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  • Weekend Lecture - Tens & Ifc Settings For Pain Conventional Acupuncture

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    Edward De Leon
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    1. TENS uses higher frequencies (100-150 Hz) and shorter pulse durations (50-80 μs) for pain relief over a small region that lasts up to 24 hours, while IFC uses lower frequencies (2-10 Hz) and longer pulse durations (150-300 μs) for pain relief over a large region that can last up to 5 hours. 2. TENS places electrodes on muscle bellies while IFC places electrodes in a crisscross diagonal pattern. 3. Both TENS and IFC relieve pain by activating inhibitory interneurons in the spinal cord through different mechanisms - TENS activates inhibitory interneurons through direct stimulation of Aβ fibers, while IFC activates them through an

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    TENS & IFC LECTURE NOTES

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    TENS & IFC

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    1. TENS uses higher frequencies (100-150 Hz) and shorter pulse durations (50-80 μs) for pain relief over a small region that lasts up to 24 hours, while IFC uses lower frequencies (2-10 Hz) and longer pulse durations (150-300 μs) for pain relief over a large region that can last up to 5 hours. 2. TENS places electrodes on muscle bellies while IFC places electrodes in a crisscross diagonal pattern. 3. Both TENS and IFC relieve pain by activating inhibitory interneurons in the spinal cord through different mechanisms - TENS activates inhibitory interneurons through direct stimulation of Aβ fibers, while IFC activates them through an

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    © All Rights Reserved
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    26 views1 page

    Weekend Lecture - Tens & Ifc Settings For Pain Conventional Acupuncture

    Uploaded by

    Edward De Leon
    1. TENS uses higher frequencies (100-150 Hz) and shorter pulse durations (50-80 μs) for pain relief over a small region that lasts up to 24 hours, while IFC uses lower frequencies (2-10 Hz) and longer pulse durations (150-300 μs) for pain relief over a large region that can last up to 5 hours. 2. TENS places electrodes on muscle bellies while IFC places electrodes in a crisscross diagonal pattern. 3. Both TENS and IFC relieve pain by activating inhibitory interneurons in the spinal cord through different mechanisms - TENS activates inhibitory interneurons through direct stimulation of Aβ fibers, while IFC activates them through an

    Copyright:

    © All Rights Reserved
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    of 1

    WEEKEND LECTURE – TENS & IFC

    OVERVIEW

    SETTINGS FOR PAIN


    CONVENTIONAL ACUPUNCTURE
    Long Duration (up to 24 hrs) 20-30 minutes
    Strong, but comfortable Strong visible twitch
    tingling Electrodes on muscle bellies
     Pulse Duration (50-80 μs)  Pulse Duration (150-300
     Frequency (100-150 Hz) μs)
     Gate Control Mechanism  Frequency (2-10 Hz)
     Immediate, but short-lived  Endo-opioid Mechanism
    analgesia  Analgesia up to 5 hrs
    Small Region Large Region
    TENS Only IFC or TENS

    - Pain-relief in conventional is gone after removing the


    electrodes, acupuncture lasts longer
    - Start with the lowest Pulse duration but highest frequency
    (e.g., 50μs and 150Hz)
    - Acupuncture can elicit discomfort so inform patient

    APPLICATION
    TENS - Stimulation of A fibers branches to inhibitory interneuron
    - Can use 2 or 4 and activates it
    - The arrangement doesn’t matter as long as there is at least 2 - If A fibers stimulation is greater than A, it will have net
    (Black-Black, Red-Red, Red-Black) activation of Inhibitory Interneuron to close the gate
    - Can be placed faraway (2 on lumbar 2 on scapula)
    ENDO-OPIOID MECHANISM
    IFC
    - Use all 4
    - Has to crisscross diagonally (Black-Red-Black-Red)

    GATE THEORY

    Pain Perception
    - Pain is perceived in the brain
    - First-order neuron enters in dorsal root ganglion > Synapse
    with Second-order neuron in SC > Opposite of SC goes up
    to Thalamus > Third-order neuron carries information to
    the brain
    - Nociceptor (First-order Sensory Neuron unipolar) > Axon
    leads to cell body of DRG > goes to spinal cord and
    synapse with cell body of Second-order neuron (+)

    - Unipolar Neuron (Sensory)/First-order neuron: pick up Pain Inhibition


    information when you cut your arm - Midbrain: PAG
    - Axon of 1st order Neuron synapse (+/activates) with cell Medulla: NRM
    body of 2nd order neuron - These regions of the brainstem activates and release
    - 2nd order neuron carry information to thalamus which Serotonin that activates descending tract to inhibit pain
    synapses with 2nd order neuron (Inhibitory Interneuron)
    - Axon in first-order neuron to inhibit (-) the inhibitory - Also releases 3 Opioids (-endorphin, Met- & Leu-
    interneuron and can no longer inhibit second-order neuron enkephalins, Dynorphins
    - Summary: Direct stimulation of second-order neuron and
    inhibition of inhibitory interneuron
    - First-order neuron = A or C fibers
    To Reactivate Inhibitory Neuron to Close Gate

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