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Tens (Transcutaneous Electrical Nerve Stimulation) Tips

Spinal Cord Stimulation For Chronic Back And Neck Pain!

Dr. Snehal Panchal 83% (77 ratings)
MD,DNB, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Pain Management
Pain Management Specialist, Mumbai
Spinal Cord Stimulation For Chronic Back And Neck Pain!

It is very challenging to find operative treatments for chronic pain that offer improved daily functioning. Spinal Cord Stimulation is an excellent pain management method that can be used for patients when their neck or back pain cannot be treated by surgery or other options.

Each year more than 14,000 patients undergo the spinal cord stimulator transplant. The procedure comprises of mild electrical stimulations to the spinal cord. This modifies the nerve activity reducing the pain sensation or sensitivity that reaches the brain.

Neurostimulation therapy recommended by doctors is very effective, especially for chronic pain sufferers. The benefit of this proven therapy is that the pain experienced by the brain is minimized to a great extent. The therapy was designed only after observing how pain is managed by the brain. The therapy approved by the FDA is used to treat the pain caused due to nerve damage in the legs, arms and in the trunk. Spinal cord stimulation for chronic back and neck pain is provided to patients in pain management centers. The staff taking care of patients in these centers are specialized and trained in pain relief -how it occurs and best ways to treat it. Injections are also used to ease the pain.


How to treat back Pain?
Probably the worst pain an individual can experience is back pain, in some cases so severe that it hampers daily life. The treatment options that are used for treating back pain include electrical stimulation to the back and medication to the spine. The most common reason for spinal cord stimulation is failed back surgery. The pain related to the following conditions can also be alleviated through this therapy, scarring of the protective layers of the spinal nerves, painful inflammation and arachnoiditis.

Devices Used for Spinal Cord Stimulation
The devices used for spinal cord stimulation are available in several types but they comprise mainly of three parts. The pulse generator with a battery, a lead wire with 8-32 electrodes and a hand-held remote control that is useful in adjusting the settings of the device, and to switch it on and off. Electrical pulses are delivered to the spinal cord through the electrodes. It is very important that the procedure is carried out by doctors who specialize in pain management or by neurosurgeons. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

4217 people found this helpful

Spinal Cord Stimulation - How It Can Help Manage Pain?

Dr. K J Choudhury 87% (193 ratings)
MBBS, MD, M.N.A.M.S(Anaesthesiology), FWACS
Pain Management Specialist, Delhi
Spinal Cord Stimulation - How It Can Help Manage Pain?

Pain is a perception by the nervous system. When a painful stimulus is applied to a body part, the nerve endings of that part will send the sensation all the way to the brain where it is perceived as pain. If the pain is experienced by the legs or hands, then the sensation travels via the spinal cord to be perceived as pain. In case of people suffering from nerve problems, there could be cases of chronic pain, therefore conservative treatment measures may fail at times. In these people, though the pain source cannot be reduced, the perception can be reduced. This is exactly what a spinal cord stimulator does, it masks the signals that are reaching the brain, and thereby reduces the perception of pain. 

What is it and how does it work?

Spinal cord stimulator is implanted in patients with chronic intractable neuropathic pain when other conservative or surgical treatment has failed. Trial electrode/s are placed in the outer covering (epidural space) of the spinal cord, higher than the level of pain. Correct placement of electrode is confirmed by stimulating the electrodes through an external generator and different modes/intensity of current are tried to get best pain relief. Pain message is electrical in nature and reaches pain center in brain through multiple relays. Spinal cord stimulator converts electrical energy to a different feeling called neuromodulation and usually pleasant. Upon relief of atleast 60%, the device is implanted in the body like pacemaker for heart. An external remote device allows the device to be used when it is required. It is very safe and free from sideeffects of medications as no drug is used with this device.

