Mark I Johnson Author

Editorial Open Access

Post-Surgical Pain: The Status of Evidence for the Use of Transcutaneous Electrical Nerve Stimulation (TENS)

Author(s):

Mark I Johnson

The safety of surgical techniques has been identified as a publichealth concern. Surgery causes tissue damage to somatic, visceral and neural structures resulting in peripheral and central sensitisation of the nociceptive system and pain that may be nociceptive and/or neuropathic in origin. Acute post-surgical pain may be localised around the incision but may also spread because of soft tissue injury from surgical trauma and retraction. Pain may be at rest and/or on movement and paroxysmal without clear evoking stimuli. Pain may be accompanied by hyperalgesia, allodynia, hypaesthesia and dysaesthesia. Neuroplastic changes in the brain may contribute to the development of chronic post-surgical pain. The unique and complex pathophysiology of surgical pain means that pain management is cha... view more»

DOI: 10.4172/2324-903X.1000e109

Abstract HTML PDF