Friday, December 27, 2013

Pain management

The PENS apparatus


Pain is either acute or chronic. It is a symptom arising from hurt or damage to the body tissues, nerves etc. Advanced stage cancer almost brings chronic pain, particularly to the bones, organs and spine. Pain cannot be cured but the root cause to pain is curable.

The management of pain is one of the hardest tasks for doctors. Because he cannot see nor feel the pain. Only the patient can describe it. Of course there are excellent medication to manage pain, but it comes with a price and side effects.

The World Health Organisation (WHO) prescribed pain management in a ladder format. Patients are to take medication from mild to stronger types. Smaller to larger doses. The WHO pain management ladder is still valid today.

Traditional Chinese Medicine (TCM) uses herbs, massaging and acupuncture to cure pain. It does bring relief to pain but only temporary.

New studies in pain management for acute and chronic pain focuses on the affected nerves and muscles. Hypersensitive pain spots can be detected by ultrasound scan. In the past acupuncture and Transcutaneous Electrical Nerves Stimulation (TENS) have managed relive arthritic pain. TENS places electrodes into the skin of the effected area.

We now have PENS (Percutaneous Electrical Nerve Stimulation) a similar concept to TENS. PENS uses needle nodes and electrical impulses are sent into the affected area like acupuncture. PENS is used for patients who fail to get relief from acupuncture or TENS. PENS combine the benefits of acupuncture and TENS. PENS is well tolerated and is minimally invasive.
PENS is now available in Hospital HUKM and PANTAI Medical Centre Kuala Lumpur.

Read the local media for more information.


Take care

Allen Lai

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