Prise de rendez-vous auprès de Mme Cassie ZAHRA, infirmière. Vous pouvez l’appeler le vendredi de 09h30 à 15h15 au 05-19-76-15-34 ou par mail à c.zahra@polyclinique-limoges.fr

La TENS ou stimulation électrique transcutanée est couramment utilisée dans la prise en charge de la douleur. Elle permet d’apporter du confort pour de nombreuses pathologies douloureuses.
Elle est réalisée à l’aide d’un appareil de petite taille, fonctionnant sur piles ou batterie, qui administre un faible courant électrique à la peau, par le biais d’électrodes positionnées sur la zone douloureuse.
Le principal mode de fonctionnement est celui du Gate-control. En effet, en stimulant les fibres nerveuses du toucher dans une zone douloureuse, on bloque les messages envoyés par les fibres nerveuses de la douleur.

Le cabinet d’algologie est habilité à prescrire l’appareil en location puis au besoin de l’achat de celui-ci.

Il est important lors d’une consultation dédiée de pouvoir prendre en main l’appareil. Cet apprentissage se fera auprès de Mme Zahra, notre infirmière spécifiquement formée.

Le TENS est un outil plébiscité par les patients que ce soit pour des douleurs ponctuelles ou chroniques.

Références scientifiques

1954841 {1954841:Y9R7ENN5},{1954841:8P4LLF46},{1954841:PPNJL2NC} 1 chicago-fullnote-bibliography 50 date 126 https://cabinetdouleurlimoges.fr/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22PPNJL2NC%22%2C%22library%22%3A%7B%22id%22%3A1954841%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Mokhtari%20et%20al.%22%2C%22parsedDate%22%3A%222020-02-18%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BMokhtari%2C%20Tahmineh%2C%20Qiaoyue%20Ren%2C%20Nuo%20Li%2C%20Faguang%20Wang%2C%20Yanzhi%20Bi%2C%20and%20Li%20Hu.%20%26%23x201C%3BTranscutaneous%20Electrical%20Nerve%20Stimulation%20in%20Relieving%20Neuropathic%20Pain%3A%20Basic%20Mechanisms%20and%20Clinical%20Applications.%26%23x201D%3B%20%26lt%3Bi%26gt%3BCurrent%20Pain%20and%20Headache%20Reports%26lt%3B%5C%2Fi%26gt%3B%2024%2C%20no.%204%20%28February%2018%2C%202020%29%3A%2014.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs11916-020-0846-1%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs11916-020-0846-1%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Transcutaneous%20Electrical%20Nerve%20Stimulation%20in%20Relieving%20Neuropathic%20Pain%3A%20Basic%20Mechanisms%20and%20Clinical%20Applications%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tahmineh%22%2C%22lastName%22%3A%22Mokhtari%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Qiaoyue%22%2C%22lastName%22%3A%22Ren%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nuo%22%2C%22lastName%22%3A%22Li%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Faguang%22%2C%22lastName%22%3A%22Wang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yanzhi%22%2C%22lastName%22%3A%22Bi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Hu%22%7D%5D%2C%22abstractNote%22%3A%22Transcutaneous%20electrical%20nerve%20stimulation%20%28TENS%29%20is%20widely%20used%20as%20a%20non-pharmacological%20approach%20for%20pain%20relief%20in%20a%20variety%20of%20clinical%20conditions.%20This%20manuscript%20aimed%20to%20review%20the%20basic%20mechanisms%20and%20clinical%20applications%20regarding%20the%20use%20of%20TENS%20for%20alleviating%20the%20peripheral%20%28PNP%29%20and%20central%20neuropathic%20pain%20%28CNP%29.%22%2C%22date%22%3A%222020-02-18%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1007%5C%2Fs11916-020-0846-1%22%2C%22ISSN%22%3A%221534-3081%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs11916-020-0846-1%22%2C%22collections%22%3A%5B%227PAG5N7A%22%5D%2C%22dateModified%22%3A%222020-04-21T12%3A02%3A20Z%22%7D%7D%2C%7B%22key%22%3A%228P4LLF46%22%2C%22library%22%3A%7B%22id%22%3A1954841%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Gibson%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGibson%2C%20William%2C%20Benedict%20M.%20Wand%2C%20Catherine%20Meads%2C%20Mark%20J.%20Catley%2C%20and%20Neil%20E.%20O%26%23x2019%3BConnell.%20%26%23x201C%3BTranscutaneous%20Electrical%20Nerve%20Stimulation%20%28TENS%29%20for%20Chronic%20Pain%20%26%23x2010%3B%20an%20Overview%20of%20Cochrane%20Reviews.%26%23x201D%3B%20%26lt%3Bi%26gt%3BCochrane%20Database%20of%20Systematic%20Reviews%26lt%3B%5C%2Fi%26gt%3B%2C%20no.%204%20%282019%29.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2F14651858.CD011890.pub3%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2F14651858.CD011890.pub3%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Transcutaneous%20electrical%20nerve%20stimulation%20%28TENS%29%20for%20chronic%20pain%20%5Cu2010%20an%20overview%20of%20Cochrane%20Reviews%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22William%22%2C%22lastName%22%3A%22Gibson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benedict%20M.