E-Stim for Pain

Question 1

Acute Pain - Goal

Block pain through = ?

E-Stim for Pain

Answer 1

Block pain through = Gate Control Theory

Question 2

Chronic Pain - Goal

Block pain through = ?

E-Stim for Pain

Answer 2

Block pain through = Stimulate opiod-like release

Question 3

Acute Pain → Small Area = ?

E-Stim for Pain

Answer 3

Acute Pain → Small Area = Conventional TENS

Question 4

Acute Pain → Large Area = ?

E-Stim for Pain

Answer 4

Acute Pain → Large Area = IFC

Question 5

Chronic Pain → Small Area = ?

E-Stim for Pain

Answer 5

Chronic Pain → Small Area = Strong Low-Rate TENS

Question 6

Chronic Pain → Large Area = ?

E-Stim for Pain

Answer 6

Chronic Pain → Large Area = IFC

Question 7

Acute Pain → Small Area → Conventional TENS → Biphasic Symetrical →

Settings:

• Pulse Duration = ?
• Pulse Rate = ?
• Time = ?
• Patient feeling/sensation = ?

E-Stim for Pain

Answer 7

Settings:

• Pulse Duration = 50-80 us
• Pulse Rate = 100-150 pps
• Time = PRN < 25 hours
• Patient feeling/sensation = Strong, Comfortable

Question 8

Acute Pain → Large Area → IFC

• Carrier = ?
• Beat = ?
• Time = ?
• Patient feeling/sensation = ?

E-Stim for Pain

Answer 8

Acute Pain → Large Area → IFC

• Carrier = 4000-5000 Hz
• Beat = 80-150 Hz
• Time = 10-20 minutes
• Patient feeling/sensation = Pleasant to strong sensation, No muscle contraction

Question 9

Chronic Pain → Small Area → Strong, Low-Rate TENS → Biphasic Sym.

• Pulse Duration = ?
• Pulse Rate = ?
• Time = ?
• Patient feeling/sensation = = ?

E-Stim for Pain

Answer 9

Chronic Pain → Small Area → Strong, Low-Rate TENS → Biphasic Symmetrical →

• Pulse Duration = 200-300 us
• Pulse Rate = 2-10 pps
• Time = 20-30 minutes
• Patient feeling/sensation = Strong, sharp muscle twitch

Question 10

Chronic Pain → Small Area → IFC →

• Carrier = ?
• Beat = ?
• Time = ?
• Patient feeling/sensation = ?

E-Stim for Pain

Answer 10

Chronic Pain → Small Area → IFC →

• Carrier = 2500 Hz
• Beat = 2-10 Hz
• Time = 10-20 minutes
• Patient feeling/sensation = Strong to sharp to minimal contraction

Question 11

Strong, Low-Rate TENS or IFC ?

• Chronic Pain
• Large Area
• Carrier = 2500 Hz
• Beat = 2-10 Hz
• Time = 10-20 minutes
• Patient feeling/sensation = Strong to sharp to minimal contraction

E-Stim for Pain

Answer 11

IFC

• Chronic Pain
• Large Area
• Carrier = 2500 Hz
• Beat = 2-10 Hz
• Time = 10-20 minutes
• Patient feeling/sensation = Strong to sharp to minimal contraction

Question 12

Strong, Low-Rate TENS or IFC ?

• Chronic Pain
• Small Area
• Pulse Duration = 200-300 us
• Pulse Rate = 2-10 pps
• Time = 20-30 minutes
• Patient feeling/sensation = Strong, sharp muscle twitch

E-Stim for Pain

Answer 12

Strong, Low-Rate TENS

• Chronic Pain
• Small Area
• Pulse Duration = 200-300 us
• Pulse Rate = 2-10 pps
• Time = 20-30 minutes
• Patient feeling/sensation = Strong, sharp muscle twitch

Question 13

Conventional TENS or IFC ?

• Acute Pain
• Large Area
• Carrier = 4000-5000 Hz
• Beat = 80-150 Hz
• Time = 10-20 minutes
• Patient feeling/sensation = Pleasant to strong sensation, No muscle contraction

E-Stim for Pain

Answer 13

IFC

• Acute Pain
• Large Area
• Carrier = 4000-5000 Hz
• Beat = 80-150 Hz
• Time = 10-20 minutes
• Patient feeling/sensation = Pleasant to strong sensation, No muscle contraction

Question 14

Conventional TENS or IFC ?

• Acute Pain
• Small Area
• Pulse Duration = 50-80 us
• Pulse Rate = 100-150 pps
• Time = PRN < 24 Hours
• Patient feeling/sensation = Strong, Comfortable

E-Stim for Pain

Answer 14

Conventional TENS

• Acute Pain
• Small Area
• Pulse Duration = 50-80 us
• Pulse Rate = 100-150 pps
• Time = PRN < 24 Hours
• Patient feeling/sensation = Strong, Comfortable