The Electrotherapy RSD Protocol

Reflex sympathetic dystrophy (RSD), also known as complex regional pain syndrome, is a chronic neurological condition that causes severe burning or aching pain. Electrotherapy, also called bioelectric therapy or transcutaneous electrical nerve stimulation (TENS), when used along with pain medications provides temporary pain relief from RSD.

Considerations

• Electrotherapy stimulates the sensory nerves and activates distinct natural pain relief mechanisms. Short duration pulses are used because sensory nerves have a low threshold. The intensity of the current will normally be in the range of 0 to 80 milliamperes (mA). A milliampere is a measurement of current that is equal to one-thousandth of an amp. The transfer speed of the current will normally vary from as few as one or two pulses per second up to 200 or 250 pps.

Identification

• According to WebMD, small, flat rubber adhesive discs called electrodes are placed on treatment areas of the skin. Electrical currents are applied and a mild, vibrating sensation is felt. If the sensation becomes too strong, the clinician can adjust the amount of electrical current to a more comfortable level.

Time Frame

• Each electrotherapy session for RSD lasts approximately 20 minutes, and the number of sessions necessary depends on the reaction to treatment. Therapy usually begins with five sessions the first week, followed by three treatments per week thereafter. The total number of treatments will be approximately 16 to 20.