0278T Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)

Name of the Procedure:

Transcutaneous Electrical Modulation Pain Reprocessing (e.g., Scrambler Therapy)

Summary

Transcutaneous Electrical Modulation Pain Reprocessing, also known as Scrambler Therapy, is a non-invasive treatment aimed at relieving chronic pain. During each session, electrodes are placed on the skin near the pain sites, and the device sends electrical signals to "retrain" the nerves to perceive pain differently.

Purpose

This procedure addresses chronic neuropathic pain that has not responded well to other treatments. The primary goal is to reduce pain and improve the quality of life for patients.

Indications

• Chronic pain syndromes, such as neuropathic pain and cancer-related pain
• Patients with pain refractory to medications
• Individuals experiencing significant functional impairment due to chronic pain

Preparation

• No special preparation like fasting is usually required.
• Patients should continue their prescribed medications unless instructed otherwise.
• An evaluation to determine pain patterns and medical history is typically conducted beforehand.

Procedure Description

1. The patient is comfortably seated or lying down.
2. Electrodes are placed on the skin near the areas of pain.
3. The Scrambler Therapy device is activated, sending electrical signals through the electrodes.
4. These signals aim to disrupt and "retrain" the pain signals passing to the brain.
5. The therapist adjusts the device settings based on patient feedback to optimize comfort and efficacy.

Duration

Each treatment session typically lasts between 30 to 60 minutes.

Setting

The procedure is usually performed in an outpatient clinic.

Personnel

• Trained healthcare professionals, often a Pain Management Specialist or a Physical Therapist
• Supportive nursing staff if required

Risks and Complications

• Minor risks include skin irritation or discomfort at the electrode sites.
• Rarely, patients might experience temporary changes in sensation or intensification of pain.

Benefits

• Reduction in pain levels, often noticeable after a few sessions.
• Improved daily functioning and quality of life.
• Non-invasive and typically no recovery time needed.

Recovery

• Patients can usually resume normal activities immediately following a session.
• There may be follow-up sessions scheduled based on individual progress and response.
• Patients are advised to monitor their pain levels and report any concerns to their healthcare provider.

Alternatives

• Pharmacological treatments like pain medications and nerve blocks.
• Physical therapy and rehabilitation.
• Surgical interventions in more severe cases.
• Alternative therapies like acupuncture or TENS (Transcutaneous Electrical Nerve Stimulation).

Patient Experience

• Patients might feel a mild tingling sensation during the session.
• Pain relief can be immediate or develop gradually over multiple sessions.
• Comfort measures include adjusting the device's intensity based on patient feedback.
• No sedation is required, allowing the patient to remain alert and communicate with the therapist.