Electrical Pulses May Ease Back Discomfort

 

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Electrical pulses may ease sciatica, chronic lower back pain. A minimally invasive procedure, called image-guided pulsed radiofrequency, eased lingering pain in a small study of people. A new treatment that aims electrical pulses at irritated nerves around the spinal cord appears effective at relieving chronic lower back pain and sciatica, a preliminary study suggests.

Spinal Cord Stimulation for Back Pain In spinal cord stimulation, a small pulse generator, implanted in the back, sends electrical pulses to the spinal cord. These pulses interfere with the nerve. Electrical Pulses May Ease Lower Back Pain A new treatment that aims electrical pulses at irritated nerves around the spinal cord appears effective at relieving chronic lower back pain and. WEDNESDAY, Nov.

29, 2017 (HealthDay News) A new treatment that aims electrical pulses at irritated nerves around the spinal cord appears effective at relieving chronic lower back pain and sciatica, a. Electrical Pulses May Ease Pain From ‘Slipped’ Disc Piedmont HealthCare WEDNESDAY, Nov. 29, 2017 (HealthDay News) — A new treatment that aims electrical pulses at irritated nerves around the spinal cord. Electrical Pulses May Ease Pain From ‘Slipped’ Disc. WEDNESDAY, Nov.

29, 2017 A new treatment that aims electrical pulses at irritated nerves around the spinal cord appears effective at relieving chronic. WEDNESDAY, Nov. 29, 2017 (HealthDay News) A new treatment that aims electrical pulses at irritated nerves around the spinal cord appears effective at relieving chronic lower back pain. E-stim sends mild electrical pulses through the skin to help stimulate injured muscles or manipulate nerves to reduce pain. E-stim may not be appropriate for everyone, but for many people this.

Electrotherapy typically involves the use of a battery-powered device that supplies a current to small electrodes (which attach to your back). This in turn sends electrical pulses to the area of your.

List of related literature:

Electrical stimulation to the nerve, such as transcutaneous nerve stimulation, can assist in pain control via the gate-control mechanism if low-intensity currents are given or via counterirritation (hyperstimulation analgesia) if high-intensity currents are applied.

“Physical Medicine and Rehabilitation E-Book” by Randall L. Braddom
from Physical Medicine and Rehabilitation E-Book
by Randall L. Braddom
Elsevier Health Sciences, 2010

Spinal stenosis can cause pseudoclaudication—pain on walking that, unlike the pain of peripheral arterial disease, is relieved by leaning forwards, and the peripheral pulses are present.

“Clinical Examination Vol 1 E-Book: A Systematic Guide to Physical Diagnosis” by Nicholas J Talley, Simon O'Connor
from Clinical Examination Vol 1 E-Book: A Systematic Guide to Physical Diagnosis
by Nicholas J Talley, Simon O’Connor
Elsevier Health Sciences, 2017

If the patient’s back pain occurs mostly while sitting or doing certain types of activities, the cause of the pain related to function or movement of the musculoskeletal or connective tissue is not perceived by a typical static MRI

“Paindemic: A Practical and Holistic Look at Chronic Pain, the Medical System, and the antiPAIN Lifestyle” by Melissa Cady, D.O.
from Paindemic: A Practical and Holistic Look at Chronic Pain, the Medical System, and the antiPAIN Lifestyle
by Melissa Cady, D.O.
Morgan James Publishing, 2016

For some chronic back pain sufferers, implantable neurostimulation devices that deliver mild electrical signals to the epidural space near the spine may also provide a solution.

“Sensor Technologies: Healthcare, Wellness and Environmental Applications” by Michael J. McGrath, Cliodhna Ni Scanaill, Dawn Nafus
from Sensor Technologies: Healthcare, Wellness and Environmental Applications
by Michael J. McGrath, Cliodhna Ni Scanaill, Dawn Nafus
Apress, 2014

Tumors compressing the lumbosacral area of the cord may often be confused with a herniated nucleus pulposus, spondylosis, or multiple sclerosis, and can cause low back pain with radicular symptoms characteristic of the aforementioned abnormalities.

“Family Medicine: Principles and Practice” by J. L. Buckingham, E. P. Donatelle, W. E. Jacott, M. G. Rosen, Robert B. Taylor
from Family Medicine: Principles and Practice
by J. L. Buckingham, E. P. Donatelle, et. al.
Springer New York, 2013

With a more regional subcutaneous stimulation, PNS can affect lower back pain and migraine headache.185 Similar to SCS, our understanding of the mechanism behind PNS is rooted in Melzack and Wall’s gate control theory of pain.

“Clinical Anesthesia, 7e: Ebook without Multimedia” by Paul Barash, Bruce F. Cullen, Robert K. Stoelting, Michael Cahalan, M. Christine Stock, Rafael Ortega
from Clinical Anesthesia, 7e: Ebook without Multimedia
by Paul Barash, Bruce F. Cullen, et. al.
Wolters Kluwer Health, 2013

The central type of spinal stenosis that compresses the cauda equina may produce diffuse back pain whereas the lateral type of spinal stenosis causes nerve root compression and hence radicular pain (such as sciatica).

