Do not apply stimulation over open woundsor rashes, or over swollen, red, infected,
or inflamed areas or skin eruptions (e.g., phlebitis, thrombophlebitis, varicose veins);
Do not apply stimulation over, or in proximity to, cancerous lesions;
Do not apply stimulation in the presence of electronic monitoring equipment (e.g.,
cardiac monitors, ECG alarms), which may notoperate properly when the electrical
stimulation device is in use;
Do not apply stimulation when the patient is in the bath or shower;
Do not apply stimulation while the patient is sleeping;
Do not apply stimulation while the patient is driving, operating machinery, or during
any activity in which electrical stimulation can put the patient at risk of injury.
Consult with the patient’s physician beforeusing this device, because the device may
cause lethal rhythm disturbances to the heart in susceptible individuals;
Apply stimulation only to normal,intact, clean, healthy skin.
See also chapter 3, Precautionary Instructions, for general Warnings and Precautions.
TENS is not effective for pain of central origin, including headache;
TENS is not a substitute for pain medications and other pain management therapies;
TENS devices have no curative value;
TENS is a symptomatic treatment and, as such, suppresses the sensation of pain that
would otherwise serve as a protective mechanism;
Effectiveness is highly dependent upon patient selection by a practitioner qualified in
the management of pain patients;
The long-term effects of electrical stimulation are unknown;
Since the effects of stimulation of the brain are unknown, stimulation should not be
applied across the head, and electrodes should not be placed on opposite sides of
The safety of electrical stimulation during pregnancy has not been established;
Some patients may experience skin irritation orhypersensitivity dueto the electrical
stimulation or electrical conductive medium (gel);
Patients with suspected or diagnosed heart disease should follow precautions recom-
mended by their physicians;
Patients with suspected or diagnosed epilepsy should follow precautions recom-
mended by their physicians;
Use caution when the patient has a tendency to bleed internally, such as following an
injury or fracture;
Use caution following recent surgical procedures when stimulation may disrupt the
patient’s healing process;
12
4.1.1.4 Precautions Pain Management
Rehab-Series
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