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Elliott Mantell DC

From: Sunny Kierstyn <skrndc1@...>Subject: RE: FW: [aca-members] TENS review"Vern Saboe" <vsaboe@...>, "" < >Date: Tuesday, January 12, 2010, 1:27 PM

The work Carol McMakin is doing with frequency specific microcurrent is nothoing short of phenomenal! That modality is very powerful! Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn .com

@grou ps.comFrom: vsaboecomcast (DOT) netDate: Tue, 12 Jan 2010 12:20:50 -0800Subject: FW: [aca-members] TENS review

Speaking of durable medical equipment... .TENS isn't all that great and Ipersonally stopped using them 20 years ago...Vern Saboe [aca-members] TENS review_Assessment: Efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidenc_ (http://www.neurolog y.org/cgi/ content/abstract /74/2/173) Special ArticleAssessment: Efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review)Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology <NOBR> M. Dubinsky, MD, MPH and and <NOBR>Janis Miyasaki, From the Department of Neurology (R.M.D.), University of Kansas Medical Center, Kansas City, KS; and Toronto Western Hospital (J.M.), Toronto, Ontario, Canada. Address

correspondence and reprint requests to American Academy of Neurology, 1080 Montreal Avenue, St. , MN 55116 _guidelines@ aan.com_ (mailto:guidelinesaan (DOT) com) Objective: To determine if transcutaneous electric nerve stimulation (TENS) is efficacious in the treatment of pain in neurologic disorders. Methods: We performed a systematic literature search of Medline and the Cochrane Library from inception to April 2009. Results: There are conflicting reports of TENS compared to sham TENS in the treatment of chronic low back pain, with 2 Class II studies showing benefit, but 2 Class I studies and another Class II study not showingbenefit.

Because the Class I studies are stronger evidence, TENS is established as ineffective for the treatment of chronic low back pain (2 Class I studies).TENS is probably effective in treating painful diabetic neuropathy (2 ClassII studies). Recommendations: Transcutaneous electric nerve stimulation (TENS) is not recommended for the treatment of chronic low back pain (Level A). TENSshould be considered in the treatment of painful diabetic neuropathy (Level . Further research into the mechanism of action of TENS is needed, as well as more rigorous studies for determination of efficacy. Bogash, DCChiropractic PhysicianMesa, AZ 85210480-839-2273_www.lifecarechiro. com_ (http://www.lifecare chiro.com/) ____________ _________ _________ _________ _________ ______ACA-members mailing listTo post to the

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