Benefits of using stimulator 

  • Useful for people with prolonged case of sciatica and chronic regional pain syndrome
  • It reduces pain significantly
  • Improves a person’s quality of life by reducing pain (especially back and legs) which can be debilitating
  • Useful when other modalities of treatment have failed
  • Useful when surgery is not possible (either no response to prior surgeries or patient’s overall health does not allow for surgery)
  • Is a reversible option, the stimulator can be removed any time the patient feels it is not working
  • Requires minimal surgery and can be done as an outpatient procedure
  • Once trained, patients can manage the stimulator on their own
  • Is not affected by devices such as cell phone, microwaves and other electronic gadgets
  • Can be used on a trial basis before a patient opts for a permanent stimulator.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4467 people found this helpful

Adopting Deep Brain Stimulation For Parkinson's disease

Dr. Vikas Bhardwaj 84% (10 ratings)
MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
Adopting Deep Brain Stimulation For Parkinson's disease

One of the common ailments in the elderly people is the Parkinson’s. A progressive disorder, when left untreated, results in worsening of the symptoms. Hence, it is essential to understand the treatment options available to manage the condition effectively. You may be suggested surgical therapies if medication is not effective enough to treat the symptoms.

Surgical treatment options can be beneficial for patients who are suffering from symptoms, but they do not help with treating the disease. In the past, surgical methods like Thalamotomy and Pallidotomy were used to destroy brain cells that contributed to the symptoms. While these methods are still used, they are very rare and situational.

Deep Brain Stimulation (DBS), an FDA-approved procedure, has become much more popular as it is much safer and does not involve invasive surgery. Instead of destroying brain cells like traditional methods, DBS involves sending electric pulses to the affected brain cells to reduce the symptoms. It is not a treatment procedure, but a means of bringing down the severity of Parkinson’s to allow better and more comfortable treatment.

Deep Brain Simulation – Who are the right candidates?
Deep Brain Simulation is commonly used for Parkinson ’s disease, but it is not recommended for everyone. It is a preferred method of treatment for people who have had Parkinson’s for at least four years but have complications which include long periods of time where medications do not work, or symptoms return, uncontrolled and involuntary movements or the freezing/stiffness in the body.

Deep Brain Simulation is not recommended for those who have Dementia as it can lead to memory problems. The general rule of thumb that neurosurgeons follow is that Deep Brain Simulation can help with symptoms that do not get better with medication. DBS can help reduce medication requirements for patients as well as reduce the side effects that may occur due to medication.

Disorder specialists and neurosurgeons can conduct tests to determine if DBS is going to be effective for a patient before going ahead with such a procedure. An extensive assessment is necessary to understand the symptoms, the effect of Parkinson's drugs and also brain imaging is done. All of the expected benefits are then evaluated for the patients, and if the procedure can help alleviate the symptoms, DBS is given a green signal by neurosurgeons and patients can undergo the procedure.

How Does Deep Brain Simulation Work?
Deep Brain Simulation is a very complex procedure. Brain cells communicate with the rest of the body through electric signal, and these become irregular and do not work properly when affected by Parkinson's. DBS smoothens the functioning of these brain cells and reduces symptoms through electric pulses through the implantation of a medical device known as neurostimulator which is also referred as brain pacemaker.

But, as with any treatment procedure, DBS has potential risks and side effects, hence discuss with neurosurgeon thoroughly to access the suitability.

1 person found this helpful

Sex Tips: Non-Physical Stimulation for Hotter Action

Dr. Vinod Raina 89% (5866 ratings)
MD - General Medicine
Sexologist, Delhi
Sex Tips: Non-Physical Stimulation for Hotter Action

Sexual stimulation can take place on a number of fronts. Most people think immediately of touching the naughty bits here, but there are ways to spark arousal that don't involve physical contact, ways that can greatly enhance desire and lead to hotter sex. Since sexual health is an important component of overall wellbeing, and maintaining sexual health requires keeping the activity fresh, a man can never acquire too many sex tips. The following indirect methods of stimulation will heighten the pleasure for both partners.

Through the ears

Music is a powerful tool for altering one's mood, or that of a lover. Turning on the right song, or sometimes just the right genre, can get a person revved up. While it depends on the person in question and his or her musical tastes, things to try are bluesy rock (such as the Black Keys) or music with sexy lyrics (think "Let's Get It On").

