CATEGORY PAIN RELIEF II
PROGRAM EPICONDYLITIS
WHEN?
Epicondylitis is manifested by acute pain located at the point of insertion of the
extensor muscles for the wrist and fingers onto the lateral epicondyle. The Epicondylitis
programme is used during the acute and inflammatory phase of the complaint. It can
also be used for localised pain at the medial epicondyle which results from functional
overwork of the flexor muscles (epicondylitis or medial epicondylitis)
WHY?
To relieve pain during the acute and inflammatory phase of the complaint.
HOW?
Using the Gate control principle. This involves causing high levels of tactile sensitivity
impulses in order to limit the input of pain impulses when they return to the posterior
horn of the spinal cord. For this programme, the frequency is modulated (50-150 Hz) to
avoid habituation.
PULSE WIDTH
This programme uses very short duration impulses (50 µs) suitable for the higher level
of excitability of the sensitive Aβ fibres.
ELECTRODES
Due to the small extent of the painful area, 2 small electrodes are usually sucient to
cover the whole of the desired area.
INTENSITY
The intensity must be increased gradually until the patient feels a tingling sensation
that is pronounced without being painful. 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.
EPICONDYLITIS
FREQUENCY PULSE WIDTH MODULATION TIME TREATMENT TIME
50-150 Hz 50 s 2 s 20 min
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