10.13. Electrotherapy

Transcutaneous stimulation

Transcutaneous electrical nerve stimulation (TENS) is electrical stimulation through surface electrodes. The advantage of not using syringe injections is obvious; the electrical pulses stimulate the body's own mechanisms for obtaining pain relief. There are three theories as to how the pain relief is achieved:
1. Gating theory
    Pain perception is controlled by a gate mechanism in the synapses, particularly in CNS of the spine. This gate is controlled by separate nerve fibers, and by stimulating with pulses of high frequency (50–200 Hz), these fibers are stimulated and pain relief is obtained.
2. Endorphins
    The body uses natural forms of morphine called endorphins for pain relief. The secretion ...

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