The use of transcutaneous electrical nerve stimulation along with functional tasks for immediate pain relief in individuals with knee osteoarthritis

In prospective, random assignment of 2 groups of 15 patients, relief of postoperative pain with narcotic medications was evaluated and compared with transcutaneous electrical nerve stimulation (TENS) for 2 days immediately following surgery. Presence of ileus and hospital stay were identifical in both groups. Patients on TENS demonstrated a marked significant decrease in the amount of narcotics administered. There was favorable nursing, physician and patient acceptance to these devices. Further clinical evaluation is, therefore, in progress.

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Do the Effects of Transcutaneous Electrical Nerve Stimulation on Knee Osteoarthritis Pain and Function Last?

The Journal of Knee Surgery ◽

10.1055/s-0035-1566735 ◽

2015 ◽

Vol 29 (06) ◽

pp. 497-501 ◽

Cited By ~ 8

Author(s):

Jeffrey Cherian ◽

Paige Harrison ◽

Samantha Benjamin ◽

Anil Bhave ◽

Steven Harwin ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Electrical Nerve Stimulation ◽

Osteoarthritis Pain ◽

And Function

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THU0490 PREDICTORS OF CHRONIC PAIN RELIEF BY FIXED-SITE HIGH-FREQUENCY TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION

10.1136/annrheumdis-2019-eular.5866 ◽

2019 ◽

Author(s):

Xuan Kong ◽

Dawn Chesher

Keyword(s):

Chronic Pain ◽

Pain Relief ◽

Nerve Stimulation ◽

High Frequency ◽

Transcutaneous Electrical Nerve Stimulation ◽

Electrical Nerve Stimulation

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A comparison of the effects of electroacupuncture versus transcutaneous electrical nerve stimulation for pain control in knee osteoarthritis: a Bayesian network meta-analysis of randomized controlled trials

Acupuncture in Medicine ◽

10.1177/0964528420921193 ◽

2020 ◽

pp. 096452842092119

Author(s):

Xiaowei Shi ◽

Wenjing Yu ◽

Wei Zhang ◽

Tong Wang ◽

Oyunerdene Battulga ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Bayesian Network ◽

Randomized Controlled Trials ◽

Nerve Stimulation ◽

Pain Control ◽

Transcutaneous Electrical Nerve Stimulation ◽

Controlled Trials ◽

Electrical Nerve Stimulation ◽

Randomized Controlled ◽

Meta Analyses

Background To compare the effectiveness of electroacupuncture (EA) and transcutaneous electrical nerve stimulation (TENS) for pain control in knee osteoarthritis (KOA). Methods Four English (MEDLINE, EMBASE, Cochrane Library and Web of Science) and three Chinese (China Science Journal Citation Report (VIP), Wanfang and China National Knowledge Infrastructure (CNKI)) language databases were searched for eligible randomized controlled trials (RCTs), comparing four approaches: EA, TENS, medication and sham/placebo controls. The primary outcome was pain intensity, measured by visual analogue scale (VAS), numeric-rating scale (NRS) or Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale. Classic pairwise and Bayesian network meta-analyses were conducted to integrate the treatment efficacy/effectiveness through direct and indirect evidence. Results Thirteen studies were included. In the direct meta-analyses, there was no statistically significant overall effect of EA (mean difference (MD) −4.77, 95% confidence interval (CI) −12.51 to 2.96), while the overall effects of high-frequency transcutaneous electrical nerve stimulation (H-TENS) (MD −16.63, 95% CI −24.57 to −8.69) and medication (MD −7.12, 95% CI −12.07 to −2.17) were statistically significant. In the network meta-analyses, the relative effect of the EA and H-TENS groups (MD 5.07, 95% CI −11.33 to 21.93) on pain control did not differ. Meanwhile, H-TENS demonstrated the highest probability of being the first best treatment, and EA had the second highest probability. Conclusion The present analysis indicated that both EA and TENS exert significant pain relieving effects in KOA. Among the four treatments, H-TENS was found to be the optimal treatment choice for the management of KOA pain in the short-term, and EA the second best treatment option. Given that the application of TENS is recommended by various international guidelines for the treatment of KOA, EA may also represent a potentially effective non-pharmacologic therapy.

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