Posts Tagged ‘tens units for sale’

6 Pain Management Experts Respond to CMS’ Cancelled TENS Reimbursement

Wednesday, June 27th, 2012
The Centers for Medicare and Medicaid Services last week announced that most uses of transcutaneous electrical nerve stimulation will no longer be reimbursed as treatment for chronic low back pain. In a memo released Friday, CMS officials wrote that reimbursement for TENS will be available only when patients are participating in a randomized, controlled trial to gauge the clinical effectiveness of the treatment.

Medicare previously paid for FDA-approved TENS equipment and supplies when prescribed by a physician for chronic pain and reimbursed physicians and physical therapists for evaluating patients’ suitability for the treatment.

Five pain management experts weigh in on the CMS decision.

Pamela D’Amato, MD, Pain Management Specialist, Advanced Interventional Pain Management (Clifton, N.J.): I feel that the CMS ceasing reimbursement for TENS treatment is surprising. In the climate of pain management, with the over prescription of opioid medications, it is always nice to have a non-medication and non-interventional alternative, in my arsenal of treatment options. Unfortunately, we now run the risk of the private insurance companies following the CMS’s stance. It limits the concept of a multi-modal approach to patients with chronic low back pain. A TENS unit can be beneficial for a patient, they can utilize it on their own and often with little adverse side effects.

Dale Hammer, MA, PT, MHSA, SVP Global Compliance and Government Relations, DJO Global (Vista, Calif.): We are very disappointed in the CMS decision. For over 30 years, the medical community has used TENS as a safe and effective alternative or adjunct to a pharmacological approach to pain control. It is going to be very difficult for us to tell our Medicare patients that they no longer have covered access to a technology that has helped many thousands of Medicare patients effectively and safely manage their chronic low back pain. Restricting access to this technology could necessitate greater use of potentially addictive narcotics and in some cases result in the need for surgical intervention.

An online petition collected over 10,000 patient and provider signatures asking CMS not to eliminate coverage. Nevertheless, CMS stated in their Decision Memo that “evidence from formal clinical studies is more persuasive [than patient experience] to draw confident conclusions about the impact of medical technologies.” Their approach essentially discounts many years of clinician professional judgment and patient experience. Unfortunately, we do not believe that CMS has taken into consideration the impact that this decision will have on the segment of the Medicare population with chronic low back pain.

CMS has stated that they may reconsider their decision based on favorable results from randomized clinical trials, however, aside from the fact that such studies cost millions of dollars and take years to complete, we do not believe such studies are necessary or appropriate for TENS technology. While additional evidence can help refine treatment practices for virtually any medical technology, there are very few circumstances that justify essentially revoking patient access to a technology that has been long accepted in the medical community and has no safety concerns. Given this is the approach the CMS has decided to take, however, we feel that CMS should delay any coverage restrictions for at least two years so that the Medicare population is not denied longstanding Medicare coverage during this evidence-gathering process.

Moshe Lewis MD, Chief of Department of Physical Medicine and Rehabilitation, California Pacific Medical Center (San Francisco): In a time where CMS is looking critically at treatments that can be cut due to limited benefit, TENS units will have to be covered by patients. The literature shows that while they are of benefit in a small number of patients, the majority of patients do not benefit from this intervention. Now, given modern technology TENS unit costs have decreased to the point that most people can afford to buy these independently.

Charles Chabal, MD, President of the Washington Academy of Pain Management, Pain Management Specialist, Evergreen Pain Management (Kirkland, WA): As a board certified pain management specialist who offers both interventional and pain management treatment, I believe the CMS decision to revoke coverage for TENS goes against a long history of many pain physicians’ clinical experience.

I believe there are many problems with the Cochrane review studies that influenced CMS’ decision unfortunate — and I believe misguided — decision about TENS treatments. For example, I and many of my peers and colleagues believe that the global outcomes measures used in those studies may not have targeted the appropriate intervention. In addition, I don’t believe the Cochran review studies controlled for comorbid psychosocial factor such as undiagnosed depression, poorly treated depression, sleep disorders, quality of life or anxiety. Also, as we’ve seen in my home state of Washington, the sponsoring agency of a study often picks statistical consultants who clearly have a bias towards these review methodologies. There is a growing body of literature to support the bias and limitations of these review analyses.

