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Clinical Journal of Pain:

Percutaneous Electrical Nerve Stimulation (PENS): A Complementary Therapy for the Management of Pain Secondary to Bony Metastasis

Ahmed, Hesham E. M.D.; Craig, William F. M.D.; White, Paul F. Ph.D., M.D.; Huber, Philip M.D.*

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Objective: To evaluate the use of a novel nonpharmacologic analgesic therapy known as percutaneous electrical nerve stimulation (PENS) in the management of opioid-resistant cancer pain.

Design: PENS therapy was administered to three cancer patients on three or more occasion using acupuncturelike needle probes that were stimulated for 30 minutes at frequencies of 4-100 Hz.

Results: Two of the three patients achieved good to excellent pain relief that lasted 24-72 hours after each treatment session.

Conclusion: PENS therapy is a useful supplement to opioid analgesics for the management of pain secondary to bony metastasis in terminal cancer patients.

© 1998 Lippincott Williams & Wilkins, Inc.

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