Through the nose

The sense of smell is a wonderful vehicle for eliciting moods and memories. Some tried-and-true scents are known for their ability to relax and even arouse - sandalwood, rose and lavender among them. If a partner wants to really invest in olfactory stimulation, he can track down a scent nostalgic of the first time he met his lover, or perhaps of the first time they made love. Was a candle burning? Was he wearing a certain fragrance? Recreate the moment.

Through the mind

A man may have heard that the brain is the largest erogenous zone, and there's certainly some truth to that. Getting and keeping a lover in a sexy frame of mind can add a layer to sexual desire and enjoyment that one might be shocked by.

One way to engage the mind is through dirty talk. Telling a partner what one likes, what one wants to do and how one feels in the moment can greatly stimulate him or her, as can hearing such things from one's lover. And this can be done long-distance as well, maintaining sexual attraction and connection when lovers are apart.

Another way to tantalize the brain is to draw on a partner's fantasies. Couples can incorporate elements of fantasies into sex play. This can be done through dirty talk and/or the simulation of kinky scenarios like "public" sex; it may involve the incorporation of bondage, submission or other fetishes that send a person over the enjoyment edge.

Through the feelings

Most people can likely attest to the fact that sex with someone they know, like and trust is in many ways better - deeper and more meaningful. Still, when people have been together for some time, they may fall into a routine that grows stale. They can reinvigorate the great pleasure that can come from intimacy by remembering what excites them about the other as a person. This can be a shared interest - in which case getting fired up over a baseball game or delving into an intellectual topic may spark that fire. Or, they may appreciate something about one another that completely sets them apart, like an interest or skill that evades the other. Get invested in the other's interests to keep the other interesting.

While men bolster their arsenal of stimulatory methods, they shouldn't neglect to take proper care of the organ involved in the action when it comes time to get busy. Maintaining optimal penile health will ensure that a man's member remains attractive to his partner while helping to promote proper function into old age. Using a penis health creme (health professionals recommend Man1 Man Oil) is beneficial in this area. Shea butter and vitamin E serve as potent natural moisturizers for smooth, supple skin, and acetyl L-carnitine helps prevent peripheral nerve damage from rough handling that can lead to decreased sensitivity over time. Keep the member radiant and functional with the assistance of Man1 Man Oil.

2 people found this helpful

Sex Tips: Non-Physical Stimulation for Hotter Action

Dr. Vinod Raina 89% (5866 ratings)
MD - General Medicine
Sexologist, Delhi
Sex Tips: Non-Physical Stimulation for Hotter Action

Sexual stimulation can take place on a number of fronts. Most people think immediately of touching the naughty bits here, but there are ways to spark arousal that don't involve physical contact, ways that can greatly enhance desire and lead to hotter sex. Since sexual health is an important component of overall wellbeing, and maintaining sexual health requires keeping the activity fresh, a man can never acquire too many sex tips. The following indirect methods of stimulation will heighten the pleasure for both partners.

Through the ears

Music is a powerful tool for altering one's mood, or that of a lover. Turning on the right song, or sometimes just the right genre, can get a person revved up. While it depends on the person in question and his or her musical tastes, things to try are bluesy rock (such as the Black Keys) or music with sexy lyrics (think "Let's Get It On").

Through the nose

The sense of smell is a wonderful vehicle for eliciting moods and memories. Some tried-and-true scents are known for their ability to relax and even arouse - sandalwood, rose and lavender among them. If a partner wants to really invest in olfactory stimulation, he can track down a scent nostalgic of the first time he met his lover, or perhaps of the first time they made love. Was a candle burning? Was he wearing a certain fragrance? Recreate the moment.

Through the mind

A man may have heard that the brain is the largest erogenous zone, and there's certainly some truth to that. Getting and keeping a lover in a sexy frame of mind can add a layer to sexual desire and enjoyment that one might be shocked by.

One way to engage the mind is through dirty talk. Telling a partner what one likes, what one wants to do and how one feels in the moment can greatly stimulate him or her, as can hearing such things from one's lover. And this can be done long-distance as well, maintaining sexual attraction and connection when lovers are apart.

Another way to tantalize the brain is to draw on a partner's fantasies. Couples can incorporate elements of fantasies into sex play. This can be done through dirty talk and/or the simulation of kinky scenarios like "public" sex; it may involve the incorporation of bondage, submission or other fetishes that send a person over the enjoyment edge.