I would also add that many pain specialists use TENS to treat exacerbations of low back pain. The mainstay long-term treatment of LBP often includes physical exercise and medication management. However, in the real world, most patients will suffer from acute flare-ups and exacerbations within the context of their chronic condition. For these flare-ups, TENS is very useful non-drug option. Unfortunately, most Cochrane review articles make little or no mention of this common and effective use. As professional societies and government health organizations highlight the limitations and complications of pain medications such as opioids (overdose, death, falls and fractures, constipation, etc.), NSAIDS (bleeding and kidney failure) and acetaminophen (hepatic toxicity), I find it ironic that our ability to offer an effective non-drug intervention will be limited. This has the effect of limiting very safe options for both the treating physician and patient and forcing treatments that clearly have potential serious side effects and complications.

Scott Gottlieb, MD, Director of Pain Management, New York Eye and Ear Infirmary (New York City): If TENS units are not covered, it would be a huge setback for pain patients because there is not a sufficient amount of safe, effective, non-invasive treatments for pain. There is a lot of risk when prescribing pain medications (narcotics) and a TENS unit has none of the issues that narcotics are associated with. If a TENS unit has provided relief to millions of low back pain sufferers, why eliminate it?

Jeremy Scarlett, MD, Pain Management Specialist, Advanced Pain Management (Milwaukee, Wisc.): I see the recent CMS decision to halt reimbursement for TENS treatment for chronic back pain as yet another setback in the field of pain management. Any depletion in the treatment arsenal is a setback for a difficult to treat condition. Opioids, antidepressants and muscle relaxants provide some nonnarcotic benefit, but they often have side effects. Many of my patients, particularly the elderly, want a fast-acting solution for their pain that provides minimal sedation and does not affect their mental clarity or bowel function. The TENS unit is an excellent option for these patients and others who will suffer if TENS treatments are no longer covered by CMS.

In the face of the national crisis of opioid dependence, addiction and abuse, CMS is making a decision that takes away a viable alternative to the prescription of narcotics. Patients who receive TENS treatments do not run the risk of addiction or face dangerous interactions from mixing alcohol or benzodiazepines with treatments. I wish CMS would consider the direct and indirect costs both to the patient and to society of the alternatives to the therapies they no longer cover.

Why Choose TENS Machines for Pain?

Wednesday, April 18th, 2012

No normal person can tolerate body pains, even those with high pain tolerance. As much as possible we use something to relieve the pain, if not pain pills such as ibuprofen and the likes, we apply mentholated oils and ointments. Body massage, reflexology, acupuncture are also few of the physical treatments we use to alleviate the discomfort we experience.
We know for a fact that taking pain pills often may cause us to depend on it and might even get ourselves immune to the medicine. On the other hand, oil and ointment application is not always effective and can irritate our skin in the long run. Body massage, acupuncture and other similar type of treatments can help ease the pain and at the same time relaxing, but not too budget-friendly especially if you need it often.
How about devices for pain relief? Have you heard about TENS machines?

TENS unit or TENS machine is a device with paddings that helps treat body pains through electric impulses that are delivered to specific parts of the body which blocks pain signals preventing them to reach the brain. Normally this device comes in handy and for different purposes.

The types of body pains that are recommended for TENS machines are arthritis, joint pain, and muscle pains. There are TENS units that could be used for headaches such as the electro-acupuncture type. TENS machines can also be used and recommended for labor pains, as well as dental pains. However, Tens machine use is not recommended for pains associated with cuts and burns.
TENS units, aside from the pain relief action, also gives a pampering and relaxing feeling to the user. It stimulates the muscle and nerves particularly the pressure points when the electrode pads are placed on the surface of the skin on the affected area. You can consider it as a nice buy and worth the money because the stimulation action also helps relieve stress. There are also evidences that shows how TENS units can help release endorphins in the body.
Having TENS machine in your home is a necessity nowadays because the whole family can make use of it. As technology advances, different TENS machine types are becoming available such as the sports TENS machines and mini TENS machines that you can bring with you anywhere you go. You can purchase the type you need for your lifestyle, and surely there is one that will suit you.
If body pains are not treated properly, there is a possibility for it to lead to something more serious. TENS machines could be a healthier choice compared to those other pain treatments mentioned on the first paragraph. At least, through TENS machine, no need for you to intake different kinds of pain medicines, or if you need so, lower dosage may be taken. You also don’t need to book for a massage or acupuncture schedule because TENS machine could give you the same benefits.