%22%2C%22lastName%22%3A%22Wand%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Catherine%22%2C%22lastName%22%3A%22Meads%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mark%20J.%22%2C%22lastName%22%3A%22Catley%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Neil%20E.%22%2C%22lastName%22%3A%22O%27Connell%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222019%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1002%5C%2F14651858.CD011890.pub3%22%2C%22ISSN%22%3A%221465-1858%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.cochranelibrary.com%5C%2Fcdsr%5C%2Fdoi%5C%2F10.1002%5C%2F14651858.CD011890.pub3%5C%2Ffull%22%2C%22collections%22%3A%5B%227PAG5N7A%22%5D%2C%22dateModified%22%3A%222020-04-21T12%3A05%3A03Z%22%7D%7D%2C%7B%22key%22%3A%22Y9R7ENN5%22%2C%22library%22%3A%7B%22id%22%3A1954841%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Johnson%22%2C%22parsedDate%22%3A%222017-10-03%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BJohnson%2C%20Mark%20I.%20%26%23x201C%3BTranscutaneous%20Electrical%20Nerve%20Stimulation%20%28TENS%29%20as%20an%20Adjunct%20for%20Pain%20Management%20in%20Perioperative%20Settings%3A%20A%20Critical%20Review.%26%23x201D%3B%20%26lt%3Bi%26gt%3BExpert%20Review%20of%20Neurotherapeutics%26lt%3B%5C%2Fi%26gt%3B%2017%2C%20no.%2010%20%28October%203%2C%202017%29%3A%201013%26%23x2013%3B27.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14737175.2017.1364158%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14737175.2017.1364158%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Transcutaneous%20electrical%20nerve%20stimulation%20%28TENS%29%20as%20an%20adjunct%20for%20pain%20management%20in%20perioperative%20settings%3A%20a%20critical%20review%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mark%20I.%22%2C%22lastName%22%3A%22Johnson%22%7D%5D%2C%22abstractNote%22%3A%22Introduction%3A%20Surgical%20procedures%20are%20ever%20more%20complex.%20Day-case%20surgical%20loads%20are%20increasing%20and%20the%20length%20of%20hospital%20stays%20are%20reducing.%20Management%20of%20pain%20in%20perioperative%20settings%20remains%20a%20challenge.%20Expert%20panels%20recommend%20a%20multimodal%20approach%20which%20is%20often%20interpreted%20by%20medical%20practitioners%20as%20polypharmacy.%20There%20is%20variability%20in%20non-pharmacological%20interventions%20offered%20to%20patients%2C%20although%20transcutaneous%20electrical%20nerve%20stimulation%20%28TENS%29%20has%20been%20used%20since%20the%201970s.%20Recommendations%20from%20expert%20panels%20are%20inconsistent%20about%20the%20use%20of%20TENS%20in%20perioperative%20pain%20settings.Areas%20covered%3A%20This%20critical%20review%20outlines%20the%20challenges%20of%20managing%20pain%20in%20perioperative%20settings%20and%20uses%20a%20narrative%20synthesis%20to%20evaluate%20the%20findings%20of%20systematic%20reviews%20on%20the%20clinical%20efficacy%20of%20TENS%20for%20pain%20in%20perioperative%20settings.Expert%20commentary%3A%20Moderate%20evidence%20from%20systematic%20reviews%20suggests%20that%20TENS%20is%20superior%20to%20placebo%20%28no%20current%29%20TENS%20for%20reducing%20analgesic%20consumption%20and%20improving%20pain%2C%20pulmonary%20function%2C%20and%20nausea%20and%20vomiting.%20Therefore%2C%20it%20seems%20reasonable%20to%20offer%20TENS%20as%20an%20adjunct%20to%20core%20treatment%20for%20surgical%20pain%2C%20especially%20because%20it%20is%20inexpensive%20and%20has%20a%20favorable%20safety%20profile%20compared%20with%20long-term%20medication.%20Practical%20considerations%20for%20the%20integration%20of%20TENS%20into%20service%20delivery%20are%20discussed.%22%2C%22date%22%3A%22October%203%2C%202017%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14737175.2017.1364158%22%2C%22ISSN%22%3A%221473-7175%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14737175.2017.1364158%22%2C%22collections%22%3A%5B%227PAG5N7A%22%5D%2C%22dateModified%22%3A%222020-04-21T12%3A02%3A02Z%22%7D%7D%5D%7D
Mokhtari, Tahmineh, Qiaoyue Ren, Nuo Li, Faguang Wang, Yanzhi Bi, and Li Hu. “Transcutaneous Electrical Nerve Stimulation in Relieving Neuropathic Pain: Basic Mechanisms and Clinical Applications.” Current Pain and Headache Reports 24, no. 4 (February 18, 2020): 14. https://doi.org/10.1007/s11916-020-0846-1.
Gibson, William, Benedict M. Wand, Catherine Meads, Mark J. Catley, and Neil E. O’Connell. “Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Pain ‐ an Overview of Cochrane Reviews.” Cochrane Database of Systematic Reviews, no. 4 (2019). https://doi.org/10.1002/14651858.CD011890.pub3.
Johnson, Mark I. “Transcutaneous Electrical Nerve Stimulation (TENS) as an Adjunct for Pain Management in Perioperative Settings: A Critical Review.” Expert Review of Neurotherapeutics 17, no. 10 (October 3, 2017): 1013–27. https://doi.org/10.1080/14737175.2017.1364158.