Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
A Case of Posttreatment Painful Neuropathy (PPN) Successfully Treated with Transcutaneous Electrical Nerve Stimulation (TENS)
Kazuomi WatanabeNaoto IshizakiMamoru InoueTadashi YanoYoshiharu Yamamura
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2002 Volume 45 Issue 7 Pages 483-488

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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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