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Pulse width and rates for atypical facial pain and trigeminal neuralgia

Hi, Can anyone provide suggestions for use of TENS for chronic facial pain. Can you place an electrode on either side of face on TMJ area for TMJ pain? I would be grateful for any guidance. Kind Regards to all.

Cara

Cara Ewart

1 month ago

Back to General Electrotherapy

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Cliff Eaton
Cliff Eaton

Very usefulresponse thank you Maryam

Cliff Eaton
Cliff Eaton

Very usefulresponse thank you Maryam

cara.ewart202
cara.ewart202

Dear Maryam, Thank you very much for that information. Have a good day. Cara

Dr Maryam Almandil
Dr Maryam Almandil

Dear Cara Clinical research suggests that the use of high TENS is beneficial in reducing trigeminal pain and associated facial pain. High TENS was shown to be superior to burst mode and low TENS. Positive outcomes were reported with patients who were partially responsive or not responding to pharmacologic treatments. Electrodes were placed on the painful side or the nerve root and the suggested application time was 20-30 min. None of the studies reported major side effects to the treatment. Some of the useful references are included

Efficacy of Transcutaneous Electrical Nerve Stimulation and its different modes in patients with Trigeminal Neuralgia, Faisal Yameen,1 Naila Naeem Shahbaz,2 Yasmin Hasan,3 Rabia Fauz,4 Mohammed Abdullah, JPMA 61:437; 2011

EFNS guidelines on neurostimulation therapy for neuropathic pain, Cruccu G, Aziz T, Garacia-Larrea et al, European Journal of Neurology, 2007, 14:952-970

Trigeminal neuralgia: sudden and long-term remission with transcutaneous electrical nerve stimulation. Thorsen SW , Lumsden SG Journal of Manipulative and Physiological Therapeutics, 1997, 20(6):415-419

Influence of naloxone on relief of acute oro-facial pain by transcutaneous electrical nerve stimulation (TENS) or vibration, P.Hansson, A.Ekblom, M.Thomsson, B.Fjellner, Pain, 24(3); 1986, Pages 323-329

Hope this is helpful

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