Would a TENS unit help improve fibromyalgia pain?
Answers from Jeffrey M. Thompson, M.D.
Possibly. Transcutaneous electrical nerve stimulation (TENS) is a therapy sometimes used to treat localized or regional pain. During TENS therapy, electrodes deliver electrical impulses to nearby nerve pathways — which can help control or relieve some types of pain. TENS is often used to treat osteoarthritis, chronic pain and postoperative pain.
Fibromyalgia is a chronic condition characterized by widespread pain in the muscles, ligaments and tendons, as well as fatigue and multiple tender points — places on the body where slight pressure causes pain. The pain of fibromyalgia isn't limited to a specific area, so TENS therapy isn't generally used as a treatment. But some research has shown that TENS may be effective for reducing pain in people who have fibromyalgia, especially in combination with other treatments, such as exercise.
Fibromyalgia is often treated with various medications to relieve pain and improve sleep. Options may include medicines used to treat other disorders, such as antidepressants and anti-seizure medicines, as well as mild pain relievers.
Exercise is the main treatment, along with stress reduction and healthy sleep habits. Your doctor may also recommend cognitive behavioral therapy — working with a mental health professional to learn effective ways of thinking about and dealing with your condition.
If you have fibromyalgia and your treatment plan isn't relieving your pain, talk with your doctor. He or she may adjust your medications or offer other treatment options.
Nov. 08, 2016
Jeffrey M. Thompson, M.D.
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- Allen RJ, et al. Physical therapy agents. In: Fishman SM, et al. Bonica's Management of Pain. 4th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2009. http://www.ovid.com/site/index.jsp. Accessed Aug. 25, 2016.
- Foltz-Gray D. Fight arthritis pain without pills: Other methods also can help you conquer arthritis pain. Arthritis Foundation. http://www.arthritis.org/living-with-arthritis/pain-management/tips/arthritis-pain-relief-alternatives.php. Accessed Sept. 6, 2016.
- Fibromyalgia symptoms. Arthritis Foundation. http://www.arthritis.org/about-arthritis/types/fibromyalgia/symptoms.php. Accessed Sept. 6, 2016.
- Fishman SM, et al. Fibromyalgia. In: Bonica's Management of Pain. 4th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2009.
- Goldenberg DL. Initial treatment of fibromyalgia in adults. http://www.uptodate.com/home. Accessed Sept. 6, 2016.
- Goldenberg DL. Treatment of fibromyalgia in adults not responsive to initial therapies. http://www.uptodate.com/home. Accessed Sept. 6, 2016.
- Vance CGT, et al. Using TENS for pain control: The state of the evidence. Pain Management. 2014;4:197.
- Ambrose KR, et al. Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Practice and Research. Clinical Rheumatology. 2015;29:120.