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Transcutaneous electrical nerve stimulation is the use of electric current produced by a device to stimulate the nerves for therapeutic purposes. TENS, comprises of the complete range of transcutaneous currents to stimulate the nerves although the term is often used with a more restrictive intent, namely to describe the kind of pulses produced by portable stimulators used to treat pain. In this, two or more electrodes are used which is connected to the skin and generally it is applied at high frequency(>50 hz).It is a therapy that uses low-voltage electric current for pain relief. The electrodes are often placed on the area of pain or at a pressure point, creating a circuit of electrical impulses that travels along nerve fibers. People use TENS to relieve pain for several different types of illnesses and conditions. They use it most often to treat muscle, joint, or bone problems that occur with illnesses such as osteoarthritis or fibromyalgia, or for conditions such as low back pain, neck pain, or bursitis. The duration of the treatment is about 40 minutes in terms of both the magnitude (VAS scores) of pain reduction and the duration of post-stimulation analgesia for knee osteoarthritis. In summary, clinical trials suggests that TENS is effective for several acute and chronic pain conditions associated with emergent and postoperative conditions. Use of high-intensity stimulation and high-frequency TENS appears to be the most effective, particularly in the short term.
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