Is TENS effective for treating pain and spasticity after SCI?

Author: SCIRE Community Team | Reviewer: Amrit Dhaliwal | Published: 27 July 2017 | Updated: ~

TENS for nerve pain after SCI

Five studies have tested TENS as a treatment for neuropathic pain after SCI, although only three of these studies were suitable to draw conclusions from. These studies provide moderate evidence that TENS is effective for treating neuropathic pain after SCI.

TENS for muscle, bone, and joint pain after SCI

Research has not explored whether TENS is effective for treating musculoskeletal pain after SCI. However, because this type of pain is experienced in areas of normal sensation (above the level of injury), studies done outside of SCI might help provide some guidance about how well this treatment works.

A health provider using TENS on a leg of a person who is lying down on a bed

A health provider using TENS on a person’s leg.5

Reviews of research studies done in conditions like knee arthritis, general acute pain, and chronic low back pain have shown that TENS may be effective for treating musculoskeletal pain from these conditions. However, much of the research included in these reviews (and for TENS generally) is low quality, making it hard to make strong conclusions about whether TENS works for musculoskeletal pain.

TENS for spasticity after SCI

Based on six studies that have tested TENS as a treatment for spasticity after SCI, there is strong evidence that an ongoing program of TENS reduces spasticity after SCI. These studies also show that TENS reduces spasticity even after a single session; although the effects are greater when TENS is used as part of an ongoing program.