“Textbook of Disorders and Injuries of the Musculoskeletal System: An Introduction to Orthopaedics, Fractures, and Joint Injuries, Rheumatology, Metabolic Bone Disease, and Rehabilitation” by Robert Bruce Salter
from Textbook of Disorders and Injuries of the Musculoskeletal System: An Introduction to Orthopaedics, Fractures, and Joint Injuries, Rheumatology, Metabolic Bone Disease, and Rehabilitation
by Robert Bruce Salter
Williams & Wilkins, 1999

When such pain is from peripheral deafferentation, spinal cord stimulation with electrodes placed directly over the posterior column has been effective in well-selected patients.

“Neurology in Clinical Practice: Principles of diagnosis and management” by Walter George Bradley
from Neurology in Clinical Practice: Principles of diagnosis and management
by Walter George Bradley
Butterworth-Heinemann, 2004

Several studies [3–7] showed that prolonged or severe exposure to vibration and shocks may lead to low-back pain or to early spine degenerative pathologies, mainly because the vibration induces mechanical stress on the vertebrae and discs, with incidence on the lumbar, thoracic and cervical parts of the column [7].

“Extreme Sports Medicine” by Francesco Feletti
from Extreme Sports Medicine
by Francesco Feletti
Springer International Publishing, 2016

Chronic pain including postoperative pain, low back pain, nerve pain, headache, rib pain, arthritis, phantom limb pain, and cancer pain often respond to transcutaneous electrical nerve stimulation (TENS).

“The New Harvard Guide to Women's Health” by Karen J. Carlson, Stephanie A. Eisenstat, Stephanie A. Eisenstat, M.D., Terra Diane Ziporyn, Alvin & Nancy Baird Library Fund, Harvard University. Press
from The New Harvard Guide to Women’s Health
by Karen J. Carlson, Stephanie A. Eisenstat, et. al.
Harvard University Press, 2004

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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13 comments

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  • I am baffled at the number doctors who ask their patients to touch their toes…who said a human has to touch his toes with the legs straight? This is nonsense an puts stress on already injured discs. Ideal for someone who wants to do surgery, yes that stretch will help get him there. Stop this nonsense! If he wants to stretch forward he should be instructed to walk his hands down the legs (resting his weight on the stretched arms) on top of his legs while he performs the stretch.

  • I just bought one after first using a tens unit at a county fair booth about a year ago. Ive used it about 4 times. No miracles yet but I am trying to learn how to use it better.

  • I have a herniated L4-L5 but no back pain, just brutal muscle spasms and sciatica in the right buttock and down the right leg. Where would I place the pads to target the area? Should I put them where the pain is (on the buttock, thigh and calf) or where the actual injury is (low back)?

  • Question, I’m in my clinicals for pta and they told me not to cross the tens unit on the spine.
    Doesn’t this risk electrical stimulation of the spinal cord? Which in return may send an unwanted stimulation.
    However, you’re the doc so any advice on this?

  • This is very helpful, I just got a TENS unit because I’ve been having lower back pain from hauling heavy pallets across my work 6+ hours a night, I needed a video to understand the correct placement for the pads and this was very clear and right to the point

  • I worked out way too hard on back day one day and a couple days later my back was so locked up and painful. So I went into a sports rehab facility that’s built into the gym I worked at and they did this on me and it worked wonders. They also put a cold pack over the electrodes while it was going.

  • Hello, I have 4 spots of subluxation in my spine. I went treatment at my chiro 3 times a week for 14 weeks. My back felt better and now (6 months later), my back hurts again. I have a 1 and 2 year old so I don’t have time to go to the chiro and it’s very expensive. Will TENS help with my lower back pain?

  • Brad signed off with “Be careful.” Of? High intensities? Snowstorms? Electric versus electronic devices? What, Brad what!? In suspense now. Good teaching video. When I used A TENS it set off ectopic PVC’s and it was just not for me or my nervous system. I know others who swear by them. I was hoping the mark on Brad’s back was a rare birthmark or an interesting rash. Bob ruined that theory.:)

  • Please tell me where you got this t-shirt! I’m a pediatric oncology nurse, and my patients and parents would love this! Also your tea rex thirt!:)

  • Hi Dr Jo,
    I have ankylosing spondylitis and chronic low back pain (though the AS is apparently under control according to my rheumatologist, I’m not entirely convinced). Anyway basically the last visit to my physio I asked him about whether it was worth getting a TENS unit, he tells me there’s no evidence for them and not to waste my money. My last visit to my GP he actually said to me to look into a TENS unit, so yeah I’m just completely frustrated and confused.

    I like my physio, he takes a scientific evidence based approach to treatment (not that a GP wouldn’t in saying that). I guess I don’t really have a reason not to trust what he has to say, I’m just as I said frustrated and confused. I don’t actually know what I’m trying to ask of you in this regard, perhaps if you think it is something that is really worth trying?

    Thank you.

  • Really becoming a fan of your videos. Have paid closer attention to better form. Could you do a video on treating Meralgia paresthetica? Please.

  • Dr. Jo what kind of manipulation would a doctor do for t6, t7 area? I’m getting such back pain/pinched nerve on middle thoracic area that I seriously think it’s giving me gastritis Stomach problems. Have you heard of this area causing this? Thank you for all you videos ❤️

  • What if you wear a dress to work? Are the leads long enough to reach from lower back through the neckline and into a pocket? If not, are there extenders available?