The Benefits Of Using TENS Units For Athletes

Friday, March 9th, 2012

Athletes put their bodies through incredible amounts of stress and strain, but they are usually able to recover quickly thanks to their high levels of conditioning. Sometimes, though, muscle pain and soreness will not subside. Although rest is the best solution for pain and soreness, many athletes do not have time to give their bodies a break. This is especially true in the midst of a competitive season, during which one missed day can mean the difference between winning and losing. Thankfully, TENS units for athletes are becoming more popular. These units can be used to ease the recovery from pain and soreness, plus they can help rebuild muscle tissue in the event of an injury like a pull or a tear. This keeps athletes from having to take valuable time away from their sports.

TENS stands for Transcutaneous Electrical Nerve Stimulation. The units work by sending electrical pulses into the body which prevent pain signals from reaching the brain. Additionally, TENS units can help with the body’s creation of endorphins, which can make the recovery process go more quickly. By using these units regularly when injuries or pains occur, athletes can also experience a decrease in the amount of time it takes to heal from common injuries and pains.

Because TENS units stimulate the body with small electrical shocks, they should not be used without the proper training and guidance from a physician. The machines are simply too dangerous to be used without supervision from a medical professional. Once a patient has been shown how to operate a TENS unit properly, he or she can use it as directed to help the recovery process.

One of the most appealing aspects of using TENS units for athletes is that the machines are highly portable. For this reason, the units can be used almost anywhere at any time. Athletes love this aspect since they often have very little time to devote to recovery in between workouts and jobs. In fact, an athlete could go to the gym in the morning and use his or her workday to recover by using the TENS unit. The machines are compact, quiet and effective when used properly.

Being an athlete today requires a significant commitment in terms of time and effort. When injuries happen, it can throw a training program or competitive schedule completely off track. Recovering from pain, soreness and injuries takes time, but by using TENS units for athletes, people can get back to training and playing in very little time. The machines are effective and very easy to use, plus they can be used virtually anywhere at any time. TENS units are truly revolutionary when it comes to athletic recovery.

TENS & How They Help With Whiplash & Other Neck Injuries

Saturday, February 11th, 2012


Lots of people experience some type of neck injuries and it is very painful. Frequently the injuries, whether it involves a vehicle crash from behind, is known to as whiplash. This kind injuries usually involves an abrupt jolt of motion forward and also the muscles immediately become inflamed and swell, protecting begins included in the inflammatory process. The very first 12 to 24 hrs commonly are not as seriously painful as the timeframe following a acute onset. It’s following the initial trauma the discomfort may become intolerable. Throughout the very first acute episode, following a trauma, its better to ice, awesome the neck area since the body has taken care of immediately the trauma and started a number of chemical responses to prevent the dangerous effects. The issue is inflammation, swelling, which started using the increase of recent chemical responses. Since the excess fluid is taken within the tissue area there’s an growth of cells and finally a rupture within the cell walls themselves that will later require repair to achieve full function. Following the swelling has stopped then warm moist warmth is an extremely wise decision to start coping with the inevitable discomfort that follows. Here are a few practical remedies in 3 easy steps…

Step One - Ice Lower/ Chill

Step one to become taken is ice, awesome lower the neck injuries area. You will have to do that since the muscles will begin swelling and you will see an accumulation of cellular liquids leading to cell/tissue destruction. A few of the destruction would be the consequence of the distressing injuries but you’ll also have additional damage because of the inflammatory response from the defense mechanisms. You will have to carefully avoid dealing with with warmth throughout the acute phase, because the warmth increases bloodstream flow and boost the swelling and injury..

