Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta‐analysis with assessment of optimal treatment parameters for postoperative pain

  title={Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta‐analysis with assessment of optimal treatment parameters for postoperative pain},
  author={Jan Magnus Bjordal and Mark I. Johnson and Anne Elisabeth Ljunggreen},
  journal={European Journal of Pain},

Patient‐Administered Transcutaneous Electrical Nerve Stimulation for Postoperative Pain Control After Laparoscopic Cholecystectomy: A Randomized, Sham‐Controlled Feasibility Trial

The aims of this study were to first investigate the feasibility and acceptability of patient‐administered TENS after surgery, and second, the feasibility of using sub‐sensory TENS as a proxy sham group for patient‐blinding.

Transcutaneous electrical nerve stimulation: review of effectiveness.

  • Mark I. Johnson
  • Medicine
    Nursing standard (Royal College of Nursing (Great Britain) : 1987)
  • 2014
It is demonstrated that studies using appropriate TENS technique and dosage are more likely to demonstrate clinical efficacy and it seems reasonable to continue to use TENS as a pain management intervention.

Transcutaneous Electrical Nerve Stimulation (TENS) for neuropathic pain in adults (Protocol)

The objective is to determine the analgesic effectiveness of TENS versus placebo (sham) TENS, TENS compared with usual care, and TENS in addition to usual care versus usual care alone in the management of neuropathic pain in adults.

Evaluation of Transcutaneous Electrical Nerve Stimulation as a Treatment of Neck Pain due to Musculoskeletal Disorders

Background: This study was designed to evaluate transcutaneous electrical nerve stimulation (TENS) as a treatment for neck pain due to musculoskeletal disorders within the context of a physio-

Can We “Predict” Long‐Term Outcome for Ambulatory Transcutaneous Electrical Nerve Stimulation in Patients with Chronic Pain?

Evidence for effectiveness of transcutaneous electrical nerve stimulation (TENS) is still inconclusive. As heterogeneity of chronic pain patients might be an important factor for this lack of

Transcutaneous Electrical Nerve Stimulation (TENS) A Possible Aid for Pain Relief in Developing Countries?

The basic science behind TENS will be discussed, the evidence of its effectiveness in specific clinical conditions analysed and a case for its use in pain management in developing countries will be made.

Percutaneous Peripheral Nerve Stimulation for Chronic Low Back Pain: Prospective Case Series With 1 Year of Sustained Relief Following Short‐Term Implant

Percutaneous peripheral nerve stimulation (PNS) provides an opportunity to relieve chronic low back pain and reduce opioid analgesic consumption as an alternative to radiofrequency ablation and

Effect of Transcutaneous Electric Nerve Stimulation on Pain after Total Knee Arthroplasty: A Blind Randomized Controlled Trial

This study found no effects of burst TENS compared with sham Burst TENS on pain during hospitalization after TKA, and the difference in knee pain before and after treatment did not evolve over time.

Exploring the evidence for using TENS to relieve pain.

How TENS works, the evidence on its efficacy and possible uses in clinical practice are examined, and how it works is outlined.

Brain mechanisms of pain relief by transcutaneous electrical nerve stimulation: A functional magnetic resonance imaging study

Although the exact mechanism of TENS pain relief is unknown, it is believed that TENS impulses interrupt nociceptive signals at the dorsal horn of the spinal cord.



Transcutaneous electrical nerve stimulation for pain relief following inguinal hernia repair: a controlled trial.

  • F. SmedleyM. TaubeC. Wastell
  • Medicine
    European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes
  • 1988
The efficacy of transcutaneous electrical nerve stimulation in relieving postoperative pain has been assessed by means of a prospective randomized controlled trial and results do not support the use of TENS.

Transcutaneous Electrical Nerve Stimulation (TENS): A Technology Assessment

It is concluded that there is little evidence for other than a limited use of TENS, and some practicalities regarding the use and assessment of health technologies are discussed.

Transcutaneous electrical stimulation for postoperative pain.

A prospective randomised trial was conducted to assess transcutaneous electrical stimulation in the management of postoperative pain and its effect on postoperative pulmonary function and respiratory complications, and results do not support the use of transcutaneously electrical stimulation following abdominal surgery.

Transcutaneous Electrical Nerve Stimulation for Pain Control After Cholecystectomy: Lack of Expected Benefits

The use of TENS after this particular operation did not appear to lessen narcotic use or pain-related complications, and Narcotic use in total dose or on a weight basis was not statistically different between the two groups.

Controlled trial of transcutaneous electrical nerve stimulation (TENS) for postoperative pain relief following inguinal herniorrhaphy.

It is concluded that TENS as used in this trial does not reduce postoperative pain and there was no difference between the two groups for pain scores, peak flow rates or analgesic requirements.

Transcutaneous electrical nerve stimulation following appendicectomy: the placebo effect.

  • I. Conn
  • Medicine
    Annals of the Royal College of Surgeons of England
  • 1987
The results suggest that the major benefit of TENS in the post appendicectomy patient is due to its 'placebo effect' and its use in this situation cannot be recommended.

A clinical assessment of electroanalgesia following abdominal operations.

A prospective randomized controlled trial was performed to assess the value of transcutaneous electrical stimulation as an analgesic technique for postoperative pain, and the treated groups showed no evidence of a significant reduction in opiate demand or of improved ventilatory function.

Effect of the Intensity of Transcutaneous Acupoint Electrical Stimulation on the Postoperative Analgesic Requirement

It is concluded that high-TAES produced a significant decrease in the PCA opioid requirement and opioid-related side effects after low intraabdominal surgery.

Effect of the frequency of transcutaneous electrical nerve stimulation on the postoperative opioid analgesic requirement and recovery profile.

TENS decreased postoperative opioid analgesic requirements and opioid-related side effects when utilized as an adjunct to PCA after lower abdominal surgery and produced a slightly greater opioid-sparing effect than either low (2-Hz) or high-frequency frequencies alone.