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Date sent:              Thu, 19 Oct 2000 02:15:25 EDT
Send reply to:          Parkinson's Information Exchange Network <[log in to unmask]>
From:                   Sid Levin <[log in to unmask]>
Subject:                Re: Pain management - sciatic nerve problems
To:                     [log in to unmask]

> Hillary, at one time, my oldest son and I manufactured a device that
> would (for some) stop the pain. It is known as a TENS (Transcutaneous
> Electronic Nerve Stimulator). It is the size of a transistor radio
> with electrodes that are placed over the pain area or across the base
> of the spine. Patient success varied, but the single biggest factor
> for success in sciatic nerve cases was the willingness of the Doctor
> or Therapist to carefully teach the patient. We've been out of that
> business for 15 years, but it was (and maybe still is) Medicare
> approved. The company that bought us out, sold that division so I
> don't know where to recommend you go to try it. Good Luck Sid Levin

TENS units are still widely used in medicine (I use them for my
patients).  The key, as Sid states, is proper instruction for the patient
so that they are used properly.  They are usually Medicare-approved.

TENS units, however, are best used for pure "pain syndromes"; that
is, pain caused by problems which are otherwise not treatable.  In the
case of disc disease, the best treatment is modified bed rest, back
bracing, some PT; and, if all fails, surgery.  About 85% of patients with
disc problems will be helped without surgery, the other 15% will need
to be operated on.


Best,

Bob


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Robert A. Fink, M. D., F.A.C.S., P. C.
2500 Milvia Street  Suite 222
Berkeley, California  94704-2636
Telephone:  510-849-2555   FAX:  510-849-2557
WWW:  http://www.dovecom.com/rafink/

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