You will have to perform the chill starting point quickly. Should you choose it quickly, then your swelling will subside and you will see less damage and fewer discomfort.

Step Two - Apply Warm Moist Warmth

Your next step will probably be following the first 12 - 24 hrs, once the swelling has gone away, then begin warm moist warmth for that discomfort. Without having a moist warmth pad then simply just use tepid to warm water on the towel and affect the neck area. If at all possible to be able to extend the warmth from the towel place the a bit of reflective aluminum foil outrageous to retain the warmth and never let it evaporate. Things you will want to avoid listed here are be cautious about using discomfort medicines that could leave you sleepy or groggy. To heal no need to essentially “drug yourself” from awareness. You need to avoid driving a vehicle or getting into any situation in which a quick movement, or the requirement for a fast movement reaction, may damage you. Many chronic injuries are basically acute injuries recurring again and again.

Step Three - Use Electrotherapy, ideally Interferential therapy, with moist warmth if at all possible.

The Next step is that if possible make use of a portable interferential pain machine with the moist warmth packs or maybe interferential isn’t available then make use of a standard TENS unit. This will be relevant because moist warmth provides carryover discomfort relief before the area treated manages to lose the warmth. Following the thermal warmth effects are lost, the discomfort frequently returns. The interferential treatment is called the treatment of preference for stretching the rest of the or carryover discomfort relief period of time, however TENS, transcutaneous electric nerve generators, could be worn continuously reducing discomfort. This will be significant if the carryover period is extended the muscles could be rehabilitated sooner, the discomfort upon stretching and doing the rehab. is reduced, and full flexibility is restored.

The precise steps layed out above should assist the whiplash patient experience less discomfort, gain mobility faster, and tissue repair conclude sooner. Just stay with the stages in order, for that reasons as described, while carefully staying away from the traps, problems and potential mistakes pointed out. Then pat your self on the rear and relish the benefits and rewards of getting lost the discomfort, restored the function and lessened the rehab time.

Tips For Buying TENS Units Online

Friday, January 27th, 2012

For thousands of back pain sufferers, TENS units provide a lifeline, restoring the ability to function and reducing constant discomfort. TENS units, short for transcutaneous electrical nerve stimulation, are small electrical devices that can be carried around or worn on the body. Connected to the skin through two or more electrodes, they provide an electrical current that stimulates nerves reducing both acute and chronic muscle pain. While TENS units aren’t effective for everyone, for some people, they are the key to a more active lifestyle.

Due to their recent popularity, TENS units can currently be found for sale on many websites. This is a great way for pain sufferers to obtain afordable equipment for an inexpensive solution to their health issues. Before attempting to use these devices, however, it is important to consult with a professional to learn how to use them and what risks are involved.

Once you have decided to buy a TENS unit, there are a few decisions to make, and not all devices are created equal. Here are a few important things to look for in a new TENS unit:

- Confirm that a device is well designed. Make sure that buttons are clear and placed in such a way that it is difficult to accidentally change settings. No one wants a surprise electric shock when they bend down to tie their shoes. Some devices offer extra features that may be overly complicated for those with arthritis or reduced motor control.

- Check the expected battery life. Just like any electrical device, it’s best to buy something that uses energy efficiently and won’t burn through batteries too quickly.

- Width control refers to the amount of time the device stays on before it automatically shuts off. This will be important to determine based on your particular condition. Once again, it is always a good idea to consult with a medical professional.

- Make sure the electrodes are of a premium quality. The device is only useful as long as the electrodes properly connect to your skin. If you are buying a new package or if you are searching for replacement TENS unit electrodes for sale, there are three things to look for: 1. cloth-faced electrodes are more durable than the foam or rubber variety. 2. Look for a solid anchor where the lead enters the electrode. This directly affects how long the electrode will last. 3. Choose an electrode with strong adhesive strength that will remain effective over the long term.

With many attractive offers available online, TENS units are already reaching a much wider audience and providing relief for thousands of people. Sufferers of back pain would often pay a high premium for relief, but now they don’t have to. There are many high quality products available at low prices, so don’t wait to experience relief, learn more about TENS units today.

buying tens units online