For patients with normal skin sensation TENS should initially be given to generate

Transcutaneous Electrical Nerve Stimulation (TENS) is a therapeutic method commonly used for pain management. For patients with normal skin sensation, TENS should initially be given to generate a tingling sensation without discomfort. The goal of this treatment approach is to stimulate the nerves and reduce pain perception by activating the body's natural pain relief pathways.

When a TENS unit is applied, it sends electrical impulses through the skin, which can help in several ways:

1. Gate Control Theory: The impulses may interfere with the pain signals being sent to the brain, effectively "blocking" those signals and reducing the sensation of pain.

2. Endorphin Release: TENS can stimulate the production of endorphins, the body's natural painkillers, providing additional relief.

3. Improvement in Blood Circulation: The electrical stimulation can enhance blood flow to the affected areas, promoting healing and reducing inflammation.

It's important to adjust the settings (such as pulse width, frequency, and intensity) to ensure a comfortable experience for the patient, ideally maintaining a level that is effective without causing pain or irritation. Regular monitoring during TENS treatment is crucial to evaluate efficacy and tolerance.