Name of the Procedure:

• Common Name: TENS
• Technical or Medical Term: Transcutaneous Electrical Nerve Stimulation

Summary

Transcutaneous Electrical Nerve Stimulation (TENS) involves the use of a device that delivers low-voltage electrical current to specific areas of the body through electrodes placed on the skin. The device typically uses two leads to provide localized stimulation to relieve pain.

Purpose

• Medical Conditions: Used to manage chronic and acute pain conditions such as arthritis, fibromyalgia, low back pain, and neuropathy.
• Goals/Outcomes: The main goal is to alleviate pain and improve the quality of life by reducing the need for pain medications.

Indications

• Symptoms/Conditions: Chronic pain, post-surgical pain, labor pain, and acute injuries.
• Patient Criteria: Suitable for individuals seeking non-pharmacological pain relief or those who cannot tolerate pain medications.

Preparation

• Pre-Procedure Instructions: Normally, no special preparations such as fasting are required. Patients are advised to wear comfortable clothing.
• Diagnostic Tests: A medical consultation is usually required to determine the severity and type of pain and to ensure that TENS is appropriate for the condition.

Procedure Description

1. Electrodes Placement: Electrodes are placed on the skin over or near the area of pain.
2. Device Setting: The TENS device is then set to deliver electrical pulses at the appropriate intensity and frequency.
3. Session: The patient can adjust the settings as needed within advised limits.

• Tools/Equipment: TENS unit, electrodes, and conductive gel.
• Anesthesia/Sedation: None required.

Duration

• The typical session lasts between 15 to 60 minutes, depending on the individual's pain management needs.

Setting

• Where: Can be performed at home or in an outpatient clinic under the guidance of a healthcare professional.

Personnel

• Healthcare Professionals: In a clinical setting, the initial setup and instructions are usually provided by a physical therapist or nurse.

Risks and Complications

• Common Risks: Skin irritation or redness at the electrode sites.
• Rare Risks: Burns or electrical shock if the device is not used correctly.
• Possible Complications: Not effective for everyone's pain, and improper use can lead to discomfort or skin damage.

Benefits

• Expected Benefits: Pain relief, reduced need for pain medications, and non-invasive treatment.
• Timeframe for Benefits: Pain relief can be immediate, but the effectiveness can vary from person to person.

Recovery

• Post-Procedure Care: Minor skin irritation may need topical treatment.
• Recovery Time: Generally, there is no downtime; patients can resume their daily activities immediately.
• Restrictions: No specific restrictions post-procedure.
• Follow-Up: Regular follow-up for chronic conditions to monitor progress and adjust treatment as needed.

Alternatives

• Other Treatment Options: Physical therapy, medications, acupuncture, and nerve blocks.
• Pros/Cons: TENS is non-invasive and has fewer side effects than medications, but its effectiveness may vary. Other treatments might provide more consistent relief for some patients but may come with more risks or side effects.

Patient Experience

• During Procedure: Mild tingling or buzzing sensation where the electrodes are placed. Adjustments in settings may be needed for comfort.
• After Procedure: Some may experience immediate pain relief. It's important to follow the care instructions to minimize any skin irritation.
• Pain Management: The procedure itself is typically painless; however, comfort measures such as proper hydration and occasional breaks can enhance the experience.