Through the feelings

Most people can likely attest to the fact that sex with someone they know, like and trust is in many ways better - deeper and more meaningful. Still, when people have been together for some time, they may fall into a routine that grows stale. They can reinvigorate the great pleasure that can come from intimacy by remembering what excites them about the other as a person. This can be a shared interest - in which case getting fired up over a baseball game or delving into an intellectual topic may spark that fire. Or, they may appreciate something about one another that completely sets them apart, like an interest or skill that evades the other. Get invested in the other's interests to keep the other interesting.

While men bolster their arsenal of stimulatory methods, they shouldn't neglect to take proper care of the organ involved in the action when it comes time to get busy. Maintaining optimal penile health will ensure that a man's member remains attractive to his partner while helping to promote proper function into old age. Using a penis health creme (health professionals recommend Man1 Man Oil) is beneficial in this area. Shea butter and vitamin E serve as potent natural moisturizers for smooth, supple skin, and acetyl L-carnitine helps prevent peripheral nerve damage from rough handling that can lead to decreased sensitivity over time. Keep the member radiant and functional with the assistance of Man1 Man Oil.

4 people found this helpful

Osteoarthritis (OA)

Bnchy Wellness Medispa 86% (530 ratings)
Bachelor of Naturopathy & Yogic Sciences (BNYS), M.sc in yoga and naturopathy, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Bachelor of Physiotherapy
Ayurveda, Delhi

OA is a common type of arthritis, typically with onset during middle or old age that is characterized by progressive degenerative changes in the cartilage of one or more joint.

Types of OA

  1. Idiopathic Osteoarthritis: This type of OA has no identifiable cause.
  2. Secondary OA: Secondary OA is caused by an underlying condition such as joint injury, other bone and joints medical condition.

Risk factors

  1. Age
  2. Gender
  3. Obesity
  4. Occupation
  5. Sports

Symptoms

  • Pain
  • Stiffness
  • Swelling
  • Crackling and grating sensation (Crepity)
  • Osteophytes (Bony outgrowths)

Diagnosis

  • Imaging test:  X-Rays

Physiotherapy Treatment

How Physiotherapy Can Help Manage Carpal Tunnel Syndrome?

Dr. Deep Arya 87% (294 ratings)
BPT
Physiotherapist, Gurgaon
How Physiotherapy Can Help Manage Carpal Tunnel Syndrome?

Carpal tunnel syndrome is a condition that affects around 3%-5% of the population and generally affects women more than men. This syndrome affects the fingers therefore drastically impairing your ability to perform routine tasks.

Causes of Carpal Tunnel Syndrome
Anything that bothers or stresses the median nerve in the carpal tunnel area can lead to carpal tunnel. However, there are lot of other reasons which may contribute towards causing a condition like carpal tunnel syndrome. They are:

  1. Obesity- Being overweight is considered to be one of the major causes of carpal tunnel since all that extra fat puts a lot of pressure on your bones, which puts pressure on the nerve.
  2. Gender- Carpal tunnel is generally more common in women because the size of women’s carpal tunnels are smaller than men. 
  3. Anatomical reasons- Arthritis or bone dislocation and fracture can lead to modification of the space in the carpal tunnel area. This puts intense pressure on the median nerve and also leads to deformation of the wrist bone.
  4. Nerve conditions- Conditions such as multiple sclerosis and diabetes can lead to carpal tunnel syndrome because they mainly affect and damage the nerves, which means it also affects the median nerve where the carpal tunnel is located.
  5. Medical conditions- Several medical conditions such as kidney damage or kidney failure, hypothyroid or hyperthyroid and menopause can also cause carpal tunnel syndrome.
  6. Inflammation- Inflammation is one of the biggest reasons of carpal tunnel. Rheumatoid arthritis, which is directly caused by inflammation can damage the tendons in your wrist and put a lot of pressure on your median nerve leading to carpal tunnel
  7. Body fluids imbalance- As it is commonly known, menopause and pregnancy can cause a lot of fluid retention in the body which tends to aggravate the median nerve in which the carpal tunnel is located.

