Effects of transcutaneous electrical nerve stimulation in patients with peripheral and central neuropathic pain

The aim of this study was to evaluate and compare the effects of transcutaneous electrical nerve stimulation (TENS) therapy on pain intensity and functional capacity in patients with either peripheral neuropathic pain or central neuropathic pain. In all, 40 patients (20 with peripheral neuropathic pain and 20 with central neuropathic pain) were included in the study. Pain severity, pain quality, and functional capacity were assessed with a visual analogue scale, a neuropathic pain scale, and the Brief Pain Inventory, respectively. A pre-post-treatment design was used. Semmes Weinstein monofilaments were used to evaluate touch sensation. Mild pressure was applied to induce static mechanical allodynia. The presence of any severe and sharp pains upon pricking was considered a positive sign for hyperalgesia. The 2 groups of patients received 20/30-min sessions of TENS therapy over 4 weeks. No significant differences associated the pre-treatment values for visual analogue scale, neuropathic pain scale, and Brief Pain Inventory were seen between the 2 groups . The pain parameters in both groups were significantly lowered by TENS therapy for 4 weeks (p < 0.05). The group with peripheral neuropathic pain presented more overall improvements than the group with central neuropathic pain (p < 0.05).

The study found that TENS therapy can be successfully applied in clinical practice as an alternative or supportive treatment.