Transcutaneous Electrical Nerve Stimulation (TENS) as an Alternative Perioperative Pain Treatment

Authors

  • Shannon Hong Herricks High School
  • Dr. Yongmei Huang Columbia University

DOI:

https://doi.org/10.47611/jsrhs.v11i4.3535

Keywords:

Pain, Perioperative Pain, Transcutaneous electrical nerve stimulation, Non-pharmacological treatment, Pain management

Abstract

Perioperative pain is a significant medical issue affecting over 80% of surgical patients annually. Currently, perioperative pain is one of the leading causes of a decreased quality of life. The most common treatments for perioperative pain, such as opioids and non-steroidal anti-inflammatory drugs (NSAIDs), have many serious adverse effects, especially when used long-term. As a result, clinicians must find and assess some alternative treatments that will reduce the perioperative pain level and harm their patients the least. Recently, non-pharmacological treatments have been gaining popularity for their pain-relieving abilities with few side effects. Transcutaneous electrical nerve stimulation (TENS) has shown the potential to lower the number of analgesics consumed by surgical patients and to be an effective non-pharmacological treatment for perioperative pain with no severe side effects. However, previous studies show that there is not much knowledge of TENS and its consequences. Overall, the usage of transcutaneous electrical nerve stimulation during the perioperative experience is understudied and underrepresented. Thus, this report aims to explain further and explore the role of TENS as an alternative treatment for perioperative pain.

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References or Bibliography

Addiction rare in patients treated with narcotics. (1980). New England Journal of Medicine, 302(2), 123–123. https://doi.org/10.1056/nejm198001103020221

Allred, K. D., Byers, J. F., & Sole, M. L. (2010). The effect of music on postoperative pain and anxiety. Pain Management Nursing, 11(1), 15–25. https://doi.org/10.1016/j.pmn.2008.12.002

Banerjee, G., & Johnson, M. I. (2013). Transcutaneous electrical nerve stimulation (TENS): A potential intervention for pain management in India? Indian Journal of Pain, 27(3), 132. https://doi.org/10.4103/0970-5333.124590

Benyamin, R., Vallejo, R., Glaser, S. E., Sehgal, N., Adlaka, R., Buenaventura, R., Datta, S., & Trescot, A. M. (2008). Opioid complications and side effects. Pain Physician, 2s;11(3;2s). https://doi.org/10.36076/ppj.2008/11/s105

Charlton, J. E. (2008). Stimulation-Produced Analgesia. In Core curriculum for professional education in pain. essay, IASP Press.

Davis, A., & Robson, J. (2016). The dangers of nsaids: Look both ways. British Journal of General Practice, 66(645), 172–173. https://doi.org/10.3399/bjgp16x684433

Derry, C. J., Derry, S., Moore, R. A., & McQuay, H. J. (2009). Single dose oral naproxen and naproxen sodium for acute postoperative pain in adults. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd004234.pub3

Dowell, D., Ragan, K., Jones, C., Baldwin, G., & Chou, R. (2022). CDC Clinical Practice Guideline for Prescribing Opioids-United States.

Elboim-Gabyzon, M., Andrawus Najjar, S., & Shtarker, H. (2019). effects of transcutaneous electrical nerve stimulation (TENS) on acute postoperative pain intensity and mobility after hip fracture: A double-blinded, randomized trial. Clinical Interventions in Aging, Volume 14, 1841–1850. https://doi.org/10.2147/cia.s203658

Engwall, M., & Duppils, G. S. (2009). Music as a nursing intervention for postoperative pain: A systematic review. Journal of PeriAnesthesia Nursing, 24(6), 370–383. https://doi.org/10.1016/j.jopan.2009.10.013

Funk, C. D., & FitzGerald, G. A. (2007). COX-2 inhibitors and cardiovascular risk. Journal of Cardiovascular Pharmacology, 50(5), 470–479. https://doi.org/10.1097/fjc.0b013e318157f72d

Holdgate, A., & Pollock, T. (2004). Nonsteroidal anti-inflammatory drugs (NSAIDS) versus opioids for acute renal colic. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd004137.pub3

Gan, T. J. (2017). Poorly controlled postoperative pain: Prevalence, consequences, and prevention. Journal of Pain Research, Volume 10, 2287–2298. https://doi.org/10.2147/jpr.s144066

Garimella, V., & Cellini, C. (2013). Postoperative pain control. Clinics in Colon and Rectal Surgery, 26(03), 191–196. https://doi.org/10.1055/s-0033-1351138

Ghlichloo I, Gerriets V. Nonsteroidal Anti-inflammatory Drugs (NSAIDs) [Updated 2022 May 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547742/

Institute of Medicine, Board on Health Sciences Policy, & Research, C. C. O. A. P. (2011). Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research (1st ed.). National Academies Press.

International Association for the Study of Pain (IASP). (2021, August 12). Acute pain. International Association for the Study of Pain (IASP). https://www.iasp-pain.org/advocacy/global-year/acute-pain/

International Association for the Study of Pain (IASP). (2022, April 19). Terminology: International association for the study of pain. International Association for the Study of Pain (IASP). Retrieved August 10, 2022, from https://www.iasp-pain.org/resources/terminology/

Isola, G., Matarese, M., Ramaglia, L., Cicciù, M., & Matarese, G. (2019). Evaluation of the efficacy of celecoxib and ibuprofen on postoperative pain, swelling, and mouth opening after surgical removal of impacted third molars: A randomized, controlled clinical trial. International Journal of Oral and Maxillofacial Surgery, 48(10), 1348–1354. https://doi.org/10.1016/j.ijom.2019.02.006

John, S. M., Williams, M., & Hunley, C. (2017). Treatment Options in Managing Acute Perioperative Pain. US Pharmacist, 42(3), HS14.

