Pain Relief - CefarCompex Physio 5 Guia Practica

2) Pain relief

ENG
TENS 100 HZ OR 80 HZ
When?
Why?
How?
Example
Electrodes
Intensity
Option 2+2
TENS
Frequency
100 Hz
100 Hz
100 Hz
80 Hz
15
TENS is the first choice for acute and long-term pain, both neurogenic
and nociceptive. Good results are observed, above all when the pain
originates in joints, the skeleton, muscles, skin, viscera or nervous
system.
For an acute pain you need pain relief to take part in daily activities and
avoid enter a vicious circle. For chronic pain you need a way to handle
your daily life. TENS has no known side effects and is easy to use.
TENS utilises the nervous system's own pain relief mechanisms and is
based on the Gate control theory. This theory states that stimulating
A-ßeta-fibres, the sensory nerve fibres that conduct pressure, touch and
vibration, inhibits impulse transfer in the pain pathways.
Frequency: 80 or 100 Hz.
Pulsewidth: appropriate to the sensivity of the treated area and the
patient. You can choose between 100 Hz: level 1 - 30 μs (very sensitive),
level 2 - 50 μs, level 3 - 70 μs or 80 Hz: 180 μs (normal).
Neck pain, shoulder pain, elbow pain, rheumatic pain, fractured rib,
lumbago, menstrual pain, phantom limb pain, hip pain and osteoarthritic
pain.
Neck pain, shoulder pain, elbow pain, rheumatic pain, fractured rib,
lumbago, menstrual pain, phantom limb pain, hip pain and osteoarthritic
pain.
The stimulation should give a strong, but pleasant paraesthesia –
tingling. Adjust the intensity level during the treatment, because this is
one of the key factors for the effectiveness of the treatment.
As a rule, the electrodes should be placed on or near the painful area,
or over an area segmentally related to the painful area. See suggested
electrodes placements on the fold out cover. It is important to ensure
that the patient has normal sensitivity in the area where the electrodes
are placed.
Level
1
2
3
-
Pulse width Treatment time
30 µs 20 min
50 µs 20 min
70 µs 20 min
180 µs 30 min