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Increased skin temperature during transcutaneous electrical stimulation

S E Abram, C B Asiddao, A C Reynolds

    Anesthesia and Analgesia
    |January 1, 1980
    PubMed
    Summary
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    Transcutaneous electrical nerve stimulation (TENS) may improve skin temperature in chronic pain patients. A study found TENS increased skin temperature in extremities when patients experienced pain relief.

    Area of Science:

    • Neurology
    • Pain Management
    • Physiology

    Background:

    • Conflicting research exists on transcutaneous electrical nerve stimulation's (TENS) impact on skin temperature.
    • Sympathetic nervous system activity influences skin temperature.
    • TENS is a non-invasive modality used for pain relief.

    Purpose of the Study:

    • To investigate the relationship between TENS and skin temperature changes in chronic pain patients.
    • To determine if TENS affects sympathetic tone, indicated by skin temperature variations.
    • To correlate skin temperature changes with pain relief experienced by patients.

    Main Methods:

    • Thirty-three patients with unilateral chronic extremity pain were enrolled.
    • Transcutaneous electrical nerve stimulation (TENS) was applied to painful areas for 20-45 minutes.

    Related Experiment Videos

  • Skin temperatures were measured on stimulated and contralateral extremities before and during TENS.

    • Main Results:

    • A significant increase in skin temperature (2.5 +/- 0.7°C) was observed in both stimulated and non-stimulated extremities of patients who reported pain relief.
    • No significant skin temperature changes were detected in patients who did not experience pain relief during TENS.
    • These findings suggest a correlation between TENS-induced pain relief and altered sympathetic activity.

    Conclusions:

    • Transcutaneous electrical nerve stimulation (TENS) may positively influence sympathetic tone in patients experiencing pain relief.
    • Skin temperature changes during TENS could serve as an indicator of treatment efficacy in chronic pain management.
    • Further research is warranted to elucidate the mechanisms underlying TENS-induced thermoregulatory responses.