Transcutaneous electrical nerve stimulation versus oral analgesic: a randomized double-blind controlled study in acute traumatic pain |
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| Authors: | G J Ordog |
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| Institution: | 1. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA;2. Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA;3. Department of Neuroscience, Yale-New Hospital, New Haven, CT, USA;4. VA National Center for PTSD, VA Connecticut Healthcare System, West Haven, CT, USA;5. Schizophrenia Neuropharmacology Research Group at Yale (SNRGY), Yale University, New Haven, CT, USA;6. Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, USA;7. Department of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA;8. Department of Psychology, Yale University, New Haven, CT, USA;1. Department of Radiation Oncology, University of California San Diego, San Diego, California;2. Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts;3. Department of Medical Oncology, Massachusetts General Hospital, Boston, Massachusetts;1. Medical University of SC, Department of Neurology, Charleston, USA;2. Faculty of Medicine and Biomedical Sciences, Department of Internal Medicine, Yaoundé, Cameroon;3. Department of Internal Medicine, Douala General Hospital, Douala, Cameroon;4. Department of Medicine, University of Cape Town, Cape Town, South Africa;5. South African Medical Research Council of South Africa, Cape Town, South Africa |
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| Abstract: | A double-blind controlled analgesic study was undertaken in outpatients suffering acute traumatic pain. One hundred patients completed the study and were randomly assigned to four treatment groups, each receiving either functioning transcutaneous electrical nerve stimulators (TENS), placebo TENS, acetaminophen with codeine and a functioning TENS, or acetaminophen with codeine and a placebo TENS. Pain was assessed prior to treatment, at 48 hours, and at one month using a visual analog scale. A statistically significant difference in pain relief occurred between the placebo and functioning TENS groups. The TENS was approximately as effective as acetaminophen (300-600 mg) with codeine (30-60 mg) but had no side effects. Transcutaneous electrical nerve stimulators have been shown to be effective in the management of acute traumatic pain and may be indicated for patients who cannot be given medications. |
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