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The pain decrease following to the TENS currents application is due to these factors:
a.
Gate control theory
b.
Endorphin secretion
c.
Different sedative effects in relation with the frequency
Gate theory
If the electric signals that lead to the brain information about pain are stopped, also the pain
perception is eliminated. If, for instance, we hit our head into an object the first thing we do is
massaging the area affected by the trauma. In this way we stimulate the receptors related to
touch and pressure. TENS in continuous mode and in frequency modulation can be used to
generate signals similar to the ones of touch and pressure. If their intensity is enough, their priority is
so high that it prevails on the pain signals. Once the priority is gained, the gate related to the
sensory signals is opened and the pain one is closed, impeding in this way the passage of these
signals to the brain.
Endorphin secretion
When a nervous signal proceeds from the pain area to the brain, it spreads through a chain of
connections joined together called synapse. The synapse can be seen as the space between the
end of a nerve and the start of another. When an electric signal reaches the end of a nerve, it
produces some substances called neurotransmitters that pass through the synapse and activate
the start of the next nerve. This process repeats for all the length needed to the signal to reach the
brain. The opioids involved in the pain reduction have the task to insinuate in the synapse space
and impede the neurotransmitter propagation. In this way a chemical block of the pain signals
occurs. The endorphins are opioids naturally produced by the body to tackle the pain and they
can act both on the marrow and on the brain, in this way they are effective analgesics. Tens can
increase the natural production of endorphins and, thereby, they act decreasing the pain
perception.
Incontinence programs
The urology programs require the use of specific endovaginal and endorectal electrode probes,
certified according to the Directive for Medical Devices 93/42/EEC. These are bipolar probes with
a 2-mm female adapter which attaches to 2-mm male cables.
Warnings
Urological electrostimulation is a medical application, which must be carried out under medical
supervision.
Use
To correctly use the probe electrode, follow the instructions provided by the manufacturer and
given by the physician.
Maintenance
For cleaning, sterilization and disinfection, refer to the manufacturer's instructions.
Suggestions
In case of deterioration of the probe electrode, replace it immediately.
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