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Focal intense brief transcutaneous electric nerve stimulation for treatment of radicular and postthoracotomy pain
1Pain Clinic, Louis Stokes Dept of Veterans Affairs Medical Center, Cleveland, OH, USA.
Objective:
To assess the efficacy of focal intense brief transcutaneous electric nerve stimulation in 2 groups of patients with neuropathic pain.
Design:
Electric stimulation was delivered with a small stylus electrode pressed against the skin paravertebrally in the radiculopathy group and along the surgical incision in the postthoracotomy neuralgia group. A before-after treatment design was conducted with a verbal pain rating scale.
Setting:
Outpatient multidisciplinary pain clinic at a Midwestern Veterans Affairs medical center.
Participants:
Fourteen consecutive patients with well-documented radiculopathy and 4 consecutive patients with postthoracotomy neuralgia.
Results:
Statistically significant differences were found in both patient groups, with posttreatment scores reflecting less pain than pretreatment scores for every patient.
Conclusions:
Patients reported reduced pain ratings following this stimulation technique. Further study of this inexpensive, noninvasive, outpatient technique is needed.
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