A Case of Posttreatment Painful Neuropathy(PPN) Successfully Treated with Transcutaneous Electrical Nerve Stimulation (TENS).

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  • Watanabe Kazuomi
    Department of Internal Medicine, Meiji University of Oriental Medicine
  • Ishizaki Naoto
    Department of Clinical Acupuncture and Moxibustion, Meiji University of Oriental Medicine
  • Inoue Mamoru
    Department of Internal Medicine, Meiji University of Oriental Medicine
  • Yano Tadashi
    Department of Clinical Acupuncture and Moxibustion, Meiji University of Oriental Medicine
  • Yamamura Yoshiharu
    Department of Internal Medicine, Meiji University of Oriental Medicine

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Other Title
  • 治療後有痛性末梢神経障害に経皮的電気刺激（ＴＥＮＳ）治療が奏効した２型糖尿病の１例
  • ショウレイ ホウコク ・ キンキ チホウカイ スイセン ロンブン チリョウ ゴユウツウセイ マッショウ シンケイ ショウガイ ニ ケイヒテキ デンキ シゲキ(TENS)チリョウ ガ ソウコウ シタ 2ガタ トウニョウビョウ ノ 1レイ

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Abstract

Posttreatment painful neuropathy (PPN) is acute painful neuropathy which occurs in a poorlycontrolled diabetic subject after glycemicontrol. We report a case in which PPN was successfully cured with transcutaneous electrical nerve stimulation (TENS). A52-year-old man with type 2 diabetes gradually developed painful neuropathy in the back and leg shortly after glycemic control by subcutaneous insulin injection in September 1998. Despite strict treatment with Mexiletine and PGE1 from February 1999, his subjective symptoms worsened. TENS therapy was applied at the painful area (40-100Hz) and acu points (1.3Hz). After 9 sessions of TENS therapy for 15 days, the area and intensity of pain both in the back and leg were obviously reduced. We concluded that TENS therapy had a considerable analgesic effect, and consequently patient symptoms reduced.

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