Chronic Pain
Tens Unit worth the cost if ins doesn't pay?

Monday during my PT session, the therapist supplied me with a Tens unit, so that I can use it at home. We won't know for several weeks if my insurance company will cover it. It's a lousy company, and they don't cover much......The therapist said if they won't cover it for me, the Tens Company would call me, and give me the option to purchase it myself, or send it back, with no charge for the time I have had it. I don't know what the cost would be..... Anybody want to jump in here? And is the Tens good for your chronic pain? I have so many places that hurt, not sure where to put the patches first! Smile

Also, this "wonderful" insurance company will cover my visit to a Pain Clinic, but they won't pay much for the Pain Pschologist. He wants $350. cash up front.. Are pain clinics the way to go, since my PCP is very good about perscribing the meds I need, and recommending treatments and visits to other Specialists if I want to see one? I'm just questioning the 2 days off work to get there, cost of gas, motel, food, etc. Since I'm already doing most of what I read on here that those Clinics do. Help??

Maggie

_____________

Type 2 Diabetes. Peripheral neuropathy, fibromyalgia, carpal tunnel both wrists, right shoulder acromioplasty, appendectomy, hysterectomy, Septoplasty, Sinus surgery.
laparoscopic nissan fundiplication (surgery for GERD)
C5-6 Discectomy, fusion with cadaver bone, titanium plate and screws
1 4mm left frontal white matter lesion.
MRI Report: April, 2008
C1-2 mild degenerative changes. C2-3 Posterior disc/osteophyte complex and facet degenerative changes resulting if mild canal stenosis. Mild to moderate right and left foraminal stenosis. C3-4 disc/osteophyte complex assymmetric to the left and facet degen change rsulting in mild to moderate canal stenosis. moderate right and severe left foraminal stenosis. C4-5 moderate canal stenosis. moderate right and left foraminal stenosis. C6-7 mild canal stenosis. bilateral foraminal stenoses.
Thoracic T9 hemangioma. Mild Schmorl's Node endplate deformities. degenerative changes , most significant at T6-7 with right paracentral disc protrusion. associated canal stenosis.
Lumbar MRI Bed 2007
Lumbar degenerative dis desiccation and degenerative disc narrowing especially the upper levels.
L4-5 broad based disc bulge combined with facet hypertrophy and ligamentum flavum hypertrophy resulting in central stenosis.

Lots of pain. Leg Weakness on neurological exam. Tramadol, Baclophen, neurontin, magnesium, potassium, Toprol XL, melatonin


The point of a pain center

The point of a pain center is to treat your pain..why go if your PCP is already doing so?Also,at most (if not all) pain centers you are bound by a contract and if you see another Dr for ANY reason and he/she prescribes you pain meds,you cannot accept them or you will be in violation of the contract.

I use a TENS.If I had to pay for it to be honest I would not,but I hope that it works for you.

_____________

tens

Hiya Maggie Big Hug
I have pain management and to be honest its the best thing i have ever done Smile . I have a number of tablets i have to take each day Hypnotized , and they told me i will have to take them for the rest of my life Sad . I invested in a tens machine its sometimes takes the edge of the pain and sometimes it dont Worried . A tens machine is somthing that you will have to try out i bought mine for £40 from physio med Shocked , its a company that was recommended by the hospital, you can try them out on a 28day trial Thinking , if you dont want it then you can send it back and get a full refund Day Dreaming .here is the website: www.EDITED Good Luck! Wave

Standards agreement and posting rules
Please note that Spine-Health reserves the right to edit any messages posted or submitted or e-mailed to the Company and use them for content on the website or in other company materials. No e-mail solicitation or advertising of other companies, products, services, or web sites is permitted in the Spine-Health.com forums.