Symptoms of Carpal Tunnel
Carpal tunnel syndrome doesn’t happen overnight, it is more of a gradual condition. The common symptoms of carpal tunnel are:

  1. Loss of strength in arm- This condition can cause a lot of weakness in your arms which may lead to you dropping things. The median nerve in which the carpal tunnel is located regulates and controls the thumbs pinching muscles and when these muscles become weak, it causes you to momentarily lose your motor skills.
  2. Numbness and prickling sensation- In carpal tunnel syndrome, except for the little finger all the other fingers are affected i.e. ring finger, middle finger, index finger and the thumb. Carpal tunnel patients generally experience an electric shock-like sensation in their fingers while holding things and this pain travels from the wrist to the hand. This sensation can even cause you to come awake at night.
  3. Pain and burning that travels up your arm
  4. Wrist pain at night that interferes with sleep

How can physiotherapy help with carpal tunnel syndrome?
Physiotherapy is a very good idea for dealing with a condition like carpal tunnel syndrome because it takes into account the whole problem and tries to solve it without involving getting into medications.
Once your physiotherapist has understood where the pain is and from where it is originating, he will treat you and guide you in such a way that will work towards lessening the strain on your median nerve. Some of the most useful ways of fighting carpal tunnel are:

  1. Splints and braces- The use of splints and braces because it keeps your hands in a stable and straight position and prevents too much pressure on them. In case your physiotherapist feels that your work is aggravating your condition, he will ask you to stop putting excessive pressure on your body especially your hands.
  2. TENS- TENS is a type of a machine which stands for Transcutaneous Electrical Muscle Stimulation. This machine helps in reducing the pain of carpal tunnel syndrome.
  3. Ultrasound- Ultrasound therapy helps in countering the pain of carpal tunnel by applying an instrument on the affected area and releasing sound waves which are then absorbed by the tissues. This helps in the reduction of disability and pain.
  4. Laser- Cold laser also known as low level laser therapy is a highly effective and painless form of treatment which helps in decreasing pain and inflammation and also helps in reinstituting healthy tissue. The laser treatment also rehabilitates the body’s normal functioning by repairing the affected tissues and cells and also increases blood circulation and all this in combination helps in getting rid of the pain.

Physiotherapy is a universally acknowledged and safe form of treatment when it comes to bone-related ailments. This type of treatment doesn’t just help you with your condition, but it also saves a lot of your money and time when compared to other modes of treatments. 

1 person found this helpful

Alternative Ways to Manage Back Pain at Home

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
Alternative Ways to Manage Back Pain at Home

RANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS)

TENS is a type of pain relief that is centered around using small electrical currents to ‘ block out’ the nerves that are transmitting the feelings of pain you are experiencing. Instead of pain, you will feel more tolerable tingling sensations. Small pads are placed above or to either side of the area that is giving pain, and the results are felt straight away. TENS can be used to manage both acute and chronic pain but may not work for everyone. 

For people with pacemakers, women in the first 3 months of pregnancy and people who operate heavy machinery, TENS is not an appropriate form of pain relief.If it is appropriate for you, your PHYSIOTHERAPISTcan refer you to a hospital physiotherapy department or a community physiotherapist who will be able to loan you a TENS machine for several weeks. If TENS is effective in reducing your pain, you may wish to buy your own machine 

SIMPLE SCIENCE

Pain transmission (or nociception) is the series of events that takes place in our bodies which allow us to feet and react to pain. It is very complex process.

WHEN PAIN HELPS US OUT

1.      We are exposed to something that is painful (a painful stimulus). Forexample, we walk barefoot onto a hot sandy beach.

2.      Specialized structures on the soles of our feet called pain receptorsdetect the painful stimulus.

3.      The pain receptors send messages to the brain via the spinal cord (timeframe-fraction of a second).

4.      The brain receives the pain message and interprets it ( time frame-fraction of a second).

5.      The brain co-ordinates a response to the pain (e.g. get off the beach , run into the sea, put shoes on). Pain receptors are located throughout our bodies. Different types of pain receptor detect different types of stimuli (like temperature, pressure and chemicals).

