CATEGORY PAIN RELIEF
PROGRAM Hz TENS OR FREQUENCYMODULATED TENS
WHEN?
Gate control, which is activated during TENS stimulation, is particularly eective for
the relief of localised pain of non-muscular origin. It is particularly eective for relieving
neuropathic pain and inflammatory conditions. The sessions may be repeated at will
and without restriction, depending upon the intensity of the pain.
WHY?
Pain relief is now a priority in therapy which must be provided by all healthcare
professionals. As TENS treatment is generally palliative, it improves the patient’s
comfort and helps the therapist to start the process.
HOW?
The principle is to cause a significant influx of tactile sensitivity in order to restrict the
entry of pain impulses upon their return to the posterior horn of the spinal cord. We
must therefore stimulate the sensitivity fibres on the skin of the painful area. To do this,
it is necessary to use a frequency that is the same as the operational frequencies for the
tactile sensitivity nerve fibres, i.e. from 50 to 150 Hz.
PULSE WIDTH
Use very short pulse widths corresponding to the chronaxies of the tactile sensitivity
fibres, i.e. 30, 50 or 70 s, depending on whether the patient is very sensitive, normal, or
not very sensitive (level 1, 2 or 3 respectively).
ELECTRODES
As a general rule, the electrodes are placed on or near the painful area. The electrodes
may also be placed at the nerve trunks depending on the conditions being treated.
INTENSITY
The intensity must be increased gradually until the patient perceives a tingling
sensation that is pronounced without being painful. Acclimatisation is normal if a non-
modulated TENS programme is used. In this case, it is advisable to slightly increase the
stimulation energies on a regular basis so that the patient continues to feel a tingling
sensation. The mi-TENS function prevents any kind of muscle contraction. If the sensor
detects a muscle response, the stimulator automatically reduces the stimulation energy
in order to stop the muscle response.
+TENS
OPTION
No.
13.1.2 Program category PAIN RELIEF