painDETECT questionnaire for presence of neuropathic pain. Patients were divided into two groups according to painDETECT questionnaire scores. Group 1 consisted of 20 patients (39.2%) with likely and possible neuropathic pain, group 2 consisted of 31 patients (60.8%) with unlikely neuropathic pain. All patients received hot pack, TENS and home exercise program was given. Physical therapy agents were given for 3 weeks, 5 days a week. Assessments were evaluated in all patients before and after the treatment. Results: There was no statistically significant difference in demographic features and radiographic evaluations between the groups. The VAS, WOMAC pain and physical function scores were significantly lower after treatment in knee patients with neuropathic pain component, but there was no significant difference between the two groups. Conclusion: TENS is a neuropathic pain component in knee osteoarthritis patients, which is effective in reducing pain and improving physical function. The benefit of TENS therapy is that it can be used in conjunction with drug therapy, thereby reducing...

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Section: Introductionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Transcutaneous Electrical Nerve Stimulation in Knee Osteoarthritis with Neuropathic Pain Component: A Randomized Controlled Study

Polat¹,

Doğan²,

Özcan³

et al. 2017

Tod

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“…The studies concluded that TENS is effective for reducing pain that arises from diabetic peripheral neuropathy. luk (13) performed a single-blind, randomized controlled trial, and found that TENS was effective in reducing pain and improving tactile tolerance in patients with neuropathic pain. Furthermore, cuypers et al (14) found that long-term TENS treatment improved tactile sensitivity in patients with multiple sclerosis (MS) .…”

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confidence: 99%