What Happens When the Electrical Activity of Your Heart Changes?

Sr. Fellowship in Electrophysiology & Pacing, M.R.C.P.(U.K.), DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Delhi
What Happens When the Electrical Activity of Your Heart Changes?

The heart's electrical conduction system plays a very important role in cardiovascular functioning. Also known as the atrioventricular (AV) conduction system, it regulates and controls the timing of the heartbeat.

How does the heart's electrical conduction system work?

There is a collection of electrical cells in the upper right atrium of the heart known as the sinoatrial (SA) node which acts as a natural pacemaker and generates electrical signals. These signals travel through specialized electrical pathways and stimulate the muscular walls of the heart to contract in a rhythmic manner. This gives rise to the heartbeat that pulses at a specific frequency every minute.

What is the effect of fluctuations in electrical activity on the heart?

The standard heart rate in human being ranges from 60 to 100 beats per minute. It slows down when a person sleeps and speeds up when one experiences physical or emotional heightening. These fluctuations are triggered by the brain or other systems of the body and signal the SA node to generate charges more rapidly or slowly. This leads to spikes and drops in the heart rate, depending on the nature of the situation.

What happens when there is dysfunction in the heart's electrical activity?

When the heart's electrical conduction system does not function properly, it leads to the occurrence of a condition known as arrhythmia or abnormal heart rhythm. This happens when electrical impulses are generated in an irregular manner and causes tachycardia (rapid heartbeats) or bradycardia (slow heartbeats) which takes place in jarring infrequent tempos.

What causes fluctuations in the heart's electrical activity?

There are various kinds of triggers that cause the heart rate to fluctuate. The exact nature of fluctuation also depends on the type of trigger. A few everyday examples of these causes are as follows:

  • Exercise and strenuous physical activity increases electrical activity as the heart is required to beat faster so as to increase the supply of blood and oxygen to the muscles.
  • Sleep and rest reduce heart rate as the body is not needed to exert itself.
  • Release of adrenaline into the bloodstream causes the heart rate to spike up.

'Consult'.

Related Tip: How Does Ayurveda Help Heart Patients?

3753 people found this helpful

Electrical System of the Heart: Effects and Causes

Dr. Praveen Kumar 85% (62 ratings)
DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Jaipur
Electrical System of the Heart: Effects and Causes

The heart's electrical conduction system plays a very important role in cardiovascular functioning. Also known as the atrioventricular (AV) conduction system, it regulates and controls the timing of the heartbeat.

How does the heart's electrical conduction system work?

There is a collection of electrical cells in the upper right atrium of the heart known as the sinoatrial (SA) node which acts as a natural pacemaker and generates electrical signals. These signals travel through specialized electrical pathways and stimulate the muscular walls of the heart to contract in a rhythmic manner. This gives rise to the heartbeat that pulses at a specific frequency every minute.

What is the effect of fluctuations in electrical activity on the heart?

The standard heart rate in human being ranges from 60 to 100 beats per minute. It slows down when a person sleeps and speeds up when one experiences physical or emotional heightening. These fluctuations are triggered by the brain or other systems of the body and signal the SA node to generate charges more rapidly or slowly. This leads to spikes and drops in the heart rate, depending on the nature of the situation.


What happens when there is dysfunction in the heart's electrical activity?

When the heart's electrical conduction system does not function properly, it leads to the occurrence of a condition known as arrhythmia or abnormal heart rhythm. This happens when electrical impulses are generated in an irregular manner and causes tachycardia (rapid heartbeats) or bradycardia (slow heartbeats) which takes place in jarring infrequent tempos.

What causes fluctuations in the heart's electrical activity?

There are various kinds of triggers that cause the heart rate to fluctuate. The exact nature of fluctuation also depends on the type of trigger. A few everyday examples of these causes are as follows:

  • Exercise and strenuous physical activity increases electrical activity as the heart is required to beat faster so as to increase the supply of blood and oxygen to the muscles.
  • Sleep and rest reduce heart rate as the body is not needed to exert itself.
  • Release of adrenaline into the bloodstream causes the heart rate to spike up.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1955 people found this helpful
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