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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
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Transcutaneous Electrical Nerve Stimulation for Facial Pain
Kristen Zayan1, Elizabeth R Felix2,3, Anat Galor4,5
1University of Miami Miller School of Medicine, Miami, Florida, USA.
Progress in Neurological Surgery
|July 23, 2020
Summary
Transcutaneous electrical nerve stimulation (TENS) offers effective, non-invasive pain relief for chronic facial pain conditions. This method uses electrical nerve stimulation to reduce discomfort from conditions like trigeminal neuralgia and migraines with minimal side effects.
Area of Science:
- Neurology
- Pain Management
- Biomedical Engineering
Background:
- Chronic facial pain conditions, including trigeminal neuralgia, temporomandibular joint disorders, and migraines, significantly impact quality of life.
- Pharmacological interventions for facial pain often present with side effects and varying efficacy.
- Non-invasive, non-pharmacological approaches are sought for effective pain management.
Purpose of the Study:
- To review the efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for managing various chronic facial pain conditions.
- To summarize the application of TENS in reducing pain associated with trigeminal nerve stimulation.
- To assess the safety and effectiveness of TENS as a non-pharmacological treatment option.
Main Methods:
- Systematic review and summarization of existing studies on TENS for facial pain.
- Analysis of TENS application targeting branches of the trigeminal nerve.
- Evaluation of both short-term (single session) and long-term (multiple sessions) TENS protocols.
Main Results:
- TENS effectively reduced pain in conditions such as trigeminal neuralgia, temporomandibular joint disorder, migraines, and other headaches.
- Electrical stimulation via TENS was utilized to alleviate ocular pain sensations.
- Studies reported minimal to no adverse effects associated with TENS application.
Conclusions:
- Transcutaneous electrical nerve stimulation is a viable non-invasive, non-pharmacological treatment for chronic facial pain.
- TENS demonstrates effectiveness in managing pain stemming from trigeminal nerve-related conditions.
- The summarized evidence supports TENS as a safe and effective modality for facial pain control.

