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Transcutaneous Electrical Nerve Stimulation (Tens) Tips

Spinal Cord Stimulation For Chronic Back And Neck Pain!

Dr. Snehal Panchal 82% (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 89% (191 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 82% (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 88% (5801 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 88% (5801 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

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

What Causes Fluctuations In The Heart's Electrical Activity?

Dr. Rajiv Kumar Srivastava 88% (136 ratings)
M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Durgapur
What Causes Fluctuations In The Heart's Electrical Activity?

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?

8 people found this helpful

Advantages Of Using An Electric Toothbrush!

Dr. Pogaku Rajkumar 92% (72 ratings)
BDS
Dentist, Hyderabad
Advantages Of Using An Electric Toothbrush!

Powered toothbrushes /electric toothbrushes
An electric toothbrush is a toothbrush that makes rapid automatic bristle motions, either back-and-forth oscillation or rotation-oscillation in order to clean teeth.
1) ELECTRIC TOOTHBRUSHES ARE MORE EFFECTIVE.
2) ELECTRIC TOOTHBRUSHES APPLY THE CORRECT AMOUNT OF PRESSURE.
3) ELECTRIC TOOTHBRUSHES ARE EASIER FOR CHILDREN AND SENIORS.
4) ELECTRIC TOOTHBRUSHES ARE BETTER FOR THE ENVIRONMENT.
5) ELECTRIC TOOTHBRUSHES CAN ALSO BENEFIT PEOPLE WITH ARTHRITIS OR PHYSICAL DISABILITIES.


As dentists, we favor electric toothbrushes simply because they make it easier for our patients to keep their teeth as clean as possible. It’s important to note that they are not necessarily better than manual brushes because ultimately their success depends on how they are used. Regardless of whether you choose a power brush or a manual brush, always make sure that you are brushing twice a day for 2 minutes each time. Following this routine, in addition to flossing and the regular use of mouthwash, will help you maintain great oral hygiene in between your regular dental checkups.

1 person 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

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