RE: TENS CONTRAINDICATIONS

[Guest guest]

Mike,

We ran into this years ago and I believe we did find a reference to TENS being

contraindicated cranially. Unfortunately I do not know where I found this

reference.

McLoughlin,PT

Central Kansas Medical Center

Great Bend, KS

TENS CONTRAINDICATIONS

A therapist of ours just received a referral to provide " TENS to the

cranium. " The working diagnosis is shingles with goal of pain

management. ly, I haven't done this over the years and while

transcutaneous stim doesn't seem problematic, I'm hesitant to move

forward. Any experience/advise on this?

Thanks.

Rabin

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[Guest guest]

Mike,

We ran into this years ago and I believe we did find a reference to TENS being

contraindicated cranially. Unfortunately I do not know where I found this

reference.

McLoughlin,PT

Central Kansas Medical Center

Great Bend, KS

TENS CONTRAINDICATIONS

A therapist of ours just received a referral to provide " TENS to the

cranium. " The working diagnosis is shingles with goal of pain

management. ly, I haven't done this over the years and while

transcutaneous stim doesn't seem problematic, I'm hesitant to move

forward. Any experience/advise on this?

Thanks.

Rabin

Looking to start your own Practice?

Visit www.InHomeRehab.com.

Bring PTManager to your organization or State Association with a professional

workshop or course - call us at 313 884-8920 to arrange

PTManager encourages participation in your professional association. Join and

participate now!

[Guest guest]

Mike,

We ran into this years ago and I believe we did find a reference to TENS being

contraindicated cranially. Unfortunately I do not know where I found this

reference.

McLoughlin,PT

Central Kansas Medical Center

Great Bend, KS

TENS CONTRAINDICATIONS

A therapist of ours just received a referral to provide " TENS to the

cranium. " The working diagnosis is shingles with goal of pain

management. ly, I haven't done this over the years and while

transcutaneous stim doesn't seem problematic, I'm hesitant to move

forward. Any experience/advise on this?

Thanks.

Rabin

Looking to start your own Practice?

Visit www.InHomeRehab.com.

Bring PTManager to your organization or State Association with a professional

workshop or course - call us at 313 884-8920 to arrange

PTManager encourages participation in your professional association. Join and

participate now!

[Guest guest]

TENS for pain control of shingles has been shown to be effective. I have

always used acupuncture points as location for the electrodes as often the

patient cannot tolerate pressure in the area of the lesions.

Good Luck

Ron Barbato P.T.

Corporate Director , Rehabilitation

Ephraim McDowell Health

Voice (859 )239-1515

Fax (859 )936-7249

rbarbato@...

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TENS CONTRAINDICATIONS

A therapist of ours just received a referral to provide " TENS to the

cranium. " The working diagnosis is shingles with goal of pain

management. ly, I haven't done this over the years and while

transcutaneous stim doesn't seem problematic, I'm hesitant to move

forward. Any experience/advise on this?

Thanks.

Rabin

Looking to start your own Practice?

Visit www.InHomeRehab.com.

Bring PTManager to your organization or State Association with a

professional workshop or course - call us at 313 884-8920 to arrange

PTManager encourages participation in your professional association. Join

and participate now!

[Guest guest]

From Cameron's book on Physical Agents there is a recommendation of placing

TENS at spinal nerve root affected with shingles. I have not heard of

cranium placement. You may want to perform a search on Cochrane or PEDro or

Hooked

on Evidence.

LoVasco, PT, GCS

APTA member

[Guest guest]

From Cameron's book on Physical Agents there is a recommendation of placing

TENS at spinal nerve root affected with shingles. I have not heard of

cranium placement. You may want to perform a search on Cochrane or PEDro or

Hooked

on Evidence.

LoVasco, PT, GCS

APTA member

[Guest guest]

,

I am a second year physical therapy student at Hardin-

University in Abilene, Texas. I searched online some information on

shingles and TENS on EBSCO and this is what I found: (I referenced

the articles in case you might want to read them online).

- Transcutaneous Electrical Nerve Stimulation (TENS) may be

effective in some cases. ( RW, Whitton TL. Management of

herpes zoster (shingles) and postherpetic neuralgia. Expert Opin

Pharmacother. 2004:Mar; Vol. 5 (3), pp. 551-9.

- In cases where needle acupuncture is not possible, acupuncture-

like transcutaneous electrical nerve stimulation (TENS) is a good

alternative. (Chen C, Yu HS. Acupuncture, electrostimulation, and

reflex therapy in dermatology. Dermatologic Therapy. Jun2003, Vol.

16 Issue 2, p87, 6p

- Transcutaneous electrical nerve stimulation (TENS) is free from

adverse effects and appears to benefit some patients. on DR;

CF Treatment of post herpetic neuralgia in the elderly. Br

Med Bull 1990 Jan; Vol. 46 (1), pp. 113-23.

- The efficacy of tricyclic antidepressants in association with

neuroleptics having been demonstrated in patients suffering from so-

called tardive post-herpetic neuralgia, 43 patients were given this

treatment either alone or in association with transcutaneous nerve

stimulation (TENS). Of the 33 patients given drug treatment alone,

25 found relief from pain in 3-18 months, 5 produced a partial

result and in 3 the treatment failed. The results obtained suggest

that this is the most effective treatment as long as it is

continuous and given for at least 3-6 months. The use of TENS

produced no benefit. Bianchetti L [Drug therapy of so-called

postherpetic neuralgia, the only valid alternative. Clinical

experience in 43 treated cases. Minerva Med. 1986: Jan 14; Vol. 77

(1-2), pp. 47-50.