Johnson, M. (2007). Transcutaneous electrical nerve stimulation: Mechanisms, clinical application and evidence. Reviews in Pain, 1(1), 7–11. https://doi.org/10.1177/204946370700100103

Kerai, S., Saxena, K. N., Taneja, B., & Sehrawat, L. (2014). Role of transcutaneous electrical nerve stimulation in post-operative analgesia. Indian Journal of Anaesthesia, 58(4), 388. https://doi.org/10.4103/0019-5049.138966

Kidanemariam, B. Y., Elsholz, T., Simel, L. L., Tesfamariam, E. H., & Andemeskel, Y. M. (2020). Utilization of non-pharmacological methods and the perceived barriers for adult postoperative pain management by the nurses at selected National Hospitals in Asmara, Eritrea. BMC Nursing, 19(1). https://doi.org/10.1186/s12912-020-00492-0

Komann, M., Weinmann, C., Schwenkglenks, M., & Meissner, W. (2019). Non-pharmacological methods and post-operative pain relief: An observational study. Anesthesiology and Pain Medicine, In Press(In Press). https://doi.org/10.5812/aapm.84674

Li, J., & Song, Y. (2017). Transcutaneous electrical nerve stimulation for postoperative pain control after total Knee Arthroplasty. Medicine, 96(37). https://doi.org/10.1097/md.0000000000008036

Lyden, J., & Binswanger, I. A. (2019). The United States Opioid epidemic. Seminars in Perinatology, 43(3), 123–131. https://doi.org/10.1053/j.semperi.2019.01.001

Mahure, S. A., Rokito, A. S., & Kwon, Y. W. (2017). Transcutaneous electrical nerve stimulation for postoperative pain relief after arthroscopic rotator cuff repair: A prospective double-blinded randomized trial. Journal of Shoulder and Elbow Surgery, 26(9), 1508–1513. https://doi.org/10.1016/j.jse.2017.05.030

Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150(3699), 971–979. https://doi.org/10.1126/science.150.3699.971

National Center for Complementary and Integrative Health. (n.d.). Chronic pain: In depth. National Center for Complementary and Integrative Health. Retrieved August 15, 2022, from https://www.nccih.nih.gov/health/chronic-pain-in-depth

Parseliunas, A., Paskauskas, S., Kubiliute, E., Vaitekunas, J., & Venskutonis, D. (2021). Transcutaneous electric nerve stimulation reduces acute postoperative pain and analgesic use after open inguinal hernia surgery: A randomized, double-blind, placebo-controlled trial. The Journal of Pain, 22(5), 533–544. https://doi.org/10.1016/j.jpain.2020.11.006

Parvizi, J., & Kim, G. K. (2010). Chapter 157 - NSAIDs. In High yield orthopaedics. essay, Saunders/Elsevier.

Pereira, G., Cota, L., Lima, R., & Costa, F. (2020). Effect of preemptive analgesia with ibuprofen in the control of postoperative pain in dental implant surgeries: A randomized, triple-blind controlled clinical trial. Journal of Clinical and Experimental Dentistry. https://doi.org/10.4317/medoral.56171

Shannon, M., Mégarbane, B., & Borron, S. W. (2007). Chapter 33 - Opioids. In Haddad and Winchester's clinical management of poisoning and drug overdose. essay.

Sharma, S. K., Thakur, K., Mudgal, S. K., & Payal, Y. S. (2020). Acute postoperative pain experiences and satisfaction with its management among patients with elective surgery: An observational study. Indian Journal of Anaesthesia, 64(5), 403. https://doi.org/10.4103/ija.ija_33_20

Shipton, E. A., Shipton, E. E., & Shipton, A. J. (2018). A review of the opioid epidemic: What do we do about it? Pain and Therapy, 7(1), 23–36. https://doi.org/10.1007/s40122-018-0096-7

Soloman, D. H. (n.d.). Patient education: Nonsteroidal antiinflammatory drugs (NSAIDs) (Beyond the Basics). UpToDate. Retrieved August 29, 2022, from https://www.uptodate.com/contents/nonsteroidal-antiinflammatory-drugs-nsaids-beyond-the-basics

U.S. Department of Health and Human Services. (2022, July 21). Overdose death rates. National Institutes of Health. Retrieved August 29, 2022, from https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates#:~:text=Opioid%2Dinvolved%20overdose%20deaths%20rose,2020%20to%2068%2C630%20overdose%20deaths.

Wongrakpanich, S., Wongrakpanich, A., Melhado, K., & Rangaswami, J. (2018). A comprehensive review of non-steroidal anti-inflammatory drug use in the elderly. Aging and Disease, 9(1), 143. https://doi.org/10.14336/ad.2017.0306

Zhu, X.-T., Chen, L., & Lin, J.-H. (2018). Selective cox-2 inhibitor versus non-selective COX-2 inhibitor for the prevention of heterotopic ossification after total hip arthroplasty. Medicine, 97(31). https://doi.org/10.1097/md.0000000000011649

Published

11-30-2022

How to Cite

Hong, S., & Huang, Y. (2022). Transcutaneous Electrical Nerve Stimulation (TENS) as an Alternative Perioperative Pain Treatment. Journal of Student Research, 11(4). https://doi.org/10.47611/jsrhs.v11i4.3535

Issue

Section

HS Review Articles