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my little penguin

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DS has had a lot of spinal pain lately so he has tried his tens unit which helps some ...
But the thing I didn't know was that the tens unit tricks the brain into releasing more endorphins which takes care if the pain.

So if the endorphins help reduce inflammation ( think LDN)...
Does the tens unit also reduce inflammation on some level ???
 
I'm not really sure about the mechanism but I think the tens is affecting the nerves but not impacting inflammation directly. I'm really no expert but that's what I thought.
 
Fwiw M's physical therapist had told us that it would help with the pain but not the inflammation. But who knows?! I'll take anything that helps her at this point!
 
TENS Stimulates an Endorphin Release
The Pain Gate can also be shut by stimulating the release of endogenous opioids (endorphins, enkephalins, and dynorphins), which are pain-relieving chemicals naturally released by the body in response to pain stimuli. Opioids are a naturally occurring hormone in the body. They are released in response to an injury or physical stress to reduce your pain and promote a feeling of wellbeing. Much like Morphine, and related medications, your opioids have a similar chemical structure, which explains their strong painkilling effects.

From:
http://physioworks.com.au/FAQRetrieve.aspx?ID=30894
 
I wish we'd been offered a tens unit to try. Traditional PT and aquatherapy didn't help A. Elavil doesn't help her joint pain either. We're pretty discouraged when it comes to the joints.
 
DanceMom-- If A doesn't have IBD, would they let her take an NSAID occasionally?
For a tens unit, if she's still doing PT, you could ask her physical therapist if she could try it, I'm sure they have one! You can also order one.
 
We don't think she has IBD but she does have (or at least did have) ulcers in her stomach and small intestine. We use NSAIDS sparingly. We haven't done PT in several weeks but if we decide to return I think I'll ask about a tens unit. She has good strength and range of motion....just a feeling of stiffness and pain.
 
DS got his tens unit from pain management clinic.
It works ok for the groin thigh area and sometimes lowers stomach pain.
Its does not help with the spine since you can't put it near that but can relieve adjacent pain in the lower back so some help .

Her Rheumo could recommend pain management .
 
C has a tens unit, at first he said he thought it helped with joint pain but later said it didn't seem to make a difference. He still has it but hasn't had a need to use it.
 
There are no direct reported attempts to reduce inflammation with TENS that I could find. However there seems a reasonable case to be made for a limited ability to reduce inflammation in the area being treated. Might be a good question to put to the Medical Advisor since I am definitely not a doctor and a little knowledge is a dangerous thing sometimes. Here's a little light reading that might apply. My interpretations of some of the information is [bracketed and in italics]. :sheep:

For reference:
Chapter 8: Pain Modulation and Mechanisms
http://neuroscience.uth.tmc.edu/s2/chapter08.html

Transcutaneous electrical nerve stimulation (TENS)
http://www.mstrust.org.uk/professionals/information/wayahead/articles/09022005_01.jsp
"Secondly TENS may also excite higher centres causing the release of endogenous opioids. These opioids have a descending inhibitory effect at the dorsal horn binding to receptors on nociceptive afferent neurones [nerves that sense pain], so inhibiting the release of substance P "[tells the brain you're in pain]

Targeting peripheral opioid receptors to promote analgesic and anti-inflammatory actions
http://journal.frontiersin.org/Journal/10.3389/fphar.2013.00132/full

"Peripheral tissue injury causes a migration of opioid peptide-containing immune cells to the inflamed site. This migration appears to be both centrally and locally regulated. Exogenously [externally] stimulated systemic inhibition of pain [for example with morphine] has been shown to decrease the recruitment of β-endorphin containing immune cells in inflamed tissue [fewer immune cells less inflammation?] (Schmitt et al., 2003; Heurich et al., 2007), thus suggesting a role for central regulation.

The arrows denote an increased expression within inflamed tissue of cell adhesion molecules, opioid receptors, endogenous opioid peptides, and receptors for ligands that trigger opioid release on the surface of immune cells (e.g., CXCR2, IL-1 receptors, CRF receptors). This all enhances the analgesic and anti-inflammatory activity of the peripheral opioid pathway in inflammatory conditions." see article for illustration

Targeting pain and inflammation by peripherally acting opioids (technical article written for pharmacists)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3779927/

"Opioids can reduce pain and inflammation by activating opioid receptors outside the central nervous system. Inflammation of peripheral tissue leads to upregulation of opioid receptors on peripheral sensory neurons and to local production of endogenous opioid peptides in immune cells."
 
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