Edited by moderator paulgla

_____________

"ALL ADVICE GIVEN IS BASED ON OUR OWN PERSONAL EXPERIENCES"
"WE ARE NOT MEDICALLY TRAINED IN THIS FIELD"
HAPPY NEW YEAR TO YOU ALL AND GOOD HEALTH FOR 2009 XXXX

My name is angie, i live in birmingham england.my back problems started in 1998.2001 had cartlidge removed in my right knee. when i was recovering from that i had a car accident, this caused my discs to prolapse.x-rays , MRI scan. 2002 epidural. 2003 had discs removed and 1 shaved.this has left me in pain and i have a protruding buldge 2 the right of my scar.2004 PT . 2005 facet joint injections. 2006 more PT, MRI scan. 2007 referred to PM.now on lots of medication.2008 im waiting 2 hav epidural and facet joint injections. I also suffer fibromyalgia.november 28th facet joint injections . After being examined by the GP he has concerns, so waiting for referral to orthopedic surgeon and for MRI scan, should recieve these in 2009 as he wants me seen ASAP. Appointment for orthopedic surgeon is dated the 27th january 2009. Not very well with my back at the moment, and been ill all over christmas, its so painful to walk now .

Tens

Best is to use the one they have given you to try and see if it works,,,,,,,,,,, I have a tens machine, gotit years ago for another pain issue that has since resolved itself, when my PT told me to use it on back, I tried, but really had no releif from my spine issues, though it has help a bit with stress on neck if it muscles tighening, so I gues the answer is you have to try it and see if it will be worth it.

Good luck in finding a solution

_____________

May 9th. 2008 2 level acdf, C5-6 and C6-7, myelopathy, stenosis.
Keep Smiling
Keep Laughing
Keep in Touch
Eve

TENS

Maggie,

I would definetly recommend getting the TENs unit. I bought one online for around $125 I think and the insurance ended up reimbursing us. But it would've been worth it if they hadn't.

Hello

I have one an like it. It was $600 dollars, but my chiro just gave it to me. That or he added to my LOP bill, which was still very generous of him by any means. I enjoy it. It helps releave some tension when I know that I can't get to a doctor.

Maggie

If it turns out that insurance does not cover it but you are getting relief then it may very well be worth the cost to purchase it. If, on the other hand, it doesn't work at least you'll have tried without feeling like you've wasted money. Good luck!

can't live without it

I use my tens every single day. On the really bad days I have it on for hours at a time. Of course, I use it on my neck and it just seems to help with the muscle spasming and keeps me from tensing up as much. don't know how it works for low back issues.

Try it, and if it works, it is definitely worth the investment.

Cindy

_____________

Feb 2006 did something really stupid and injured my neck. After all sorts of conservative treatments, I had a 3 level ACDF C5 to T1. Complications from that surgery led to partial paralysis and a long battle to get back to where I am today. Unfortunately, I did not fuse correctly. May 08 I had a revision to the surgery, including both the anterior and posterior approach, 2 vertebrectomies, and much titanium in my neck. I am still taking it day by day as I learn to deal with the residual effects of the spinal cord injury and permanent nerve damage. I'm here to offer support and encouragement to all the newcomers. Feel free to PM me if you want to.

You know..

Maybe I should use mine more often and give it a better shot.If I were to be honest I probably have not given it enough of a chance.Listening to the others I feel my previous answer was short and selfish.

*I'm sorry about that*

_____________

I have used my Tens

for my Cervical, Thoracic and Lumbar problems. It is a great unit. Omron Tens unit (cost $115 was purchased in Japan, so all the documentations and buttons are in Japanese)
From what I've seen with other Tens Units and the ones they have a physical therapy establishments, and there wasnt much of a difference

_____________

Ron DiLauro

Ron's Story
Welcome to Spine-Health
Spine-Health FAQs

rdilauro@gmail.com
The Mod Squad


The information provided by members of Spine-Health should never be considered as formal medical advice. It is recommendations based on member's personal experiences only.
This can vary from person to person, so do not take comments as medical facts or rules

Can't make it without mine.

I use my TENS everyday - especially Mon - Friday at work. I can't do without it or somebody is definitely going to pay.

I start with mine at 3.5 and by the end of a normal day at school it is up to 5 or 5.5. Cuts so much pain out of the back.

Of course, with it on my back, it doesn't do much for my arthritis which is acting up a LOT.

But yes, in my opinion it is worth it. I'm just lucky that Medicare paid for it.

