Electrical Stimulation for Shoulder Pain

Treatment Ratings

RISK: 5/5

Medium_Five_Heart_Rating

Risk of injury is very low, especially as it relates to shoulder injury. TENS shouldn’t be used over the heart, across the brain, or on patients with cancer or pregnant women with some exceptions.

EFFECTIVENESS: 2/5

Medium_Two_Heart_Rating

As discuss above, the effectiveness of electrical stimulation is somewhat up for debate. Used as part of an integrated program which includes active care (exercise), the effectiveness of electrical stimulation is arguably improved. Used as an isolated therapy there is still little evidence of effectiveness. [i], [ii], [iii]

[i] Tella et al. The effect of TENS on selected symptoms in the management of patients with chronic tension type shoulder pain-sprain/strain: a preliminary study. J Hosp Med. 2008 Jan-Mar;18(1):25-9.

[ii] Moshkani Farahani D et al. Comparison of Neurofeedback and Transcutaneous Electrical Nerve Stimulation Efficacy on Treatment of Primary Shoulder pain-sprain/strain: A Randomized Controlled Clinical Trial. Iranian Red Crescent Medical Journal. 2014;16(8):e17799. doi:10.5812/ircmj.17799.

[iii] Physical therapy for shoulder pain-sprain/strain. César Fernández-de-las-Peñas and María L Cuadrado. Cephalalgia .Vol 36, Issue 12, pp. 1134 – 1142. First Published December 9, 2015.https://doi.org/10.1177/0333102415596445

SELF CARE: 4/5

Medium_Four_Heart_Rating

While electrical stimulation is often provided by medical providers, most of these therapies are available for home use, and can be bought by the general public. However, caution should be noted before using any form of electrical stimulation due to the potential associated risks, and the fact that a proper diagnosis from a licensed provider is always recommended to be sure the therapy is indicated in the first place.

USEFULNESS: 3/5

Medium_Three_Heart_Rating

There are many forms of “electrical stimulation”. Examples include: TENS, Interferential and muscle stimulation. These therapies are somewhat controversial due to the lack of evidence about their effectiveness.[i] While they don’t work for everyone, they can be very useful for those who do benefit. The key: these therapies should rarely if ever be used in isolation, but often can be beneficial as part of a well-rounded program that includes active therapy (exercise).

[i] Philadelphia Panel. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for shoulder pain. Phys Ther 2001 Oct;81(10):1719-30.