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What is TENS

Chapter 23
Handbook of Research on Healthcare Administration and Management
Transcutaneous Electrical Nerve Stimulation. produces neuro-modulation through the following pathways: (1) Presynaptic inhibition in the dorsal horn of the spinal cord (2) Endogenous pain control (via endorphins, Enkaphalins, and Dynorphins) (3) Direct inhibition of an abnormally excited nerve. (4) Restoration of afferent input The results of laboratory studies suggest that electrical stimulation delivered by a TENS unit reduces pain through nociceptive inhibition at the Presynaptic level in the dorsal horn, thus limiting its central transmission. The electrical stimuli on the skin preferentially activate low- threshold myelinated nerve fibers. The afferent input from these fibers inhibits propagation of nociception carried in the small unmyelinated C fibers by blocking transmission along these fibers to the target or T cells located in the Substantia Gelatinosa (laminae 2 and 3) of the dorsal horn.
Published in Chapter:
Effecting Superior Pain Management Strategies by Combining Technology with Tradition
CK Foo (Honorary Health Informatics, Australia)
Copyright: © 2017 |Pages: 11
DOI: 10.4018/978-1-5225-0920-2.ch023
Abstract
Today we are witnessing a significant rise in chronic diseases and chronic pain. Modern medicine appears not to be sufficient to relieve symptoms and reduce or eliminate discomfort. The following proffers the need to look at alternate strategies. In particular, it suggests that a solution might lie if we combine modern technology with ancient wisdom and traditional approaches. This chapter serves to highlight strategies for prudent pain management. “Pain is not just from physical disorders but also from combinations of physiological, pathological, emotional, psychological, cognitive, environmental, and social factors. The keys to successful pain control are the mechanisms that initiate and maintain pain.” “Now, the public and health professionals expect to control pain by using preventive and active strategies, including drugs and physical and psychosocial interventions.” (Holdcroft & Power, 2003).
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