I like mine

I use my TENS unit almost every day. Sometimes it helps me not have to take the percocet for the BT pain. Sometimes I need it anyway. Going to pain management might be a good thing if you doc doesn't help you out, but my PCP handles my pain well and my trip the the PM doc was a disaster. Even though he could plainly see the severely damaged discs on the MRI and CT scan, he pushed me back several times so I had to arch my back and I was in agony. The last time he tried to push me backwards I leaned forward and would not allow him to push me. The only thing he offered me was a spinal cord stimulator and I told him I wasn't ready for a pacemaker in my butt. I will NEVER go back to that doc again!

Linda

_____________

Ruptured discs L3/4, L4/5, L5/S1 May 2007
One ESI in 2007 with lots of PT
Microdiscectomy and foraminotomy L5/S1 December 2007
Worsening of symptoms (back pain, sciatica, right leg weakness) June 2008
New MRI and Discogram show all three discs torn through the annulus, left to right, all three levels
2 ESIs unsuccessful in managing pain
Currently in PT, Duragesic pain patch and percocet for break-through
Considering three-level fusion after being told nothing could be done
Surgery now scheduled for November 19, 2008 fusing L3/4 to S1
Attempted PLIF (from both sides) on November 19th.
Rods and pins were placed, but scar tissues prohibited removal of the old discs.
On November 24th, I had ALIF (opened from top of pubic bone to the bottom of my left ribcage) and removed the torn discs, placed dowels with cadaver bone, and some of my own bone marrow mixed with BMP. I left the hospital on the 26th of November.
Currently suffering temporary (hopefully) nerve damage of both legs and total numbness of right foot. Walking with a cane.

I like My TENS unit too

I have had a tens unit since 1996 and the one I have now is my second one. I ran the first one so much and so high that it just gave out. A tens surely does relax the muscles in the back and neck. I don't think I can do without mine. Drooling I didn't have to pay for my tens so I can't tell you the price but I can tell you that I would have paid cash for it if the insurance company didn't pay.
...Rodney...

_____________

I have been a cronic pain patient ever since I suffered an on the job injury in 1995. This accident gave me 3 bulging disc in my lower back. I have had epidural injections without success. I am currently managing the pain with Oxycodone ER 20 mg 3x a day with 5 mg oxycodone for BT. I use the TENS unit daily and I do McKenzie method exercises daily. On the good days it is "so far so good!" On the bad days it is "just leave me alone please."

...Rodney...
^
|\
( '>
/)*)
//''
/
"Plans, I always have plans. They don't ever work but I always have one." Boris Badenov

I've given it another week

Using it for hours upon hours at a time.Here is what I found.

While it does seem to help somewhat,it also seems to distract me from anything else I'm doing.Writing a letter,watching a show,or even just trying to type out a post on here.

It seems as soon as I take it off it's as if I never put it on.The pamphlet says not to sleep with it,but I can lay with it as long as I take it off before I fall asleep.I'm assuming that is so that I don't damage it by rolling over on it,or strangling myself with the wires(lol).My pain is cervicle so I wear it on my neck.

So in retrospect it does help my pain,but I find it distracting.All in all I'd have to say that is worth it in the end Smile

I'm glad you asked,otherwise I may not have given it a fair chance.. Smiling

Have you tried it yet?How is it working for you?I hope it helps.

_____________

Cant live without my tens unit!

I had my surgery last sept 4th 2007. I find the tens unit so good that i have3! One at home, one in office, and one in my bag. Mine are all "pro-Tens". The placement of the electrodes is impiracle and that is problematic. Never over a metal transplant...not dangerous, just unpleasant. you set amplitude and duration and pulse width. It is hard to do a Google search since tens is an acronym in at least 10 other fields. So I always type in "tens" and "electrodes" "placement".
The best sites are in Australia. Go to advanced search and type in .au in the domain box. .uk is also good.

http://www.edited.com

TENs stands for transcutaneous electrical nerve stimulation. TENs can be an effective way of managing both acute (short term pain) and chronic (long term) pain on its own or when used in conjunction with other ways of relieving pain.
How does TENs work?