I also looked it up in Physical Agents in Rehabilitation by

Cameron. It says " electrical stimulation may control pain when the

electrodes are placed on acupuncture points. This method of

application is thought to stimulate energy flow along acupuncture

meridians that connect acupuncture points in the body. (233)

Teresita A. Castillo, SPT at HSU.

>

>

> A therapist of ours just received a referral to provide " TENS to

the

> cranium. " The working diagnosis is shingles with goal of pain

> management. ly, I haven't done this over the years and while

> transcutaneous stim doesn't seem problematic, I'm hesitant to move

> forward. Any experience/advise on this?

>

> Thanks.

> Rabin

[Guest guest]

,

I am a second year physical therapy student at Hardin-

University in Abilene, Texas. I searched online some information on

shingles and TENS on EBSCO and this is what I found: (I referenced

the articles in case you might want to read them online).

- Transcutaneous Electrical Nerve Stimulation (TENS) may be

effective in some cases. ( RW, Whitton TL. Management of

herpes zoster (shingles) and postherpetic neuralgia. Expert Opin

Pharmacother. 2004:Mar; Vol. 5 (3), pp. 551-9.

- In cases where needle acupuncture is not possible, acupuncture-

like transcutaneous electrical nerve stimulation (TENS) is a good

alternative. (Chen C, Yu HS. Acupuncture, electrostimulation, and

reflex therapy in dermatology. Dermatologic Therapy. Jun2003, Vol.

16 Issue 2, p87, 6p

- Transcutaneous electrical nerve stimulation (TENS) is free from

adverse effects and appears to benefit some patients. on DR;

CF Treatment of post herpetic neuralgia in the elderly. Br

Med Bull 1990 Jan; Vol. 46 (1), pp. 113-23.

- The efficacy of tricyclic antidepressants in association with

neuroleptics having been demonstrated in patients suffering from so-

called tardive post-herpetic neuralgia, 43 patients were given this

treatment either alone or in association with transcutaneous nerve

stimulation (TENS). Of the 33 patients given drug treatment alone,

25 found relief from pain in 3-18 months, 5 produced a partial

result and in 3 the treatment failed. The results obtained suggest

that this is the most effective treatment as long as it is

continuous and given for at least 3-6 months. The use of TENS

produced no benefit. Bianchetti L [Drug therapy of so-called

postherpetic neuralgia, the only valid alternative. Clinical

experience in 43 treated cases. Minerva Med. 1986: Jan 14; Vol. 77

(1-2), pp. 47-50.

I also looked it up in Physical Agents in Rehabilitation by

Cameron. It says " electrical stimulation may control pain when the

electrodes are placed on acupuncture points. This method of

application is thought to stimulate energy flow along acupuncture

meridians that connect acupuncture points in the body. (233)

Teresita A. Castillo, SPT at HSU.

>

>

> A therapist of ours just received a referral to provide " TENS to

the

> cranium. " The working diagnosis is shingles with goal of pain

> management. ly, I haven't done this over the years and while

> transcutaneous stim doesn't seem problematic, I'm hesitant to move

> forward. Any experience/advise on this?

>

> Thanks.

> Rabin

[Guest guest]

,

I am a second year physical therapy student at Hardin-

University in Abilene, Texas. I searched online some information on

shingles and TENS on EBSCO and this is what I found: (I referenced

the articles in case you might want to read them online).

- Transcutaneous Electrical Nerve Stimulation (TENS) may be

effective in some cases. ( RW, Whitton TL. Management of

herpes zoster (shingles) and postherpetic neuralgia. Expert Opin

Pharmacother. 2004:Mar; Vol. 5 (3), pp. 551-9.

- In cases where needle acupuncture is not possible, acupuncture-

like transcutaneous electrical nerve stimulation (TENS) is a good

alternative. (Chen C, Yu HS. Acupuncture, electrostimulation, and

reflex therapy in dermatology. Dermatologic Therapy. Jun2003, Vol.

16 Issue 2, p87, 6p

- Transcutaneous electrical nerve stimulation (TENS) is free from

adverse effects and appears to benefit some patients. on DR;

CF Treatment of post herpetic neuralgia in the elderly. Br

Med Bull 1990 Jan; Vol. 46 (1), pp. 113-23.

- The efficacy of tricyclic antidepressants in association with

neuroleptics having been demonstrated in patients suffering from so-

called tardive post-herpetic neuralgia, 43 patients were given this

treatment either alone or in association with transcutaneous nerve

stimulation (TENS). Of the 33 patients given drug treatment alone,

25 found relief from pain in 3-18 months, 5 produced a partial

result and in 3 the treatment failed. The results obtained suggest

that this is the most effective treatment as long as it is

continuous and given for at least 3-6 months. The use of TENS

produced no benefit. Bianchetti L [Drug therapy of so-called

postherpetic neuralgia, the only valid alternative. Clinical

experience in 43 treated cases. Minerva Med. 1986: Jan 14; Vol. 77

(1-2), pp. 47-50.

I also looked it up in Physical Agents in Rehabilitation by

Cameron. It says " electrical stimulation may control pain when the

electrodes are placed on acupuncture points. This method of

application is thought to stimulate energy flow along acupuncture

meridians that connect acupuncture points in the body. (233)

Teresita A. Castillo, SPT at HSU.

>

>

> A therapist of ours just received a referral to provide " TENS to

the

> cranium. " The working diagnosis is shingles with goal of pain

> management. ly, I haven't done this over the years and while

> transcutaneous stim doesn't seem problematic, I'm hesitant to move

> forward. Any experience/advise on this?

>

> Thanks.

> Rabin