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A transcutaneous electrical nerve stimulation (TENS or TNS) is a device that produces mild electric current to stimulate the nerves for therapeutic purposes.TENS, by definition, covers the complete range of transcutaneously applied currents used for nerve excitation, but the term is often used with a more restrictive intent, namely, to describe the kind of pulses produced by portable ...
Such devices apply extremely small microamp [uA] electrical currents (less than 1 milliampere [mA]) to the tissues using electrodes placed on the skin. One microampere [uA] is 1 millionth of an ampere and the uses of MENS are distinct from those of "TENS" which runs at one milliamp [mA] or one thousandth of an amp.
An electrode is "stereotactically" guided to the site using magnetic resonance imaging and once in place, the electrode is activated by subcutaneous leads attached to a pulse generator under the skin. It is effective in treating refractory post-stroke pain, atypical face pain, anaesthesia dolorosa, and deafferentation and somatic pain such as ...
The same target structures can also be activated by transcutaneous electrodes placed over the lower thoracic spine and abdomen. [20] Transcutaneous spinal cord stimulation is completely non-invasive and, as it uses TENS electrodes and stimulators, can be applied at low cost.
External trigeminal nerve stimulation (eTNS) is similar to transcutaneous electrical nerve stimulation (TENS), a treatment for chronic pain. [5] A small device supplies electricity to electrodes that are placed on the skin. The device is able to modulate the intensity and frequency of electrical impulses delivered to the nerve endings in the skin.
Skin electrode gels are used extensively to reduce electrical resistance when using skin surface electrodes, both for medical instrumentation such as EEG, EMG and EKG, and for electrical stimulation treatments such as TENS, electrotherapy, electroconvulsive therapy and defibrillation.
The electrodes are placed either via a minimally invasive needle technique (so-called percutaneous leads) or an open surgical exposure (surgical "paddle" electrodes). Patient selection is key, and candidates should pass rigorous psychological screening as well as a medical workup to assure that their pain syndrome is truly medication-resistant ...
Transcranial direct current stimulation (tDCS) is a form of neuromodulation that uses constant, low direct current delivered via electrodes on the head. This type of neurotherapy was originally developed to help patients with brain injuries or neuropsychiatric conditions such as major depressive disorder.
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