Abstract
Thirty patients with chronic pain due to osteoarthrosis (OA) of the knee were enrolled in a randomised double-blind cross-over trial of self-administered transcutaneous electrical nerve stimulation (TENS) and placebo TENS. Medication was standardised to paracetamol tablets only. As measured on visual analogue scales for pain relief 46% of patients responded to active therapy and 43% to placebo. The length of pain relief during active therapy was significantly longer than that during placebo. At the end of the trial more patients wanted to continue using active TENS in preference to placebo or their original medication. Although most of the parameters observed favoured active TENS, it was not possible to establish its clear superiority over placebo, because the response rate to placebo TENS was high and sustained for at least 3 weeks. This trial suggests that a longer study is required to establish the role of TENS as a therapeutic agent in the treatment of the pain of chronic arthritis.
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Selected References
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- Bates J. A., Nathan P. W. Transcutaneous electrical nerve stimulation for chronic pain. Anaesthesia. 1980 Aug;35(8):817–822. doi: 10.1111/j.1365-2044.1980.tb03926.x. [DOI] [PubMed] [Google Scholar]
- Bird H. A., Rhind V. M., Leatham P. A., Wright V. Non-steroidals ineffective in OA. Rheumatol Rehabil. 1982 Aug;21(3):187–187. doi: 10.1093/rheumatology/21.3.187-a. [DOI] [PubMed] [Google Scholar]
- Brooks P. M., Potter S. R., Buchanan W. W. NSAID and osteoarthritis--help or hindrance? J Rheumatol. 1982 Jan-Feb;9(1):3–5. [PubMed] [Google Scholar]
- Eriksson M. B., Sjölund B. H., Nielzén S. Long term results of peripheral conditioning stimulation as an analgesic measure in chronic pain. Pain. 1979 Jun;6(3):335–347. doi: 10.1016/0304-3959(79)90052-6. [DOI] [PubMed] [Google Scholar]
- Lloyd J. W. Equipment for setting up a pain clinic. Br J Hosp Med. 1981 Feb;25(2):179, 181-2. [PubMed] [Google Scholar]
- Mannheimer C., Lund S., Carlsson C. A. The effect of transcutaneous electrical nerve stimulation (TNS) on joint pain in patients with rheumatoid arthritis. Scand J Rheumatol. 1978;7(1):13–16. [PubMed] [Google Scholar]
- Shealy C. N., Maurer D. Transcutaneous nerve stimulation for control of pain. A preliminary technical note. Surg Neurol. 1974 Jan;2(1):45–47. [PubMed] [Google Scholar]
- Thorsteinsson G., Stonnington H. H., Stillwell G. K., Elveback L. R. The placebo effect of transcutaneous electrical stimulation. Pain. 1978 Jun;5(1):31–41. doi: 10.1016/0304-3959(78)90022-2. [DOI] [PubMed] [Google Scholar]
- VanderArk G. D., McGrath K. A. Transcutaneous electrical stimulation in treatment of postoperative pain. Am J Surg. 1975 Sep;130(3):338–340. doi: 10.1016/0002-9610(75)90397-9. [DOI] [PubMed] [Google Scholar]