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TENS - Coggle Diagram
TENS
Settings
Pulse rate
2Hz
Pulse width
220-250 ms secs
Mode
Normal or Continuous
30 minutes - endogenous opioids are raised
60 minutes - point at which maximum endorphin levels are reached
Frequency of Treatment
Induction Phase
Transition Phase
Maintenance Phase
As and when necessarily
May be necessary to continue 2-3x weekly for several weeks
15-20 minutes to get the patient used to it
Ideally 30 minutes 2x daily for 5-7 days
Use 1x daily until possible to palpate changes
Every other day until issue resolved
Excites sensory nerves
Symptomatic Pain Relief
The Opioid Mechanism
Stimulate A Delta fibres
Activate opioid mechanisms
Release endogenous opiate in spinal cord
encephalin
Reduce activation of noxious sensory pathways