The TENs machine can work in two ways but firstly it is important to understand how the body feels pain.

Messages are sent from the brain to all areas of the body and back again by the nerves, which run from the brain down the spinal cord spreading out to the trunk, arms and legs. If you touch something hot a message will flash along the nerves, up the spinal cord and into the brain. A second message would immediately be sent back to the same area telling you to move your hand away. This process takes only a fraction of a second.

"TENs works by a method called pain gating where the stimulation of the TENs machine blocks the messages to the brain telling it the body is experiencing pain. It also encourages the brain to produce the bodies own natural painkilling hormones known as endorphins.

The electrical stimulation is delivered to the body by a machine about the size of a personal stereo although some machines can be smaller. A TENs machine has a pair of wires connected to two outlets on the machine. Attached to these wires are small electrode pads, which stick to the body like a sticking plaster (see individual machine instructions). These pads are placed above the area of pain, usually on either side of the spine but this may vary depending on where the pain is felt. The TENs machine is small enough to conveniently wear it clipped onto the waistband of trousers or a skirt and continue with your usual activities. When in use a tingling sensation can be felt. This should not be an unpleasant feeling. Adjusting the rate and depth of the ‘tingling sensation’ using the controls on the machine can control the intensity and frequency of this sensation.

* The electrodes should never be placed over the front of the neck as this can cause problems with blood pressure.

TENs should not be used in the following circumstances:

• If a heart pacemaker is fitted
• During the first three months of pregnancy the electrodes should not be placed on the trunk or pelvis (lower body and hip region)
• If the skin is broken the electrodes should not be applied over this area
• Whilst driving or operating machinery
• Over skin where no sensation can be felt
• If a cochlear implant is fitted
• If you have epilepsy you should consult your doctor before using this machine

YOU ASK AND I WILL TRY TO ANSWER, ERIC

Standards agreement and posting rules
Please note that Spine-Health reserves the right to edit any messages posted or submitted or e-mailed to the Company and use them for content on the website or in other company materials. No e-mail solicitation or advertising of other companies, products, services, or web sites is permitted in the Spine-Health.com forums.

Edited by moderator paulgla

_____________

Eric

Eric..Dr Eric?

Are you a Dr.,and should I call you Dr.?

Also,do you know why they tell you not to wear the TENs while driving or operating heavy machinery?

Here's what I think(lol):The TENs,while helping my pain can be distracting(but worth it at times).Our brains can only take so much stimuli..so while I am wearing the unit my brain is not thinking about the pain,or thinking less about the pain.

Do you think that if wearing the unit while driving a person might be distracted?Or only a person like me(lol)I ask this because as soon as I take it off my pain is back full force,but my BF can use it and he says that his pain is relieved even after he turns off/removes the unit.

Sorry for all the questions-I'm curious about this. Puzzled

_____________

You can call me anything as long as you call me to dinner!

On this forum I am not a Doctor. Please call me Eric.
I have been using my tens for almost a year. Mostly all morning, and for pain at night. About one month ago it started to irritate more then it helped. One of my nurses advised me on that and woman always have a better handle on the big picture! So I gave the skin a rest. Now it is working 100% again. I think it is like when you have a migraine and all stimuli (sound, smell, light, taste etc.)is annoying.

I use mine while I drive, but on some settings it has a morphine like effect, no pain and no driving!

Try to read up on it on the Australian sites. In Google go to advanced an type in.au in the domain box...bottom left I think.
I really hope you get all better soon, really soon, Eric

_____________

Eric

Tens Unit is a wonderfull thing.

I use mine almost daily and its not gona heal you but rather help loosen up those tight muscles. Everybody will use their unit differently but after so many surgeries I usually just turn in on and keep it on all day. I do average a battery a day but its worth it.

Also it helps with blood flow in the muscles, its great to wear and put a heating pad on over it.

As for the PCP or pain clinic I would stay with your primary for your meds, but also a pain clinic wouldn't be bad for getting to the source of your pain and learning how to deal with it.

I go to a chronic pain clinic at a hospital, but keep all my meds with my PCP.

Who's online
There are currently 24 users and 936 guests online.